The mortality of coPD is increasing! Proportion of 1965 Rate 3.0 Coronary Stroke Other CVD COPD All Other 25 Heart Causes Disease 20 15 1.0 05 59% 64% 35% +163% 0 1965-19981965-19981965-19981965-19981965-1998 Source: NHLBI/NIH/DHHS MBBS project, Zhongshan Hospital
MBBS project, Zhongshan Hospital The mortality of COPD is increasing! 0 0.5 1.0 1.5 2.0 2.5 3.0 Proportion of 1965 Rate 0.0 0.5 1.0 1.5 2.0 2.5 3.0 1965 - 1998 1965 - 1998 1965 - 1998 1965 - 1998 1965 - 1998 –59% –64% –35% +163% –7% Coronary Heart Disease Stroke Other CVD COPD All Other Causes Source: NHLBI/NIH/DHHS
Prevalence of copd in china BOLD Study Overall prevalence: 8.2% ·>43 milion Urban Rural口 Total 14 121127124 12 oo 10 8.8 7.8 8.2 4.95.45.1 2 Male Female Total Nanshan Zhong et al. Am J Respir Crit Care Med 2007, 176: 753-760 MBBS project, Zhongshan Hospital
MBBS project, Zhongshan Hospital Prevalence of COPD in China --BOLD study • Overall prevalence: 8.2% • > 43 million Nanshan Zhong et al. Am J Respir Crit Care Med 2007, 176: 753-760 12.1 4.9 7.8 12.7 5.4 8.8 12.4 5.1 8.2 0 2 4 6 8 10 12 14 Male Female Total prevalence of COPD(%) Urban Rural Total * #
In china COPD the third leading cause of death in rural and the fourth in urban in 2008 the second leading cause of DALYs lost in2001 Incidence and mortality is increasing MBBS project, Zhongshan Hospital
MBBS project, Zhongshan Hospital In China • COPD —the third leading cause of death in rural and the fourth in urban in 2008 —the second leading cause of DALYs lost in 2001 • Incidence and mortality is increasing
WORLD COPD DAY November 14.2007 CHRONIC OBSTR 四PF=<m GOLD Raising COPD Awareness Worldwide
WORLD COPD DAY November 14, 2007 Raising COPD Awareness Worldwide
Risk factors for coPd Nutrition Cigarette smoke Occupational dust and chemicals Infections Environmental tobacco smoke(ETs) Socio-economic status Indoor and outdoor air pollution N Aging Populations Genetic Susceptibility MBBS project, Zhongshan Hospital
MBBS project, Zhongshan Hospital Risk factors for COPD Nutrition Infections Socio-economic status Aging Populations Genetic Susceptibility