Presentation is loading. Please wait.

Presentation is loading. Please wait.

Air & Water Hazards In China: How Bad Is It, & How To Stay Healthy.

Similar presentations


Presentation on theme: "Air & Water Hazards In China: How Bad Is It, & How To Stay Healthy."— Presentation transcript:

1 Air & Water Hazards In China: How Bad Is It, & How To Stay Healthy

2 About Me… I am Dr Richard Saint Cyr, a family medicine doctor, from America I am Dr Richard Saint Cyr, a family medicine doctor, from America I work at Beijing United Family Hospital I work at Beijing United Family Hospital Director of Marketing, UFH Director of Marketing, UFH My health website: MyHealthBeijing.com My health website: MyHealthBeijing.com Weibo: weibo.com/daniudaifu Weibo: weibo.com/daniudaifu

3 Lets Review Pollution…

4 The Common Air Pollutants Particulates (PM10, PM2.5) Particulates (PM10, PM2.5) Nitric oxide/dioxide Nitric oxide/dioxide Sulfur dioxide Sulfur dioxide Ozone Ozone Carbon monoxide Carbon monoxide

5 The worst one is: small particles (PM = particular matter)

6 These Are Very, Very Small…

7

8 Health Effects Short-term (days): Short-term (days): –Heart attacks –Asthma –Bronchitis Long-term (>8 years): Long-term (>8 years): –COPD/emphysema –Heart Disease –Cancer

9 London in 1952!

10 The Great London Smog of 1952 It was a bad combo of cold weather + more coal burning + inversion layer of air… It was a bad combo of cold weather + more coal burning + inversion layer of air… = disaster for 5 days… = disaster for 5 days… –pollution at 3,000-14,000! (Beijing is usually ~140) –12,000 premature deaths –100,000 illnesses

11 Many People Died In Days

12 USC Childrens Health Study (http://www.arb.ca.gov/research/chs/chs.htm), following thousands of kids in smoggy Los Angeles over 9 years, from 4th to 12th grade. (http://www.arb.ca.gov/research/chs/chs.htm), following thousands of kids in smoggy Los Angeles over 9 years, from 4th to 12th grade.http://www.arb.ca.gov/research/chs/chs.htm In Los Angeles, the average annual Air Quality Index is around 50, which is almost 3 times lower than here in Beijing. In Los Angeles, the average annual Air Quality Index is around 50, which is almost 3 times lower than here in Beijing.

13 Air Pollution Harms Children's Lungs for Life - Children exposed to higher levels of particulate matter, nitrogen dioxide, acid vapor and elemental carbon, had significantly lower lung function at age 18… - Children exposed to higher levels of particulate matter, nitrogen dioxide, acid vapor and elemental carbon, had significantly lower lung function at age 18… –N Engl J Med 2004; 351:1057 – 1067 Children that were exposed to current levels of air pollution had significantly reduced lung growth and development when exposed to higher levels of acid vapor, ozone, nitrogen dioxide and particulate matter … Children that were exposed to current levels of air pollution had significantly reduced lung growth and development when exposed to higher levels of acid vapor, ozone, nitrogen dioxide and particulate matter … –Am J Respir Crit Care Med 2002; 166:76 - 84 –Am J Respir Crit Care Med 2002; 166:76 - 84 Children living in high ozone communities who actively participated in several sports were more likely to develop asthma than children in these communities not participating in sports. Children living in high ozone communities who actively participated in several sports were more likely to develop asthma than children in these communities not participating in sports. –Lancet 2002; 359:386 - 391

14 Closer Look: The estimated proportion of 18-year-old subjects with a low FEV 1 (defined as a ratio of observed to expected FEV 1 of less than 80 percent) was 4.9 times as great at the highest level of exposure to PM 2.5 as at the lowest level of exposure (7.9 percent vs. 1.6 percent, P=0.002). The estimated proportion of 18-year-old subjects with a low FEV 1 (defined as a ratio of observed to expected FEV 1 of less than 80 percent) was 4.9 times as great at the highest level of exposure to PM 2.5 as at the lowest level of exposure (7.9 percent vs. 1.6 percent, P=0.002). N Engl J Med 2004; 351:1057 – 1067

15 Long-Term Effects: Heart Disease A curved line (maxes/tapers off) A curved line (maxes/tapers off) Relative risk in Beijing air: 1.32 (ie, 32% increase) Relative risk in Beijing air: 1.32 (ie, 32% increase) –1ppd smoker: ~2.3 relative risk (230% increase) http://t.cn/StQNu6

16 Long-Term Effects: Lung Cancer Linear; NO MAX Linear; NO MAX –1ppd smoker: ~21 risk (2100% increase) –Beijing air: 1.49 risk (49% increase) http://t.cn/StQNu6

