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Title: The burden of non-communicable diseases in South Africa
Authors: Mayosi BM; Flisher AJ; Lalloo UG; Sitas F; Tollman SM; Bradshaw D
Categories: Cancer Control, Survivorship, and Outcomes Research - Health Services, Economic and Health Policy Analyses
Keywords: Africa; Forecasting; Health Priorities; Health Services Needs and Demand; Health Transition; HIV Infections; Humans; Life Expectancy; Male; Mental Disorders; Middle Aged; Aged; mortality; Neoplasms; Politics; Population Surveillance; prevention & control; Primary Health Care; Primary Prevention; Research; Respiratory Tract Diseases; Risk; Cardiovascular Diseases; Risk Factors; secondary; Secondary Prevention; Socioeconomic Factors; South Africa; therapy; Chronic Disease; Cost of Illness; Diabetes Mellitus; economics; epidemiology; Female
Year: 2009
Journal Title: The Lancet
Volume: 374
Issue: 9693
Page number start: 934
Page number end: 947
Abstract: 15 years after its first democratic election, South Africa is in the midst of a profound health transition that is characterised by a quadruple burden of communicable, non-communicable, perinatal and maternal, and injury-related disorders. Non-communicable diseases are emerging in both rural and urban areas, most prominently in poor people living in urban settings, and are resulting in increasing pressure on acute and chronic health-care services. Major factors include demographic change leading to a rise in the proportion of people older than 60 years, despite the negative effect of HIV/AIDS on life expectancy. The burden of these diseases will probably increase as the roll-out of antiretroviral therapy takes effect and reduces mortality from HIV/AIDS. The scale of the challenge posed by the combined and growing burden of HIV/AIDS and non-communicable diseases demands an extraordinary response that South Africa is well able to provide. Concerted action is needed to strengthen the district-based primary health-care system, to integrate the care of chronic diseases and management of risk factors, to develop a national surveillance system, and to apply interventions of proven cost-effectiveness in the primary and secondary prevention of such diseases within populations and health services. We urge the launching of a national initiative to establish sites of service excellence in urban and rural settings throughout South Africa to trial, assess, and implement integrated care interventions for chronic infectious and non-communicable diseases
Programme: Cancer Causes; Joburg Study
Division: Cancer Research Division
Appears in Collections:Research Articles

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