G ARD  Nan Shan Zhong C hina
The first ten leading causes of death in urban China (2003) 162.1 Perinatal diseases 10 4.8 Neurological diseases 9 7.1 Ge...
The first ten leading causes of death in rural China (2003) 4.2 Pulmonary TB 10 372.2 Perinatal diseases 9 7.2 Genitourina...
 
Survey cities:   14 sites from 7 cities (Beijing, Shanghai, Tianjin, Shenyang, Xi’an, Chongqing, Guangzhou) Shanghai Tianj...
Overall prevalence of COPD in China *  Male VS Female: P<0.01; # Urban VS Rural: P<0.01
COPD mortality rates per 100,000 population
Exacerbations days in last 6 months Base: 752 patients
Number of Times Hospitalised for COPD in the last year Base: 752 patients
Association Between Prevalence of COPD And  Smoke-index   #  tests for trend : P<0.000 # # #
Prevalence of Smoking in China (Chinese Academy of Preventive Medicine 1996) <ul><li>Population (  15yrs)  130,657 </li><...
 
Shaoguan Guangzhou Shaoguan rural (northern part of Guangdong province) and Guangzhou city (the capital city of Guangdong ...
 
Comparison of COPD prevalence in smoker and non-smoker in Guangdong province △   P<0.01, compared with Guangzhou; * P<0.01...
+:with biomass or cigarette exposure;  – : without biomass or cigarette exposure  ▼  compared with   (4)  p = 0.017,  ▲  c...
Current Asthma Prevalence of Children (0-14yrs) in China (432500 population in 31 cities) National Cooperative Group of Ch...
1 GINA Treatment Guideline No (or minimal) need for emergency hospital  visit/hospitalization <ul><li>China Survey Finding...
Have Lost Work/School Days in the Past Year Due to Asthma GINA Treatment Guidelines No missed school or work China Survey ...
CRD in China Current patients COPD  32.8 millions Asthma  39.0 millions Deaths  1.6 millions
Chronic Respiratory Diseases (CRD) Are a Major Burden in China
Distribution of economic status areas depending  on the global country income Luxembourg ($69056/ 1) U.S. ($42076/7) Japan...
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GARD Nan Shan Zhong China

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  • Sent by TH Lam f China toddler Evelyn Ng CCPL HKU 02 Taken by her sister 2003
  • GARD Nan Shan Zhong China

    1. 1. G ARD Nan Shan Zhong C hina
    2. 2. The first ten leading causes of death in urban China (2003) 162.1 Perinatal diseases 10 4.8 Neurological diseases 9 7.1 Genitourinary diseases 8 14.1 Endocrinal, Nutritional & Metabolic Disorders 7 19.3 Digestive diseases 6 32.6 Trauma/Poisoning 5 76.2 Heart diseases 4 77.3 Respiratory diseases 3 105.4 Cerebrovascular diseases 2 134.5 Malignant tumor 1 Mortality(per 10 5 ) Disease Rank
    3. 3. The first ten leading causes of death in rural China (2003) 4.2 Pulmonary TB 10 372.2 Perinatal diseases 9 7.2 Genitourinary diseases 8 10.5 Digestive diseases 7 14.5 Endocrinal, Nutritional & Metabolic Disorders 6 21.5 Trauma/Poisoning 5 45.5 Heart diseases 4 70.9 Respiratory diseases 3 89.9 Cerebrovascular diseases 2 95.7 Malignant tumor 1 Mortality (per 10 5 ) Disease Rank
    4. 5. Survey cities: 14 sites from 7 cities (Beijing, Shanghai, Tianjin, Shenyang, Xi’an, Chongqing, Guangzhou) Shanghai Tianjin Chongqing Shenyang Xi’an Beijing Guangzhou Ren PX et al 2005
    5. 6. Overall prevalence of COPD in China * Male VS Female: P<0.01; # Urban VS Rural: P<0.01
    6. 7. COPD mortality rates per 100,000 population
    7. 8. Exacerbations days in last 6 months Base: 752 patients
    8. 9. Number of Times Hospitalised for COPD in the last year Base: 752 patients
    9. 10. Association Between Prevalence of COPD And Smoke-index # tests for trend : P<0.000 # # #
    10. 11. Prevalence of Smoking in China (Chinese Academy of Preventive Medicine 1996) <ul><li>Population (  15yrs) 130,657 </li></ul><ul><li>Current smoker 35.3% </li></ul><ul><li>Male 63.0% </li></ul><ul><li>Female 3.8% </li></ul>
    11. 13. Shaoguan Guangzhou Shaoguan rural (northern part of Guangdong province) and Guangzhou city (the capital city of Guangdong province) of China was selected to be studied. Total 3449 subjects investigated, response rate 81.3% .
    12. 15. Comparison of COPD prevalence in smoker and non-smoker in Guangdong province △ P<0.01, compared with Guangzhou; * P<0.01, compared with Non-smoke; ▲ P<0.05, compared with Non-smoke.; ** P<0.01, compared with Non-smoke; OR=2.723(2.145-3.456). Guangzhou Shaoguan Total Male female total male female total male female total Non-smoker smoker 10.7 2.7 4.9 13.8 7.2 △ 7.8 △ 11.3 4.9 6.1 16.4 ▲ 4.2 11.9 * 18.9 0 18.8 * △ 17.9 * 4.1 15.1 **
    13. 16. +:with biomass or cigarette exposure; – : without biomass or cigarette exposure ▼ compared with (4) p = 0.017, ▲ compared with (4) p = 0.000 , ** compared with (3) p = 0.003, * compared with (4) p = 0.000 , ◆ compared with (3) P = 0.000, ★ compared with (2) P = 0.001 Exposure factor ( biomass / cigarette smoking ) Prevalence in corresponding exposure factor (%) (1) Biomass(+)/cigarette smoking(+) 19.3 *◆★ (2) Biomass(-)/cigarette smoking(+) 12.3 ▲** (3) Biomass(+)/cigarette smoking(-) 7.7 ▼ (4) Biomass(-)/cigarette smoking(-) 5.1 Association between COPD prevalence and exposure to biomass and cigarette smoking
    14. 17. Current Asthma Prevalence of Children (0-14yrs) in China (432500 population in 31 cities) National Cooperative Group of Children Asthma
    15. 18. 1 GINA Treatment Guideline No (or minimal) need for emergency hospital visit/hospitalization <ul><li>China Survey Findings </li></ul><ul><li>33% had visited the emergency </li></ul><ul><li>room at hospital in the past year </li></ul><ul><li>16% of these patients had been </li></ul><ul><li>hospitalized during the </li></ul><ul><li>previous year </li></ul>Summary of Hospital and Emergency Visits for Asthma in Past Year
    16. 19. Have Lost Work/School Days in the Past Year Due to Asthma GINA Treatment Guidelines No missed school or work China Survey Findings Up to 25%(20%) missed work (school) because of asthma in the past year
    17. 20. CRD in China Current patients COPD 32.8 millions Asthma 39.0 millions Deaths 1.6 millions
    18. 21. Chronic Respiratory Diseases (CRD) Are a Major Burden in China
    19. 22. Distribution of economic status areas depending on the global country income Luxembourg ($69056/ 1) U.S. ($42076/7) Japan ($36486/10) Korea ($14649/34) Brazil ($3311/77) Turkey ($4437/66) Thailand ($2807/84) <ul><li>China </li></ul><ul><li>($1352/112) </li></ul>Burundi ($123/179) Burma ($135/176) Russia ($4750/63) India ($652/133) The International Monetary Fund , IMF(2005) Country (GDP per capita/rank)

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