Public Health In China

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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



0



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

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