A report by the Lancet commission calls for decisive action to be taken in the Sub-Saharan Africa, to avoid severe consequences to health and economies.
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‘More than 90% of diabetes cases are type 2 diabetes in sub-Saharan Africa. Hence, there is an urgent need to take decisive action to prevent them from further health conditions and diseases.’
"We were alarmed by both the magnitude of the problem, the speed at which diabetes has evolved, and how poorly health systems are responding," said Rifat Atun, professor of global health systems at Harvard Chan School and one of three lead authors of the report. "And because diabetes is a risk factor for other catastrophic illnesses such as heart disease, stroke, and kidney failure, its increasing prevalence could propel a huge wave of chronic disease in many countries in sub-Saharan Africa."
The Commission a multidisciplinary group of more than 70 clinicians, experts in public health and health systems, economists, and social scientists--worked for three years on the report, analyzing health data from 2004-2013 from more than 39,000 people from 12 countries, and data on the quality and effectiveness of 6,096 healthcare providers from four countries.
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Some of the Commission's main findings:
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- As economies in sub-Saharan Africa transition from lower- to higher-income, diabetes' prevalence in some countries has reached almost 22% in the adult population and as high as 30% in men and women aged 55-65 years, spurred in part by growing and aging populations, changes in lifestyle and eating habits, urbanization, and changing work practices.
- Currently, only half of those with diabetes are diagnosed, and of those, only 1 in 10 are receiving treatment.
- After decades of focusing on infectious diseases such as HIV, tuberculosis, and malaria, health systems are largely unprepared for dealing with the growing diabetes burden. If nothing is done to address the problem, the overall cost of diabetes in the region could nearly triple to more than $59 billion by 2030--1.8% of the region's gross domestic product. Costs would result from loss of labor productivity--from premature death, people leaving the workforce early, sick leave, and diminished productivity at work due to poor health.
A concerted effort from communities, national governments, and international agencies is necessary to bring diabetes in sub-Saharan Africa under control, the authors wrote.
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Source-Eurekalert
