Price 6f weekly dose of medication

The Big Heart Disease Lie

Home Treatment of Cardiovascular Disease

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Expressed in kg of cheapest crop available (yam, rice or potato) 2003

selected countries

Simvastatii 63.0

Aspirin

50.6

p "If just 10% of adults began walking regularly, Americans could save US$5.6 billion in costs related to heart disease." - President George W. Bush, 2002.

The direct costs of physical inactivity accounted for an estimated US$24 billion in health care costs in 1995.

Health problems related to obesity, such as heart disease and type 2 diabetes, cost the USA an estimated US$177 billion a year.

Cholesterol reducers were the top-selling medications in 2003, generating US$13.9 billion in sales.

The American Heart Association estimates that stroke will cost a total of US$53.6 billion in 2004. Direct costs for medical care and therapy will average US$33 billion and indirect costs from lost productivity will be US$20.6 billion.

In 2001, the National Stroke Association estimated that the average cost per patient for the first 90 days after a stroke was US$15 000, although 10% of cases cost more than US$35 000.

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33.6

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China

13.9

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Egypt Georgia Ghana Indonesia Pakistan Sri Lanka Turkey

The economics of CVD

United Kingdom

"The direct cost of obesity to the National Health Service is £0.5 billion [about US$0.9 billion] per year, while the indirect cost to the UK economy is at least £2 billion [about US$3.5 billion]." - Liam Donaldson, Chief Medical Officer, 2003

physical exercise obesity cholesterol stroke tobacco

Netherlands

f cardiovascular aged 65 years to death, in the USA

More than 4% of National Health Service spending was on stroke services in 2000.

Netherlands physical exercise obesity cholesterol stroke tobacco

More than 4% of National Health Service spending was on stroke services in 2000.

Average hospital costs for stroke were reported in 2000 as US$5000 per patient. Ward charges accounted for 38%, radiology 15%, doctors' fees 10%, medications 8%, therapy 7%.

Risk factors: US$38 044 US$38 059 gh blood pressure, high cholesterol, diabetes

The average total costs of care per patient for six months following a stroke were estimated at €16 000 in 2003.

Stroke was estimated to be responsible for 3% of total health care costs in the Netherlands in 1994, and 7% of costs for the population aged 75 and over. Stroke ranked second on the list of most costly diseases for the elderly, after dementia, and these costs are expected to increase by 40% by 2015.

Global costs of heart disease medication

The number of people who die or are disabled by coronary heart disease and stroke could be halved with wider use of a combination of drugs that costs just US$14 a year. WHO, 2002

disease in people disease in people

f cardiovascular aged 65 years to death, in the USA

Risk factors: US$38 044 US$38 059 gh blood pressure, high cholesterol,

Average hospital costs for stroke were reported in 2000 as US$5000 per patient. Ward charges accounted for 38%, radiology 15%, doctors' fees 10%, medications 8%, therapy 7%.

cigarette smoking, abnormal electrocardiograms, a history of diabetes or previous heart attacks

V

Expenditure on cardiovascular medications

Percentage of total annual drug expenditure

1989-1997

OECD countries

1996 US$

Total direct costs

Including: primary care, clinical care, rehabilitation

Average cost per case: US$82 000

Total indirect costs

Lost productivity caused by: short-term and long-term disabil death

Total indirect costs

Lost productivity caused by: short-term and long-term disabil death

1989

1991

1993

1995

1989

1991

1993

1995

Total direct costs

Including: primary care, clinical care, rehabilitation

Average cost per case: US$82 000

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