World Hypertension Day | Why it is time for India to prioritise prevention and early detection of hypertension
KV Prasad Jun 13, 2022, 06:35 AM IST (Published)
Listen to the Article (6 Minutes)
Summary
While observing the World Hypertension Day tomorrow (May 17), it is time for India to adopt a strategy that is focussed on prevention, detection and control of high blood pressure that forms a greater part of Cardiovascular diseases, points out Vanita Srivastava.
Cardiovascular disease (CVD) is the biggest killer among the fast growing non-communicable diseases (NCDs) in India —home for one of the largest population living with cancer, diabetes, hypertension, stroke, and other heart diseases in the world. While access to better treatments for these diseases and the economic impacts of uncontrolled disease burden are always bigger issues in the low and middle income countries, prevention and early detection for effective management of the disease is the best option that these countries can look forward to.
Since early detection and effective management of diseases are among the most cost-effective interventions, these should be prioritised by countries like India in their healthcare programme. And this should be part of their national health benefit package offered at a primary care level.
While observing the World Hypertension Day tomorrow (May 17), it is time for India to adopt a strategy that is focussed on prevention, detection and control of high blood pressure, which forms a greater part of CVDs. For this, the country, as part of its national health programme, should promote CVD awareness campaigns, facilitation for blood pressure check-up, and implementation of other effective disease prevention and management measures.
Hypertension or high blood pressure is often referred to as a silent killer because a person suffering from it may not experience symptoms. However, the health condition can cause damage to various body functions, affecting heart health, stroke, kidney failure among others. High Blood Pressure is when the pressure in your blood vessels is too high (140/90 mmHg or higher)
Need to scale the coverage
Hypertension affects 1 in 3 adults worldwide. According to a WHO report released in September 2023, approximately 4 out of 5 people with hypertension are not adequately treated in the world, but if countries can scale up prevention and treatment coverage, 76 million deaths could be averted between 2023 and 2050.
The number of people living with hypertension (blood pressure of 140/90 mmHg or higher or taking medication for hypertension) doubled between 1990 and 2019, from 650 million to 1.3 billion. Nearly half of people with hypertension globally are currently unaware of their condition. More than three-quarters of adults with hypertension live in low- and middle-income countries.
Old age and genetic disorders can increase the risk of having high blood pressure, but modifiable risk factors such as eating high-salt diet, not being physically active and drinking too much alcohol can also increase the risk of hypertension, the report said.
Lifestyle changes like eating a healthier diet, quitting tobacco and being more active can help lower blood pressure. Some people may need medicines that can control hypertension effectively and prevent related complications.
WHO Director General Dr. Tedros Adhanom Ghebreyesus, was recently quoted saying; “Hypertension control programmes remain neglected, under-prioritised and vastly underfunded. Strengthening hypertension control must be part of every country’s journey towards universal health coverage, based on well-functioning, equitable and resilient health systems, built on a foundation of primary health care.”
In the WHO report, it was highlighted that reducing salt intake and increasing potassium intake not only lowers blood pressure but also helps prevent cardiovascular events. The report emphasises potassium-enriched salt substitutes as an affordable strategy. However, treatment resistant hypertension is another threat emerging now with existing medication.
New Drugs, New Therapies
As the medical research progresses, there comes new and innovative treatments, though a general access to those new generation medicines is still a concern. One of the latest among those new options has been aprocitentan, approved by the US Food and Drug Administration (US FDA). This new generation drug, approved for lowering blood pressure, is used in combination with other antihypertensive agents, in adults with treatment-resistant hypertension.
“We have had to wait for over 30 years to see the approval of an oral anti-hypertensive agent that works on a new therapeutic pathway, so aprocitentan, currently branded as Tryvio, provides transformational progress in the field of systemic hypertension,” says Michael A. Weber, MD, State University of New York, one of the clinical investigators of this new medicine.
Another investigational drug called zilebesiran has been found to be safe and effective in reducing systolic blood pressure in people with mild-to-moderate high blood pressure for up to six months with just one injection.
Physical activity and mental balance have a major role in controlling hypertension. A British Journal of Sports Medicine study suggests that two isometric exercises, planks and wall squats, may be highly effective in lowering blood pressure.
Elon Musk forms several ‘X Holdings’ companies to fund potential Twitter buyout
3 Mins Read
Thursday’s filing dispelled some doubts, though Musk still has work to do. He and his advisers will spend the coming days vetting potential investors for the equity portion of his offer, according to people familiar with the matter
KV Prasad Journo follow politics, process in Parliament and US Congress. Former Congressional APSA-Fulbright Fellow