Public Health in China Dan Cui Wuhan University
Answer: 3
Beijing
Shanghai
Guangzhou
Shanghai
Beijing
Guangzhou
Zhengzhou
Wuhan Changsha
Zhengzhou
Changsha
Wuhan
Qinghai Sichuan
Yunnan
Qinghai
V
There is a significant difference between different areas of China.
V
The causes of difference came from history, environment, population, economic, and so on.
V
The differences influenced the public health of China.
Maternal Mortality Rate of China in 2005 120
110.07
100
1/100,000
80 60 40 20
39.02
34.42 9.99
0 Shanghai
Hubei
Qinghai
Data came from the Ministry of Health of P.R. CHINA
National
Infant Mortality Rate in 2005 32.17
35 30 1 /1 , 0 0 0
25 20
19.00
15 10
11.73 8.35
5 0 Shanghai
Hubei
Qinghai
Data came from the Ministry of Health of P.R. CHINA
National
Life Expectancy in 2000 80
78.14
75
71.08
Y e a rs
70
71.04 66.03
65 60 55 Shanghai
Hubei
Qinghai
Data came from 5th nationwide census in 2000
National
V
Main Problems of Chinese Public Health: a Infectious D New
diseases control
kinds infectious diseases: SARS,
Bird Flu, AIDS
D Traditional
infectious diseases: HBV,
TB and Hydrophobia
Reported Incidence & Death Rate of Infectious Diseases in 2007 Disease Incidence Rate Death Rate Deaths per (1/100 000) (1/100 000) 100 Patients Total 272.39 0.99 0.36 病毒性肝炎 Viral Hepatitis 108.44 0.09 0.08 肺结核 Pulmonary Tuberculosis 88.55 0.28 0.32 痢疾 Dysentery 27.99 0.01 0.02 梅毒 Syphilis 15.88 0 0.03 淋病 Gonorrhea 11.08 0 0 麻疹 Measles 8.29 0.01 0.06 疟疾 Malaria 3.55 0 0.03 猩红热 Scarlet Fever 2.55 0 0 伤寒副伤寒 Typhoid & Paratyphoid Fever 1.55 0 0.03 布氏杆菌病 Brucellosis 1.5 0 0.01 出血热 Hemorrhage Fever 0.84 0.01 1.31 艾滋病 AIDS 0.74 0.3 40.14 百日咳 Pertussis 0.22 0 0 乙脑 Encephalitis B 0.33 0.02 5.24 狂犬病 Hydrophobia 0.25 0.25 100 Data came from the Ministry of Health of P.R. CHINA
Prevalent Extent of HIV in China 1985
1989
1995
1998
Influence of prevention to prevalence of HIV in China Infection Rate, Per 10,000 No. Of estimated Poor prevention Effective prevention 60
1.5 million 2010
50 40
30 10 1
20
3
20 10
20 00
19 99
19 98
19 97
19 96
19 95
Year 19 94
19 93
100 100 90 90 80 80 70 70 60 60 50 50 40 40 30 30 20 20 10 10 0
10 million, 2010
China's AIDS Prevention and the Joint Assessment Report 2003
50000 40000 30000 20000
85-90 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
年
0
份
10000
AIDS
5
HIV(+) 492
3
5
23
29
216
261
274
531
52
38
126
136
230
233
714
1028 6120 12652 7550
1567 2649 3343 3306 4677 5201 8219 9732 21691 47606 36614
China AIDS Prevention and the Joint Assessment Report 2005
Number of Infected People
China AIDS Prevention and the Joint Assessment Report 2004
China AIDS Prevention and the Joint Assessment Report 2004
Illegal sell-blood Injection Drug Users
Mother to Child
Homosexuality
Blood Transfusion
Heterosexuality
Premier Wen visited the AIDS cases in 2003
President Hu visited the AIDS case in 2004
Centre Financial Fund for HIV Prevention and Cure from 1996 to 2007 1000
m illio n
800 600 400 200 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
V
Main Problems of Chinese Public Health: a Chronic
noncommunicable diseases:
D Hypertension,
Diabetes, Coronary
Heart Disease -- high prevalence rate, Low diagnosis, Low treatment rate D Cancer
– incidence rate increasing
quickly Diet, smoking, environment population, absence of health knowledge
Diet of Chinese(%) Total
City
Rural
Sort of Food 1992
2002
1992
2002
1992
2002
Grain
66.8
57.9
57.4
48.5
71.7
61.5
Soy of Bean
1.8
2.6
2.1
2.7
1.7
2.6
Tuberous Plant
3.1
2.0
1.7
1.4
3.9
2.2
Animal Product
9.3
12.6
15.2
17.6
6.2
10.7
Food only provide energy
11.6
17.3
14.3
19.3
10.2
16.5
Other
7.4
7.6
9.4
10.5
6.4
6.5
Calculated by providing energy of food
Diet of Chinese 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0
%
1992 2002
Grain
Soy of Bean
Tuberous Plant
Animal Product
Food only provide energy
Other
80
80
70
70
60
60
50
50
40 30
%
Dif erence of Diet between City and Rural in 2002
%
Dif erence of Diet between City and Rural in 1992 in China
40 30
20
20
10
10
0
0 city Grain Soy of Bean Tuberous Plant Animal Product Food only Other rural provide energy
city Grain Soy of Bean Tuberous Plant Animal Product Food only Other provide energy rural
Smoker: 350 million, man 320 million, woman 30 million (estimated) V Passive smoking: 540 million V Death of smoking every year: about 1 million V Death of passive smoking every year: 100 thousand V Smoking rate of adult man: 57% V Smoking rate of adult woman: 8% V
V
Main Problems of Chinese Public Health: a Population: DFamily
planning
DAging DBirth
defect
Total Fertility Rate of Chinese Women from 1950 to 1990
V
V
V V V
V V
V
Husband and wife both come from only child family Husband and wife are all registered as rural resident, and first child was girl One of pair is minority nationality Remarried, and one of pair has not child Remarried, both have child, but both lost guardianship when divorced First child was disability One of pair worked in the mine or ocean more than 5 years Other
1982
1990
2000
Number of age over 60 (10,000)
7663.7
9696.5
12997.7
Total (10,000)
101654
114333
126743
7.5
8.5
10.3
Rate of aging people (%)
1,000,000 1500 >80 1200
60~79 15~59
900
0~14
600
300
0 1950
1970
1990
2010
2030
Change of Chinese Population Structure
2050
V
Ageing in China: a In
city: low fertility rate a In rural: migration
Compare Birth Defect between American and China 美国与中国出生缺陷数 Number of Birth Defect Every Day 每天出生的缺陷儿数
Number of Birth Defect Every Year 每年出生的缺陷儿数
¸ö 3000
Íò 120
2739
2500
100
2000
80
1,000,000 100 万
China 中国 1500
60
1000
40
500 0
411 USA 美国
20 0
ÿÌì
China 中国
150,000 15 万 美国 USA ÿÄê