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Cardiovascular Disease: Current trends and public health initiatives

Cardiovascular Disease: Current trends and public health initiatives. Presenters: Barbara Eden – Senior Manager – Food Supply (NSW) Michelle Daley - Senior Manager – Active Living (NSW) 25 October 2010. Overview. Trends and Inequalities Statistics Disadvantaged population groups

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Cardiovascular Disease: Current trends and public health initiatives

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  1. Cardiovascular Disease:Current trends and public health initiatives Presenters: Barbara Eden – Senior Manager – Food Supply (NSW) Michelle Daley -Senior Manager – Active Living (NSW) 25 October 2010

  2. Overview • Trends and Inequalities • Statistics • Disadvantaged population groups • Trends • Burden of disease • Health expenditure on CVD • Public Health Initiatives • Active Living • Food Supply

  3. Statistics for CVD in Australia • Affects estimated 19% Australians (3.7 million)1 • Approx. 6.9% (1.4 million) Australians have a disability associated with CVD • Leading cause of death:2 • Over 1/3 (34%) of all deaths in 2006 • 132 deaths everyday or 1 death every 11 minutes • More women than men die from CVD / year • 22,757 men die from CVD / year • 24,500 women die from CVD / year 1. AIHW. Impact of falling cardiovascular disease death rates: deaths delayed and years of life extended. April 2009. Bulletin 70. 2. Heart Foundation. Key Cardiovascular Statistics. May 2010. 3. AIHW. Cardiovascular disease mortality Trends at different ages April 2010 Prevention

  4. Statistics for CHD in Australia • Heart disease(mainly heart attack) • Leading single cause of death (2008) • 23,600 deaths / yr (or 65 deaths / day) • 12,444 men / year and 11,221 women / year • 3.8% long term heart disease • Heart attack (or MI) • ~48,000 / year → 40% result in death • ~25% die within an hour of their first ever symptom • First time, deaths in women outnumber men (2008) 1. Heart Foundation. Key Cardiovascular Statistics. May 2010.

  5. Statistics for CVD in Australia • Stroke • Second leading single cause of death • ~40,000 to 48,000 stroke events/yr • 11,973 deaths/yr (or 32 deaths/d) • 4,727 men / yr • 7,246 women /yr • ↓3.5% stroke deaths over 10 yrs • Blood vessel disease • 2, 314 deaths / yr • 1,227 men/ yr & 1,087 women / yr • Deaths ↓ by >20% since 1997 1. Heart Foundation. Key Cardiovascular Statistics. May 2010.

  6. CVD & Indigenous Australians Comparative mortality & prevalence to non-Indigenous Australians

  7. CVD in Indigenous people http://www.healthinfonet.ecu.edu.au/health-facts/overviews/selected-health-conditions/cardiovascular-disease National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) undertaken by the ABS in 2004-2005 • 12.5% reported a long-term heart or related condition • 14% of those living in remote areas • 11% of those living in non-remote areas No difference to 2001 National Health Survey (slight increase not statistically significant)

  8. Comparison between Indigenous & Non-Indigenous Australians • 1 in 8 reported CVD condition • 1.3x as likely to have CVD • 1.5x more likely to be hypertensive • 3.1x (males) as likely to die from CVD(2001-05) • 2.6x (females) as likely to die from CVD(2001-05) • 19x as likely to die from acute rheumatic fever & chronic rheumatic heart disease1 • 26-27xprevalence of acute rheumatic fever & chronic rheumatic heart disease (M–F) (in NT & SA, Dec 06) • Significantly higher rates of some CVD risk factors3 • Heart Foundation. Key Cardiovascular Statistics. May 2010. • AIHW. Impact of falling cardiovascular disease death rates: deaths delayed and years of life extended. April 2009. Bulletin 70. • National Heart Foundation of Australia. Guidelines for the assessment of Absolute cardiovascular disease risk. 2009

  9. Trends for CVD Global Australia - Indigenous population AIHW. Cardiovascular disease mortality trends at different ages. April 2010 http://www.aihw.gov.au/publications/cvd/47/10811.pdf

  10. CVD - men AIHW Cardiovascular disease mortality trends at different ages April 2010

  11. CVD - men AIHW Cardiovascular disease mortality trends at different ages April 2010

  12. CHD - women AIHW Cardiovascular disease mortality trends at different ages April 2010

  13. Stroke - men Stroke - women AIHW Cardiovascular disease mortality trends at different ages April 2010

  14. Smoking AIHW Cardiovascular disease mortality trends at different ages April 2010

  15. High Blood Pressure AIHW Cardiovascular disease mortality trends at different ages April 2010

  16. Sedentary behaviour AIHW Cardiovascular disease mortality trends at different ages April 2010

  17. Obesity prevalence AIHW Cardiovascular disease mortality trends at different ages April 2010

  18. Diabetes prevalence AIHW Cardiovascular disease mortality trends at different ages April 2010

  19. “Baby Boomers”: Ageing (1997-2041) Dept of Health and Ageing Ageing

  20. Why decrease in CVD mortality? • Medical care & treatment improvements • Medicines • ACE inhibitors, statins, thrombolytic & antiplatelet agents • Emergency care • National Clinical Guidelines & protocols • HF’s Warning Signs Campaign – Call 000 • Medical and surgical procedures • Rehabilitation practices • Follow up care • GP support programs

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