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The burden of non-c...
The burden of non-communicable diseases in South Africa
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Mayosi, Bongani M (författare)
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Flisher, Alan J (författare)
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Lalloo, Umesh G (författare)
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Sitas, Freddy (författare)
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- Tollman, Stephen M (författare)
- Umeå universitet,Epidemiologi och global hälsa,MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
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Bradshaw, Debbie (författare)
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(creator_code:org_t)
- New York : Elsevier, 2009
- 2009
- Engelska.
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Ingår i: The Lancet. - New York : Elsevier. - 0140-6736 .- 1474-547X. ; 374:9693, s. 934-947
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 15 years after its first democratic election, South Africa is in the midst of a profound health transition that is characterised by a quadruple burden of communicable, non-communicable, perinatal and maternal, and injury-related disorders. Non-communicable diseases are emerging in both rural and urban areas, most prominently in poor people living in urban settings, and are resulting in increasing pressure on acute and chronic health-care services. Major factors include demographic change leading to a rise in the proportion of people older than 60 years, despite the negative effect of HIV/AIDS on life expectancy. The burden of these diseases will probably increase as the roll-out of antiretroviral therapy takes effect and reduces mortality from HIV/AIDS. The scale of the challenge posed by the combined and growing burden of HIV/AIDS and non-communicable diseases demands an extraordinary response that South Africa is well able to provide. Concerted action is needed to strengthen the district-based primary health-care system, to integrate the care of chronic diseases and management of risk factors, to develop a national surveillance system, and to apply interventions of proven cost-effectiveness in the primary and secondary prevention of such diseases within populations and health services. We urge the launching of a national initiative to establish sites of service excellence in urban and rural settings throughout South Africa to trial, assess, and implement integrated care interventions for chronic infectious and non-communicable diseases.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- middle-income countries
- coronary heart disease
- Sub-Saharan Africa
- human immunodeficiency virus
- prevention initiative saspi
- risk factors
- mental health
- black population
- Alma-Ata
- antiretroviral therapy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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