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Biostatistics of Heart
 diseases in Egypt


     Dr / M Kamal
Mortality rate for cardiovascular diseases
560.0 /)per 100 000 population( year 2002
Cardiovascular diseases are now the
leading cause of death in many countries of
                 the region
 Mortality rate due to CVS diseases
represent 25%-40% of all deaths
Qatar
Kuwait
Bahrain
Jordan
Monitoring Cardio-vascular Diseases in Egypt
   WHO and Ain-Shams University2000
sex
100
90
80
70                  57%
60
        43%
50
40
30
20
10
  0
      male      female
Education
Illiterate              55.3

Read and write          8.9

Primary education       4.9

Preparatory education   4.5

Secondary education     14.7

University education    11.7
Occupation
Professional      4.4
Administrator &   2.2
Business owners
Employees         11.1
Sale personals    1.1
Technicians       3.7
Regular Workers   3.3
House wives       48.0
Farmers           5.8
Retired           13.6
History of major cardiac
              diseases
100
 90
 80
             67.1
 70
 60
 50
 40
 30
 20                      11.9        10.4       7.8
 10                                                          4
  0
       Hypertension   Infarction   Rheumatic   chronic ischemia   Angina
Hypertension in Egypt
)Egyptian National Hypertension Project )NHP
Dr Mohsen Ibrahim -
adults 25 years of age< -
    conducted in six Egyptian governorates. -
 - Persons6733
General incidence rate in Egypt

Age Group   Number   % Incidence

+25         6,733    26.3
Males or females?!
      AGE
Males
 %
100
 90
 80
 70
 60                           54.4   48
 50                    40.9
 40               34
 30
           20.4
 20   11
 10
  0
      25    35    45    55      65   75+   Age
Females
%
10 0
 90
 80
                                      64.5   65
 70
                              55. 3
 60
 50                    40.8
 40
 30           16 . 9
 20    4. 6
 10
   0
       25      35       45     55      65    75+   A ge
Incidence & Control & awareness & TTT

 Incidence is higher in Cairo.
 Control is higher in costal regions
 Rate of awareness and treatment are
  lowest in low socioeconomic standard
 The prevalence of hypertension is higher
  in urban than in rural populations
!!!
• 37.5% of hypertensive individuals were
  aware that they had hypertension.

• 23.9% were being treated with
  antihypertensive medications.

• 8% were under control
????
Deaths from rheumatic heart disease
Deaths from coronary HD
Burden of coronary Heart diseases
Biostatistics of heart diseases in Egypt
Biostatistics of heart diseases in Egypt

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Biostatistics of heart diseases in Egypt

  • 1. Biostatistics of Heart diseases in Egypt Dr / M Kamal
  • 2. Mortality rate for cardiovascular diseases 560.0 /)per 100 000 population( year 2002
  • 3. Cardiovascular diseases are now the leading cause of death in many countries of the region Mortality rate due to CVS diseases represent 25%-40% of all deaths Qatar Kuwait Bahrain Jordan
  • 4. Monitoring Cardio-vascular Diseases in Egypt WHO and Ain-Shams University2000
  • 5. sex 100 90 80 70 57% 60 43% 50 40 30 20 10 0 male female
  • 6. Education Illiterate 55.3 Read and write 8.9 Primary education 4.9 Preparatory education 4.5 Secondary education 14.7 University education 11.7
  • 7. Occupation Professional 4.4 Administrator & 2.2 Business owners Employees 11.1 Sale personals 1.1 Technicians 3.7 Regular Workers 3.3 House wives 48.0 Farmers 5.8 Retired 13.6
  • 8. History of major cardiac diseases 100 90 80 67.1 70 60 50 40 30 20 11.9 10.4 7.8 10 4 0 Hypertension Infarction Rheumatic chronic ischemia Angina
  • 9. Hypertension in Egypt )Egyptian National Hypertension Project )NHP Dr Mohsen Ibrahim - adults 25 years of age< - conducted in six Egyptian governorates. - - Persons6733
  • 10. General incidence rate in Egypt Age Group Number % Incidence +25 6,733 26.3
  • 12. Males % 100 90 80 70 60 54.4 48 50 40.9 40 34 30 20.4 20 11 10 0 25 35 45 55 65 75+ Age
  • 13. Females % 10 0 90 80 64.5 65 70 55. 3 60 50 40.8 40 30 16 . 9 20 4. 6 10 0 25 35 45 55 65 75+ A ge
  • 14. Incidence & Control & awareness & TTT  Incidence is higher in Cairo.  Control is higher in costal regions  Rate of awareness and treatment are lowest in low socioeconomic standard  The prevalence of hypertension is higher in urban than in rural populations
  • 15. !!! • 37.5% of hypertensive individuals were aware that they had hypertension. • 23.9% were being treated with antihypertensive medications. • 8% were under control ????
  • 16. Deaths from rheumatic heart disease
  • 17.
  • 19.
  • 20. Burden of coronary Heart diseases

Editor's Notes

  1. Primary Health Care, Assiut University; Medical and Cardiology Departments, Assiut University; Assiut Health Insurance, Assiut; Heart Mahla Center; Suez Canal University Hospital; Ain-Shams University Hospital; and total number of the six centers, Egypt
  2. Prevalence increases progressively with age from 7.8% at 25y to 65.5% at 75y The steady growth in the number of elderly patients with hypertension in Egypt means that the country will face a serious national problem by the year 2020, when it can expect to deal with 18 million elderly hypertensive. In general Females &gt; males 26.9 %: 25.7% &lt;45years :Males &gt; females &gt;65years females &gt; males 71% : 55%