BMJ  2006;333:820 (21 October), doi:10.1136/bmj.39003.517731.BE

Editorial

Lessons in tackling chronic disease

Pioneering examples of partnerships in other regions are a useful source

The first 150 words of the full text of this article appear below.

Chronic diseases account for about 47% of the total burden of disease in the 22 countries of the Eastern Mediterranean Region. By 2020 this figure is expected to be 60%.1 Cardiovascular disease, diabetes, cancer, and chronic lung disease account for two thirds of deaths in countries with relatively low overall mortality rates, such as Iran and Jordan, and more than 40% of deaths in those with the highest rates, such as Somalia and Sudan.2

These chronic conditions are linked by common risk factors. Some are lifestyle related—for example, low fruit and vegetable intake, lack of physical activity, and smoking—others are related to biological factors such as obesity, dyslipidaemia, and hypertension. Close to two thirds of the adult population in the region have risk factors for chronic disease; in the oil rich Arab countries this is attributed to rising life expectancy coupled with rapid socioeconomic development.2 About 64% of men . . . [Full text of this article]

Sania Nishtar, founder and president

Heartfile, One Park Road, Chak Shahzad, Islamabad 44000, Pakistan
(sania@heartfile.org)


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