Asploro Journal of Biomedical and Clinical Case Reports
ISSN: 2582-0370
Article Type: Original Article
DOI: 10.36502/2022/ASJBCCR.6279
Asp Biomed Clin Case Rep. 2022 Dec 23;5(3):152-64

High Incidence and Mortality Diseases Control is more Imperative Apart from COVID-19 in China

Xu Han-You^1*
1Clinical Institute, Department of General Internal Medicine, International Liasom Hospital in Anji, Huzhou, Zhejiang Province, China

Corresponding Author: Xu Han-You
Address: Clinical Institute, Department of General Internal Medicine, International Liasom Hospital in Anji, Huzhou, Zhejiang Province, China.
Received date: 12 November 2022; Accepted date: 16 December 2022; Published date: 23 December 2022

Citation: Han-You X. High Incidence and Mortality Diseases Control is more Imperative Apart from COVID-19 in China. Asp Biomed Clin Case Rep. 2022 Dec 23;5(3):152-64.

Copyright © 2022 Han-You X. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Statistics, Death Control, Disease Control, Public Health, Health Promotion, Health Administration, COVID-19

Abstract

Objective: In order to enhance the health level, treat and cure well all the diseases, especially the high incidence and mortality diseases. So as to save the life and promote the quality of life. The research has been done to find the facts that that much more death caused diseases apart from the COVID-19 have been killing the people even worse at the COVID-19 pandemic time.
Methods: Summarized the data extracted from three public official internets, the National Bureau of Statistics of China, the WHO and the International Diabetes Federation. Found out the health problems and health influenced diseases data apart from the COVID-19 in China. And analysing the data and facts.
Results: Based on the three channels of official internet, check and look up the valuable data, find out the demanded data and reorganize, build new tables. So the concrete facts to show the critical Chinese health problems apart from COVID-19 have been found.
The 12 tables have been created and found that in China, the leading causes of death are Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, injuries. The diseases have not been prevented and cured. The total death in China has been being more and more. The communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis have been being the No.1 and No.2 incidences in Chinese communicable infections. The mortality of Heart Diseases in Chinese rural areas has been being in fast trend of heavier and heavier, from 87.10 in 2008 to 171.36 in 2020 and in recent three years the No. 1 killer in Chinese rural areas. The explosively developed incidence of diabetes mellitus from the year 2000 in 22564.80 cases (in 1000s) exploded into 90045.10 cases (in 1000s) at 2011, and much too more cases developed up to now.
Conclusion: In China, much more works must be done to control the leading causes of death, the diseases incidence and prevalence undermining health, including the Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, injuries apart from COVID-19, especially the heart diseases in Chinese rural areas has been being the No. 1 killer in recent three years. The communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis must be controlled and prevented.
The urgently needed actions to control the leading causes of death, incidence and prevalence apart from COVID-19 in China may be referenced by other countries and international health organizations.

Introduction

Now, the COVID-19 development had been being the everyday national news in China, even around the world. The medical workers and social workers have been striving for controlling the COVID-19. But much more death caused diseases apart from the COVID-19 have been killing the people even worse. According to the Statistical Communiqué of the People’s Republic of China on the 2021 National Economic and Social Development [1], by the end of 2021, in China, there were 10.14 million deaths with a crude death rate of 7.18 per thousand. While by the end of 2021, a total of 102,314 confirmed cases of COVID-19 had been reported nationwide, 94,792 infected had been cured and discharged from hospital, and 4,636 people died. A total of 2,835.33 million doses of COVID-19 vaccines have been administered nationwide. A total of 11,937 medical and health institutions across the country provided nucleic acid testing services, with daily nucleic acid testing capacity reached 41.68 million. Therefore, comparing the total 10.14 million deaths in 2021, the 4,636 people died from COVID-19 totally in China is much too small, only 0.00045719921%. The 10.14 million deaths in 2021 in China nearly all died from cancer or malignant tumour, heart trouble, cerebrovascular diseases, respiratory diseases, apart from COVID-19.

As the China has been broadcasting the development of COVID-19, emergency treatment and prevention of COVID-19 every day. And the total of 2,835.33 million doses of COVID-19 vaccines, averagely nearly one person two does vaccines, have been administered nationwide. A total of 11,937 medical and health institutions across the country provided nucleic acid testing services, with daily nucleic acid testing capacity reached 41.68 million. But all other diseases apart from COVID-19 which have caused 10.14 million deaths last year seems have been forgotten. And should do more works to control and must be paid more and more attention to and should be to save more life considering their 10.14 million deaths in one year behind the broadcasting the development of COVID-19 every day.

As the health promotion works have been being on COVID-19 more than two years. We must know how worse the situation about the other diseases apart from COVID-19 in China. In this research, the author has the evidences based on statistics how imperative to control the other diseases apart from COVID-19 in China and to save as more as possible to reduce next year deaths of 10.14 million further.

