How to Improve Awareness, Treatment, and Control of Hypertension in Africa, and How to Reduce Its Consequences: A Call to Action From the World Hypertension League

Author:

Parati Gianfranco1ORCID,Lackland Daniel T.2ORCID,Campbell Norman R.C.3ORCID,Ojo Owolabi Mayowa4ORCID,Bavuma Charlotte5,Mamoun Beheiry Hind6,Dzudie Anastase7ORCID,Ibrahim M. Moshen8,El Aroussy Wafaa8,Singh Sandhya9,Varghese Cherian V.10ORCID,Whelton Paul K.11ORCID,Zhang Xin-Hua12,

Affiliation:

1. Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular Neural and Metabolic Sciences; and Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (G.P.).

2. Division of Translational Neurosciences and Population Studies, Medical University of South Carolina, Charleston (D.T.L.).

3. Department of Medicine, Physiology and Pharmacology and Community Health Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Alberta, Canada (N.R.C.C.).

4. Faculty of Clinical Sciences; Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, Nigeria (M.O.O.).

5. Kigali University Teaching Hospital, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda (C.B.).

6. Faculty of Nursing Sciences; Physiology Department, Faculty of Medicine; International University of Africa (IUA), Sudan (H.M.B.).

7. Faculty of Medicine and biomedical sciences, University of Yaounde 1, Cameroon (A.D.).

8. Deparmentt of Cardiology, Cairo University (M.M.I., W.E.A.).

9. Director; Cluster: Non-Communicable Diseases, National Department of Health, South Africa (S.S.).

10. Department of Noncommunicable Disease, World Health Organization, Geneva, Switzerland (C.V.V.).

11. Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana (P.K.W.).

12. Beijing Hypertension League Institute, China (X.-H.Z.).

Abstract

Hypertension is the leading preventable risk factor for cardiovascular diseases and disability globally. In low- and middle-income countries hypertension has a major social impact, increasing the disease burden and costs for national health systems. The present call to action aims to stimulate all African countries to adopt several solutions to achieve better hypertension management. The following 3 goals should be achieved in Africa by 2030: (1) 80% of adults with high blood pressure in Africa are diagnosed; (2) 80% of diagnosed hypertensives, that is, 64% of all hypertensives, are treated; and (3) 80% of treated hypertensive patients are controlled. To achieve these aims, we call on individuals and organizations from government, private sector, health care, and civil society in Africa and indeed on all Africans to undertake a few specific high priority actions. The aim is to improve the detection, diagnosis, management, and control of hypertension, now considered to be the leading preventable killer in Africa.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Internal Medicine

Reference72 articles.

1. WHO. Global Health Observatory (GHO) Data. Raised Blood Pressure-situation and trends. 2017 [Available from: . Accessed May 29 2022. http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/.

2. Hypertension in Low- and Middle-Income Countries

3. São Paulo call to action for the prevention and control of high blood pressure: 2020

4. Burden of Undiagnosed Hypertension in Sub-Saharan Africa

5. WHO. Global Status Report on Non Communicable Diseases (NCDs). 2017. Accessed May 29 2022. http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/.

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