Exporting Heart Disease to Developing Countries: China and India. Zeeshan Ali, Ph.D. and Jia Xu, Ph.D. Aug 1, 2015

Transcription

1 Exporting Heart Disease to Developing Countries: China and India Zeeshan Ali, Ph.D. and Jia Xu, Ph.D. Aug 1, 2015

2 A Look at China Jia Xu, Ph.D.

3 China s Diet in 1970s T. Colin Campbell <China Study> Much lower cholesterol Much fewer diabetes, cancers, etc. Slimmer population (BMI ~ 21)

4 Meat Consumption since 1970s Number of pigs slaughtered in 2013: 715 million (for population of 1.3B)

5 The Booming Fast-food Industry McDonald's, KFC, Pizza Hut open ~1 store every day Dairy Queen opens 1 store every 3 days.

6 2013 National Causes of Mortality Urban Rural Cancers Cancers CVD CVD

7 Cardiovascular Disease in China 230 million CVD patients 200 million with HBP 70 million with stroke 2 million with MI 4.2 million with heart failure 3 million annual mortality Report on Cardiovascular Disease in China, 2011

8 Stent Usage Increased 20 folds over 10 years

9 Deaths per 100,000 Coronary Heart Disease Mortality Rate Doubled in 3 years China Cardiovascular Report 2010

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11 CVD Risk Factors and Prevention in China Hypertension (27% 13) CCB + renal stents Smoking (28%) smoking ban 2011 Dyslipidemia (42% 13*) Ezetimibe + Statins Diabetes (12% 13) life style + GLM Overweight (27% 13) diet guideline + exec IJC Heart & Vasculature 6 (2015) PLoS One Jun 11;8(6): e65938 Global Adult Tobacco Survey (GATS) 2010 Popul Health Metr Oct 28;12(1):28. JAMA. 2013;310(9): Lancet. 2014; 384(9945):766-81

12 Risk Factor Trends

13 Current Strategies Ministry of Health and CDC: China National Plan for NCD Prevention and Treatment ( ) Public Education Dietary suggestions Promote physical activities National Fitness Program ( ) Tobacco control Detection, Treatment, Rehab Responsibilities Demo areas Monitor Research and Collaborations

14 China Health Communications Award Collaboration between the Ministry of Health and Chinese Journalist Association since Each year a major disease threatening public health is picked as the year s main theme. Over 10,000 journalists received training from medical experts 100 patients stories book series 2015 is the year for osteoporosis. 2005: High blood pressure 2006: cancers 2007: dyslipidemia 2008: diabetes 2009: healthy weight 2010: balance diet and exercise 2011: osteoporosis : chronic obstructive pulmonary diseases COPD 2014: cholesterol management

15 Dietary Prevention Low-salt, low fat, low sugar and low calorie food Department of agriculture: food production Department of communication: Package labels Department of commerce: healthy food counters

16 Research and Collaborations China CDC US CDC (salt, tobacco) Chinese Society of Cardiology World Heart Federation: quality of care European Society of Cardiology: education program China International Center for Chronic Disease Prevention (CICCDP) NIH Healthcare provider: risk management Community education: salt reduction

17 Pros and Cons of China s Plan Pros Prevention Lifestyle Cons Band-Aid approach to nutrition advise DOA is both the producer and the judge Treatment focus on medicine and surgery - not treating the root cause

18 Physicians Committee Program Development and Implementation in China

19 21 Day Healthy Challenge (Kickstart China) Translated existing online and print materials Recruited >20 Chinese celebrities Designed new, Chinese menu Launched in March 2012 >15,000 participated

20 21 Day Healthy Challenge

21 Chinese Celebrities Maggie Q. 方大同阿雅张歆艺傅家俊张晓梅 曲泉丞解征郑钧田原刘承恩傅冲 白一鹏吴亚卓吕颂贤麦景婷郑亚旗棉棉

22 Post-Kickstart Survey March & August 2012: participation % from Mainland China 60% followed the program closely 76% liked the recipes 30% experienced weight loss; 30% felt increased energy 66% got to know us from Weibo; 80% from Internet 18% were veg; 34% will continue veg; 47% will eat more veg March 2013 and on monthly

23 Lecture Tours Started from lecture tours (3 sponsored) Collaboration with ChinaFit.com 58 cities, 250+ lectures, ~25,000 people Fitness clubs, yoga centers, veg restaurants, hospitals, universities, companies, government bodies, community centers, organic farms, temples, events Distributed 18,000 VSKs

24 Lecture Tours 4 tours 58 cities 250 lectures 25,000 people reached

25 Xi an

26 Guiyang

27 Nanning

28 Zhongshan

29 Wuhan

30 Fitness Club

31 Jiaying University, Meizhou

32 Union Hospital Cancer Center, Wuhan

33 Health Professionals in Panyu District, Guangzhou

34 Nanning Entrepreneurs

35 Hefei Business Association

36 Long Life Temple, Taicang

37 Buddhist Health Camp, Jiaxing

38 Presenting PCRM s Award to Mr. Yan Sihai at 2014 IHRSA event

39 2 nd True Dreams Summit, Royal Temple

40 Case 1 Thanks to Dr. Xu, my doctor said my three highs are now almost all normalized. I m very happy and touched. My blood lipid had been abnormal since 2003

41 Case 2: Ms. Li started to go vegan after Dr. Xu s lecture. Today she shared that her blood lipid has turned normal; her blood pressure is almost normal.

42 Case 3: Mr. Liu Flat T-wave normalized

43 Case 4: Overall Improvement Before: Ate a lot of beef, lamb, fried and salty foods BMI = 24.1 pimples terrible headache blood pressure 156/120 After 21 Day, during 2 nd month BMI = 20.5 and stable no more pimples no more headache blood pressure was 107/80

44 Media Chengdu TV Channel #4 <Wellness> Manazine Hunan ETV Hubei Chutian Express People s Daily News Nanning Guangzhou Daily Weifang Evening News ECSTV Wenzhou Daily Guangming Daily Beijing Evening News Shaoxing Business TV People.com.cn

45 Chu Tian Express

46 Shaoxing Business TV

47 Hunan ETV

48 Guangzhou Daily

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60 Collaborative Activities Local events Collaboration with Hong Kong celebs & NGO s Beijing, Shanghai, Wuhan, Guilin ECSTV: 3-part vegan TV series Vegan Hiker Ma Chuo: 50,000 copies of VSK Guangzhou Enterprise: 2000 copies of VSK <21 Day Weight Loss Kickstart> Chinese version released

61 Hong Kong 21 Day Healthy Challenge

62 Local Event Promoting Kickstart China

63 Challenges Ahead Meat consumption is still making record highs Shuanghui bought Smithfield in 2014 Meat and dairy are endorsed by medical and nutrition professionals Celebs converted back Media is not very friendly with plant-based diet but is loosening

64 Lessons Learned A switch to WeChat and mobile devices Senior audience don t use or WeChat Local rules and customs Dialects and character sets Mandarin vs Cantonese Simplified vs Traditional Chinese

65 How You Can Help Tell your friends about the program Connect with us on Weibo and WeChat Connect us with local media Submit success stories Write letters of encouragement Suggestions? Please contact Jia Xu, Ph.D. WeChat:JiaXuPCRM Weibo: 21 天健康挑战