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Letters | Why cardiovascular health is an economic imperative for Asia

Readers discuss a quiet threat to regional economies, conflicts over port facilities in Panama and Australia, and Malaysia-Indonesia border demarcation

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A man works out along the East Coast Boardwalk in North Point on January 22. Photo: Sam Tsang
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While the regional discourse remains focused on trade tensions and military posturing, a quieter threat is undermining Asia’s economic momentum: the growing burden of cardiovascular diseases.

Across the region, non-communicable diseases now dominate mortality. In Hong Kong, cardiovascular diseases – including heart disease and stroke – were linked to 10,111 registered deaths in 2024, ranking among the city’s leading causes of death. In mainland China, cardiovascular disease accounts for more than 40 per cent of all deaths, affecting many in their most productive working years. In the Philippines, ischemic heart disease remained the leading cause of death for the first half of 2025, accounting for nearly one-fifth of all recorded mortalities.
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The economic implications are substantial. A World Health Organization analysis estimated that non-communicable diseases cost the Philippine economy about US$14 billion annually – equivalent to 4.8 per cent of gross domestic product in the mid-2010s – driven largely by lost productivity.

These trends expose a strategic vulnerability for economies that rely on a healthy workforce to sustain growth, attract investment and support ageing populations. In Hong Kong, nearly 30 per cent of adults are affected by hypertension, a largely preventable condition that quietly erodes household finances and diverts public resources from development to long-term care.

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Cardiovascular health should therefore be viewed not only as a medical issue, but as a pillar of economic resilience and human security. The policy response is well established. The WHO’s “best buys” – including tobacco control, salt reduction and early detection and treatment of hypertension – offer high returns at relatively low cost.

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