A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response

The cardiovascular disease (CVD) burden in South Africa (SA) is increasing amongst all age groups and is predicted to become the prime contributor to overall morbidity and mortality in the over 50-year age group. Several factors contribute to this – an epidemiological transition, which has seen a ri...

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Autores principales:	Mandy Maredza, Karen J. Hofman, Stephen M. Tollman
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	cardiovascular disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/5070c45b318e47f9bbc0b044b17f950b
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spelling	oai:doaj.org-article:5070c45b318e47f9bbc0b044b17f950b2021-11-26T14:33:02ZA hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response10.24170/8-1-19241996-67412071-4602https://doaj.org/article/5070c45b318e47f9bbc0b044b17f950b2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1924https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602The cardiovascular disease (CVD) burden in South Africa (SA) is increasing amongst all age groups and is predicted to become the prime contributor to overall morbidity and mortality in the over 50-year age group. Several factors contribute to this – an epidemiological transition, which has seen a rise in chronic non-communicable disease, and a demographic transition with much reduced fertility and a growing proportion of the population above 60 years. In parallel with unfolding urbanisation, the population burden of vascular risk factors namely hypertension, hypercholesterolemia, diabetes and obesity has increased. The scale of CVD burden poses a threat to the health system and calls for timely intervention. This paper discusses the burden of CVD in SA and current initiatives to address it. Evidence is presented from studies that focus on prevention including salt reduction and trans-fatty acids legislation. The economic and clinical impact of an inadequate private and public sector response is summarised. The paper documents lessons from other countries and proposes health systems strengthening measures that could improve care of patients with CVD.Mandy MaredzaKaren J. HofmanStephen M. TollmanSouth African Heart Associationarticlecardiovascular diseasesouth africaDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 8, Iss 1 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiovascular disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	cardiovascular disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701 Mandy Maredza Karen J. Hofman Stephen M. Tollman A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
description	The cardiovascular disease (CVD) burden in South Africa (SA) is increasing amongst all age groups and is predicted to become the prime contributor to overall morbidity and mortality in the over 50-year age group. Several factors contribute to this – an epidemiological transition, which has seen a rise in chronic non-communicable disease, and a demographic transition with much reduced fertility and a growing proportion of the population above 60 years. In parallel with unfolding urbanisation, the population burden of vascular risk factors namely hypertension, hypercholesterolemia, diabetes and obesity has increased. The scale of CVD burden poses a threat to the health system and calls for timely intervention. This paper discusses the burden of CVD in SA and current initiatives to address it. Evidence is presented from studies that focus on prevention including salt reduction and trans-fatty acids legislation. The economic and clinical impact of an inadequate private and public sector response is summarised. The paper documents lessons from other countries and proposes health systems strengthening measures that could improve care of patients with CVD.
format	article
author	Mandy Maredza Karen J. Hofman Stephen M. Tollman
author_facet	Mandy Maredza Karen J. Hofman Stephen M. Tollman
author_sort	Mandy Maredza
title	A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
title_short	A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
title_full	A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
title_fullStr	A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
title_full_unstemmed	A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response
title_sort	hidden menace: cardiovascular disease in south africa and the costs of an inadequate policy response
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/5070c45b318e47f9bbc0b044b17f950b
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A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response

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