Dr Yu-Min

LinConsultant

Geriatrician

Middlemore

Hospital

Auckland

8:30 - 10:30 WS #6: An Asian Flavour - East Meets West

11:00 - 13:00 WS #13: An Asian Flavour - East Meets West (Repeated)

Dr Pui Ling

ChanEndocrinologist

MacMurray Centre

Auckland

Dr Andrew

ToCardiologist

Director of Cardiac

CT

Multimodality

Imaging

Cardiologist

Auckland

Dr James

LiangClinical and

Pathology

Haematologist

Middlemore

Hospital

Auckland

Dr Donny

WongRespiratory and

General Physician

Waitemata DHB

Auckland

Dr Michelle

WongORL Surgeon

Auckland ENT

Group

Auckland

Dr Derek

LuoConsultant

Gastroenterologist

Director

Greenlane

Medical

Specialists

Auckland

Dr Judy

HuangConsultant

Gastroenterologist

Middlemore Hospital

Auckland

East Meets West: Respiratory

Donny Wong

Respiratory Physician

WS 6 and 13 7th June 2018 Rotorua GP CME

Outline

• Smoking & Air pollution

• Cancer

• Tuberculosis

• Sleep apnoea

Smoking

www.smokefree.org.nz

www.smokefree.org.nz

In terms of COPD

• #Smoking and #ambient particulate matter were the main risk factors for COPD followed by #household air pollution, #occupational particulates, #ozone, and #secondhand smoke. Together, these risks explained 73.3%

• Asthma most prevalent chronic respiratory disease worldwide, 2x number of COPD.

• Deaths from COPD were 8x more than deaths from asthma.

Lung cancer

• 51 percent world’s lung cancer occur in Asia.

• 21 percent of cancer deaths in Asia

• In China adenocarcinoma - involving more females and non-smokers - have exceeded that of smoking-related carcinoma

• ?due to PM 2.5 air pollution

Asbestos

• 107,000 die each year asbestos ailments

• A U.S. study found in 2013 *China topped consumption at 570,000 tons, *Russia 432,000 tons, *India 303,000 tons, *Brazil 181,000 tons and *Indonesia 156,000 tons. Countries in Asia in sixth to 10th place, including *Vietnam and *Thailand.

ASBESTOS in ASIA

Tuberculosis

• World incidence 126 per 100,000 for 2013

• NZ 2014 was 6.7 per 100,000 (302 cases)

• 75-80% not born in NZ

• 7.4% from immigration screening

Sleep apnoea

• Asians BMI for same OSA as Caucasian

– ?lower BMI cut off of 23/28

• Presumed craniofacial abnormalities more prevalent in asians

Summary

• Asians COPD also from not smoking!

• Air pollution plays important role in health.

• Lung cancer more in asian with non smoker

• Asbestos epidemic is coming

• Tuberculosis more common.

• Sleep apnoea in asians don’t have to be fat.