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Embed code for: Lets talk about Hypertension
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Let´s talk about Hypertension.
LET’S TALK ABOUT HYPERTENSION NCDs: Non-communicable diseases Non-communicable diseases also known as chronic diseases, are not passed from person to person. They are of long duration and generally slow progression. The 4 main types of non-communicable diseases are cardiovascular diseases, cancers, chronic respiratory diseases and diabetes.9 More than 68% of all deaths globally are associated with NCDs2 Hypertension and high blood pressure is the most common risk factor for mortality: 82% of these deaths occur in low- and middle- income countries (LMICs) 2 46% the African continent has the highest prevalence of raised blood pressure in the world6 Most people with hypertension living in LMICs don’t know they have it8 Between 2011 and 2015 the lost economic output related to NCDs will be more than USD 7 trillion in LMICs5 1995 2000 2005 2010 2015 2020 2025 2030 70.0 60.0 50.0 40.0 30.0 20.0 10.0 00.0 Whilst the burden of communicable diseases is declining in most LMICs, the burden of NCDs is rising steadily3 In 2015 NCDs will account for 65% of all deaths in LMICs and by 2030 more than 71%3 Communicable diseases Non-communicable diseases NON-COMMUNICABLE DISEASES (NCDS): A GROWING GLOBAL HEALTH CHALLENGE HYPERTENSION: THE MOST COMMON CAUSE OF DEATH 80% of premature heart disease, stroke and diabetes can be prevented4 9.4 million people are estimated to die from hypertension and high blood pressure globally every year. This is equivalent to all infectious diseases combined7 Treating hypertension is relatively straightforward with both medicines and lifestyle changes, yet it is poorly controlled both in HICs and LMICs8 Hypertension is a major risk factor for coronary heart disease and stroke, but if detected and managed early, these life threatening conditions can be prevented 6 More than are associated with raised blood pressure6 X X LMICs: Low and Middle Income Countries The term ‘LMICs’ is widely used by the development and global health community to differentiate between the economic status’ of different territories and/or countries. The definition comes from the World Bank. For the current 2015 fiscal year, low-income economies are defined as those with a GNI per capita (calculated using the World Bank Atlas method) of $1,045 or less in 2013; middle-income economies are those with a GNI per capita of more than $1,045 but less than $12,746; high-income economies are those with a GNI per capita of $12,746 or more.10 DALYs: Disability-Adjusted Life Years One Disability Adjusted Life Year can be thought of as one lost year of healthy life. The sum of these DALYs across the population measures the gap between a current and ideal health situation in which the entire population is free of disease and disability. DALYs for a disease are calculated as the sum of the Years of Life Lost (YLL) due to premature mortality in the population and the Years Lost due to Disability (YLD) for people living with the health condition.11 KEY TERMS HYPERTENSION IS A MAJOR RISK FACTOR FOR CARDIOVASCULAR DISEASE, ONE OF THE FOUR MOST DEADLY NONCOMMUNICABLE DISEASES1 12.8% of all deaths 3.7% of all DALYs globally At References 1 United Nations, Press release: Reducing Hypertension Critical to Global Action Plan on Tackling Non-communicable Diseases, Secretary-General Says in Message for World Health Day. Available at: http://www.un.org/press/en/2013/sgsm14922.doc.htm. Last accessed May 2015 2 World Health Organization. Global status report on non-communicable diseases, 2014 3 World Health Organization, Health statistics and information systems: Projections of mortality and causes of death,2015 and 2030. Available at: http://www.who.int/entity/healthinfo/global_bur- den_disease/GHE_DthWHOReg7_Proj_2015_2030.xls?ua=1 . Last Accessed May 2015. World Health Organization, Health statistics and information systems: Estimates for 2000–2012. Available at: http://www.who.int/entity/healthinfo/global_burden_disease/GHE_DthWBInc_2000_2012.xls?ua=1. Last accessed May 2015. 4 World Health Organization, Global Health Observatory (GHO) Data: Noncommunicable diseases (NCD). Available at: http://www.who.int/gho/ncd/en/. Last accessed May 2015 5 World Health Organization and WEF, From Burden to “Best Buys”: Reducing the Economic Impact of Non-Communicable Disease in Low-and Middle-Income, 2011. Available at: http://www3.wefo- rum.org/docs/WEF_WHO_HE_ReducingNonCommunicableDiseases_2011.pdf. Last Accessed May 2015 6 World Health Organization, Global Health Observatory (GHO) Data: Raised Blood Pressure. Available at: http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/. Last ac- cessed May 2015 7 Angell, Sonia Y.; Decock, Kevin M.; Frieden, Thomas R. A public health approach to global management of hypertension. The Lancet, 2015, 385.9970: 825-827. Lim, Stephen S., et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet, 2013, 380.9859: 2224-2260. 8 Diel Lemogoum, Challenge for Hypertension Prevention and Control Worldwide: The Time for Action. The Journal of Clinical Hypertension August 2008. Available at: http://onlinelibrary.wiley.com/ doi/10.1111/jch.12373/epdf. Last accessed May 2015 9 WHO, Noncommunicable Diseases Factsheet. Available at: http://www.who.int/mediacentre/factsheets/fs355/en/. Last accessed May 2015 10 The World Bank, Country and Lending Groups. Available at: http://data.worldbank.org/about/country-and-lending-groups. Last accessed May 2015. 11 World Health Organization, Metrics: Disability-Adjusted Life Year (DALY). Available at: http://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/. Last accessed May 2015. 12 World Health Organization, Non-communicable Diseases (NCD) Country Profiles: Ghana. Available at: http://www.who.int/nmh/countries/gha_en.pdf?ua=1. Last accessed May 2015. 13 Lloyd-Sherlock, Peter, et al. Hypertension among older adults in low-and middle-income countries: prevalence, awareness and control. International journal of epidemiology, 2014, 43.1: 116-128. More than 27.3% of adults in Ghana have hypertension12 4.1 % of those are controlled13 NOVARTIS FOUNDATION HYPERTENSION PROGRAM IN GHANA FHI 360 Ghana Health Service VOTO In Ghana, the Novartis Foundation is working with The program links to implement and evaluate a community-based program to raise awareness of hypertension to improve diagnosis, treatment and control of the condition Community Members Community Health Workers Public Health System Private Sector reminders and health messaging will empower patients with hypertension CLOUD-BASED SYSTEM SMS/voice messaging for treatment adherence are working with us to evaluate and measure the cost effectiveness of the program + = The London School of Hygiene & Tropical Medicine (LSHTM) School of Public Health at the University of Ghana About the Novartis Foundation The Novartis Foundation is a philanthropic organization that aims to pioneer innovative healthcare models that have a transformational impact on the health of the poorest populations. We work hand-in-hand with our local and global partners to accelerate elimination of leprosy and malaria by focusing on interventions that aim to interrupt transmission, and to catalyze scalable and sustainable healthcare models that improve access and health outcomes. Everything we do is grounded in evidence and innovation, and our work is a continuous cycle of evaluation, adaptation and application. In 2014, the operational budget for the foundation was CHF 12 million and our programs reached 3.6 million people. es of death,2015 and 2030. Available at: http://www.who.int/entity/healthinfo/global_bur- den_disease/GHE_DthWHOReg7_Proj_2015_2030.xls?ua=1 . Last Accessed May 2015. World Health Organization, Health statistics and information systems: Estimates for 2000–2012. Available at: http://www.who.int/entity/healthinfo/global_burden_disease/GHE_DthWBInc_2000_2012.xls?ua=1. Last accessed May 2015. 4 World He