Zusammenfassung der Ressource
Non-Communicable Disease - CHD
- Background
- No cure but can be controlled with
treatment
- Over 300 risk factors
- A disease of affluence; more common in wealthier countries
- Measure in DALYs - Disability-Adjusted Life
Years
- Distribution
- the USA and UK due to ageing populations and lifestyle factors. People tend
to have a greater disposible income, jobs are often in the tertiary sector and
there are may sedentary amusements and comforts.
- the Epidemiological Transition Model predicts an
increase in cases in poor and newly industrialising
countries
- Death rates are falling in wealthier countries
due to diagnostic improvements, developing
treatments and awareness campaigns
- Areas of social deprivation
- Impacts
- 95,000 deaths per year in the UK
- Unemployment increases
- Half of deaths are those under 70; the peak of economic activity
- Family and friends many also stop working to care for the
patient; in LEDCs it is not uncommon to pull a child out of
education to look after a sick parent.
- Obesity costs the NHS £0.5 billion a
year
- Indirect cost to the economy over £2 billion
- If 10% of Americans actively walked, $5.6
billion could be saved on heart disease related
health care
- Even before atherosclerosis, the patient will have been living a
low quality of life. Diabetes and obesity is common in CHD
sufferers.
- Many obese people find ordinary activities a challenge and find themselves excluded from society
- Facts
- There's a heart attack every 15 minutes
- Women in Glasgow have the
highest heart attack rate in the
world
- The working class are twice as likely to suffer a heart
attack
- Solutions
- USA banned the suing of fast food chains for causing
obesity
- New Zealand introduced recognisable healthy food
logos
- Products were reformulated to contain less salt
- UK
- Public smoking ban in the UK from
2007
- UK doctors are promoting the consumption of oily fish, fruit and veg and less
sat fats
- Over 5 million take statins (a group of medicines that can help lower the level of low-density lipoprotein
cholesterol in the blood) which prevent 2,000 early deaths per year.
- Medical advances have saved 8 million lives between 1970-2000 in the 'cardiovascular
revolution'
- heart diseases fallen by 70%
- Only governments can legislate the
control of disease through advertising
bans, smoke free areas, food logos and
taxation
- World Heart Day established by WHO since 2000.
This involves conferences, free blood pressure
tests and the promotion of physical activities
involving all members of society. Nearly 60 participating countries.
- In Finland nationwide restrictions
enforced regarding cholesterol levels
through health education and food
labeling led to a decrease in heart
disease