17 Do You Like Those Odds?

18 Conclusions? Air pollution risk is real – but small? Air pollution risk is real – but small? Risk: Risk: –Individual = small effect –Population = large effect Smoking is really, really bad

19 Compare To Other Risks Weight change (Kg)

20 Cardiovascular Risk: Meet Joe Myhealthcheckup.com

21

22 How Bad Is Beijing?

23 World Cities & PM10 Levels (2004-5) WHO China US Beijing

24 A Day In Beijing Is Like Smoking How Many Cigarettes? 1/6? 1/6? 1? 1? 5? 5? 10? 10? 20? 20?

25 = 1/6 Of A Cigarette!

26 How To Protect Yourself Indoor protection Indoor protection –Air purifiers –Plants Outdoor protection Outdoor protection –Avoidance AQI >200 –N95 masks –School action plans

27 Dont Forget: 90% of Your Life Is Spent Indoors!

28 Schools Should Have Action Plans!

29 In Other Words: Any AQI over 200 = NO OUTDOOR SCHOOL ACTIVITIES Any AQI over 200 = NO OUTDOOR SCHOOL ACTIVITIES

30 Air Purifiers Really Work! My own tests: reduce PM0.3 95-99% My own tests: reduce PM0.3 95-99% Imported brands: IQAir, Blueair, Alen… Imported brands: IQAir, Blueair, Alen… –Must be true HEPA! –Cheap? Too good to be true… Local? Local?

31 Maybe Helps The Heart? An Air Filter Intervention Study of Endothelial Function among Healthy Adults in a Woodsmoke-impacted Community An Air Filter Intervention Study of Endothelial Function among Healthy Adults in a Woodsmoke-impacted Community Conclusions: Conclusions: –improved endothelial function –decreased concentrations of inflammatory biomarkers (CRP) So…less disease? Maybe…probably… So…less disease? Maybe…probably… http://ajrccm.atsjournals.org/content/183/9/1222.abstract?maxtoshow=&hits=10&RESULTFORMAT=&full text=HEPA+pollution&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT

32 Indoor Plants Help!

33 Indoor Plants Areca Palm (, feng(4)wei(3)zhu(2), about RMB 180 each) - Areca Palm (, feng(4)wei(3)zhu(2), about RMB 180 each) - –Efficiently converts CO2 to oxygen. Mother-in-Law Tongue (, hu(3)pi(2)lan(2), about RMB 50 each) Mother-in-Law Tongue (, hu(3)pi(2)lan(2), about RMB 50 each) –Efficiently converts CO2 to oxygen at night –Good for bedrooms. Money Plant, lv(4)luo(2), about RMB 150 each Money Plant, lv(4)luo(2), about RMB 150 each –Removes formaldehydes and other volatile chemicals.

34 Food Safety: The Main Problems Bacteria Bacteria –Infections –Food poisoning Chemicals & Pesticides Chemicals & Pesticides –Cause cancer? –Endocrine problems –Allergic reactions

35 Your Goals Minimize your exposure to toxins Minimize your exposure to toxins Control what & where you eat Control what & where you eat Control what & where you buy Control what & where you buy Live SUPER-healthy Live SUPER-healthy –Antioxidant lifestyle –Dont smoke –Exercise –Stay slim

36 Water Safety Big Water jugs? Maybe not –50% counterfeit water –Bacteria in water –Cheap plastic leaches into it –Good brand? Beijing Kangtai Gaoke Co. –Good brand? Beijing Kangtai Gaoke Co.

37 Install A Water Filter Tap water – add a filter Tap water – add a filter –Aquasana highly rated (many others)

38 Food Handling Is A Major Issue! http://www.who.int/foodsafety/consumer/5keys/en/index.html

39 c

40 Wash Your Produce! Store brands Store brands Citrus Citrus Salt Salt Vinegar Vinegar Chlorine Chlorine

41 Basic Tips If it can be peeled, peel it! If it can be peeled, peel it! –Less nutrients Leafy greens -- SOAK Leafy greens -- SOAK

42 United Family Healthcare Address: #2 Jiangtai Lu, Chaoyang District, Beijing 100015 P.R.C. Tel: +86 (10) 5927 7000 Fax: +86 (10) 5927 7200 24 Hour Emergency Hotline: (010) 5927 7120 www.ufh.com.cn Thank You 42 www.myhealthbeijing.com Weibo.com/daniudaifu Richard.saintcyr@ufh.com.cn


Download ppt "Air & Water Hazards In China: How Bad Is It, & How To Stay Healthy."

Similar presentations


Ads by Google