Quite serious, but there’s hope and the hope that I am focusing on today is based on study there was done couple of year ago and called inter-heart study was done a cross country so its over lke 30 different countries tens of thousands of subjects and most importantly conclusion is true with this that 90% of risk of getting heart dieses is attributable to the factors that are preventable, the behavioural risk factors is diminished physical nutritional emotional mental health that leads to heart diseases.