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. 2010 Aug-Sep;26 Suppl C(Suppl C):14C-7C.
doi: 10.1016/s0828-282x(10)71076-x.

Canadian efforts to prevent and control hypertension

Norman R C Campbell  1 , Guanmin Chen
Affiliations

Canadian efforts to prevent and control hypertension

Norman R C Campbell et al. Can J Cardiol. 2010 Aug-Sep.

Abstract
in English, French

Suboptimum blood pressure is estimated to be the leading risk factor for death worldwide and is associated with 13.5% of deaths globally. The clinical diagnosis of hypertension affects one in four adults globally and is expected to increase by 60% between 2000 and 2025. Clearly, global efforts to prevent and control hypertension are important health issues. While Canada had a prevalence of hypertension similar to that of the United States in the early 1990 s, the treatment and control rate was only 13% compared with 25% in the United States. A national strategic plan was developed, and a coalition of organizations and health care professional and scientist volunteers actively implemented parts of the strategy. Specific initiatives that have evolved include the development of hypertension knowledge translation programs for health professionals, the public and people with hypertension, an outcomes research program to assess the impact of hypertension and guide national-, regional- and community-based knowledge translation interventions, and a program to reduce the prevalence of hypertension by decreasing sodium additives in food. These initiatives have relied on the active involvement of health care professional volunteers, health care professional and scientific organizations and various government departments. There have been large increases in the diagnosis and treatment of hypertension, with corresponding reductions in cardiovascular disease and total mortality associated with the start of the hypertension initiatives. As a result, Canada is becoming recognized as a world leader in the prevention, treatment and control of hypertension.

On estime qu’une tension artérielle sous-optimale est le principal facteur de risque de décès et s’associe à 13,5 % des décès sur la scène mondiale. Le diagnostic clinique d’hypertension touche un adulte sur quatre sur la planète et devrait augmenter de 60 % entre 2000 et 2025. De toute évidence, les efforts mondiaux pour prévenir et contrôler l’hypertension constituent d’importants enjeux de santé. Tandis que le Canada avait une prévalence d’hypertension similaire à celle des États-Unis au début des années 1990, le taux de traitement et de contrôle s’élevait seulement à 13 % par rapport à 25 % aux États-Unis. On a élaboré un plan stratégique national, et une coalition d’organisations et de professionnels de la santé et scientifiques bénévoles ont mis en œuvre des volets de la stratégie. Des initiatives spécifiques ont évolué, dont l’élaboration de programmes de transfert du savoir sur l’hypertension pour les professionnels de la santé, le public et les hypertensifs, un programme de recherche sur les issues pour évaluer les répercussions de l’hypertension et orienter les interventions de transfert du savoir nationales, régionales et communautaires, ainsi qu’un programme pour réduire la prévalence d’hypertension en diminuant les ajouts de sodium dans les aliments. Ces initiatives se fondaient sur la participation active de professionnels de la santé bénévoles, de professionnels de la santé et d’organisations scientifiques ainsi que sur divers ministères du gouvernement. On constate de fortes augmentations du diagnostic et du traitement de l’hypertension et des réductions correspondantes de maladies cardiovasculaires et de mortalité totale associées à l’amorce des initiatives liées à l’hypertension. Par conséquent, le Canada se taille une place comme chef de file mondial de la prévention, du traitement et du contrôle de l’hypertension.

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Figures

Figure 1)
Figure 1)
The structure of the Canadian Hypertension Education Program (CHEP). The Steering Committee includes the Canadian Hypertension Society, Blood Pressure Canada, The Public Health Agency of Canada, The Heart and Stroke Foundation of Canada, The College of Family Physicians of Canada, the Canadian Council of Cardiovascular Nurses and the Canadian Pharmacists Association, plus the co-chairs of the Task Forces. There are more than 100 volunteers involved with CHEP. Figure reproduced with permission of CHEP
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