At least 40 per cent of Nigerian adults are now living with hypertension, the Federal Ministry of Health and Social Welfare has revealed, highlighting the country’s growing struggle with non-communicable diseases.
The 2025 State of Health of the Nation Report, released on Sunday, shows that while awareness of high blood pressure and cardiovascular diseases improved slightly compared to 2024, the prevalence of hypertension remains dangerously high.
The report credits public health campaigns by the ministry and professional health bodies for raising awareness, encouraging routine checks, and promoting healthier lifestyles.
“Hypertension is a silent killer. Many Nigerians are unaware they have it until complications occur,” the report warns.
Hypertension, also known as high blood pressure, is a major risk factor for heart disease, stroke, and kidney failure. Globally, about 1.28 billion adults aged 30–79 live with the condition, but only one in five have it under control.
In Nigeria, national surveys indicate that one in three adults lives with high blood pressure, with doctors reporting a worrying increase among younger adults aged 20–35.
Stroke, one of the deadliest consequences of uncontrolled hypertension, accounts for up to 80 per cent of cases in some hospitals, underscoring the urgent need for early detection and intervention.
The report notes modest progress through the integration of non-communicable disease screening at primary healthcare facilities and community outreach programs. Special focus has been placed on men aged 15–59, who often underutilize preventive health services.
Over 3,000 primary healthcare workers have also been trained nationwide to identify and refer cases of mental health and substance abuse disorders, a growing public health concern.
The report estimates that 14 million Nigerians have experienced substance abuse, adding pressure to the health system.
Experts link the rise in hypertension to high salt intake, poor diets, alcohol and tobacco use, physical inactivity, and urbanisation-driven obesity. Despite awareness campaigns, early diagnosis and treatment coverage remain low, particularly among men.
The ministry has called for sustained investment in primary healthcare, preventive services, and community-based health promotion to stem the tide of hypertension and other non-communicable diseases.
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