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Public Health Situation in Hong Kong: Balancing Concerns and Control Strategies

This presentation provides an overview of the population and health indices, top killer diseases, hospital conditions, notifiable infections, and control strategies in Hong Kong. It also highlights the challenges faced in managing viral diseases and the importance of community support. The role of enhanced surveillance, timely diagnosis, and effective communication in controlling these diseases is emphasized.

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Public Health Situation in Hong Kong: Balancing Concerns and Control Strategies

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  1. Public Health Situation in Hong Kong Dr Regina Ching Department of Health 5.3.2004

  2. Balance betweenviral diseases of public concern andthe public health situation in Hong Kong

  3. Presentation overview • Population & health indices • Top 10 killer diseases • Top 10 conditions cared in hospitals • Top 5 notifiable infections • Top 5 CDs most talked about • Challenges • Control strategies

  4. Population profile (2002)

  5. Health indices (2002)

  6. Leading causes of death (2002)

  7. Leading causes of hospitalization (2001)

  8. Hospital discharges (2001) • Certain infectious and parasitic diseases (A00-B99) • 2.3% of all discharges

  9. Amoy PWH The SARS epidemic 120 100 80 60 Number of cases 40 20 0 4 Feb 7 Feb 2 Apr 5 Apr 8 Apr 3 Mar 6 Mar 9 Mar 8 May 5 May 2 May 10 Feb 22 Feb 25 Feb 13 Feb 16 Feb 19 Feb 28 Feb 11 Apr 14 Apr 20 Apr 23 Apr 17 Apr 26 Apr 29 Apr 15 Mar 24 Mar 12 Mar 18 Mar 21 Mar 27 Mar 30 Mar 17 May 26 May 11 May 14 May 20 May 23 May 29 May

  10. HK in the limelight (2003)

  11. Cholera Plague Yellow fever Acute poliomyelitis Amoebic dysentery Bacillary dysentery Chickenpox Dengue fever Diphtheria Food poisoning Influenza A (H5) Legionnaires’ Disease Leprosy Malaria Measles Meningococcal infections Mumps Paratyphoid fever Rabies Relapsing fever Rubella Scarlet fever SARS Tetanus Tuberculosis Typhoid fever Typhus fever Viral hepatitis Whooping cough Notifiable diseases under Cap 141

  12. Top 5 CDs by notification

  13. Heavy involvement in CD prevention and control • ‘Press release’ as proxy • From 24.6.2003 to 20.2.2004 • 130 of 152 PR related to CD • About 1 PR on CD every other day

  14. Top 5 CDs most talked about

  15. Challenges • Population density • People movement • Proximity to health threats • Peace for too long

  16. Control strategies • Stop importation • Surveillance • System & response • Share information • Support from the community

  17. Port health measures

  18. Temperature checks for SARS identification

  19. Temperature checks at border control points

  20. Control strategies • Stop importation • Surveillance • System & response • Share information • Support from the community

  21. Enhanced surveillance • Global • Regional • Pearl River Delta Region • Local • Public and private sectors • Hospital and community-based

  22. Control strategies • Stop importation • Surveillance • System & response • Share information • Support from the community

  23. System & response • Timely diagnosis • Treatment & isolation • Contact management • Emergency response • Professional training • Service planning • Resource allocation

  24. Control strategies • Stop importation • Surveillance • System & response • Share information • Support from the community

  25. Share information • Open communication • With international authorities • Within the organization • With stakeholders • With the public • Public education • Publicity

  26. Control strategies • Stop importation • Surveillance • System & response • Share information • Support from the community

  27. Engaging the community • Team Clean, the special task force chaired by the Chief Secretary for Administration, is established to promote a sustainable, cross-sectoral approach to improve environmental hygiene in Hong Kong • Zero-tolerance of littering, spitting and other unhygienic behaviour

  28. Engaging the community In partnership with schools & community sectors

  29. “…Reducing risks to health remains a vital preoccupation of all people, in all populations, and of all those who serve them.” - Dr Gro Harlem Brundtland Former DG WHO

  30. Thank you

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