???????GARD

1
???????GARD
??

• ???

2
?????????? (2003)
Rank Disease Mortality(per 105)
1 Malignant tumor 134.5
2 Cerebrovascular diseases 105.4
3 Respiratory diseases 77.3
4 Heart diseases 76.2
5 Trauma/Poisoning 32.6
6 Digestive diseases 19.3
7 Endocrinal, Nutritional Metabolic Disorders 14.1
8 Genitourinary diseases 7.1
9 Neurological diseases 4.8
10 Perinatal diseases 162.1
3
?????????? (2003)
Rank Disease Mortality (per 105)
1 Malignant tumor 95.7
2 Cerebrovascular diseases 89.9
3 Respiratory diseases 70.9
4 Heart diseases 45.5
5 Trauma/Poisoning 21.5
6 Endocrinal, Nutritional Metabolic Disorders 14.5
7 Digestive diseases 10.5
8 Genitourinary diseases 7.2
9 Perinatal diseases 372.2
10 Pulmonary TB 4.2
4
??COPD????
Male VS Female Plt0.01 Urban VS Rural Plt0.01
5
??????6????
Base 752 patients
6
COPD??????1?
Base 752 patients
7
???????

• ??1.5 (Chen YZ 2001)
• ??1.0 (Chen P 2000, Tang TC 2000)
• ????(??)0.4 (?? ) to
• 8.6 (??)

8
??????(0-14yrs)?????
(432500 population in 31 cities)
National Cooperative Group of Children Asthma
9
1

• ??????
• 33 ????????
• 16 ????????

GINA ???? ????/??
Summary of Hospital and Emergency Visits for
Asthma in Past Year
10
Have Lost Work/School Days in the Past Year Due
to Asthma
??????? ?????? 25(20) ??(??)
GINA ???? ?????
11
FEV1?????????????????
.???????????
???????????,???????
????????????,??????????

1. Aimagro P et al Chest 2002
2. Fuso L et al. Am J Med 1995 98 722-727
3. Wildman et al. Am J Respir Crit Care Med 2002
   165(2 pt2)A272

?COPD??????????????????22401-3
12
COPD ???/ 10???
13
???????????

• ?????
• COPD 32.8 millions
• Asthma 39.0 millions
• ?? 1.6 millions/yr

14
???????? (CRD) ??????????
15
????????,????????

• ????
• ????
• ????
• ??

16

• ??
• ?????
• ??
• ??
• ???? ???????
• ??? COPD???

17
????????,????????

• ????
• ????
• ????
• ??

18
?? (GOLD)

• ???? 310
• I 22.3
• II 48.1
• III 23.2
• IV 6.5

19
??(??)?????COPD
?? ???
GZ 134/1818 37.3
SG 176/1468 26.1
20
???
21
????????,????????

• ????
• ????
• ????
• ??

22
?GINA?????????

• ??GINA??????????? 300,000 ??
• ( 3x105/3.8x107 0.79 )

23
SEA ??

Specialized clinic for asthma

Education center of asthma
Association of asthmatic patients
Shuang Mu, Quanying He, Bing Yu, et
al. Department of Respiratory Medicine Peoples
Hospital, Peking University
24
??????????????????????
Plt0.05



25
????????????
(score)
(RMB)
(Plt0.01)
The educated group has gained higher level of
quality of life with less medical expenses.
26
???? ????
27
CRD?????????????????
Different Combinations RMB/Y
VentolinBecotide 1245.6
CombiventBecotide 1352.4
VentolinAtroventBecotide 2008.8
VentolinFlixotide 1495.2
CombiventFlixotide 1602.0
VentolinAtroventFlixotide 2258.4
Oxis TurbuhalerPulmicort Turbuhaler 3638.8
Seretide Accuhaler(50/250) 3379.2
Seretide Accuhaler(50/500) 5376.0
Symbicort Turbuhaler(160/4.5) 3648.0
Spiriva 2124.0
OxisSpiriva 4154.0
28
Distribution of economic status areas depending
on the global country income
Country (GDP per capita/rank)
Luxembourg (69056/1)
Russia (4750/63)

• China
• (1352/112)

Turkey (4437/66)
U.S. (42076/7)
India (652/133)
Japan (36486/10)
Brazil (3311/77)
Burma (135/176)
Burundi (123/179)
Thailand (2807/84)
Korea (14649/34)
The International Monetary Fund,IMF(2005)
29

?2.30? ??????,???????????30???, ? 44
?????????
??????
177 million
723 million
??9????,??1.77???????????
30

???????????2107 ? (2006) ?????????????50?
(2006) (????2006??????)
31
????????,????????

• ????
• ????
• ????
• ??

32
????
33
COPD?????????



tests for trend Plt0.000
34
??????(Chinese Academy of Preventive Medicine
1996)

• ???? (?15yrs) 130,657
• ???? 35.3
• ? 63.0
• ? 3.8

35
(No Transcript)
36
145 disease surveillance points, 16407 records
had been completed with 16056 used for analysis
?? ????? ??????????( 2002)
37
????????????

• ?????????
• ?????????????????
• ???????????,
• ???????????