n South African Medical Journal - Vascular disease - everyone's problem : CME guest editorial

Volume 104, Issue 2
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



There has been a significant rise in the burden of non-communicable diseases (NCDs) in the past 20 years. Atherosclerotic peripheral arterial disease (PAD) is one of the most prevalent, morbid and mortal of all the NCDs, with more than 202 million people, conservatively estimated, affected by PAD. This is about six times the 34 million people estimated to be living with HIV at the end of 2011. PAD does not only affect high-income countries. As population demographics change in low- and middle-income countries, patients are exposed to the sustained effects of exposure to the risk factors of smoking, hypertension, diabetes and dyslipidaemia. PAD also affects both young and old individuals in low- and high-income countries. Globally, there has been an increase of about 24% in PAD from 2000 to 2010. This rise in prevalence comes at a significant cost, as many low- and middle-income countries are combating the scourges of numerous debilitating communicable diseases.

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