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Rev Panam Salud Publica. 2018 Apr 24;42:e23. doi: 10.26633/RPSP.2018.23. eCollection 2018.

[Non-communicable diseases: risk factors and actions for their prevention and control in CubaDoenças não transmissíveis: fatores de risco e ações para sua prevenção e controle em Cuba].

Revista panamericana de salud publica = Pan American journal of public health

[Article in Spanish]
Orlando Landrove-Rodríguez, Alain Morejón-Giraldoni, Silvia Venero-Fernández, Ramón Suárez-Medina, Miguel Almaguer-López, Esther Pallarols-Mariño, Isora Ramos-Valle, Patricia Varona-Pérez, Vivian Pérez-Jiménez, Pedro Ordúñez

Affiliations

  1. Escuela Nacional de Salud Pública, La Habana, Cuba.
  2. Universidad de Ciencias Médicas de Cienfuegos, Cienfuegos, Cuba.
  3. Instituto Nacional de Higiene, Epidemiología y Microbiología, La Habana, Cuba.
  4. Instituto de Nefrología, La Habana, Cuba.
  5. Ministerio de Salud Pública, La Habana, Cuba.
  6. Organización Panamericana de la Salud, La Habana, Cuba.
  7. Organización Panamericana de la Salud, Enfermedades no Trasmisibles y Salud Mental, Washington DC, Estados Unidos de América.

PMID: 31093052 PMCID: PMC6386105 DOI: 10.26633/RPSP.2018.23

Abstract

Non-communicable diseases (NCDs) represent one of the greatest challenges for development of the 21st century due to their devastating social, economic and public health impact. The objective of this article are to describe the evolution and risk factors for NCDs in Cuba, mainly in the period 1990-2015, to outline actions undertaken by the Ministry of Public Health of Cuba, and to highlight the most important challenges with a focus on their prevention and control. The information is based on data collected and published by the Directorate of Medical Records and Health Statistics, research on risk factors, other studies and documentation of comprehensive actions. Mortality in Cuba is determined by four major health problems: cardiovascular diseases, malignant tumors, chronic diseases of the lower respiratory tract and diabetes mellitus, which together cause 68.0% of deaths. Cancer presents a growing trend, and chronic kidney disease emerges as a serious health problem. Cuba has a known baseline on risk factors, and hypertension and tobacco consumption are the main factors related to NCDs mortality. In line with the importance of these diseases, there are milestones and interventions with a positive impact, as well as gaps and challenges within the framework of the World Health Organization's Global Action Plan for the Prevention and Control of NCDs.

Keywords: Chronic disease; Cuba; mortality; premature; risk factors; social determinants of health

Conflict of interest statement

Conflicto de intereses. Ninguno

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