Alwan A A
WHO Regional Office for the Eastern Mediterranean, Alexandria, Egypt.
World Health Stat Q. 1993;46(2):97-100.
Rapid socioeconomic development, urbanization and improved survival have given rise to a progressive increase in the occurrence of noncommunicable diseases in the Eastern Mediterranean Region. Cardiovascular diseases have emerged as a leading cause of morbidity and mortality in many countries. The prevalence of hypertension is already high in many countries of the Region and the number of hypertensives is likely to increase further in the coming years. Although the influence of geographical, ethnic and socioeconomic factors has not been studied adequately, it seems that the epidemiological and clinical patterns of hypertension do not differ markedly from those in developed countries. The growing impact of cardiovascular disease is already understood in most countries. The human and economic costs are enormous, there is a growing demand for medical services, and the need to take action is increasingly acknowledged. Most countries have either initiated or indicated the need to establish programmes in collaboration with WHO on the prevention and control of cardiovascular disease during 1992 and 1993. In view of the scarcity of precise epidemiological information, data collection and the assessment of risk factors for coronary heart disease are expected to form the basis of preliminary activities.
快速的社会经济发展、城市化进程以及生存率的提高,导致东地中海区域非传染性疾病的发病率逐渐上升。在许多国家,心血管疾病已成为发病和死亡的主要原因。该区域许多国家的高血压患病率已然很高,未来几年高血压患者数量可能还会进一步增加。尽管地理、种族和社会经济因素的影响尚未得到充分研究,但高血压的流行病学和临床模式似乎与发达国家并无显著差异。大多数国家已经认识到心血管疾病日益增长的影响。其人力和经济成本巨大,对医疗服务的需求不断增加,采取行动的必要性也日益得到认可。1992年至1993年期间,大多数国家要么已经启动,要么表示有必要与世卫组织合作制定心血管疾病预防和控制计划。鉴于精确的流行病学信息匮乏,预计收集冠心病数据和评估风险因素将成为初步活动的基础。