Methods

All the data have been extracted from three public official internet. The first and the main data are coming from the National Bureau of Statistics of China, the China official Statistical Communiqué of the People’s Republic of China on the National Economic and Social Development every year and China Statistical Yearbook. Which can be found in its official internet, http://www.stats.gov.cn/ in Chinese and http://www.stats.gov.cn/english/ in English.

The second channel of data are coming from World Health Organization (WHO), the official internet [2].

The third channel of data are coming from The International Diabetes Federation (IDF) and its official internet [3]. The data from the three channels are all free resource sharing and official reliable data for mankind health promotion.

Based on the three channels of official internet, check and look up the valuable data, find out the demanded data and reorganize, build new tables. So the concrete facts to show the critical Chinese health problems apart from COVID-19 have been found.

The Statistics Method:

The statistics method is simple. Which are only recording the related official statistical numbers and tables from the three public official internet. Only need to calculate simply the demanded numbers.

Data Extraction and Quality Assessment:

Because all the data are official statistical numbers and tables from the three public official internet. So the data extraction and quality assessment are easy to do. As the data extraction and quality assessment have been done by proving the data are right and originals.

How to Analyse and use the New Tables:

The extracted data have been reorganized as new tables. By every new table, we can directly and macroscopically observe the target disease death trend or incidence, prevalence trend under the table with continuing recording of every year. Also, we can directly observe the situations with the judgement of high level or No.1 killer, etc.

Results

The research results will be outlined and expressed in five aspects following the article text. The first one aspect is the of tables about the Death Rate, Percentage, and Rank of major diseases, or the first three high in death, in urban areas and in rural areas in China from the year of 1998 to 2020. The major diseases include Malignant Tumour, Heart trouble and Cerebrovascular Disease.

The second one aspect is the Incidence and Rank of major Infectious Diseases from the year of 1998 to 2020 in China in one table.

The third one aspect is Estimated Death of Leading causes by WHO in the year of 2000, 2010, 2015 and 2019 in China in one table. The leading causes of death are Cardiovascular diseases (CD), Malignant neoplasms (MN), Respiratory diseases (RD), Diabetes mellitus (DM), Injuries in all causes death.

The fourth one aspect is a table about the explosive incidence, prevalence and health expenditure of diabetes in China by International Diabetes Federation (IDF).

The fifth one aspect is the table of Total deaths, crude death rate, births, crude birth rate, the ratio of deaths to birth from the year of 1982 to 2021 in China.

Death Rate, Percentage, and Rank of Major Diseases, The First Three High in Death, in Urban Areas and in Rural Areas in China Expressed on 6 Tables:

The Table-1 is the Death Rate, Percentage, and Rank of Malignant Tumour in urban areas from the year of 1998 to 2020 in China. From the table, the facts tell us that there are at least three health problems in China urban areas. One is that the malignant neoplasms have been being the No.1 killer in Chinese urban areas. The second fact is that the malignant neoplasms have not been prevented or cured. The third fact is that the mortality of malignant neoplasms has been keeping on in higher level up to present, more than 160.00(1/100000).

Table-1: Death Rate, Percentage, and Rank of Malignant Tumour in Urban Areas in China

The Table-2 is the Death Rate, Percentage, and Rank of Malignant Tumour in rural areas from the year of 1998 to 2020 in China. From the table, the facts tell us that there are at least three health problems in China rural areas. One is that the malignant neoplasms have been being the No.1, No.2 or No. 3 killer in Chinese rural areas. The second fact is that the malignant neoplasms have not been prevented or cured in Chinese rural areas. The third fact is that the mortality of malignant neoplasms has been keeping on in higher level up to present, 160.00 or so (1/100000).

Table-2: Death Rate, Percentage, and Rank of Malignant Tumour in Rural Areas in China

The Table-3 is about the Death Rate, Percentage, and Rank of Cerebrovascular Disease in urban areas from the year of 1998 to 2020 in China.

Table-3: Death Rate, Percentage, and Rank of Cerebrovascular Disease in Urban Areas in China

From the table-3, the facts tell us that there are at least three health problems in China urban areas. One is that the cerebrovascular diseases have been being the No.2 or No. 3 killer in Chinese urban areas. The second fact is that the cerebrovascular diseases have not been prevented or cured in Chinese urban areas. The third fact is that the mortality of cerebrovascular diseases has been keeping on in higher level up to present, near 130.00 or so (1/100000).

The Table-4 is the Death Rate, Percentage, and Rank of Cerebrovascular Disease in rural areas from the year of 1998 to 2020 in China.

