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Economic burden of diabetes

Muhammad Abdul Mazid
DIABETES is one of the major health and development challenges of the 21st century. There are currently 371 million people living with diabetes and another 280 million are at high risk of developing the disease. Diabetes and its complications are largely preventable and there are proven, affordable interventions available.
Introduced in 1991 by the International Diabetes Federation and the World Health Organization in response to growing concerns about the escalating health threat of diabetes as imminent epidemic, World Diabetes Day (WDD) is celebrated every year on NOVEMBER 14. The day engages millions of people worldwide in diabetes advocacy and awareness. WDD became an official United Nations Day in 2007 with the passage of United Nation Resolution 61/225 proposed by Bangladesh. Bangladesh Diabetic Samity (BADAS) backed by the government of Bangladesh. The WDD logo was adopted in 2007 to mark the passage of the United Nations World Diabetes Day Resolution. The logo is the blue circle -- the global symbol for diabetes -- which was developed as part of the Unite for Diabetes
40 to 59 years old;
78,000 children develop type 1 diabetes every year;
186 million people (50%) with diabetes are undiagnosed;
Diabetes caused 4.8 million deaths in 2012;
Diabetes caused at least $471 billion dollars in healthcare expenditures in 2012; 11% of total healthcare expenditures in adults (20-79 years). If nothing is done to reverse the epidemic, IDF predicts that by 2030, more than 500 million people will have diabetes.
The economic consequences of diabetes include three types of cost:
Social welfare costs -- the value that people place on better health;
•Macroeconomic costs - the GDP losses countries incur due to ill health in the population;
• Microeconomic costs - household financing of care; changes in consumption patterns; and foigone earnings of individuals and households due to the ill health among members.
Healthcare expenditures for diabetes account for 11.6% of the total healthcare expenditure in the world in 2010. This percentage varied from 7% in the
awareness campaign. The significance of the blue circle symbol is overwhelmingly positive, portraying the unity of the global diabetes community in response to the diabetes pandemic. Across cultures, the circle symbolises life and health. The colour blue reflects the sky that unites all nations and is the colour of the United Nations flag.
According to the latest data released by the International Diabetes Federation (IDF):
The number of people with type 2 diabetes is increasing in every country;
80% of people with diabetes live in low-and middleincome countries;
• The greatest number of people with diabetes are between
Africa Region to 14% in the Middle East and North African Region and North America and Caribbean Region. About 95% of the countries will spend 5% or more and about 80% of the countries will spend between 5% and 13%, of their total healthcare dollars on diabetes. These figures indicate that health expenditures for diabetes will grow by 30% to 34% between 2015 and 2030, which is more than the assumed global population growth (28.6%) among persons aged 20-79 years over the same period. Expenditures will grow more quickly than population because the global prevalence of diabetes will increase as a result of ageing.
The writer, a former secretary and Chairman NBR, is Chief Coordinator, Diabetic Association of Bangladesh. E-mail: mazidl273@hotmail.com