Most Indian adults not aware they are suffering from Hypertension: Study
New Delhi: Hypertension prevalence in India is high, but only 45 per cent of people are aware of their diagnosis, according to a first large scale population based study of hypertension care in India.
Researchers have used National Health and Family Survey (NFHS-4, 2015-16) data of 731864 individuals aged 15-49 years, which covered each district of 29 states and 7 union territories of India.
The study published in PLOS Medicine suggests that 3 out of 4 individuals with hypertension ever had their blood pressure measured, less than half of individuals (45 per cent) had been diagnosed, 13 per cent reported currently taking hypertensive medication, while 8 per cent had their blood pressure under control.
The study was carried out by researchers at the Public Health Foundation of India (PHFI), Harvard TH Chan School of Public Health, the Heidelberg Institute of Global Health, the University of Birmingham and the University of Gottingen.
The study also found adults living in rural areas, men, and those who were poorer, were even less likely to receive the care they need.
Only 5.3 per cent of hypertensive men and 10.9 per cent of hypertensive women aged 15-49 years have their blood pressure under control (i.e., they are taking medications and have a normal blood pressure), it stated.
There is huge state-level variation in hypertension screening. Screening of hypertensive individuals was lowest in Madhya Pradesh (61.3 per cent) and highest in Haryana (93.5 per cent).
More than half of Indians aged 15-49 years with hypertension are not aware of their hypertension status.
Awareness level was lowest in Chhattisgarh (22.1 per cent) and highest in Puducherry (80.5 per cent).
27 major states/union territories have blood pressure control rates below 10 per cent. Daman and Diu was the highest, but still only 1 in 5 adults there are under control.
The study highlighted the urgent need of improvements in hypertension awareness, care and control for all Indians specially amongst the most productive years (15-49 years).
Dr Dorairaj Prabhakaran, Vice President, Research and Policy, at PHFI and one of the authors of the study, said detection of hypertension is straightforward, treatments are simple yet effective, and hence hypertension can be easily controlled.
"Control of hypertension prevents future stroke, heart attacks and deaths. However, it is an unfortunate paradox that India does not perform well in any of the measures of detection, treatment and control. I believe the new National Health Mission through the health and wellness clinics has the potential to address the issue," he said.
Dr Lindsay Jaacks, faculty at the Harvard T.H. Chan School of Public Health and visiting faculty at PHFI said, "This is not just an assessment of health systems. We need demand-side interventions to raise awareness in India that hypertension is relatively easy and cheap to treat, and that keeping it under control can have huge benefits in terms of preventing heart attacks and stroke.
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Nightclub roof collapse in Dominican capital leaves at least 79 dead and 160 injured
Santo Domingo (Dominican Republic) (AP): The roof of an iconic nightclub in the Dominican capital collapsed early Tuesday during a merengue concert attended by politicians, athletes and others, leaving at least 79 people dead and 160 injured, authorities said.
Crews were searching for potential survivors in the rubble at the one-story Jet Set nightclub in Santo Domingo, said Juan Manuel Méndez, director of the Center of Emergency Operations.
“We continue clearing debris and searching for people,” he said on Tuesday night. “We're going to search tirelessly for people.”
Nearly 12 hours after the top of the nightclub collapsed onto patrons, rescue crews were still pulling out survivors from under the debris. Firefighters removed blocks of broken concrete and used sawed pieces of wood as planks to lift heavy debris as the noise of drills breaking through concrete filled the air.
The confirmed death toll had reached 66, Méndez said late Tuesday afternoon. Earlier, officials had said there were at least 160 people injured.
Méndez said rescue crews were prioritizing three areas in the club: “We're hearing some sounds.”
Nelsy Cruz, the governor of the northwestern province of Montecristi and sister of seven-time Major League Baseball All-Star Nelson Cruz, was among the victims. She had called President Luis Abinader at 12:49 a.m., saying she was trapped and that the roof had collapsed, first lady Raquel Abraje told reporters. Officials said Cruz died later at the hospital.
“This is too great a tragedy,” Abraje said, her voice breaking.
The Professional Baseball League of the Dominican Republic posted on X that MLB pitcher Octavio Dotel, 51, also died. Officials had pulled Dotel from the debris earlier and brought him to a hospital. Also killed was Dominican baseball player Tony Enrique Blanco Cabrera, said league spokesman Satosky Terrero.
Among the injured was national lawmaker Bray Vargas.
Relatives of merengue singer Rubby Pérez, who was performing when the roof collapsed, initially said that he had been rescued, but Méndez said later Tuesday that wasn't true. He said rescue crews were still looking for Pérez.
Pérez's manager, Enrique Paulino, whose shirt was spattered with blood, told reporters at the scene that the concert began shortly before midnight, with the roof collapsing almost an hour later, killing the group's saxophonist.
“It happened so quickly. I managed to throw myself into a corner,” he said, adding that he initially thought it was an earthquake.
It wasn't immediately clear what caused the roof to collapse or when the Jet Set building was last inspected.
The club issued a statement saying it was cooperating with authorities and noted that the owner, Antonio Espaillat, was out of the country and returned late Tuesday.
“There are no words to express the pain this event has caused. What happened has been devastating for everyone,” he said.
A spokeswoman for the Ministry of Public Works referred questions to the mayor's office. A spokesperson for the mayor's office did not respond to a message for comment.
Prosecutor Rosalba Ramos told TV station CDN that while “everyone wants to know” what happened, authorities were still focused on finding survivors. They set up a makeshift morgue near the club while more than 120 people lined up to donate blood at two different centers.
Manuel Olivo Ortiz, whose son attended the concert but did not return home, was among those anxiously waiting outside the club known for its traditional Monday parties where renowned national and international artists perform.
“We're holding on only to God,” Olivo said.
Also awaiting word was Massiel Cuevas, godmother of 22-year-old Darlenys Batista.
“I'm waiting for her. She's in there, I know she's in there,” Cuevas said, firm in her belief that Batista would be pulled out alive.
President Abinader wrote on X that all rescue agencies are “working tirelessly” to help those affected.
“We deeply regret the tragedy that occurred at the Jet Set nightclub. We have been following the incident minute by minute since it occurred,” he wrote.
Abinader arrived at the scene and hugged those looking for friends and family, some with tears streaming down their faces. “We have faith in God that we will rescue even more people alive,” he told reporters.
An official with a megaphone stood outside the club imploring the large crowd that had gathered to search for friends and relatives to give ambulances space.
“You have to cooperate with authorities, please,” he said. “We are removing people.”
At one hospital where the injured were taken, an official stood outside reading aloud the names of survivors as a crowd gathered around her and yelled out the names of their loved ones.
Meanwhile, dozens of people gathered at the National Institute of Forensic Pathology, which shared pictures of the victims so their loved ones could identify them.
