4- epidemiology of respiratory disease

Question 1

what is a good score to use to measure burden of disease?

Answer 1

disability adjusted life years (DALY) = combine years of life lost prematurely + years of life lived with disability

Question 2

is male or female more likely to have asthma?

Answer 2

in children boys have more prevalent but in adults women have more prevalent (get more severe form so more likely to be hospitalized than males)

Question 3

what is prognosis like for lung cancer, why?

Answer 3

high mortality - very low 5 year survival because most of them diagnosed at very late stage

Question 4

is their difference in smoking in well deprived and least deprived areas?

Answer 4

smoking rates very massively from deprived areas (more deprived have more smoking)

child in more deprived areas are more likely to grow up around smokers, have a mother that smoked in pregnancy so more likely to smoke themselves

Question 5

is vaping still thought to help smoking cessation - what is problem with it?

Answer 5

• though to now not help smoking cessation (might even reduce smoking cessation)
• high prevalence among teenagers + young adults →addictive, easy to obtain

anecdotal evidence of wheeze, SOB, reduced oxygen stats