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G ARD

Nan Shan Zhong. G ARD . C hina. The first ten leading causes of death in urban China (2003). The first ten leading causes of death in rural China (2003). Survey cities: 14 sites from 7 cities (Beijing, Shanghai, Tianjin, Shenyang, Xi’an, Chongqing, Guangzhou). Beijing. Xi’an. Shenyang.

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G ARD

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  1. Nan Shan Zhong GARD China

  2. The first ten leading causes of death in urban China (2003)

  3. The first ten leading causes of death in rural China (2003)

  4. Survey cities:14 sites from 7 cities (Beijing, Shanghai, Tianjin, Shenyang, Xi’an, Chongqing, Guangzhou) Beijing Xi’an Shenyang Tianjin Shanghai Chongqing Guangzhou Ren PX et al 2005

  5. Overall prevalence of COPD in China * Male VS Female: P<0.01; # Urban VS Rural: P<0.01

  6. COPD mortality rates per 100,000 population

  7. Exacerbationsdays in last 6 months Base: 752 patients

  8. Number of Times Hospitalised for COPDin the last year Base: 752 patients

  9. Association Between Prevalence of COPD And Smoke-index # # # # tests for trend : P<0.000

  10. Prevalence of Smoking in China(Chinese Academy of Preventive Medicine 1996) Population (15yrs) 130,657 Current smoker 35.3% Male 63.0% Female 3.8%

  11. 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. Comparison of COPD prevalence in smoker and non-smoker in Guangdong province Guangzhou Shaoguan Total Male female total male female total male female total Non-smoker 10.7 2.7 4.9 13.8 7.2△ 7.8△11.3 4.96.1 smoker 16.4▲ 4.2 11.9* 18.9 0 18.8*△17.9* 4.115.1** △ 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).

  13. Association between COPD prevalence and exposure to biomass and cigarette smoking 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 +: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

  14. Current Asthma Prevalence of Children (0-14yrs) in China (432500 population in 31 cities) National Cooperative Group of Children Asthma

  15. China Survey Findings • 33% had visited the emergency • room at hospital in the past year • 16% of these patients had been • hospitalized during the • previous year GINA Treatment Guideline No (or minimal) need for emergency hospital visit/hospitalization 1 Summary of Hospital and Emergency Visits for Asthma in Past Year

  16. China Survey Findings Up to 25%(20%) missed work (school) because of asthma in the past year GINA Treatment Guidelines No missed school or work Have Lost Work/School Days in the Past Year Due to Asthma

  17. CRD in China Current patients COPD 32.8 millions Asthma 39.0 millions Deaths 1.6 millions

  18. Chronic Respiratory Diseases (CRD) Are a Major Burden in China

  19. Country (GDP per capita/rank) Distribution of economic status areas depending on the global country income Luxembourg ($69056/1) Russia ($4750/63) • China • ($1352/112) Turkey ($4437/66) U.S. ($42076/7) India ($652/133) Japan ($36486/10) Burma ($135/176) Brazil ($3311/77) Burundi ($123/179) Thailand ($2807/84) Korea ($14649/34) The International Monetary Fund，IMF(2005)

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