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Global Affairs| Volume 108, ISSUE 10, P606-608, 2014

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Why Evidence Based Approaches are urgently needed in Africa

      HIV/AIDS, malaria, tuberculosis and other infectious diseases are still major causes of mortality and morbidity in Sub-Saharan Africa (SSA). However, chronic non-communicable diseases (NCDs) like ischemic heart disease and diabetes mellitus are also on the rise [
      • Lozano R.
      • Naghavi M.
      • Foreman K.
      • Lim S.
      • Shibuya K.
      al. e: Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010.
      ] (Lozano et al., 2012). This double burden is equally apparent when examining the leading risks to health, which are dominated by “traditional” risk factors, such as childhood underweight, household air pollution from solid fuel use and poor water, sanitation and hygiene, as well as “modern” life-style associated risk factors, such as physical inactivity and smoking [
      • Lim S.S.
      • Vos T.
      • Flaxman A.D.
      • Danaei G.
      • Shibuya K.
      A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.
      ] (Lim et al., 2012). Addressing this substantial burden requires a combination of effective curative, rehabilitative and preventative approaches that can feasibly be implemented in the African context.
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