기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담
Municipal Disease Burden Attributable to Heat Wave
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Objectives: The objective of study was to calculate the municipal level environmental burden of disease (EBD) due to heat wave. Methods:The data used were Korea National Health Insurance 2011 claim data and 2011 death registry. Heatwave related diseases includedhypertensive heart diseases, ischemic heart diseases, cerebrovascular disease, and heat related illness. According to the method that WHOproposed, the study computed population-attributable fraction with relative risk which come from previous study and proportion of exposurewhich the study calculated with historical meteorology data. Results: The Average of 251 municipal EBD was 2.11 per thousand persons. The value of years lost due to disability was 11 times higher than that of years of life lost. On average EBD of county and southerngeographical areas tended to be higher than those of District or city areas. The relationship between municipal deprivation index (compositedeprivation index) and EBD showed the positive association, which means that the worse deprived municipal is, the higher EBD takes. Conclusions: Climate change is getting one of the major risk factors of cardio-cerebrovascular disease, which is the second leading causeof death. The study results suggested the urgent policy planning and reaction of climate change adaptation
Abstract
Objectives: The objective of study was to calculate the municipal level environmental burden of disease (EBD) due to heat wave. Methods:The data used were Korea National Health Insurance 2011 claim data and 2011 death registry. Heatwave related diseases includedhypertensive heart diseases, ischemic heart diseases, cerebrovascular disease, and heat related illness. According to the method that WHOproposed, the study computed population-attributable fraction with relative risk which come from previous study and proportion of exposurewhich the study calculated with historical meteorology data. Results: The Average of 251 municipal EBD was 2.11 per thousand persons. The value of years lost due to disability was 11 times higher than that of years of life lost. On average EBD of county and southerngeographical areas tended to be higher than those of District or city areas. The relationship between municipal deprivation index (compositedeprivation index) and EBD showed the positive association, which means that the worse deprived municipal is, the higher EBD takes. Conclusions: Climate change is getting one of the major risk factors of cardio-cerebrovascular disease, which is the second leading causeof death. The study results suggested the urgent policy planning and reaction of climate change adaptation
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