Scenario: Cardiovascular and Infectious Diseases From a Sudanese Lens

  Scenario: Cardiovascular and Infectious Diseases From a Sudanese Lens Baruti is a 67-year-old farmer from Sudan. He has been migrating to other farming communities over the last few years. He has reported a family history of coronary vascular disease, with most males in his family dying in their 40s and 50s. Since last week, he has been experiencing weight loss, chronic cough, night sweats, and bloody sputum. His tuberculosis test shows a positive diagnosis. He is presently living in a community with a low literacy rate and limited healthcare availability. Additionally, read the Sudan: Tuberculosis on the Rise in Sudan report for additional perspective on the rise of tuberculosis in Sudan. Prompt Apply your disciplinary perspective to evaluate the chronic cardiovascular and infectious disease risks implied by the case. In other words, defend your professional viewpoint regarding the most important factors that contribute to the health challenges. Then, in your responses, work as a group to refine those initial assessments. Apply a global health perspective related to addressing chronic cardiovascular diseases illustrated in this case. Which factors are most important in understanding Baruti's cardiovascular disease diagnosis (for example, age, genetic predisposition, access to healthcare)? Be sure to substantiate your claims with evidence. Apply a global health perspective to addressing the infectious disease illustrated in this case. Which factors are most important in understanding Baruti's infectious disease diagnosis (for example, socioeconomic group or migrant status)? Be sure to substantiate your claims with evidence.

Sample Solution

 

Chronic Cardiovascular Disease Risks

Baruti, a 67-year-old farmer from Sudan with a family history of coronary vascular disease, is at an increased risk for developing chronic cardiovascular disease. Cardiovascular disease is a leading cause of death in Sudan, and the prevalence is increasing, particularly among older adults.

Factors that contribute to chronic cardiovascular disease in Sudan include:

  • Age: The risk of developing cardiovascular disease increases with age.
  • Genetic predisposition: Baruti's family history of coronary vascular disease suggests that he may have a genetic predisposition to the condition.

Full Answer Section

     
  • Access to healthcare: Baruti's limited access to healthcare may make it difficult for him to get the preventive care and treatment he needs to manage his cardiovascular health.
Other factors that may contribute to chronic cardiovascular disease in Sudan include:
  • Hypertension: Hypertension is a major risk factor for cardiovascular disease, and it is highly prevalent in Sudan.
  • Diabetes: Diabetes is another major risk factor for cardiovascular disease, and it is also increasing in prevalence in Sudan.
  • Unhealthy diet and lifestyle: A diet high in saturated and unhealthy fats, salt, and sugar, and a sedentary lifestyle can all increase the risk of cardiovascular disease.
Addressing Chronic Cardiovascular Diseases A global health perspective on addressing chronic cardiovascular diseases in Sudan includes:
  • Investing in preventive care: This includes screening for and treating risk factors such as hypertension, diabetes, and high cholesterol.
  • Promoting healthy lifestyles: This includes encouraging people to eat a healthy diet, exercise regularly, and avoid smoking.
  • Improving access to healthcare: This includes ensuring that people have access to affordable, quality cardiovascular care.
Infectious Disease Risks Baruti's positive tuberculosis test result indicates that he is also at risk for infectious disease. Tuberculosis is a major public health problem in Sudan, with an estimated incidence rate of 117 cases per 100,000 people. Factors that contribute to the spread of tuberculosis in Sudan include:
  • Poverty: Poverty is a major risk factor for tuberculosis, as it can lead to malnutrition, overcrowding, and poor living conditions.
  • Conflict: Sudan has experienced decades of conflict, which has displaced millions of people and disrupted access to healthcare.
  • Weak health systems: Sudan's health system is weak and underfunded, making it difficult to control the spread of tuberculosis.
Addressing Infectious Diseases A global health perspective on addressing infectious diseases in Sudan includes:
  • Strengthening health systems: This includes investing in primary healthcare, training healthcare workers, and improving access to essential medicines and diagnostics.
  • Improving social determinants of health: This includes addressing poverty, conflict, and other social factors that contribute to the spread of infectious diseases.
  • Promoting public health interventions: This includes vaccination, education, and other measures to prevent the spread of infectious diseases.
Conclusion Baruti's case illustrates the complex challenges of addressing chronic cardiovascular diseases and infectious diseases in a global health context. A comprehensive approach is needed to address the underlying social, economic, and political factors that contribute to these diseases, as well as to invest in preventive care and treatment. Recommendations for Baruti Given Baruti's increased risk for both chronic cardiovascular disease and tuberculosis, it is important that he receive regular preventive care and treatment. He should be screened for hypertension, diabetes, and high cholesterol, and he should receive appropriate treatment if he is diagnosed with any of these conditions. He should also be vaccinated against tuberculosis. Baruti's limited access to healthcare may make it difficult for him to get the care he needs. However, there are a number of resources available to help people in Sudan access healthcare. For example, the World Health Organization (WHO) and other international organizations provide support to Sudan's health system. Additionally, there are a number of non-governmental organizations (NGOs) that work to provide healthcare services in Sudan.  

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