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Regional epidemiology of hypertension in the Gulf

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Regional epidemiology of hypertension in the Gulf

  1. 1. Regional Epidemiology Of Hypertension In The Gulf Jafar Al-Said, MB. CHB. MD. FASN. FACP. Chair of Internal Medicine. Nephrology and Internal Medicine Consultant. Bahrain Specialist Hospital. 1
  2. 2. LEARNING OBJECTIVES • Prevalence of HTN in the Gulf region. • Global Prevalence of HTN. • Expected Population Growth for the coming decades. • Health impact of other CV risk factors. • Impact of HTN by WHO for the coming decades. 2
  3. 3. HTN PREVALENCE IN THE GULF 3
  4. 4. 800% 4
  5. 5. UAE 9,206,000 HTN 19.1% Yaman 23,852,000 HTN 25.1% Bahrain 1,318,000 HTN 28% Kuwait 3,250,000 HTN 20% KSA 28,288,000 HTN 25.2% Is. Rep.I ran 76,424,000 HTN 24.3% Iraq 32,778,000 HTN 24.4% 3,314,000 HTN 25.4% WHO 2014 ANNUAL REPORT TOTAL POPULATION 180,481,000 HTN 24% 45,120,250 Qatar 2,051,000 HTN 25% 5
  6. 6. ARE WE READY TO TREAT 45,120, 250 X 2 = ??? HTN PATIENT IN 2050 90,240,500 6
  7. 7. GLOBAL PREVALENCE OF HYPERTENSION 7
  8. 8. WHO REGIONAL OFFICES HTN PREVALENCE 45% 35% 41% 41% 36% 38% HTN GLOBAL PREVALENCE 39% 8
  9. 9. 9
  10. 10. POPULATION GROWTH 10
  11. 11. 11
  12. 12. Global HTN PATEINTS 39% = 2,822,891,760 12
  13. 13. WORLD POPULATION ESTIMATES FROM 1800 TO 2100, BASED ON "HIGH", "MEDIUM" AND "LOW" UNITED NATIONS PROJECTIONS IN 2010 [[FILE:WORLD-POPULATION-1800-2100.SVG|THUMB|WORLD-POPULATION-1800- 2100]] 13
  14. 14. 14
  15. 15. GLOBAL PREVALENCE OF HTN IN 2100 40% of the Global population: High UN estimated HTN 16 billion 6.4 billion Low UN estimated 10 billion 4 billion 15
  16. 16. DIABETES STATISTICS 16
  17. 17. DIABETES PREVALENCE 2013 17
  18. 18. GLOBAL DIABETES PATIENTS Year 2000 2030 DM 171,000,000 366,000,000 WHO | Country and regional data on diabetes 18
  19. 19. 19
  20. 20. DM Population in the Gulf Region 2000-2030 2000 2030 4,630,000 13,772, 000 37,000 2,103,000 668,000 104,000 113,000 38,000 890,000 350,000 327,000 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 Bahrain Islamic Republic of Iran Iraq Kuwait Oman Qatar Saudi Arabia United Arab Emirates Yemen Chart Title 2000 2030 Global DM Prevalence 20
  21. 21. OBESITY 21
  22. 22. 23
  23. 23. HYPERLIPIDEMIA 24
  24. 24. 25 Global 39% Males 37% Females 40%
  25. 25. CORONARY ARTERY DISEASE 26
  26. 26. CAUSES OF INCREASED HYPERTENSION % 28
  27. 27. 29
  28. 28. 30
  29. 29. 31
  30. 30. 32
  31. 31. 33
  32. 32. 34
  33. 33. 35
  34. 34. 36
  35. 35. 80% of death from CVD occur in lower and middle income countries. 37
  36. 36. Mortality rates of cardiovascular diseases in high-income and low-income Countries (age standardized, 2008 Causes of death 2008, [Online Database]. Geneva, WHO 2013. 38
  37. 37. 39 ARE WE READY ????
  38. 38. CONCUSION AND RECOMMENDATION • HTN effect about 25% of the Gulf Population. • It is effecting 40% of the population around the world. • HTN out weight all the other cardiovascular risk factors. • Major efforts should be spent in awareness, prevention and eventually management. • This was the main aim behind organizing this conference. 40
  39. 39. REFERENCES WHO Library Cataloguing-in-Publication Data Global status report on noncommunicable diseases 2010. 1.Chronic disease - prevention and control. 2.Chronic disease - epidemiology. 3.Chronic disease - mortality. 4.Cost of illness. 5.Delivery of health care.. I.World Health Organization. ISBN 978 92 4 156422 9 (NLM classification: WT 500). ISBN 978 92 4 068645 8 (PDF). Joffres M, Falaschetti E, Gillespie C, et al. Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischemic heart disease mortality: a cross-sectional study BMJ Open 2013;3:e003423. doi:10.1136/bmjopen-2013-003423. A global brief on Hypertension. Document number : WHO/DCO/WHD/2013.2. Any queries regarding this document should be addressed to : communications@who.int. World Health Organization - Noncommunicable Diseases (NCD) Country Profiles, 2014. 41

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