east meets west: respiratory - gp cme north/thur_room8_0838_wong...8:30 - 10:30 ws #6: an asian...
TRANSCRIPT
Dr Yu-Min
LinConsultant
Geriatrician
Middlemore
Hospital
Auckland
8:30 - 10:30 WS #6: An Asian Flavour - East Meets West
11:00 - 13:00 WS #13: An Asian Flavour - East Meets West (Repeated)
Dr Pui Ling
ChanEndocrinologist
MacMurray Centre
Auckland
Dr Andrew
ToCardiologist
Director of Cardiac
CT
Multimodality
Imaging
Cardiologist
Auckland
Dr James
LiangClinical and
Pathology
Haematologist
Middlemore
Hospital
Auckland
Dr Donny
WongRespiratory and
General Physician
Waitemata DHB
Auckland
Dr Michelle
WongORL Surgeon
Auckland ENT
Group
Auckland
Dr Derek
LuoConsultant
Gastroenterologist
Director
Greenlane
Medical
Specialists
Auckland
Dr Judy
HuangConsultant
Gastroenterologist
Middlemore Hospital
Auckland
East Meets West: Respiratory
Donny Wong
Respiratory Physician
WS 6 and 13 7th June 2018 Rotorua GP CME
Outline
• Smoking & Air pollution
• Cancer
• Tuberculosis
• Sleep apnoea
Smoking
www.smokefree.org.nz
www.smokefree.org.nz
In terms of COPD
• #Smoking and #ambient particulate matter were the main risk factors for COPD followed by #household air pollution, #occupational particulates, #ozone, and #secondhand smoke. Together, these risks explained 73.3%
• Asthma most prevalent chronic respiratory disease worldwide, 2x number of COPD.
• Deaths from COPD were 8x more than deaths from asthma.
Lung cancer
• 51 percent world’s lung cancer occur in Asia.
• 21 percent of cancer deaths in Asia
• In China adenocarcinoma - involving more females and non-smokers - have exceeded that of smoking-related carcinoma
• ?due to PM 2.5 air pollution
Asbestos
• 107,000 die each year asbestos ailments
• A U.S. study found in 2013 *China topped consumption at 570,000 tons, *Russia 432,000 tons, *India 303,000 tons, *Brazil 181,000 tons and *Indonesia 156,000 tons. Countries in Asia in sixth to 10th place, including *Vietnam and *Thailand.
ASBESTOS in ASIA
Tuberculosis
• World incidence 126 per 100,000 for 2013
• NZ 2014 was 6.7 per 100,000 (302 cases)
• 75-80% not born in NZ
• 7.4% from immigration screening
Sleep apnoea
• Asians BMI for same OSA as Caucasian
– ?lower BMI cut off of 23/28
• Presumed craniofacial abnormalities more prevalent in asians
Summary
• Asians COPD also from not smoking!
• Air pollution plays important role in health.
• Lung cancer more in asian with non smoker
• Asbestos epidemic is coming
• Tuberculosis more common.
• Sleep apnoea in asians don’t have to be fat.