Heart disease deaths halve –but only if you live in the South - Health News - Health & Families - The Independent

Heart disease deaths halve –but only if you live in the South

 

In one of the most dramatic improvements in the nation's health, deaths from heart disease have halved since the 1980s – but the gains have not been shared equally and the "health gap" between the wealthiest and poorest communities has widened among older people, researchers say.

A map charting the death rate from heart disease and stroke across England by electoral wards shows the stark difference between communities and between the healthy and wealthy South and the poor and sickly North.

Death rates are 20 per cent above average in the poorest wards and 20 per cent below average in the wealthiest wards, among men over 65. A similar disparity is seen for women over 65.

The authors of the study from Imperial College London warn that the health gap could widen further if austerity measures, imposed as a result of the economic crisis, disproportionately affect poor communities. Changes introduced in the NHS, such as switching responsibility for public health to local authorities, could also put some communities at risk of falling behind, they say.

Perviz Asaria, who led the study published in the International Journal of Epidemiology, said: "Both social conditions and the quality of the health service strongly affect heart disease mortality."

"The extraordinary pressure on the NHS to make savings might jeopardise health services, including the crucial role of GPs in poor communities. If people's jobs are less stable, they may be forced to change their diet, or drink and smoke more."

The highest death rates were in Manchester and Liverpool, in parts of Yorkshire, around Birmingham and in deprived areas of London. Outside London, death rates were low in southern England.

Healthier lifestyles such as the reduction in smoking and improvements in diet account for part of the improvement in heart disease death rates.

Improved screening and treatment have also played their part. Millions more people are taking statins to lower cholesterol and drugs to lower blood pressure, reducing their risk.

Clot-busting drugs and procedures such as angioplasty (widening the coronary arteries) have saved thousands of lives from stroke and heart attack.

Mubeen Bhutta, policy manager at the British Heart Foundation, said: "The overall decline in heart disease death rates should be something to celebrate but, worryingly, that improvement has not benefited everyone equally.

"If we're going to make a proper job of tackling England's biggest killer, eradicating inequalities must be at the heart of the Government's new cardiovascular disease strategy.

"The communities that need help the most must not be forgotten and targeted interventions in the poorest neighbourhoods will help address a problem which has dogged this country for decades."

Life and Style
tech
Arts and Entertainment
Robin Thicke's video for 'Blurred Lines' has been criticised for condoning rape
music
News
Paper trail: the wedding photograph found in the rubble after 9/11 – it took Elizabeth Keefe 13 years to find the people in it
newsWho are the people in this photo? It took Elizabeth Stringer Keefe 13 years to find out
Arts and Entertainment
Matt Damon as Jason Bourne in The Bourne Ultimatum (2007)
filmMatt Damon in talks to return
PROMOTED VIDEO
Life and Style
ebooksA superb mix of recipes serving up the freshest of local produce in a delicious range of styles
Life and Style
ebooksFrom the lifespan of a slug to the distance to the Sun: answers to 500 questions from readers
News
peopleThe report and photo dedicated to the actress’s decolletage has, unsurprisingly, provoked anger
Arts and Entertainment
Evil eye: Douglas Adams in 'mad genius' pose
booksNew biography sheds light on comic genius of Douglas Adams
Life and Style
tech... and together they're worth at least £100 million
Arts and Entertainment
While many films were released, few managed to match the success of James Bond blockbuster 'Skyfall'
filmsDaniel Craig is believed to be donning skies as 007 for the first time
Arts and Entertainment
Fringe show: 'Cilla', with Sheridan Smith in the title role and Aneurin Barnard as her future husband Bobby Willis
tvEllen E Jones on ITV's 'Cilla'
Life and Style
Bono and Apple CEO Tim Cook announced U2's surprise new album at the iPhone 6 launch
tech(but you can't escape: Bono is always on your iPhone)
Sport
Tim Wiese
sport
Life and Style
Kim Kardashian drawn backlash over her sexy swimsuit selfie, called 'disgusting' and 'nasty'
fashionCritics say magazine only pays attention to fashion trends among rich, white women
Arts and Entertainment
TVShows like Agents of S.H.I.E.L.D are little more than marketing tools
Arts and Entertainment
Hit the roof: hot-tub cinema east London
architectureFrom pools to football pitches, rooftop living is looking up
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Programme Test Manager

    £400 Per Day: Clearwater People Solutions Ltd: Our client are currently seekin...

    Secondary supply teachers needed in Peterborough

    £21000 - £35000 per annum: Randstad Education Cambridge: Secondary supply teac...

    Modern Foreign Languages Teacher

    £100 - £110 per day: Randstad Education Group: Full time German Supply Teacher...

    Project Manager with some Agile experience

    £45000 Per Annum: Clearwater People Solutions Ltd: Our client based in Chelmsf...

    Day In a Page

    Mystery of the Ground Zero wedding photo

    A shot in the dark

    Mystery of the wedding photo from Ground Zero
    His life, the universe and everything

    His life, the universe and everything

    New biography sheds light on comic genius of Douglas Adams
    Save us from small screen superheroes

    Save us from small screen superheroes

    Shows like Agents of S.H.I.E.L.D are little more than marketing tools
    Reach for the skies

    Reach for the skies

    From pools to football pitches, rooftop living is looking up
    These are the 12 best hotel spas in the UK

    12 best hotel spas in the UK

    Some hotels go all out on facilities; others stand out for the sheer quality of treatments
    These Iranian-controlled Shia militias used to specialise in killing American soldiers. Now they are fighting Isis, backed up by US airstrikes

    Widespread fear of Isis is producing strange bedfellows

    Iranian-controlled Shia militias that used to kill American soldiers are now fighting Isis, helped by US airstrikes
    Topshop goes part Athena poster, part last spring Prada

    Topshop goes part Athena poster, part last spring Prada

    Shoppers don't come to Topshop for the unique
    How to make a Lego masterpiece

    How to make a Lego masterpiece

    Toy breaks out of the nursery and heads for the gallery
    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Urbanites are cursed with an acronym pointing to Employed but No Disposable Income or Savings
    Paisley’s decision to make peace with IRA enemies might remind the Arabs of Sadat

    Ian Paisley’s decision to make peace with his IRA enemies

    His Save Ulster from Sodomy campaign would surely have been supported by many a Sunni imam
    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    Exclusive extract from Janis Winehouse's poignant new memoir
    Is this the role to win Cumberbatch an Oscar?

    Is this the role to win Cumberbatch an Oscar?

    The Imitation Game, film review
    England and Roy Hodgson take a joint step towards redemption in Basel

    England and Hodgson take a joint step towards redemption

    Welbeck double puts England on the road to Euro 2016
    Relatives fight over Vivian Maier’s rare photos

    Relatives fight over Vivian Maier’s rare photos

    Pictures removed from public view as courts decide ownership
    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    Donatella Versace at New York Fashion Week