Friday, January 1, 2021

Hypertension: the surgeon general calls for a New Year's resolution

 The U.S. Public Health Service has issued the following call to action on high blood pressure, which affects many Americans, differentially across race, ethnicity and socioeconomic status:

The Surgeon General’s Call to Action to Control Hypertension

"Hypertension, or high blood pressure, affects nearly one in two U.S. adults and is a major preventable risk factor for heart disease and stroke.1  Despite the common nature of this condition and a large amount of national attention,2,3  only about 24% (26 million) have their blood pressure controlled to ≤130/80 mmHg.1  Regardless of the threshold used to measure control, national rates have stagnated and disparities persist.3,4 The Surgeon General’s Call to Action to Control Hypertension seeks to avert the negative health effects of hypertension across the U.S. by identifying interventions that can be implemented, adapted, and expanded across diverse settings.

The Call to Action is divided into three sections. Section 1 summarizes the current state of  hypertension control, including the economic costs and disparities between different population groups. It notes that progress in hypertension control has been demonstrated in communities and health care systems across the country.5,6,7  In many areas, we know what works, but we need to replicate and expand these efforts and continue to explore new interventions to achieve control across all population groups.

Section 2 presents three overall goals to support improvements in hypertension control:

Goal 1. Make hypertension control a national priority.

Goal 2. Ensure that the places where people live, learn, work, and play support hypertension control.

Goal 3. Optimize patient care for hypertension control.



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