Why we care about Diabetes and High Blood Pressure in Africa

Why do we screen for Diabetes and High Blood Pressure in Senegal?

Diabetes

(data from the International Diabetes Federation, 2016 and the CIA World Factbook, 2016)

  • Diabetes is a pandemic, affecting unsuspecting victims the world over
  • 1 in 2 people worldwide have diabetes and don’t know it
  • The African Region has the highest rate of undiagnosed diabetics: 67% are unaware they have it
  • By 2040, the number of diabetics in the African Region is expected to double
  • 79% of diabetics in Africa are <60 yrs. old; the highest rate of any region
  • The African Region spends the lowest amount of any region on diabetes
  • Diabetes, especially when treated late or poorly, is associated with:
    • Retinopathy and blindness (25% of diabetics worldwide affected)
    • Cardiovascular disease
    • Kidney disease
    • Amputations

Hypertension

(High Blood Pressure) as identified by Macia, E., Gueye, L. & Duboz, P. (2016). Hypertension and obesity in Dakar, Senegal, PLoS One, 11(9), e0161544. doi: 10.1371/journal.pone.0161544

  • Estimates are that 25% of the adult population has high blood pressure
  • Only about 28% of people with hypertension in Senegal know they have the condition
  • Only approximately 55% of people with hypertension receive treatment
  • Of hypertensive people who receive treatment, only about 30% achieve control
  • Uncontrolled or untreated, hypertension causes
    • Stroke
    • Kidney disease
    • Heart Attacks
    • Damage to the arteries
    • Damage to the eyes
    • Heart failure
    • Aneurysms

http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868

Senegal in General

  • The health care system in Senegal covers, on average, only 60% of costs of care
  • 48% of the population lives below the poverty line
  • Unemployment rate is 48%