Survey of CRD in Province of in ーPreliminary Report

Sohei Makino WHO Collaborating Centre of Prevention and Control of CRD /Dokkyo University

Provincial Local Government of Guimaras

WHO Western Pacific Region Office

Ministry of Health, Philippines Province of Guimaras Population:159,462(2005) 15-64 years:56.1% Economic Activities: Agriculture Three hospital 90 beds 9/36 Barangays Buenavista Buenavista Emergency 36 Hospital Buenavista RHU

3/14 Jordan 14 BarangayJordan Barangay San Lorenzo RHU RHU Guimaras San Lorenzo Provincial 12 Barangay Hospital 2/12 Barangay RHU Nueva RHU Valencia District Sibunag Hospital 12 Nueva Valencia BaBarang 4/12 22 Barangay ay Barangay 5/22 Barangay Subjects in the Survey Adults (>20 years):1827 Children(6-7 years):590

23 Barangays selected randomly out of the total of 96 barangays Where population:39,766, (2006) Households : 7089

In a barangay, households numbered consecutively next to each other in the map forming a loop. The staring household was selected randomly. The questionnaire for adults （20 year old and over ）

Produced from WHO Protocol for Assessment of Prevalence of Major Respiraotry Diseases(2004) and other international questionnaires considering local risk factor assessment and for local health management

The questionnaire for children(6-7 years)

ISSAC (International Study of Asthma and Allergy in Childhood) and modified by local risk factors and for local health management Spirometry: spirometry was performed in adults 20 years of age and over, using Spirolab II spirometers from MIR srl. Up to 4 tests were used to obtain 3 satisfactory loop recordings, the highest FEV1 and FVC values were selected for analysis. Reversibility testing was not performed, as it was decided to be unacceptable to regional survey groups. Preliminary observation of the prevalence o ｆ asthma, rhinoconjunctivitis and COPD

The values are subject to change after further analysis Have you had wheezing or whistling in your chest at any time in the last 12 months? (in 1794 Adults)

Age(y/o) Prevalence(%) (preliminary Figure) 20-29 7.4 30-39 12.1

40-49 20.2 50-59 26.8 60-69 24.2 70- 31.5 Preliminary Data Have you ever been diagnosed to have asthma? (in 1787 adults)

Age (years) Prevalence(%) 20-29 5.8 30-39 7.9

40-49 8.3 50-59 12.5 60-69 18.0 70- 20.3 Preliminary Data In this past 12 months , has this nose problems been accompanied by ichy-watery eyes in 1804 adults

Age (years) Prevalence(%) 20-29 11.1 30-39 13.8 40-49 14.1 50-59 18.3 60-69 17.1 70- 24.0

Preliminary Data Asthma and Allergy in Children(6-7 years)

•Has your child had wheezing or whistling in the chest in the last 12 months? Current asthma : 19.3%(114/592)

•In this past 12 months, has the nose problem been accompanied by itchy-watery eyes? Current rhinoconjunctivitis : 27.5%(163/592)

Preliminary Data Possible COPD Based on Symptoms (Cough, Phlegm, or, Breathlessness) In population >40 years (N=951)

E1: Do you usually have a cough this last 1 months? E2. Do you usually bring up phlegm from your chest? E3.1 Are you troubled by shortness of breath when hurrying on the level or walking up slight hill?

Age (years) COPD(%) 40-49 28.9 50-59 35.2 60-69 41.1 70- 55.2 Total 36.7

Preliminary Data Thanks to all who participated this survey

And

Thank you