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China CDC in Action - Hypertension Prevention and Control
Lei Hou1, Bo Chen1, Yibing Ji1
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Weekly
|October 1, 2021
Summary
China is implementing comprehensive strategies to combat hypertension, a major cause of mortality. Public health initiatives focus on population-wide prevention and management, shifting from treatment to health promotion.
Area of Science:
- Public Health
- Cardiovascular Disease Prevention
- Health Policy
Background:
- Hypertension is a significant contributor to mortality in China, accounting for a quarter of all deaths.
- The Chinese government and institutions like the China CDC are actively engaged in hypertension control efforts.
- Existing strategies include policy promotion, risk factor modification, and public health services for hypertension management.
Approach:
- The China Center for Disease Control and Prevention (China CDC) has led campaigns promoting salt reduction, weight loss, and physical activity.
- National demonstration areas for chronic disease control have been established, improving lifestyle, health literacy, and community-based hypertension management.
- The 'Healthy China 2030' initiative emphasizes a population-wide health focus over solely treating high-risk groups.
Key Points:
- The implementation of the 'Primary Health Care, Medicine and Health Promotion Law' on June 1, 2020, provides a legal framework for a new hypertension control strategy.
- The law supports a shift towards comprehensive prevention and control, integrating non-communicable diseases like hypertension into public health legislation.
- Established demonstration areas show improvements in population health literacy and community-based hypertension management.
Conclusions:
- China's approach to hypertension control is evolving towards a proactive, population-wide strategy supported by policy and legislation.
- The integration of hypertension prevention into broader public health and legislative frameworks is crucial for long-term success.
- Continued focus on modifiable risk factors and community-based management is essential for reducing hypertension-related mortality.