33571 - DIABETES IN SUB-SAHARAN AFRICA Dr Kaushik Ramaiya...

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DIABETES IN SUB-SAHARAN AFRICA Dr Kaushik Ramaiya
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The future burden of diabetes in sub-Saharan Africa 0 2 4 6 8 10 12 14 16 18 20 Amos et al, 1997 WHO, King et al, 1998 WHO, Wild et al, 2003 millions 2010 2025 2030
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Africa is experiencing a rapid epidemiological transition with the burden of non-communicable diseases esp. diabetes that will overwhelm the health care systems which is already overburdened by HIV/AIDS, TB and Malaria. This is due to Rapid urbanization and westernization of lifestyle Rapidly decreasing physical activity Changes in dietary habits Ageing of the population
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What is different about DM in Africa? Decreases survival from the disease. Most countries do not have national diabetes programmes. Medications are unavailable or irregularly available and unaffordable. Well-structured educational programs for the patients and health professionals are lacking. . Unequal distribution of facilities and providers.
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Age RISK FACTORS NON MODIFIABLE Age Ethnicity/predisposition MODIFIABLE Obesity Urbanization Physical inactivity Change in dietary habits Pr evalence of diabetes by age group in a population of Cameroon Mbanya JC et al
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Obesity RISK FACTORS NON MODIFIABLE Age Predisposition MODIFIABLE Obesity Urbanization Physical inactivity Change in dietary  habits Sobngwi E, et al. Int J Obes 2002
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Childhood Obesity RISK FACTORS NON MODIFIABLE Age Predisposition MODIFIABLE Obesity Urbanization Physical inactivity Change in dietary  habits
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Average percentage annual increase in urban and rural populations, 1995-2000 RISK FACTORS NON MODIFIABLE Age Predisposition MODIFIABLE Obesity Urbanization Physical Inactivity Change in dietary habits 0 1 2 3 4 5 6 7 8 Cameroon Kenya Nigeria South Africa Tanzania Urban Rural
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Physical Inactivity Men 0 20 40 60 80 100 120 < 30y 30 - 49y >= 50y Daily minutes of walk Rural Urban p<0.0001 p<0.0001 p<0.0001 Women 0 20 40 60 80 100 120 < 30y 30 - 49y >= 50y Rural Urban p<0.0001 p<0.0001 p<0.0001 Daily walking time in a sample of 2465 urban and rural Cameroonians (Sobngwi E, et al Int J Obes 2002) RISK FACTORS NON MODIFIABLE Age Predisposition MODIFIABLE Obesity Urbanization Physical Inactivity Change in dietary  habits
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C OUNTRY Y EAR A UTHOR A GE RANGE I NCIDEN CE /100,0 00 N IGERIA
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This note was uploaded on 03/08/2012 for the course PHARM 300 taught by Professor Staff during the Fall '11 term at Rutgers.

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33571 - DIABETES IN SUB-SAHARAN AFRICA Dr Kaushik Ramaiya...

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