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• W2135425496 abstract "Non-communicable diseases are responsible for two-thirds of deaths worldwide, with 80% occurring in low-income and middle-income countries (LMICs). 1 WHOGlobal status report on noncommunicable diseases 2014. World Health Organization, Geneva2015 Google Scholar Cardiovascular disease causes more deaths than any other non-communicable disease, and hypertension is the leading remediable risk factor for cardiovascular disease. 2 WHOGlobal health risks: mortality and burden of disease attributable to selected major risks. World Health Organization, Geneva2009 Google Scholar Hypertension kills an estimated 9·4 million people annually worldwide—about as many as all infectious diseases combined. 3 Lim SS Vos T Flaxman AD et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380: 2224-2260 Summary Full Text Full Text PDF PubMed Scopus (8262) Google Scholar A public health approach to hypertensionSonia Angell and colleagues1 present constructive ideas to address hypertension globally. However, the daunting challenges of implementation of rapid control of hypertension deserve fuller discourse. The fact that “in the USA, barely half of people with hypertension have their blood pressure at target levels”1 speaks volumes. Moreover emulating single-purpose AIDS programming is largely unrealistic. Undertaking of further multibillion dollar initiatives to establish largely parallel health systems is simply not feasible. Full-Text PDF A public health approach to hypertensionSonia Angell and colleagues are to be congratulated on drawing attention to the challenges posed by hypertension in the context of the global burden of non-communicable diseases.1 However, we take issue with the focus on hypertension defined at an arbitrary cutoff level.2 Modern approaches to the management of cardiovascular disease risk focus on overall levels of risk, based on assessment of the presence (or absence) of several risk factors, rather than tackling each risk factor in isolation.3 Full-Text PDF A public health approach to hypertensionSonia Angell and colleagues (Feb 28, p 825)1 describe the part played by the Strategic Fund of the Pan American Health Organization (PAHO) in support of the Global Standardized Hypertension Treatment (GSHT) Project, a joint initiative of the US Centers for Disease Control and Prevention (CDC) and PAHO. This contribution to the GSHT Project is consistent with PAHO's mandates2 and is part of its body of work in hypertension control,3 a condition that affects 250 million people in the Americas. Full-Text PDF" @default.
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• W2135425496 date "2015-02-01" @default.
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• W2135425496 title "A public health approach to global management of hypertension" @default.
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• W2135425496 doi "https://doi.org/10.1016/s0140-6736(14)62256-x" @default.
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