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For the Canadian Hypertension Education Program (CHEP), 2009 marks the tenth consecutive year that the recommendations for the management of hypertension have been updated. The program was developed to enhance clinical management of hypertension and hence reduce the burden of cardiovascular disease in Canada. Recent data have suggested Canada is likely the world’s leading country in the prevention and control of hypertension, with a 5–fold increase in treatment and control of hypertension in Ontario between 1992 and 2006 and a large increase in treatment of hypertension and reduction in cardiovascular disease rates that occurred at the time CHEP was initiated. The program has continued to evolve over the past decade and in many cases can now identify specific clinical scenarios that require improvement in clinical care. This year CHEP is focusing on reducing death and cardiovascular disease in people with diabetes by encouraging health care professionals to ensure their patients’ blood pressures are maintained at less than 130/80 mm Hg. New Canadian data indicate that only a minority of people with diabetes and hypertension are achieving adequate control of their blood pressure; therefore, avoidable deaths and disability continue to occur.

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