New Delhi (PTI): Regions of Asia, Europe, Africa and the Middle East are estimated to have the highest burden of deaths due to heart-related diseases, with high blood pressure, raised cholesterol, dietary risks and air pollution being the leading causes, a study has found.

Globally, heart-disease related deaths increased from 12.4 million in 1990 to 19.8 million in 2022, signifying high rates of such illnesses, the researchers found after analysing data from across 21 regions. They further found these deaths to have increased from 2015-2022 in 27 out of the 204 locations studied.

The researchers, including those from the National Institutes of Health and Institute for Health Metrics and Evaluation (IHME), University of Washington, US, said that these numbers also reflected global population growth and ageing and the contributions from preventable metabolic, environmental, and behavioural risks.

"The 2023 Almanac represents an important resource for using locally relevant data to inform local-level actions for heart-healthy and thriving communities," said study author George A. Mensah, director at the National Heart, Lung, and Blood Institute (NHLBI), US.

The research team found that ischemic heart disease remained the leading cause of global cardiovascular disease (CVD) mortality with an age-standardised rate of about 110 deaths per 1,00,000 population, followed by brain hemorrhage and ischemic stroke. They have published their findings in the Journal of the American College of Cardiology.

Ischemia refers to the development of local anaemia in a given body part sometimes resulting from malfunction in blood vessels, such as enlargement or clotting.

The researchers also said that the highest mortality rates per 1,00,000 people attributable to high systolic blood pressure were found in the regions of Central Asia, Eastern Europe, North Africa and the Middle East.

Further, the highest rates of heart-disease burden attributable to dietary risk were in Central Asia, Oceania, and parts of North Africa and the Middle East, they said.

"Cardiovascular diseases are a persistent challenge that lead to an enormous number of premature and preventable deaths," said Gregory A. Roth, senior author of the paper and associate professor at IHME.

At 553 deaths per 1,00,000 population, Eastern Europe had the highest total CVD death rates, while countries in Australasia were found to have the lowest of these rates at 122.5 deaths per 1,00,000 people.

"There are many inexpensive, effective treatments. We know what risk factors we need to identify and treat. There are simple healthy choices that people can make to improve their health. This atlas provides detailed information on where countries stand in their efforts to prevent and treat cardiovascular diseases," said Roth.

The researchers form a part of the Global Burden of Cardiovascular Diseases Collaboration, an alliance between the Journal, IHME and NHLBI launched in 2020.

Serving as an update to 2022's Global Burden of Diseases (GBD) Study, the 2023 publication includes data from 204 countries and territories, highlighting the leading global modifiable cardiovascular risk factors, their contribution to disease burden and recent prevention advancements, the researchers said.

Let the Truth be known. If you read VB and like VB, please be a VB Supporter and Help us deliver the Truth to one and all.



New Delhi, Apr 29: The Supreme Court on Monday stayed a Calcutta High Court order directing the CBI to probe the role of West Bengal government officials in a teacher recruitment scam. It, however, refused to stay for now the cancellation of the appointment of over 25,000 teachers and non-teaching staff.

The top court was hearing a plea by the West Bengal government against a high court order invalidating the appointment of 25,753 teachers and non-teaching staff made by the School Service Commission (SSC) in state-run and state-aided schools.

A bench of Chief Justice DY Chandrachud, Justice JB Pardiwala and Justice Manoj Misra, however, refused to stay the high court order cancelling the appointments and said it will hear the matter on May 6.

Observing that taking away the jobs of about 25,000 persons is a serious matter, the top court asked if it is possible to segregate the valid and invalid appointments on the basis of the material available and who the beneficiaries of the fraud are.

"We will stay the direction which says the CBI (Central Bureau of Investigation) will undertake further investigation against officials in the state government," the bench said.

Calcutta High Court had said the CBI would undertake further investigations with regard to the persons in the state government involved in approving the creation of supernumerary posts to accommodate illegal appointments.

If necessary, the CBI will undertake custodial interrogation of such persons involved, it had said.

Challenging the order, the state government, in its appeal filed before the top court, said the high court cancelled the appointments "arbitrarily".

"The high court failed to appreciate the ramification of cancelling the entire selection process, leading to straightaway termination of teaching and non-teaching staff from service with immediate effect, without giving sufficient time to the petitioner state to deal with such an exigency, rendering the education system at a standstill," the plea said.

Calcutta High Court last week declared the selection process as "null and void" and directed the CBI to probe the appointment process. It also asked the central agency to submit a report within three months.

"All appointments granted in the selection processes involved being violative of articles 14 and 16 of the Constitution of India, are declared null and void and cancelled," the high court said in its April 22 order.

The high court said those appointed outside the officially available 24,640 vacancies, appointed after the expiry of the official date of recruitment, and those who submitted blank Optical Mark Recognition (OMR) sheets but obtained appointment to return all remunerations and benefits received by them with 12 per cent interest per annum within four weeks.

Observing that it had given "anxious consideration to the passionate plea" that persons who obtained the appointments legally would be prejudiced if the entire selection process was cancelled, the bench said it hardly had any choice left.

The high court held that all appointments involved were violative of articles 14 (equality before law) and 16 (prohibiting discrimination in employment in any government office) of the Constitution.

"It is shocking that, at the level of the cabinet of the state government, a decision is taken to protect employment obtained fraudulently in a selection process conducted by SSC for state-funded schools, knowing fully well that, such appointments were obtained beyond the panel and after expiry of the panel, at the bare minimum," the high court had said.

It said unless "there is a deep connection between the persons perpetuating the fraud and the beneficiaries" with persons involved in the decision-making process, such action to create supernumerary posts to protect illegal appointments is "inconceivable".

The division bench had also rejected a prayer by some appellants, including the SSC, for a stay on the order and asked the commission to initiate a fresh appointment process within a fortnight from the date of the results of the ongoing Lok Sabha elections.

The bench, constituted by the high court chief justice on a direction of the Supreme Court, had heard 350 petitions and appeals relating to the selection of candidates for appointment by the SSC in the categories of teachers of classes 9, 10, 11 and 12 and group-C and D staffers through the SLST-2016.

In its 282-page judgment, the high court had said retaining appointees selected through "such a dubious process" would be contrary to public interest.