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Quantifying the Burden of cardiovascular Disease Attributable to Total Suspended Particulate and Sulfur Dioxide Using Years Lived with Disability  

Ha, Beom-Man (Department of Health Affaires and Management, The Armed Forces Medical Command)
Kang, Jong-Won (Department of Preventive Medicine, College of Medicine, Chungbuk National University)
Kwon, Ho-Jang (Department of Preventive Medicine, College of Medicine, Dankook University)
Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University)
Publication Information
Journal of Preventive Medicine and Public Health / v.35, no.2, 2002 , pp. 92-98 More about this Journal
Abstract
Objective : To estimate the burden of cardiovascular disease attributable to the total suspended particulates (TSP) and sulfur dioxide ($SO_2$) in Korea using the YLD (years lived with disability) measurement. Methods : Congestive heart failure(CHF) and myocardial infarction (MI) were chosen as the main cardiovascular diseases whose causes are attributable to the TSP and $SO_2$ levels. In order to calculate the YLD (years lived with a disability), the following parameters in the formula were estimated. : the incidence rate, the case fatality rate, The expected duration of a disability and the average age of onset were estimated. The expected duration of a disability and the average age of onset were calculated using the DISMOD method, as developed by the GBD researchers. The burden of cardiovascular disease due to TSP and $SO_2$ was estimated using the number of years that the patient lived with a disability. Results : The VLD of the CHF due to the TSP and $SO_2$ was attributed to the TSP (94.4 person-year) and $SO_2$ levels (35.0 person-year). The YLD of the ME due to the TSP and $SO_2$ was attributed to the TSP (148.4 person-year) and $SO_2$ levels(27.6 person-year). Conclusion : The YLD method employed in this study was appropriate for quantifying the burden of cardiovascular disease. Therefore, it would provide a rational basis for planning a national health policy regarding the disease burden of the risk factors in Korea.
Keywords
Cardiovascular disease; Air pollution;
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