A Shift in Paradigm of Disease Profile in Kenya: Should we be Cautious?_ Crimson Publishers

 A Shift in Paradigm of Disease Profile in Kenya: Should we be Cautious? by Romani I* in Open Journal of Cardiology & Heart Diseases_ journal of cardiology & heart diseases

 

Abstract

As per the World Health ranking in 2014 Kenya stands 149th in the world in census of coronary artery diseases. 2.74% of the total death. The main cause of death in communicable disease are influenza, HIV/AIDS, diarrhea, malnutrition etc. The age adjusted death rate being 53.61/100,000 population. Kenya is experiencing epidemiological transition in disease burden from infection to non-communicable condition (NCD), which are a major health concern with significant social and economic implication. The increasing coronary artery disease (CAD) may be due to adoption of unhealthy lifestyle (lack of exercise, increase in take of fast food) etc. The major risk factors are: diabetes mellitus, hypertension, smoking, excessive alcohol intake, stress etc.

Cardiovascular disease amount to most of the NCD deaths around the world (17.5 Million annually). NCD in Kenya amount to 27% of the total death, more than 50% of total hospital admission in Kenya. The major NCD being cardiovascular conditions, cancer, diabetes, chronic obstructive pulmonary disease (COPD) and their sequel. A comprehensive study was therefore needed to examine the prevalence and the magnitude of common risk factors for NCDs in Kenya which is useful to the Ministry of Health, different government sectors and county governments to establish interventions that are based on local risk factor burden. Mortality due to CAD in Kenya is between 6.1%-8% while autopsy study suggest it is more than 13%. The risk factors has increased over the last 20 years. Rheumatic Heart disease constitutes a major cause of cardiovascular diseases both in children and adults in Kenya. The annual mortality rate decreased from 19.8% since 1990.

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