April 16, 2024
Health Lifestyle

First WHO report addresses hypertension worldwide and preventive measures

Half of people with hypertension globally are currently unaware of their condition

The World Health Organization (WHO) has released its first-ever report on the global devastating effects of hypertension and recommendations for winning the race against this silent killer.

The report shows approximately four out of every five people with hypertension are not adequately treated, but if countries can scale up coverage, 76 million deaths could be averted between 2023 and 2050. 

Hypertension affects one in three adults worldwide. This standard, deadly condition leads to stroke, heart attack, heart failure, kidney damage and many other health problems.

The number of people living with hypertension (blood pressure of 140/90 mmHg or higher or taking medication for hypertension) doubled between 1990 and 2019, from 650 million to 1.3 billion.

Half of people with hypertension globally are currently unaware of their condition.

Most affected

More than three-quarters of adults with hypertension live in low- and middle-income countries.

Older age and genetics can increase the risk of having high blood pressure, but modifiable risk factors such as eating a high-salt diet, not being physically active and drinking too much alcohol can also increase the risk of hypertension.

Being more active can help lower blood pressure. Image: Thomas Yohei

Lifestyle changes like eating a healthier diet, quitting tobacco and being more active can help lower blood pressure.

Some people may need medicines to control hypertension effectively and prevent related complications. 

The prevention, early detection and effective management of hypertension are among the most cost-effective interventions in health care and should be prioritised by countries as part of their national health benefit package offered at a primary care level.

Economic benefits

The economic benefits of improved hypertension treatment programmes outweigh the costs by about 18 to one. 

“Hypertension can be controlled effectively with simple, low-cost medication regimens, and yet only about one in five people with hypertension have controlled it,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“Hypertension control programmes remain neglected, under-prioritised and vastly underfunded. Strengthening hypertension control must be part of every country’s journey towards universal health coverage, based on well-functioning, equitable and resilient health systems, built on a foundation of primary health care.”

Report’s release

The WHO hypertension report is being launched during the 78th Session of the United Nations General Assembly in New York City (September 18-26, 2023), which addresses progress for the Sustainable Development Goals, including health goals on pandemic preparedness and response, ending tuberculosis and attaining universal health coverage.

Better prevention and control of hypertension will be essential to progress in all of these. 

The WHO hypertension report will be released at the 78th Session of the UN General Assembly. Graphic: WHO

An increase in the number of patients effectively treated for hypertension to levels observed in high-performing countries could prevent 76 million deaths, 120 million strokes, 79 million heart attacks, and 17 million cases of heart failure between now and 2050.

“Most heart attacks and strokes in the world today can be prevented with affordable, safe, accessible medicines and other interventions, such as sodium reduction,” said Michael R. Bloomberg, WHO Global Ambassador for Noncommunicable Diseases and Injuries.

“Treating hypertension through primary health care will save lives and billions of dollars annually.”

Hearts programme

Hypertension can easily be treated with safe, widely available, low-cost generic medications using programmes such as Hearts.

WHO’s Hearts technical package for cardiovascular disease management in primary health care and the guideline for the pharmacological treatment of hypertension in adults provide proven and practical steps to deliver effective hypertension care in primary health care settings.

Influential community- and country-wide blood pressure management can be achieved in countries of all income levels.

Blood pressure control translates into fewer strokes and heart attacks. Image: Tim Marshall

More than 40 low- and middle-income countries, including Bangladesh, Cuba, India and Sri Lanka, have strengthened their hypertension care with the Hearts package, enrolling more than 17 million people into treatment programmes.

Countries such as Canada and South Korea delivered comprehensive national hypertension treatment programmes, and both countries surpassed the 50% mark for blood pressure control in adults living with hypertension.

Sustained, systematic national hypertension control programmes can succeed—and a high level of blood pressure control translates into fewer strokes and heart attacks and longer, healthier lives. 

The report underscores the importance of implementing WHO-recommended effective hypertension care to save lives, which includes the following five components:

  • Protocol: Practical dose- and drug-specific treatment protocols with specific action steps for managing uncontrolled blood pressure can streamline care and improve adherence.
  • Medication and equipment supply: Regular, uninterrupted access to affordable medication is necessary for effective hypertension treatment; prices for essential anti-hypertensive medicines vary more than ten-fold between countries.
  • Team-based care: Patient outcomes improve when a team collaborates to adjust and intensify blood pressure medication regimens per doctor orders and protocols.
  • Patient-centred services: Reduce barriers to care by providing easy-to-take medication regimens, free and close-to-home follow-up visits, and making blood pressure monitoring readily available.
  • Information systems: User-centred, simple information systems facilitate the rapid recording of essential patient-level data, reduce health care worker data entry burden, and support rapid scale-up while maintaining or improving the quality of care.

Preventable deaths

“More than 1,000 people die from strokes and heart attacks every hour. Most of these deaths are caused by high blood pressure, and most could have been prevented,” said Dr Tom Frieden, President & CEO of Resolve to Save Lives.

Good hypertension care is crucial in primary health care settings. Image: Gadiel Lazcano

“Good hypertension care is affordable, within reach, and strengthens primary health care. The challenge is to go from “within reach” to “reached.” This will require commitment of governments around the world.”

WHO has partnered with Resolve to Save Lives, a not-for-profit organisation, to support countries around the world in implementing the Hearts technical package—a strategic, step-by-step approach to support countries to strengthen hypertension care in primary health care settings, which includes screening and treatment protocols.

Since 2017, Bloomberg Philanthropies has supported WHO and Resolve to Save Lives global efforts to save lives.

Michael R. Bloomberg, founder of Bloomberg LP and Bloomberg Philanthropies, has been the WHO Global Ambassador for Noncommunicable Diseases and Injuries since 2016.

Featured image: Hypertension affects one in three adults worldwide. Image: Mockup Graphics.

Last Updated on 7 months by Arnold Pinto

    Arnold Pinto

    Arnold Pinto

    Arnold Pinto is an award-winning journalist with wide-ranging Middle East and Asia experience in the tech, aerospace, defence, luxury watchmaking, business, automotive, and fashion verticals. He is passionate about conserving endangered native wildlife globally. Arnold enjoys 4x4 off-roading, camping and exploring global destinations off the beaten track.
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