Table-4: Death Rate, Percentage, and Rank of Cerebrovascular Disease in Rural Areas in China

From the table-4, the facts tell us that there are at least three health problems in China rural areas. One is that the cerebrovascular diseases have been being the No.1, No.2 or No. 3 killer in Chinese rural areas. The second fact is that the cerebrovascular diseases have not been prevented or cured in Chinese rural areas. The third fact is that the mortality of cerebrovascular diseases has been keeping on in higher level up to present, near 156.00 or so (1/100000) and in the trend of heavier and heavier.

The Table-5 is about the Death Rate, Percentage, and Rank of Heart Trouble in urban areas from the year of 1998 to 2020 in China.

Table-5: Death Rate, Percentage, and Rank of Heart Trouble in Urban Areas in China

From the table-5, the facts tell us that there are at least three health problems in China urban areas. One is that the heart troubles have been being the No.2 or No. 3 killer in Chinese urban areas. The second fact is that the heart troubles have not been prevented or cured in Chinese urban areas. The third fact is that the mortality of heart troubles has been keeping on in higher level up to present, near 145.00 or so (1/100000) and in the trend of heavier and heavier.

The Table-6 is the Death Rate, Percentage, and Rank of Heart Diseases in rural areas from the year of 1998 to 2020 in China.

Table-6: Death Rate, Percentage, and Rank of Heart Diseases in Rural Areas in China

From the table-6, the facts tell us that there are at least four health problems in China rural areas. One is that the Heart Diseases have been being the No.1, No.3, or No. 4 killer in Chinese rural areas. The second fact is that the heart troubles have not been prevented or cured in Chinese rural areas. The third fact is that the mortality of heart Diseases has been keeping on in higher level up to present, near 150.00 or so (1/100000). The fourth fact is the mortality of heart Diseases has been being in fast trend of heavier and heavier, from 87.10 in 2008 to 171.36 in 2020 and in recent three years the No. 1 killer in Chinese rural areas.

The Incidence and Rank of Major Infectious Diseases from the Year of 1998 to 2020 in China:

The Table-7 is Main Incidence and Rank of Infectious Diseases from the year of 1998 to 2020 in China.

Table-7: Main Incidence and Rank of lnfectious Diseases in China

From the table-7, the facts tell us that there are at least four health problems in China prevention and cure of communicable diseases. One is that the communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis have been being the No.1 and No.2 incidences in Chinese communicable infections. The second fact is that the communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis have not been prevented or cured in China. The third fact is that the communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis has been keeping on in higher level up to present. The fourth fact is that though the incidences of dysentery and gonorrhea has been reduced. But the incidence of syphilis has been heavier and heavier.

Estimated Death of Leading causes by WHO in the Year of 2000, 2010, 2015 and 2019 in China:

The Table-8 is the Estimated Death (‘000) of Leading causes by WHO in the year of 2000, 2010, 2015 and 2019 in China [2].

Table-8: Estimated Death (‘000) of Leading causes by WHO in China

The leading causes of death are Cardiovascular diseases (CD), Malignant neoplasms (MN), Respiratory diseases (RD), Diabetes mellitus (DM), Injuries.

From the table-8, the facts tell us that there are at least three health problems in China prevention and cure of Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, Injuries and all causes death. The first fact is that the Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, Injuries and all causes death have been being heavier and heavier. The second fact is that the Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, Injuries and all causes death have not been prevented or cured in China. The third fact is that the death numbers in every group of people of persons, male and female have been keeping on in higher level up to present.

The Explosive Incidence, Prevalence and Health Expenditure of Diabetes in China by IDF:

The Table-9 is the Diabetes estimates (20-79 y) in China by IDF for 2000, 2011, 2021, 2030 and 2045 [4].

Table-9: Diabetes estimates (20-79 y) in China by IDF

From the table-9, the facts tell us that there are at least six health problems in China prevention and cure of Diabetes mellitus. The first fact is that the incidence, prevalence of Diabetes mellitus have been being heavier and heavier. The second fact is that the Diabetes mellitus have not been prevented or cured in China. The third fact is that the “prediabetes”, including Impaired glucose tolerance and Impaired fasting glucose, have been keeping on in higher level and heavier and heavier. The fourth fact is that the people with undiagnosed diabetes and proportion of people with undiagnosed diabetes have been in higher level. The fifth fact is that the explosively developed incidence of Diabetes mellitus from the year 2000 in 22564.80 cases (in 1000s) exploded into 90045.10 cases (in 1000s) at 2011, and much too more cases developed in the later years up to now. The sixth fact is that the diabetes-related health expenditure has been being more and more.

The Table-10 and Table-11 from IDF Diabetes Atlas 2021 – 10th edition has also indicated that China is the top 1 country in the world for number of adults (20–79 years) with diabetes in 2021 and 2045 and is the top 2 country with the highest total health expenditure (USD) due to diabetes (20–79 years) in 2021 [3].

