The Medical Research Council Presentation to the Portfolio Committee on Health April 12, 2005 http://www.mrc.ac.za

HIV prevalence levels by sex and age group in 2004

Note : RPR trends by age are shown from 1998 when these became available

Number of associated deaths for the ten leading reported natural causes of death in 2001 Percentage Tuberculosis Influenza and pneumonia Other forms of heart disease Stroke Hypertensive heart disease Chronic bronchitis General Symptoms and Signs Ischaemic heart disease Resp and cardiac in perinatal period Diabetes mellitus HIV disease TOTAL 56 985 55 115 48 927 31 104 27 622 20 136 19 454 17 380 17 191 16 207 9 479 339 928 16.1 15.5 13.7 8.7 7.8 5.9 5.7 5.1 4.8 2.8 100 Careful interpretation of the mortality profile in South Africa indicates a quadruple burden of disease with the addition of HIV/AIDS to a combination of pre-transitional conditions related to under-development and poverty, such as, tuberculosis and diarrhoeal diseases, the emerging chronic conditions associated with a Western lifestyle and high rates of injuries all contributing substantially to the number of deaths (Bradshaw et al., 2003). This slide shows the Top twenty single causes of premature mortality Top cause of premature mortality is AIDS followed by homicide, TB, RTAs and Diarrhoea Again the quadruple burden is demonstrated with HIV/AIDS deaths, Injury deaths due to homicide, RTA, suicide, group 1 deaths due to TB, Diarrhoea, LBW etc and Group 2 deaths such as Stroke, IHD, DM and hypertension appearing amongst top twenty causes of premature mortality. Source: Statistics South Africa 2005