Reduction in both seasonal mortality and longer term mortality trends following restrictions on the sulphur content of fuel oil in Hong Kong (Abstract)

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Lifestyle-modified mortality associated with air pollution: a time-series study

Health Services Research Fund & Health Care and Promotion Fund: Research Dissemination Reports (Series 9)published_or_final_versio

An investigation of the academic consulting competence of high school teachers in Vietnam

High school students must grapple with a host of issues and encounter difficulties when studying at schools, such as peer pressure, test anxiety, cyberbullying, unhealthy relationships, psychological distress, depression and possibly domestic issues. These obstacles create the need for academic consulting in order for high school students to develop essential skills and then solve problems. This study aims to examine the high school teachers' perceptions and the quality of academic consulting competence in the Vietnamese educational context. This study surveyed 1089 high school students and 289 teachers in Ha Noi and Ho Chi Minh City in Vietnam with the 43-item questionnaire. The main results showed that academic consulting competence had been noticed and trained professionally for high school teachers. Additionally, both students and high school teachers recognized the essential role of high school teachers' academic consulting competence in educational settings

Is exercise protective against influenza-associated mortality?

Background: Little is known about the effect of physical exercise on influenza-associated mortality. Methods and Findings: We collected information about exercise habits and other lifestyle, and socioeconomic and demographic status, the underlying cause of death of 24,656 adults (21% aged 30-64, 79% aged 65 or above who died in 1998 in Hong Kong, and the weekly proportion of specimens positive for influenza A (H3N1 and H1N1) and B isolation during the same period. We assessed the excess risks (ER) of influenza-associated mortality due to all-natural causes, cardiovascular diseases, or respiratory disease among different levels of exercise: never/seldom (less than once per month), low/moderate (once per month to three times per week), and frequent (four times or more per week) by Poisson regression. We also assessed the differences in ER between exercise groups by case-only logistic regression. For all the mortality outcomes under study in relation to each 10% increase in weekly proportion of specimens positive for influenza A+B, never/seldom exercise (as reference) was associated with 5.8% to 8.5% excess risks (ER) of mortality (P<0.0001), while low/moderate exercise was associated with ER which were 4.2% to 6.4% lower than those of the reference (P<0.001 for all-natural causes; P=0.001 for cardiovascular; and P=0.07 for respiratory mortality). Frequent exercise was not different from the reference (change in ER -0.8% to 1.7%, P=0.30 to 0.73). Conclusion: When compared with never or seldom exercise, exercising at low to moderate frequency is beneficial with lower influenza-associated mortality. © 2008 Wong et al.published_or_final_versio

Effects of thermal stress on morality in the older population of Hong Kong

BACKGROUND AND AIMS: A wide body of epidemiological evidence demonstrated consistent associations between temperature and daily mortality mainly from ecological time series studies. But few studies have examined these associations in a cohort. METHODS: We used a matched case-control design with time-dependent covariates to assess short-term effects of apparent temperature (AT) on mortality in a cohort of 66,820 persons aged 65 years or older, with a total of 14,446 deaths after about 10 years of follow up. The cases and controls were matched by duration of exposure with adjustment for particulate matter of aero-diameter …postprin

Heat Stress Affects Seed Set and Grain Quality of Vietnamese Rice Cultivars during Heading and Grain Filling Period

