Cardiac patients rising in Bangladesh, 2.5 lakh die annually

Manzur H Maswood | Published: 23:34, Sep 29,2018 | Updated: 23:40, Sep 29,2018


BSMMU cardiology department brings out a procession at Shahbagh in Dhaka on Saturday marking World heart Day. — New Age photo

Cardiovascular disease became a cause of increasing concern for Bangladesh with patients suffering it topping the list of people with non-communicable diseases.
The top cause of mortality, morbidity and hospital admission in the country is also the cardiovascular disease, according to the National Health Bulletin.
The World Health Organization in its latest Non-Communicable Diseases Country Profiles 2018 said that cardiovascular disease became the leading cause of death among the non-communicable diseases in Bangladesh.
Deaths caused by cardiovascular disease increased manifold in Bangladesh over the recent years, according to WHO.
According to the WHO country profile for 2018, cardiovascular disease alone kills 2.56 lakh people in Bangladesh accounting for 30 per cent of deaths caused by Non-Communicable Diseases.
According to the WHO, the number of deaths caused by cardiovascular disease in Bangladesh in 2014 was 1.5 lakh or 17 per cent of the deaths caused by the NCDs.
The National Health Bulletin 2017, published in January, identified cardiovascular disease as the number one non-communicable disease in Bangladesh.
According to the bulletin, in 2017 the top cause of patients’ sufferings in 2017 was cardiovascular disease, 13.2 per cent of them at district hospitals and 12.2 per cent at medical college hospitals.
The major cause of mortality among patients in different medical college hospitals was cardiovascular disease - 54.24 per cent. The second top cause of mortality at medical college hospitals was respiratory disease - 4.93 per cent.
At the district level hospitals, the same cardiovascular disease topped the list of major cause of mortality - 47.53 per cent and second top cause was respiratory disease - 20.13 per cent
At the upazila level hospitals, the cardiovascular disease topped the list of mortality - 32.42 per cent and the second top cause of mortality was respiratory disease - 24.71 per cent.
Cardiac doctors told New Age that the major risk factors for cardiovascular disease were rising in Bangladesh.
Physical inactivity, tobacco use, sodium intake, high blood pressure, diabetes, obesity and air pollution, the major causes of cardiovascular disease, and these risk factors are rising in Bangladesh, National Heart Foundation Hospital and Research Centre’s head of cardiac surgery Farooque Ahmed told New Age.
He observed that the increased trend of taking fast food, processed food, soft drinks are also contributing to the cardiovascular diseases.
‘Cardiovascular disease became endemic in Bangladesh’, Farooque said.
‘We have to be aware about our heart and the government have to increase tax on fast foods, soft drinks and tobacco,’ he said.
According to the WHO NCDs country profile 26 per cent of adult population in Bangladesh are physically inactive, 23 per cent use tobacco, 21 per cent have high blood pressure, eight per cent have diabetes and three per cent is obese.
WHO says, ambient air pollution, a cause of heath disease, exceeds the permissible limit by six times in Bangladesh.
And, at least 82 per cent people in Bangladesh use polluting fuels or technologies at home, it says.
Health Services director general Abul Kalam Azad told New Age that with economic development non-communicable diseases were on the rise in Bangladesh including cardiovascular disease.
He said as soon as people accumulate wealth they take to unhealthy lifestyle and develop the habit of eating unhealthy foods which cause hypertension, diabetes and obesity leading to various non-communicable diseases including the fatal heart disease.
He said that Bangladesh was following an action plan prepared by the WHO to tackle the challenges.
Speaking at a seminar for celebrating the World Heart Day at National Heart Foundation on Saturday, health minister Mohammad Nasim said the government was concerned over the NCDs becoming a serious burden for the nation.
He said specialised district level hospitals would be created for treating patients of NCDs.

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