PCV97 - The 5 principal causes of death in mexico in the last 5 years, is the public health system covering these needs?

Abstract

The aim of this work is to demonstrate if the National Health Formulary (NHF) has included drugs related to the principal causes of death in the last 5 years (Diabetes Mellitus (DM), Ischemic Heart Diseases (IHD), Cerebrovascular Diseases (CD), Alcoholic Liver Diseases (ALD) and Chronic Obstructive Pulmonary Disease (COPD)), and if the number of the drugs added each year is in accordance with the increase number of deaths per disease. A search in the National Institute of Statistics and Geography and the National System of Information on Health was done, from 2009 to 2013, related to the 5 principal causes of death in Mexico. Then, there were counted and analyzed the number of drugs prescribed for each disease studied in the last 5 NHF editions. Finally, all data obtained was matched and analyzed to see if there any trend and relation between the number of drugs added in the NHF and the percentage of deaths listed for each disease. The NHF has drugs for every disease evaluated. In the period analyzed, the number of drugs for DM has increased from 18 to 24. In the case of IHD, the number has also grown from 20 to 32. For CD there has been also an addition from 10 to 13. The drugs for ALD is the same in each year (only one drug). At last, for COPD the number has change from 35 to 36 drugs. Comparing with the number of deaths, the IHD is the disease with the biggest increased of deaths (22%), then the DM with 12%, COPD 11%, ALD 4%, and CD 3%. Although there have been added new drugs prescribed for the diseases that caused the deaths of most population in the NHF, this quantity is not comparable with the growing of deaths observed in each disease.