The burden of cardiovascular diseases in Ethiopia from 1990 to 2017: evidence from the Global Burden of Disease Study

Author:

Ali Solomon12ORCID,Misganaw Awoke13,Worku Asnake1,Destaw Zelalem1,Negash Legesse1,Bekele Abebe1,Briant Paul S3,Johnson Catherine O3,Alam Tahiya3,Odell Chris3,Roth Gregory A3,Naghavi Mohsen3,Abate Ebba1,Mirkuzie Alemnesh H14

Affiliation:

1. Ethiopian Public Health Institute, Addis Ababa, Ethiopia

2. Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

3. Institute for Health Metrics and Evaluation, Department of Health Metrics Sciences, University of Washington, Seattle, WA 98121, USA

4. University of Bergen, Norway

Abstract

Abstract In Ethiopia, evidence on the national burden of cardiovascular diseases (CVDs) is limited. To address this gap, this systematic analysis estimated the burden of CVDs in Ethiopia using the Global Burden of Disease (GBD) 2017 study data. The age-standardized CVD prevalence, disability-adjusted life years (DALYs) and mortality rates in Ethiopia were 5534 (95% uncertainty interval [UI] 5310.09 - 5774.0), 3549.6 (95% UI 3229.0 - 3911.9) and 182.63 (95% UI 165.49 - 203.9) per 100 000 population, respectively. Compared with 1990, the age-standardized CVD prevalence rate in 2017 showed no change. But significant reductions were observed in CVD mortality (54.7%), CVD DALYs (57.7%) and all-cause mortality (53.4%). The top three prevalent CVDs were ischaemic heart disease, rheumatic heart disease and stroke in descending order. The reduction in the mortality rate due to CVDs is slower than for communicable, maternal, neonatal and nutritional disease mortalities. As a result, CVDs are the leading cause of mortality in Ethiopia. These findings urge Ethiopia to consider CVDs as a priority public health problem.

Funder

Institute for Health Metrics and Evaluation

University of Washington

Bill and Melinda Gates Foundation

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine,Health (social science)

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