burden of communicable, maternal and perinatal diseases in gansu, china wangxi hai northwest...
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Burden of Communicable, Maternal and Burden of Communicable, Maternal and Perinatal Diseases in Gansu, ChinaPerinatal Diseases in Gansu, China
Wangxi HaiWangxi Hai
Northwest University for Nationalities
West of China Institute of Environment and Health
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Self-introduction
Educational Experience
2002-2007 Henan Institute of Science and Technology Bachelor Study Topic: Changes of Physiological Function and Behaviors of Rats Induced
by High Fluoride and Low Iodine
2007-Present West of China Institute of Environment and Health, Northwest
University for Nationalities Master Study Topic: Prevention and Control Study of Zoonosis, Environment and climate impact on infectious and chronic
diseases
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Self-introduction
Research Experience
Study on Hepatitis E Epidemic Situation of Animals and Population in Gansu Province
Spatial analysis study on tumor’s distribution in Wuwei area of Gansu province
Death pattern and disease burden study of residents in Gansu Province
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Self-introduction
Research Experience
Lead poisoning investigation of Longnan, Gansu
Hypertension and diabetes risk factor study of Gansu Province
Environmental and geographical evaluation system of diseases in minorities areas of Gansu province
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Introduction of Gansu Province
Area of land：454,400 km2
(including 14 cities of 86 counties or districts)
Population:26million
Capital City: Lanzhou
●
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Introduction of the Project
Death Pattern and Disease Burden Study of Residents in Gansu Province
Investigation Time: 2004-2007
Sponsor: Gansu CDC
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Introduction of the Project
Surveillance Points:
5 counties (districts) in Gansu
Data source:
Investigation according to Medical Certificate System of the Cause of Death
Methods:
Retrospective Study of Cause of Death
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Introduction of the Project
Data classification: ICD-10
The Indicator of diseases burden:
Potential Years of Life Lost (PYLL)
Related Population, Birth, Socioeconomic Situation Data also collected
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Introduction of the Project
5 Surveillance Points investigated 34,201 cases
Mortality of the investigation in Gansu was 732.1 per 100,000 higher than that of the whole country (608.8 per 100,000)
Mortality of diseases: Communicable, maternal & perinatal diseases 38.6 per 100,000 Noncommunicable diseases 438.1 per 100,000
Injuries 63.9 per 100,000.
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Introduction of the Project
Every year PYLL caused by all kinds of diseases and injuries is approximately 1,620,000.
Male’s PYLL higher than Female’s Rural population’s PYLL higher than urban
area’s.
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Introduction of the Project
Top 5 causes of death according to mortality are Circulatory System Diseases, Cancer, Respiratory System Diseases, Injury & poisoning and Infectious & parasitic diseases
Top 5 causes of death according to PYLL are Injury & poisoning, Circulatory System Diseases, Cancer, Perinatal Diseases and Respiratory System Diseases
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Burden of Communicable Diseases
Mortality of Communicable Diseases is 27.5 Per 100,000, higher than that of whole China(13.5 Per 100,000)
Gender
MaleFemale
Mortality
Age group
0 1 5
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Burden of Communicable Diseases
5 main causes of deaths in communicable diseases are hepatitis, TB, pneumonia, acute upper respiratory tract infection and intestinal bacterial diseases.
HepatitisTBPneumoniaAcute upper respiratory tract infectionIntestinal bacterial diseasesDiarrhea
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Burden of Communicable Diseases
In Gansu communicable diseases leads to 102,000 PYLL every year.
PYLL caused by communicable diseases is 34.9% of Communicable, maternal & perinatal diseases. Lower than the percentage of its death number account for the group (71.4%).
It shows that the age of death people caused by communicable diseases are older, this kind of diseases cause lower years of life lost of population.
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Burden of Communicable Diseases
Hepatitis account for 31.0% of Communicable Diseases, mortality is 8.5 per 100,000. Twice than that of whole China (4.1 per 100,000).