Table-10: Top 10 countries or territories for number of adults (20-79 years) with diabetes in 2021 and 2045

Table-11: Ten countries or terrrtories with the highest total health expenditure (USD) due to diabetes (20-79 years) in 2021

Total deaths, crude death rate, births, crude birth rate, the ratio of deaths to birth from the year of 1982 to 2021 in China.

The Table-12 is summarized table according to National Bureau of Statistics of China about the total deaths, crude death rate, births, crude birth rate, the ratio of deaths to birth from the year of 1982 to 2021 in China. Analysed the table, there are at least five health and social problems in China can be found. The first fact is that the total deaths have been increasing. The second fact is that the crude death rate has been increasing. The third fact is that the births and crude birth rate have been declining. The fourth fact is that the ratio of deaths to birth has been increasing. Which has indicated that health level and population development have lots of problems. The fifth fact is that the following Chinese life well up in China, the total death has been increasing.

Table-12: Total deaths, crude death rate, births, crude birth rate, the ratio of deaths to birth in China

Discussion and Conclusion

As the China has been developing. The Chinese life has been being well up. But now, the medical worker’s social workers, ordinary people and the administrators in China have been paying more attention to and striving for controlling the COVID-19. We must cannot forgotten the more important works and jobs to control, treat and cure the leading causes of death, including the diseases of Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, injuries and the communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis, etc. apart from COVID-19. Because comparing the total 10.14 million deaths in 2021, the 4,636 people died from COVID-19 totally in China is much too small, only 0.00045719921%. So we must save next 10.14 million deaths besides saving COVID-19.

In this research, the author has summarized the data extracted from three public official internet, the National Bureau of Statistics of China, the WHO and the International Diabetes Federation. Found out the health problems and health influenced diseases data apart from the COVID-19 in China. And analysing the data and facts. The 12 tables have been created and found that in China, the leading causes of death, incidences and prevalence are Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, injuries. The diseases have not been prevented and cured. The total death in China has been being heavier and heavier. The communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis have been being the No.1 and No.2 incidences in Chinese communicable infections. The mortality of heart Diseases in Chinese rural areas has been being in fast trend of heavier and heavier, from 87.10 in 2008 to 171.36 in 2020 and in recent three years the No. 1 killer in Chinese rural areas. The explosively developed incidence of diabetes mellitus from the year 2000 in 22564.80 cases (in 1000s) exploded into 90045.10 cases (in 1000s) at 2011, and much too more cases developed in later years up to now.

This research has some limitations. First, the mortality of some years extracted from the National Bureau of Statistics of China are crude, not international standard ones. So the crude mortality is usually lower than the international standard mortality. Therefore, National Bureau of Statistics of China published total death number may be lower than the real number. Second, the leading causes of death have been divided by urban areas and rural areas and the cardiovascular diseases have been divided into heart diseases and cerebrovascular diseases by National Bureau of Statistics of China, which are not international standard. Third, data extracted from WHO and IDF are estimated and the IDF data are adults aged 20-79 years. So the data may be conservative from the real data. Because the life span has been being long. The age above 80 years old can be in more percent in total population. So there can be more diabetes cases in above 80 years old persons who have not been estimated.

In conclusion, in China, much more works must be done and great efforts must be made to control the leading causes of death, the diseases incidence and prevalence undermining people’s health, including the Cardiovascular diseases, Malignant neoplasms, Respiratory diseases, Diabetes mellitus, Injuries apart from COVID-19 disturbing, especially the heart diseases in Chinese rural areas has been being the No. 1 killer. The communicable diseases of Viral Hepatitis and Pulmonary Tuberculosis must be controlled and prevented. We must control the COVID-19 pandemic and its social influences. At the same time, we should do a good job to control the other diseases well under the solid foundations.

The urgently needed actions to control the leading causes of death, the diseases incidence and prevalence undermining health apart from COVID-19 in China may be referenced by other countries and international health organizations.

Statements

a. Contributorship: The single author, Xu Han-You, contributed all to the research.
b. Competing interests: There is no competing interests.
c. Funding statement: The research supported by author himself.

Ethics Statement

This study did not receive nor require ethics approval, as it does not involve human & animal participants.

References

[1] National Bureau of Statistics of China. Statistical Communiqué of the People’s Republic of China on the 2021 National Economic and Social Development. China: National Bureau of Statistics of China; 2022 [cited 2022 Oct 03]. Available from: http://www.stats.gov.cn/english/PressRelease/202202/t20220227_1827963.html

[2]World Health Organization. Global Health Estimates 2019: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2019. Geneva: World Health Organization; 2020. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death

[3] International Diabetes Federation. IDF Diabetes Atlas 2021, 10th ed. 2021. Available from: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf