Stroke as an Emerging Important Disease in Ghana

Authors: Adobea Owusu*, University of Ghana
Topics: Medical and Health Geography, Africa
Keywords: Stroke, incidence, non-communicable disease burden, urban areas, Ghana
Session Type: Paper
Day: 4/5/2019
Start / End Time: 5:00 PM / 6:40 PM
Room: Tyler, Marriott, Mezzanine Level
Presentation File: No File Uploaded

Purpose: 2013 estimates depict a significant increase in the burden of stroke internationally in the last 25 years, particularly for developing countries. In 2013, stroke contributed 10.3 million new cases and 11.8% of all deaths worldwide; thus being the second most important cause of mortality, and the third commonest cause of disability worldwide in 2013. Stroke is among the top five causes of mortality and morbidity in Ghana, yet previous studies on stroke in Ghana have not used national data. We use national data on stroke. Methods: Consistent national level data collection on stroke in Ghana started in 2012. Data on stroke from the Ghana Health Service for 2014 to 2017 which are more reliable, are used to assess the national burden of stroke. Only data for 2017 provide disaggregated regional and district level data nationally. We adjust for results using the most recent national census. Conclusions: Incidence of stroke consistently increased from 7,118 in 2014, to 10,286 in 2015. This increased further by 4.3% to 10,732 from 2015 to 2016, and by 6.1% in 2017 (an incidence of 11,392). The Eastern Region had the highest incidence in 2017. Conversely, several other districts in nine regions had only one reported incidence. Urbanization is the primary explanatory factor for the incidence of stroke in 2017. This may connote better access to healthcare facilities in municipalities. Also, increases in associated comorbidities and other conditions such as obesity, diabetes, sedentary lifestyle, and hypertension which are precursors to stroke, have increased overall in Ghana.

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