Analysis On The Sequence Of Death Causes And Disease Burden In Gaomi In 2006-2007

BackgroundWith the rapid development of social economy and accelerated pace of life, urban and rural residents'life and behavior style has undergone tremendous changes, such as high-calorie diet, lack of exercise, tobacco, alcohol dependency and mental stress, etc. Other factors such as climate change, population aging and other social conditions also affect disease patterns. For the moment, infectious diseases have counted less and less proportion while the proportion of chronic non-communicable diseases increasing. Chronic non-communicable diseases have become the most important health diseases that influence residents'health. Especially cardiovascular and cerebrovascular diseases, diabetes, cancer, etc.ObjectiveChanges in daily mortality and causes of death are important indicators that reflect the health status of people. They provide scientific evidence for development of health policies, evaluation of quality and effectiveness of health work. They are also an important part of the natural population change laws. Therefore, many other countries in the world attach great importance to their death statistics and its analysis work.The study use of the death of Gaomi city surveillance data 2006-2007 to analyze the major cause of death spectrum among causes of death and disease burden to provide reference in determining and adjusting the disease control strategy and focus. This may be of great significance to the identification of disease control, protection of people's health, promotion of social and economic sustainable development.Materials and MethodsThe standardized of population was from national census data in 2000.The death information came from 2006 to 2007 gaomi Disease Surveillance Point(DSP).Death causes were classificated according to the International Classifications of Diseases 10(ICD-10). The software of SPSS 13.0 and Excel were the main statistical methods.Results1) years old took up 10.42%of the total population of gaomi.,far more than the aging population standard.Gaomi has been grades into the aging population city.2) 2006-2007,the number of total death is 12116, residents crude death rate was 7.06%o, standardized mortality rate is lower than the average level of third review of death investigation in Shandong province during 2004-2005.3) 2006-2007,310,10707 and 944 people died from the first,second,third category disease, respectively account for 2.56%,88.37% and 7.79% of total death cases.155 died from some unknown cause, account for 1.28%.4) 2006-2007, The ten leading causes of death of gaomi residents were circulatory system diseases, malignant neoplasm, respiratory disease, injury and poisoning, diabetes mellitus, digestive disease, neuropsychiatric disorders, genitourinary system diseases, respiratory infections, perinatal disease, death of the ten leading causes accounted for 96.85% of all deaths.5) The leading death causes which strongest influence on the life expectancy of the whole population was circulatory system disease, except it, the average life expectancy will increase 2.62 years.6) 81,238 man-years of potential years of life lost (PYLL) were caused by various kinds of diseases among 1-69 year-olds in 2006-2007. Average potential years of life lost (APYLL) was 6.56 man-years. PYL rate was 47.69%o.Conclusions and recommendationsGaomi has already entered the aged society. Circulatory system diseases, cancer, respiratory diseases and other chronic diseases have become major factors that jeopardize people's lives and health. Injury and poisoning hazard potential life lost to great extent. Infectious and parasitic disease mortality and their death ranking have gradually declined. The research results combined, here the following recommendations are proposed:1) living and health of elderly population should be highly concerned about, further build and improve community health services and social welfare security system of the elderly. Health awareness and self-care ability of elderly should be improved through health promotion and health education, etc.2) Publicity departments should strengthen publicity and education on the dangers of bad habits, improve self-care awareness of residents.3) Health administrative departments should continuously increase circulatory diseases prevention and control efforts, at the same time, strengthen the prevention and treatment of cancer and accidental injury. Proactive and effective interventions such as health care, health education, fitness, spiritual and cultural construction should be adopted. Accident prevention work, mental health and behavioral interventions also should be taken to improve the health of local residents.