复旦大学：《环境卫生学 Environmental Health》课程教学课件（讲稿）住宅和公共场所卫生（主讲：赵卓慧）

预防医学本科环境卫生学 住宅和公共场所卫生 赵卓慧副教授博士 复旦大学公共卫生学院 环境卫生教研室 Email:Zhzhao@fudan.edu.cn 煞旦大学国转卫生学院

住宅和公共场所卫生 赵卓慧 副教授/博士 复旦大学公共卫生学院 环境卫生教研室 Email：zhzhao@fudan.edu.cn 预防医学本科-环境卫生学

2010全球疾病负担(伤残调整生命年)危险因素排序 9 Tobacco smoking, including second-hand smoke Alcohol use Household air pollution from solid fuels Diet low in fruits High body-mass index High fasting plasma glucose L Ambient particulate matter pollution Physical inactivity and low physical activity Diet high in sodi Iron deficiency Suboptimal breastfeeding Diet low in whole grains Diet low in vegetables Diet low in seafood omega-3 fatty acids Drug Occupational risk factors for injuries Disability-adjusted life-years( % Lancet2012 December I5;38019859:2224-260.doi:10.1016/S0140-673612)61766-8 Environmental Hygiene. 2018

Environmental Hygiene. 2018 2010 Lancet. 2012 December 15; 380(9859): 2224–2260. doi:10.1016/S0140-6736(12)61766-8 2010全球疾病负担(伤残调整生命年)危险因素排序

Risk factors ranked by attributable burden of disease, 2010 9 nking legend es ii i □1620口21-25口2630 口3135口3640 High blood pressure Tobacco smoking, induding second-hand smoke 221 34国42466115s Household air pollution from solid fuels 1423|20 1811312713 Diet low in fruits 8 High body-mass index 41815 Childhood underweigh 83938335 22312518214489 ate matter pollution 99n261412444z1911 1963251614 sical inactivity and low physical activity 717 Diet low in nuts and seeds 129 88812108a129201u16221621 1[2032152n21191412121 269n1 Suboptimal breastfeed ing 24221514169151310104 6n10364[161[35120|14 Diet low in whole grain 1610161617n12n2426341 矿14121331125|162010 13n1611523232x Environmental Hygiene 2018

Environmental Hygiene. 2018 Risk factors ranked by attributable burden of disease, 2010

全球疾病负担伤残调整生命年危险因素排序 90 1990S.2010 hasting plasmagene Det high nsodum 1990因素排序2010bM Diet low in nuts and veds High total cholesteol 3吸烟(含二手烟)2 Unimprovedsantton 19902室内空气污染4 种 photal dhokeserol Diet bow in ahole grains 2010 Vitamin Deficiency 8室外大气污染94 Diet low in seafood omega 3 fatty aci Ocupational risk facton for inure Lancet.2012 December I5;38019859:2224-2260.doi:l0.1016S0140-673612)61766-8 Environmental Hygiene. 2018

Environmental Hygiene. 2018 3吸烟(含二手烟)2 2 室内空气污染 4 8 室外大气污染 9 Lancet. 2012 December 15; 380(9859): 2224–2260. doi:10.1016/S0140-6736(12)61766-8 1990 因素排序 2010 1990 2010 全球疾病负担(伤残调整生命年)危险因素排序 1990 VS. 2010

中国疾病负担人口死亡率危险因素排序 90 1990VS.2010 Houset arara Ambient pantu k以u 4吸烟(含二手烟)3个 室内空气污染5 室外大气污染44 1990 Stamm breastreeonb 2010 cmn a deity Percent of total China Deaths (%) Percent of total China Deaths(%) Yang G, Wang Y, Zeng y, et al. Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet2013;38l:l987-2015 Environmental Hygiene 2018

Environmental Hygiene. 2018 Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet 2013;381: 1987–2015. 1990 4 吸烟(含二手烟) 3 2 室内空气污染 5 5 室外大气污染 4 2010 中国疾病负担(人口死亡率)危险因素排序 1990 VS. 2010

归因于室内固体燃料燃烧导致的人口死亡数/千人 90 (2002) Deah1ooop° pulation 010器5 02505 Estimates based on WHo data for the Year 2002 Copyright WHO 2007. Environmental Hygiene. 2018

Environmental Hygiene. 2018 归因于室内固体燃料燃烧导致的人口死亡数/千人 (2002)

)我090N4车败量,城镇化率,@种 90 GDP和能源消耗 Automobile GDP (trillion Yuan Energy (100 million coal equivalent) 备备 多图器含递器图含 Fig 1. Automobile population number, urbanization rate, GDP and energy consumption in China in 1980-2008 Environmental Hygiene. 2018

Environmental Hygiene. 2018 我国1980-2008年机动车数量，城镇化率， GDP和能源消耗

我国1990-2010年住宅建筑面积、煤炭消耗,合成木制 90 产品,城市空调,机动车数量,城市人口 eft axis e Urban residential buidling area(100 million m2) a Coal consumption(20 million tons) 口 GDP/CP ▲ Synthetic roduction (1 million m) A Urban air conditioners (1 million) o Motor vehicles (1 million) Right axis o Urban population E 1995 Environmental Hygiene. 2018

Environmental Hygiene. 2018 我国1990-2010年住宅建筑面积、煤炭消耗，合成木制 产品，城市空调，机动车数量，城市人口

中国甲醛产能、产量和消耗量·1956-2007 90 000 -e- Output/Consumption 12000 8000 4000 0 19551960196519701975198019851990199520002005 Y ear Environmental Hygiene. 2018

Environmental Hygiene. 2018 中国甲醛产能、产量和消耗量· 1956–2007

各国在全球甲醛产量占比的分布图(2006) 90 B Other (26.6% chna(33.8%) Poland (1. 4%) Baz(22%) Canada (2.2%) Russia(2.5) UsA(14.0%) Benelux (3.5%) Japan(4.2 %) Germany(8. 4%) Environmental Hygiene. 2018

Environmental Hygiene. 2018 各国在全球甲醛产量占比的分布图 (2006)