ROLE OF MEDICAL WOMEN ASSOCIATION OF NIGERIA IN NON-COMMUNICABLE DISEASES BY PROF. G.C. ONYEMELUKWE (MON) CHAIRMAN, NATIONAL EXPERT COMMITTEE ON NON- CHAIRMAN, NATIONAL EXPERT COMMITTEE ON NON- COMMUNICABLE DISEASES COMMUNICABLE DISEASES AREWA HOUSE KADUNA 23 RD NOVEMBER 2004
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ROLE OF MEDICAL WOMEN ASSOCIATION OF NIGERIA IN NON- COMMUNICABLE DISEASES BY PROF. G.C. ONYEMELUKWE (MON) CHAIRMAN, NATIONAL EXPERT COMMITTEE ON NON-COMMUNICABLE.
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ROLE OF MEDICAL WOMEN ASSOCIATION OF NIGERIA IN NON-COMMUNICABLE DISEASES
BY PROF. G.C. ONYEMELUKWE (MON)
CHAIRMAN, NATIONAL EXPERT COMMITTEE ON CHAIRMAN, NATIONAL EXPERT COMMITTEE ON NON-COMMUNICABLE DISEASESNON-COMMUNICABLE DISEASES
AREWA HOUSE KADUNA23RD NOVEMBER 2004
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LIST OF NON COMMUNICABLE DISEASES
1. Hypertension2. Diabetes Mellitus3. Sickle Cell Disease4. Mental ILL Health & drug
a. Cardiomyopathiesb. Endomyocardial fibrosisc. Peripartum Cardiac
failure (PPCF)13. Cancers
a. Hepatoma b. Prostate c. Cervix d. Breast
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MORTALITY STATISTICS (1999-2001) ABUTH, ZARIA (Source: Community Medicine)
1. Road traffic Accidents 14.25%
2. Infections and Septicaemia 10.80%
3. Hypertension 9.32%
4. Protein calorie malnutrition 8.53%
5. Tuberculosis 5.09%
6. HIV/AIDS 4.75%
7. Cancers 4.07%
8. Mellitus 3.29%
9. Cerebrovascular Accidents (Stroke)
2.35%
*44% of deaths are due to NCDs
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*2003 SURVEILLANCE DATA LAGOS (SW ZONE)
BP systolic =>140mmHg
BP diastolic =>90mmHg
Female : 22.6%Male : 22.1%
Female: 29.5%Male : 30%
Rural (all) : 13.7%Urban (all): 28.7%
Rural : 20.6%Urban : 36.9%
* Risk of CVS damage doubles for every 10 point increase in diastolic and 20 point systolic increase.* ¼ to 1/3 of women in rural and urban areas are hypertensive.
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NATIONAL MENTAL HEALTH SURVEY
• DEPRESSION SYMPTOMS HIGH (Female>male)
• ANXIETY SYMPTOMS HIGH
NB: Severe depression can lead to violence and suicide
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BURDEN OF NON COMMUNICABLE DISEASE (DALYs) %DISTRIBUTION IN SUB SAHARAN AFRICA
0
10
20
30
40
50
60
70
1990 2000 2010 2020
Source: Murray & Lopez: Global burden of Disease
NCDs
Communicable
Injuries
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WHAT IS RISK FACTOR?• A risk factor is a condition that places
an individual at risk of developing a health related problem.
• A risk factor can be genetic or acquired. It may be identified as a single measurement (e.g. a physical feature such as weight), a disease (e.g. Hypertension) or a lifestyle characteristics (e.g. smoking)
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WHAT IS RISK FACTOR? Cont.
• In order to be considered a risk factor for a disease, the condition must be associated with that disease in a manner which is beyond chance alone.
• A casual link is therefore implied• A risk factor will however not necessarily
lead to the development of the disease• Risk factors/habits begin in youth/in
womb.
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RISK FACTORS IN NCD’s IRisk Factors Hypertension Diabetes