Each year 17.3 million people globally die of cardiovascular disease, 80% of whom are in the developing world”, The Deputy Minister of Health, Dr Gwen Ramokgopa, told the sixth World Congress of Paediatric Cardiology and Cardiac Surgery (Sixth WCPCCS) held at the Cape Town International Convention Centre, last night.
She said that “since 2011 facts such as these are being increasingly recognised globally and certainly in South Africa. Just prior to the United Nations high level summit on non-communicable diseases (NCDs) South Africa also held a summit involving all major stakeholders. The summit agreed to 10 key targets which must be met by 2020. We had since drafted a strategic plan on how these targets will be met and some implementation has already started.
Unfortunately disease in children was not prioritised in our NCDs Declaration and plan but this does not mean that we do not intend to act decisively with regard to children and especially where disease can be prevented and where expensive surgery can be prevented we must and we will act”.
The sixth WCPCCS, is attended by both paediatric surgeons and cardiologists. It is the largest heart health and disease event that has ever taken place on the African continent - Cape Town in South Africa, the city where the first heart transplant was conducted under the supervision of Professor Chris Barnard.
The conference is said to strikes a good balance between highlighting sophisticated technological advances and focusing on mechanisms to prevent heart diseases amongst poor people and in rural areas, and maintaining health systems that provides a platform for good health care.
The Deputy Minister of Health Dr Gwen Ramokgopa said, “The fact that heart disease is not top of the list of dreadful diseases does not allow us to relax in this area. We need to employ much more interventions so that we are not faced with another epidemic that will cause much pain and suffering, drains our economy, and impacts negatively on social and economic development in our country”.
Just prior to the United Nations high level summit on non-communicable diseases (NCDs), South Africa also held a summit involving all major stakeholders. The summit agreed to 10 key targets which must be met by 2020. Since then, a strategic plan on how these targets will be met was drafted and some implementation had already started.
Heart failures alone contribute one-third of all birth defects. These are the most important cause of death from birth defects. Many of these children die because of late diagnosis and/or lack of access to appropriate treatment. Those fortunate to survive often experience significant hardship and disability as a result of living with a chronic health condition that is not optimally managed.
In South Africa, only 40% of children who need lifesaving surgery or intervention ever get to receive that care. So, while we accept that the international standard is 1 paediatric cardiologist for every 500 000 people and we only have 17 posts for a population of 53 million, this is being addressed.
“For the fact that our medical schools are unable to meet the need for doctors we have sent a large number of young students to Cuba for training”, added the Deputy Minister.
Rheumatic heart disease is known to be a major scourge in the less well-resourced countries including South Africa. The Drakensberg Declaration, which arose out of the first All Africa Workshop on Rheumatic Fever and Rheumatic Heart Disease in October 2005, has led to renewed activity on the epidemiology and prevention of rheumatic heart disease in many parts of Africa. ASAP programme has been developed and focuses on awareness raising, conducting surveillance studies, advocacy, and promoting the establishment of national prevention programmes.
The organisers of this congress have clearly crafted a scientific programme that includes the most recent cutting edge developments in diagnosis and treatment of heart disease but also highlights the need for prevention, policy, planning and health management in the prevention and treatment of heart disease.
With respect to adult onset cardiovascular disease, experts recognise that the precursors of ischemic heart disease are in children and the department realise that healthy lifestyle programmes need to focus on children and adolescents. Hence the department plan to focus resources on health promotion activities using the school based and compulsory “life orientation” education programme and the newly launched school health programme in the next few years.
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