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This editorial refers to ‘Prevalence of cardiovascular disease risk factor presence and aggregation in the Chinese population: the 2007–2008 China National Diabetes and Metabolic Disorders Study’, by Z.-J. Yang et al. doi:10.1093/eurheartj/ehr205.Our world population is facing a persistent epidemic of cardiovascular diseases. Unfavourable changes in cardiovascular risk factors have been seen in the western world for decades now. Yang et al. have now provided strong evidence to show that cardiovascular risk factors are becoming more common in China as well.1Increased cardiovascular risk in the Chinese population implies a huge public health threat. A worrying 30% of the sample studied by Yang et al. had ≥3 cardiovascular risk factors, which implies that at the Chinese population level, >300 000 million Chinese citizens have three or more cardiovascular risk factors. This number of Chinese subjects at increased risk is already a higher number than the total number of citizens in the USA, healthy and unhealthy subjects combined. If nothing happens, an enlarging Chinese population with cardiovascular risk factors will lead to an accelerated burden of public health in China, and at the world population level.When considering approaches to combat the epidemic of cardiovascular risk factors in China, one needs insights into: (i) the need for action (what is the actual problem, in whom?); (ii) determinants; (iii) strategies and designs; and (iv) possibilities for implementation.2 As the western world does have data on these steps, the Chinese are likely to benefit from the western experiences and evidence.Yang et al . clearly describe that smoking, being overweight or obese, hypertension, dyslipidaemia, and hyperglycaemia are now starting to become prevalent. This increase reminds epidemiologists …

Public health crisis in China is about to accelerate the public health crisis in our world's population