GenderMaleFemale
Mortality
Age group
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Burden of Communicable Diseases
Hepatitis caused 29,000 PYLL every year in Gansu.
PYLL caused by hepaitits is 48.8% of Communicable, maternal & perinatal diseases. Higher than the percentage of its death number account for the group (31.0%).
Hepatitis cause higher years of life lost of population in communicable diseases.
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Burden of Communicable Diseases
Hepatitis B is the major infectious diseases in Gansu province, Hepatitis E also have growth trend.
According to our serosurvey, both population and domestic animals in Gansu Province have higher Hepatitis E Virus IgG positive rate
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Burden of Communicable Diseases
Pneumonia mortality is 5.9 per 100,000. Lower than that of whole China (10.0 per 100,000).
GenderMaleFemale
Mortality
Age group
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Burden of Communicable Diseases
Pneumonia bring about 28,000 PYLL every year in Gansu
PYLL caused by pneumonia is 9.6% of infectious diseases. Lower than the percentage of its death number account for the group (21.4%).
Pneumonia cause lower years of life lost of population in infectious diseases.
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Burden of Maternal Diseases
Maternal Diseases contains pregnancy, childbirth and the puerperium diseases.
These diseases once were main cause of death of child-bearing period woman
Present they have came down at a low level
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Burden of Maternal Diseases
Mortality of Maternal Diseases is 3.8 Per 100,000 in child-bearing period woman, higher than that of whole China (0.5 Per 100,000)
Gender
CityCountrysideM
ortality
Age group
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Burden of Maternal Diseases
5 main causes of deaths in maternal diseases are direct obstetric causes, PPH, Pregnancy-induced hypertension syndrome, obstetric infection, abortion
Direct obstetrical causesPostpartum hemorrhage Pregnancy-induced hypertension syndromeObstetric infectionAbortion
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Burden of Maternal Diseases
Maternal diseases caused13,000 PYLL every year in Gansu.
PYLL caused by maternal diseases is 4.4% of Communicable, maternal & perinatal diseases. Higher than the percentage of its death number account for the group (2.7%).
Maternal diseases cause higher years of life lost of population.
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Burden of Perinatal Diseases
Perinatal diseases refers to the fetus or the newborn’s diseases caused by pregnancy, childbirth or after birth environmental effects in the perinatal period (from 28 weeks pregnancy to a week after birth)
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Burden of Perinatal Diseases
Mortality of Perinatal Diseases is 921.6 Per 100,000 in fetus and newborn, higher than that of whole country (549.2 Per 100,000). 84.1% death cases happened in the first week after birth.
Gender
CityCountrysideM
ortality
Age (Day)
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Burden of Perinatal Diseases
4 main causes of deaths in perinatal diseases are Birth injury and asphyxia of newborn, Premature infant, Haemolytic disease of newborn and Cold injury syndrome
Birth injury and asphyxia of newbornPremature infantHaemolytic disease of newbornCold injury syndrome
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Burden of Perinatal Diseases
In this investigation perinatal diseases caused178,000 PYLL every year in Gansu.
PYLL caused by perinatal diseases is 60.7% of Communicable, maternal & perinatal diseases. Far higher than the percentage of its death number account for the group (25.9%).
Perinatal diseases cause very high years of life lost of population
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Brief Introduction of West of China Institute of Environment and Health
West of China Institute of Environment and Health has been established in March, 2007.
Founder and first director:
Guowei YU Ph.D
It belongs to Northwest University for Nationalities.
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Brief Introduction of West of China Institute of Environment and Health
Research of this institution is focus on promoting environment health development of western China
Especially for northwestern minority people
And provide science supports for environment protection and health promotion
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Brief Introduction of West of China Institute of Environment and Health
Missions： Establish environment health research in western
China; Train environment health talents for local
minorities’ community; Combine environment surveillance with health
surveillance; Establish co-operation environmental health
research relationship between China and other countries.
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Brief Introduction of West of China Institute of Environment and Health
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Thank YouThank You ！！
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