How Most People Die in South Africa

The Four Main Killers (Which are Avoidable): Diabetes, Cancer, Heart Disease & Alzheimers.

In South Africa:

  • Over 60% of adults are prediabetic
  • 1 in 9 adults lives with diabetes
  • Over 50% are overweight or obese
  • 1 in 6 deaths is caused by heart disease

     

Over 60% of People are Prediabetic

 

The South Africa Demographic and Health Survey (SADHS) shows that 64% of women and 66% of men over 15 years old are prediabetic. Prediabetes is diagnosed when your blood sugar levels are above the specified range but not high enough to be classified as having diabetes.

 

 

1 in 9 People have Diabetes.

 

The SADHS shows that diabetes has risen dramatically from around 4.5% in 2010 to 12.7% in 2019. Diabetes is also known to increase your risk of Cancer and Alzheimer's.

 

 

54% of South African Adults are Obese or Overweight.


In South Africa, over half of the adult population is overweight or obese. According to the Vitality Obesity Index 2023, 54% of South African adults fall into this category - 31% of men and 68% of women. 

The World Health Organisation states that obesity increases the risk of diabetes, heart disease, certain cancers, and more. Obesity is among the top contributors to preventable deaths worldwide.

 

 

1 Out of 6 People die of Heart Disease

 

The Heart & Stroke Foundation of South Africa states that CVD accounts for about 17.3% of deaths (almost 1 in 6) in South Africa, based on national mortality statistics.

 

Some more stats from the Heart & Stroke Foundation.

 

  • Heart disease and stroke are South Africa’s biggest killers after HIV/AIDS.
  • More South Africans die of cardiovascular disease (CVD) than of all cancers combined.
  • Globally, CVD kills over 17.3 million people every year — almost the population of the Netherlands.
  • South Africa has one of the highest levels of overweight and obesity in the world, contributing to heart disease.
  • Every hour in South Africa: 5 people have heart attacks & 10 people have strokes.
  • 80% of premature deaths (before 60 years) can be prevented with a healthy diet, regular exercise, and avoiding smoking.

 

In South Africa, more than half of adults aged 50 and older report having at least one chronic disease—such as diabetes, hypertension, or heart disease—and nearly one in four have two or more chronic conditions.


Chronic Disease in Older South Africans

A 2013 study in South Africa showed that about 50% of adults aged 50 and older live with at least one chronic condition, and roughly 1 in 5 (22.5%) live with two or more.

A more recent 2024 study showed that the number might be even higher. A study done in a rural area of northeast South Africa showed that 80% of adults aged 60 and older have at least one chronic condition.

 

According to research published in 2025, in the US, nearly 93% of adults 60 and older have at least one chronic condition, while nearly 79% have two or more

 

It seems that SA is not as bad as the US just yet, but we could be catching up... 

Oxidation & Antioxidants

When your body is under stress from poor nutritionsleepstress, inactivity, or any other pressure, it leads to a chemical reaction and process called oxidation. Over time, this causes harmful molecules (called free radicals) to accumulate.

 

Oxidative stress is linked to nearly every major chronic disease.

 

Antioxidants are found in high concentrations in various Herbs and foods. They are like your body’s clean-up crew. They help protect your cells from damage caused by free radicals.

 

Imagine your body is like a busy city.

  • Free radicals are like little sparks flying around - too many of them can cause a fire.
  • Antioxidants are like firefighters - they put out the sparks before they cause serious damage.

 

Top 10 foods with the highest concentrations of antioxidants.

 

1. Chaga Mushroom

2. Moringa

3. Blueberries

4. Turmeric (Curcumin)

5. Dark Chocolate (85%+ cocoa)

6. Green Tea (Matcha especially)

7. Lion’s Mane Mushroom

8. Sea Moss

9. Ashwagandha

10. Blackberries / Raspberries

 

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Disclaimer:

Reader assumes the responsibility to consult health care practitioners or do their own research regarding any products which claim to support and maintain health and general wellbeing and which concur with their beliefs and understanding. Regards, The Herbalist International (Pty) Ltd