Survey of CRD in Province of Guimaras in Philippines 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 Barangay Hospital Buenavista RHU 3/14 Jordan 14 BarangayJordan Barangay San Lorenzo RHU RHU Guimaras San Lorenzo Provincial 12 Barangay Hospital 2/12 Barangay Nueva Valencia RHU Sibunag 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.