2021-06-28-世界卫生组织-Hypertension_Comoros_2020_country_profile_2页_379kb

Comoros Hypertension Fact Sheet Summary

Core Content Overview

This document provides a comprehensive overview of the burden of hypertension in Comoros, focusing on prevalence, control rates, and national responses as of 2011 and 2019. It outlines the key challenges in hypertension management and highlights WHO recommendations for prevention and control.

Key Statistics (2011)

• Total Population: 706,578
• Adult Population with Hypertension: 63,900 (approximately 25.3% of adults)
• Uncontrolled Hypertension: 60,300 people (about 94.4% of those with hypertension)

Hypertension Cascade by Age and Sex (2011)

The following data shows the distribution of hypertension-related stages among males and females aged 25-64:

Notes:

• Males:
  • 25-34: 7.6 (14.2%)
  • 35-44: 7.1 (20.1%)
  • 45-54: 9.2 (38%)
  • 55-64: 5.8 (43%)
• Females:
  • 25-34: 7.1 (13.6%)
  • 35-44: 8.5 (24.2%)
  • 45-54: 10 (41%)
  • 55-64: 8.3 (58.4%)

National Systems Response (2019)

• Policy Availability: Comoros has a policy to reduce population salt/sodium consumption.
• Medicine Availability: The number of essential hypertension-related medicines reported as "generally available" is not specified, but it indicates some level of availability.

WHO Recommendations for Hypertension Prevention and Control

• Address Population Prevalence:

  • Reduce modifiable risk factors such as excessive salt consumption, high saturated and trans fat intake, low fruit and vegetable consumption, physical inactivity, tobacco and alcohol use, and overweight/obesity.
  • Utilize WHO technical packages: MPOWER, ACTIVE, SHAKE, REPLACE, and HEARTS.

• Improve Hypertension Control:

  • Enhance identification and treatment using evidence-based protocols.
  • Intensify treatment for patients whose blood pressure is not controlled and ensure access to essential medicines.
  • Monitor blood pressure control rates in clinical settings and measure population prevalence.

Trends in Uncontrolled Hypertension (Adults aged 18+)

• The prevalence of uncontrolled hypertension has been increasing over time.
• Past Trends: Both males and females show a trend of increasing uncontrolled hypertension.
• Projected Linear Trends: Not specified, but the trend is expected to continue.
• Global Targets: Not met, as indicated by the symbols (···○).

Definitions

• Population with Hypertension: Individuals with SBP ≥140 mmHg or DBP ≥90 mmHg, or who have been diagnosed and treated with medication for hypertension in the past two weeks.
• Aware (Diagnosed): Individuals who meet the hypertension definition and have been informed by a health worker of their condition.
• Under Treatment: Individuals who meet the hypertension definition and are currently receiving treatment with prescribed medication.
• Controlled: Individuals with SBP <140 mmHg and DBP <90 mmHg, who are also aware and under treatment.

Data Sources

1. Prevalence and Cascade Data: Comoros 2011 STEPS survey.
2. Population Estimates: Derived from UN 2011 population estimates for ages 25-64.
3. National Systems Response Data: 2019 National County Capacity Survey for NCDs.
4. Trend Data: From WHO Global Health Observatory, comparable age-standardized estimates of raised blood pressure.