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Department of Community Medicine
           and School of Public Health
           The University of Hong Kong
                         CM Wong

Application of health effects of
     air pollution studies
 Air Pollution Team        Health Economics Team
 CHAN, King-Pan Eric       CHAU, June
 CHAN, O-U                 CHENG, Wai-Ling Annie
 CHAU, Yuen-Kwan Patsy     McGHEE, Sarah M
 CHI, Yuk-Sheung Marie     WONG, Lai-Chin
 HEDLEY, Anthony J
 LAI, Hak-Kan
 THACH, Quoc-Thuan
 WONG, Chit-Ming
The concentration-response curves for
   (A) respiratory and (B) cardiac admissions



  Hong Kong                                                   London




Source: Wong et al. Environmental Health Perspectives 2002; 110:67-76.
Reducing exposure and the burden of disease:
  Use of the concentration-response curve




β is the excess risk per unit of pollutant concentration
!(x 1 - x 2) is an preventable fraction of exposure and
incidence of cardiorespiratory disease
Avoidable events caused by pollution:
Doctor visits, Hospital bed-days & Deaths
      Pollution                                             Air quality
      (microgram per cubic meter)
                                                               Poor
      Hong Kong                6.8 million doctor visits
100       2004
                               64,000 hospital days
80                             1,600 deaths
                                                            Hong Kong
                  $2 billion direct + $ 19                  Average
60
      6.8M doctor visits indirect costs
                  billion                                    Hong Kong
40       The preventable fraction
      64000 bed-days
      1600 deaths
                                     $2 Billion               Objective


20                                                           WHO
                                                            Guideline
                                                              2006
 0
An initiative to aid communicating to the public
       about benefits of better air quality

     http://hedleyindex.sph.hku.hk
We need better translation of public
health research into policy and practice
                 Problem


                 Science




     X
                Advocacy

                   X
                 Policy


                 Action


                 Benefit

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Civic Exchange - 2009 The Air We Breathe Conference - Application of Studies on Health Effects of Air Pollution in Hong Kong

  • 1. Department of Community Medicine and School of Public Health The University of Hong Kong CM Wong Application of health effects of air pollution studies Air Pollution Team Health Economics Team CHAN, King-Pan Eric CHAU, June CHAN, O-U CHENG, Wai-Ling Annie CHAU, Yuen-Kwan Patsy McGHEE, Sarah M CHI, Yuk-Sheung Marie WONG, Lai-Chin HEDLEY, Anthony J LAI, Hak-Kan THACH, Quoc-Thuan WONG, Chit-Ming
  • 2. The concentration-response curves for (A) respiratory and (B) cardiac admissions Hong Kong London Source: Wong et al. Environmental Health Perspectives 2002; 110:67-76.
  • 3. Reducing exposure and the burden of disease: Use of the concentration-response curve β is the excess risk per unit of pollutant concentration !(x 1 - x 2) is an preventable fraction of exposure and incidence of cardiorespiratory disease
  • 4. Avoidable events caused by pollution: Doctor visits, Hospital bed-days & Deaths Pollution Air quality (microgram per cubic meter) Poor Hong Kong 6.8 million doctor visits 100 2004 64,000 hospital days 80 1,600 deaths Hong Kong $2 billion direct + $ 19 Average 60 6.8M doctor visits indirect costs billion Hong Kong 40 The preventable fraction 64000 bed-days 1600 deaths $2 Billion Objective 20 WHO Guideline 2006 0
  • 5. An initiative to aid communicating to the public about benefits of better air quality http://hedleyindex.sph.hku.hk
  • 6. We need better translation of public health research into policy and practice Problem Science X Advocacy X Policy Action Benefit