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Diabetes, Hypertension and Accidents: The Biggest Killers in South Africa in 2022

by Zaghrah Anthony

Stats SA Reveals Alarming Death Trends in South Africa

South Africans are grappling with a silent health crisis. According to the latest data from Statistics South Africa (Stats SA), preventable diseases and accidents continue to top the list of killers in the country. The 2022 statistics provide a clearer picture than the COVID-heavy data of 2020 and 2021, showing a shift back to longstanding health and safety challenges.

A total of 486,041 deaths were recorded in 2022, a drop from the 620,394 in 2021. Of these, 421,466 were classified as natural causes, nearly ten times higher than the 64,575 unnatural deaths, illustrating that South Africa’s most pressing killers are often silent and preventable rather than violent.

Natural Killers: Diabetes and Hypertension Lead the Way

For many South Africans, non-communicable diseases are a ticking time bomb. Diabetes mellitus tops the 2022 list, claiming 32,863 lives, followed closely by hypertensive diseases at 31,230 deaths. Cerebrovascular diseases, HIV, and other heart-related conditions also rank high.

Here’s a snapshot of the top 10 natural killers:

  1. Diabetes mellitus – 32,863

  2. Hypertensive diseases – 31,230

  3. Cerebrovascular diseases – 28,819

  4. HIV – 20,784

  5. Other heart diseases – 20,375

  6. Tuberculosis – 20,372

  7. Influenza and pneumonia – 19,705

  8. Other viral diseases – 13,139

  9. Ischaemic heart diseases – 13,137

  10. Chronic respiratory diseases – 11,838

Combined, these preventable diseases highlight a public health system still grappling with lifestyle-related illnesses, infectious disease control, and access to timely medical care. Social media conversations have been particularly vocal about diabetes and hypertension, with many users calling for more accessible education and intervention programs.

Unnatural Killers: Accidents Outpace Violent Crime

Contrary to popular perception, violent crime is not the leading cause of unnatural deaths. Accidental injuries—both unspecified and due to mechanical forces—top the list, with 23,568 and 12,018 deaths respectively. Assault ranks third at 5,816, followed closely by threats to breathing and transport accidents.

Here’s the top 10 unnatural causes of death:

  1. Accidental injury (unspecified) – 23,568

  2. Accidental injury (mechanical forces) – 12,018

  3. Assault – 5,816

  4. Threat to breathing – 5,769

  5. Transport accidents – 4,590

  6. Smoke, fire and flames – 2,786

  7. Poisoning – 2,547

  8. Undetermined intent – 1,986

  9. Drowning – 1,971

  10. Complications of surgery/medical care – 1,886

These figures highlight the urgent need for stronger public safety measures, better emergency response systems, and more awareness about preventable accidents.

Why This Matters: A Wake-Up Call for South Africa

The Stats SA data underscores a dual challenge for South Africans: battling lifestyle diseases while reducing preventable accidents. Diabetes, hypertension, and heart disease are largely controllable through diet, exercise, and early detection, yet they continue to claim tens of thousands of lives each year. Similarly, accidental injuries suggest gaps in infrastructure, safety education, and rapid medical intervention.

Health advocates argue that tackling these killers requires coordinated efforts, community education, accessible healthcare, and policies addressing social determinants of health. Social media has become a platform for spreading awareness, but experts warn that awareness alone isn’t enough without systemic change.

As South Africans reflect on the Stats SA report, the message is clear: many of the country’s leading killers are preventable. Managing health risks, advocating for safer public spaces, and investing in preventative healthcare can save thousands of lives.

The conversation online is already heating up. South Africans are asking hard questions about lifestyle, public policy, and what more can be done to reduce deaths from diabetes, hypertension, and preventable accidents.

{Source: The South African}

Featured Image: X {@sapeople}

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