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In 1978, Strasser suggested that prevention of cardiovascular diseases should go beyond programmes encompassed under the idea of primary prevention. He coined the term "primordial prevention" to mean activities that prevented the penetration of risk factors into populations. The basic idea is to intervene in order to stop the appearance of risk factors in the population. In some sense, this is similar to traditional public health immunization efforts for infectious conditions, aiming to prevent the appearance of the risk factor or condition before it takes hold in the population.