The World Health Organization (WHO) coming released its 2nd Global hypertension report, showing that 1.4 cardinal group lived pinch hypertension successful 2024, yet conscionable complete 1 successful 5 person it nether power either done medicine aliases addressing modifiable wellness risks.
The caller report–released astatine an arena co-hosted by WHO, Bloomberg Philanthropies, and Resolve to Save Lives during nan 80th United Nations General Assembly–also reveals that only 28% of low-income countries study that each WHO-recommended hypertension medicines are mostly disposable successful pharmacies aliases superior attraction facilities.
Hypertension is simply a starring origin of bosom attack, stroke, chronic kidney disease, and dementia. It is some preventable and treatable – but without urgent action, millions of group will proceed to dice prematurely, and countries will look mounting economical losses. From 2011 to 2025, cardiovascular diseases–including hypertension–are projected to costs low- and middle-income countries astir US$ 3.7 trillion, balanced to astir 2% of their mixed GDP.
Every hour, complete 1000 lives are mislaid to strokes and bosom attacks from precocious humor pressure, and astir of these deaths are preventable. Countries person nan devices to alteration this narrative. With governmental will, ongoing investment, and reforms to embed hypertension power successful wellness services, we tin prevention millions and guarantee cosmopolitan wellness sum for all."
Dr. Tedros Adhanom Ghebreyesus, WHO Director-General
"Uncontrolled precocious humor unit claims much than 10 cardinal lives each year, contempt being some preventable and treatable. Countries that merge hypertension attraction into cosmopolitan wellness sum and superior attraction are making existent progress, but excessively galore low- and middle-income countries are still near behind," said Dr Kelly Henning, who leads nan Bloomberg Philanthropies Public Health Program. "Strong policies that raise consciousness and grow entree to curen are captious to reducing cardiovascular illness and preventable deaths."
Persistent barriers
Analysis of information from 195 countries and territories shows that 99 of them person nationalist hypertension power rates beneath 20%. The mostly of nan affected group unrecorded successful low- and middle-income countries, wherever wellness systems look assets constraints.
The study highlights awesome gaps successful hypertension prevention, diagnosis, treatment, and semipermanent care. Key barriers see anemic wellness promotion policies (on consequence factors specified arsenic alcohol, baccy use, beingness inactivity, salt, and trans fats), constricted entree to validated humor unit devices, deficiency of standardized curen protocols and trained superior attraction teams, unreliable proviso chains and costly medicines, inadequate financial protection for patients, and insufficient accusation systems to show trends.
Access to medicines: a cornerstone of progress
Blood unit medicine is 1 of nan astir cost-effective nationalist wellness tools. Yet only 7 retired of 25 (28%) of low-income countries study wide readiness of each WHO-recommended medicines, compared to 93% of high-income countries. The study explores nan barriers and strategies for improving entree to hypertension medicine done amended regulatory systems, pricing and reimbursement, procurement and proviso concatenation management, and improved prescribing and dispensing of these medicines.
"Safe, effective, low-cost medicines to power humor unit exist, but acold excessively galore group can't get them," said Dr. Tom Frieden, President & CEO, Resolve to Save Lives. "Closing that spread will prevention lives - and prevention billions of dollars each year."
Country-level progress
Despite barriers, advancement is possible. Bangladesh, nan Philippines, and South Korea person made important advancement by integrating hypertension attraction into cosmopolitan wellness sum (UHC), investing successful superior care, and engaging communities:
- Bangladesh accrued hypertension power from 15% to 56% successful immoderate regions betwixt 2019-2025 done embedding hypertension curen services successful its basal wellness work package and strengthening screening and follow-up care.
- The Philippines has efficaciously incorporated nan WHO's HEARTS method package into community-level services nationwide.
- South Korea has integrated wellness reforms, including debased costs for antihypertensive medications and limiting diligent fees, which person resulted successful nan precocious complaint of humor unit power nationally: 59% successful 2022.
WHO calls connected each countries to embed hypertension power successful UHC reforms. Implementing nan measures recommended successful nan study could forestall millions of premature deaths and easiness nan monolithic societal and economical toll of uncontrolled precocious humor pressure.
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