Progress in Chronic Disease Prevention and Control
The establishment of Chinese cancer registries began in 1963 in Shanghai, and data from registries led to some of the first programs that addressed chronic diseases in China. For example, mortality from cervical cancer in the Jing'an county of Jiangxi province decreased to 9.6 per 100 000 in 1985 from 42.0 per 100 000 in 1974, at least in part a result of the introduction of the "early detection, early diagnosis and early treatment" of cervical cancer (Kong L, unpublished). Cancer has led the way in chronic disease control initiatives. In 2003, the Ministry of Health of the People's Republic of China, which is responsible for health policy, completed a national cancer control plan on the basis of expert opinions in diverse fields. Some elements of the Program of Cancer Prevention and Control in China (2004–2010) are now being implemented, for example with rapid diagnosis and screening trials for cervical cancer.
Between 1991 and 2000, a community-based intervention trial on management of diabetes and hypertension was done in an urban population of 300,000 in three cities (Beijing, Shanghai, and Changsha). The most notable outcomes were that the incidence of stroke decreased by 52% in men and 53% in women, and the mortality rate of stroke fell by 54% overall.
In 1995, the World Bank Loan Health VII: China Disease Prevention Project—health promotion component (1996–2002) began in seven cities: Beijing, Tianjin, Shanghai, Chengdu, Luoyang, Liuzhou and Weihai, and some regions of Yunnan province. The program covered about 90 million people. To date, among the chronic diseases outcomes reported are an overall reduction of 15% in the prevalence of male adult cigarette smokers, and in Beijing substantial increases in hypertension detection and treatment with a fall in cardiovascular disease death rates of more than 15% in the last year of the project (Wu Z, Director, Beijing Institute of Heart, Lung and Blood Vessel Diseases, personal communication).
Based on the experience of this project, the Ministry of Health began establishing demonstration sites for chronic disease prevention and control nationwide in 1997. There are currently 32 community-based sites and the major activities include community diagnosis, community mobilization, development of integrated community interventions (smoking control, healthy diet, physical activity, hypertension prevention, mental health, prevention and control of cardiovascular disease, diabetes, cancer, chronic respiratory disease), training, and evaluations of interventions.
Read more about this topic: Chronic Disease In China
Famous quotes containing the words progress in, progress, chronic, disease, prevention and/or control:
“Today, the notion of progress in a single line without goal or limit seems perhaps the most parochial notion of a very parochial century.”
—Lewis Mumford (1895–1990)
“The human race is yet in its infancy—no, not infancy; infancy is innocent and sweet—it is in its ugly boyhood, half way between the child and the man—in a state of semi-barbarism.”
—Anonymous, U.S. magazine contributor. Herald of Progress (no dates available)
“Adder-faced singularity
Espouses a nailed-up childhood,
Skin-disease pardons
Soft horror of living,
A gabble is forgiven
By chronic solitude.”
—Philip Larkin (1922–1986)
“[Love] is the type of disease that spares neither the intelligent nor the idiotic.”
—Albert Camus (1913–1960)
“... if this world were anything near what it should be there would be no more need of a Book Week than there would be a of a Society for the Prevention of Cruelty to Children.”
—Dorothy Parker (1893–1967)
“Above and beyond paying attention to feelings before and after a separation, never threaten your child with leaving or loss of love in an effort to control her behavior. Children believe their parents’ assertions that “I will send you away,” “I won’t love you any more,” “I’ll go away,” and are terrified with good reason. Fear is a very poor way of disciplining a child, and it can cause severe lifelong anxiety.”
—Alicia F. Lieberman (20th century)