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Created with Fabric.js 1.4.5 CORONARY HEART DISEASE IN INDIA CHRONIC DISEASES IN SOUTH ASIA DIABETES (T2DM) Coronary heart disease (CHD) is the leading cause of death in India and the leading cause of death worldwide. CORONARY HEART DISEASE (CHD) occurs when the arteries of the heart that normally provide blood and oxygen to the heart are narrowed or even completely blocked. In 2000, there were an estimated 29.8 million people with CHD in India, out of a total estimated population of 1.03 billion people. India is estimated to have lost 8.7 billion 1998 international dollars in 2005 because of CHD, stroke, and diabetes. These estimates increase to 54 billion 1998 international dollars by 2015. Effective screening, evaluation, and management strategies for CHD are well established in high-income countries, but these strategies have not been fully implemented in India. The number of cases of diabetes worldwide in the year 2000 among adults (20 years) was estimated to be 171 million and will rise to 366 million by 2030. India has the highest number (31.7 million) of people. Despite diabetes being a life-long disorder and is expensive to manage and treat for the large proportion of subjects in developing societies.In the Indian context, the financial burden is often shared by relatives of the patients. The health care budget of the government in India is a meager 2% compared to 14% to defense. In developing countries like India, the brunt of diabetes and cardiovascular disease occurs among the economically productive age group (20-45 year olds). Diabetes mellitus is responsible for 1157 thousand years of life lost due to the disease, in India the direct medicalcost to identify one subject with insulin glucose tolerance is INR 5,278. The cost of insulin amounts to 350.00 USD (16,000 Indian Rupees)per year, while medication for non-insulin-requiring patients costs about 70.00 USD per year. In the Indian context these costs are prohibitive: 75.5% of the Indian population is earning less than $2 per day and 41.6% less than $1.25 per day. The impacts of T2DM are considerable: as a lifelong disease, it increases morbidity and mortality and decreases the quality of life. 18% of people in the world living with T2DM are from India. ASTHMA According to World Health Organization (WHO)estimates 300 million people suffer from Asthma,255,000 people died of Asthma in 2005 and over80% of Asthma deaths are reported from low andlower-middle income countries. In India, an estimatedthat 57,000 deaths were attributed to Asthma in 2004 and it was seen as one of the leading cause of morbidity and mortality in rural India 22% of the deaths were from India The amount of money and lives lost due to these diseases is part of the reasonIndia is still a developing country. The money and lives could be used to help theeconomy and help to develop India as well as the surrounding countries in South Asia. The amount of money lost is estimated to multiply by 6.2 over the course of 10 years.
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