Is­chemic heart dis­ease is the top killer across most states

Ur­ban­i­sa­tion, Ag­ing Pop­u­la­tion Pose Ma­jor Chal­lenge

The Times of India (New Delhi edition) - - TIMES NATION - |

New Delhi: The first ever com­pre­hen­sive es­ti­mate on state-wise bur­den of dis­eases brings out the wide vari­a­tion in dis­ease pro­file, bur­den and risk fac­tors of the var­i­ous states, many of them big­ger than most coun­tries in the world. From di­ar­rhoea be­ing the top killer in a cou­ple of states to Alzheimer, a corol­lary of higher life ex­pectancy, mak­ing it to a state’s lead­ing causes of death the vari­a­tion be­tween states is huge.

While all states have tran­si­tioned to a dis­ease pro­file where non-com­mu­ni­ca­ble dis­eases ac­count for the largest share of dis­eases, bar­ring Tamil Nadu, Ker­ala and Goa, di­ar­rhoea, a dis­ease of gross un­der­de­vel­op­ment, is still among the top killers in ev­ery state. An­other com­mu­ni­ca­ble dis­ease, tu­ber­cu­lo­sis too con­tin­ues to fig­ure among the top killers in most states bar­ring the south­ern states, and Goa and Pun­jab where it is di­a­betes which has climbed into the list of top killers.

What is uni­form across al­most all states is that is­chemic heart dis­ease is the top killer ex­cept in As­sam where it is stroke and in Odisha and Jhark­hand where it is di­ar­rhoea. Over­all dis­ease bur­den by di­a­betes rose the high­est in the coun­try, by 174% in the last 26 years, fol­lowed by the bur­den of heart dis­ease which rose by 104%. Jammu and Kash­mir, Pun­jab, Ut­tarak­hand and Haryana saw very high death rate from road in­juries even if they did not fig­ure among the top killers in these states.

“The find­ings show that the over­all dis­ease bur­den per per­son in some states of In­dia is al­most twice as much as in some other states, and the bur­den rate due to the lead­ing dis­eases ranges five to ten times be­tween the states,” said vice pres­i­dent Venka­iah Naidu on the occa- sion of the re­port launch.

The re­port iden­ti­fies two fac­tors that will pose a ma­jor chal­lenge to the In­dian health sys­tem in the com­ing decades — ur­ban­i­sa­tion and age­ing of the pop­u­la­tion. All states have started see­ing the ef­fects of these two fac­tors and many will see an ac­cel­er­a­tion of these as un­planned ur­ban­i­sa­tion picks up pace and life ex­pectancy in­creases cou­pled with re­duced cases of early deaths.

It re­mains to be seen how In­dia and its states will cope with these loom­ing chal­lenges.

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