Environmental stress trigger a variety of rice plant response, ranging from alters seed set, grain yield and grain quality during flowering and grain filling stage.&nbsp; Efforts are required to improve our understanding of the impact of heat stress on rice production, which are essential strategies in rice cultivation. This article investigated the seed set, yield components and grain yield of Vietnamese rice cultivars (Indica germplasm) under high temperature environment during the flowering and grain filling stage. Six rice cultivars, including popular cultivars and new cultivars of Cuu Long Delta Rice Research Institute, and one popular extraneous cultivar with differences in maturing time, were grown in pots at high temperature (HT) and natural temperature condition as control (CT). All rice cultivars were subjected to the high temperature starting from the heading stage to the harvest maturity, applied by greenhouse effect. The greenhouse has about 25 cm window opening on 3 sides for air ventilation. The seed set rate of the heat-sensitive rice genotypes decreased significantly under HT, leading to a significant reduction in grain yield. The lowest seed set was recorded in “OM4900” (44.3%) and “OM18” (39.9%) under high temperature environment. The lower yield in all rice cultivars at an elevated temperature resulted in a dramatic decrease of filled grains and contributed to a loss of 1000-grain weight. ‘“OM892” is a potential rice cultivar for heat tolerant breeding program due to the seed set percentage was above 80% in both HT and CT conditions. High temperature during the grain filling stage resulted in a decreased amylose and increased chalkiness for all OM cultivars

Epidemiological determinants of spread of causal agent of severe acute respiratory syndrome in Hong Kong.

BACKGROUND: Health authorities worldwide, especially in the Asia Pacific region, are seeking effective public-health interventions in the continuing epidemic of severe acute respiratory syndrome (SARS). We assessed the epidemiology of SARS in Hong Kong. METHODS: We included 1425 cases reported up to April 28, 2003. An integrated database was constructed from several sources containing information on epidemiological, demographic, and clinical variables. We estimated the key epidemiological distributions: infection to onset, onset to admission, admission to death, and admission to discharge. We measured associations between the estimated case fatality rate and patients' age and the time from onset to admission. FINDINGS: After the initial phase of exponential growth, the rate of confirmed cases fell to less than 20 per day by April 28. Public-health interventions included encouragement to report to hospital rapidly after the onset of clinical symptoms, contact tracing for confirmed and suspected cases, and quarantining, monitoring, and restricting the travel of contacts. The mean incubation period of the disease is estimated to be 6.4 days (95% CI 5.2-7.7). The mean time from onset of clinical symptoms to admission to hospital varied between 3 and 5 days, with longer times earlier in the epidemic. The estimated case fatality rate was 13.2% (9.8-16.8) for patients younger than 60 years and 43.3% (35.2-52.4) for patients aged 60 years or older assuming a parametric gamma distribution. A non-parametric method yielded estimates of 6.8% (4.0-9.6) and 55.0% (45.3-64.7), respectively. Case clusters have played an important part in the course of the epidemic. INTERPRETATION: Patients' age was strongly associated with outcome. The time between onset of symptoms and admission to hospital did not alter outcome, but shorter intervals will be important to the wider population by restricting the infectious period before patients are placed in quarantine

Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions.

We present an analysis of the first 10 weeks of the severe acute respiratory syndrome (SARS) epidemic in Hong Kong. The epidemic to date has been characterized by two large clusters-initiated by two separate "super-spread" events (SSEs)-and by ongoing community transmission. By fitting a stochastic model to data on 1512 cases, including these clusters, we show that the etiological agent of SARS is moderately transmissible. Excluding SSEs, we estimate that 2.7 secondary infections were generated per case on average at the start of the epidemic, with a substantial contribution from hospital transmission. Transmission rates fell during the epidemic, primarily as a result of reductions in population contact rates and improved hospital infection control, but also because of more rapid hospital attendance by symptomatic individuals. As a result, the epidemic is now in decline, although continued vigilance is necessary for this to be maintained. Restrictions on longer range population movement are shown to be a potentially useful additional control measure in some contexts. We estimate that most currently infected persons are now hospitalized, which highlights the importance of control of nosocomial transmission

Modification by Influenza on Health Effects of Air Pollution in Hong Kong

Background: Both influenza viruses and air pollutants have been well documented as major hazards to human health, but few epidemiologic studies have assessed effect modification of influenza on health effects of ambient air pollutants. Objectives: We aimed to assess modifying effects of influenza on health effects of ambient air pollutants. Methods: We applied Poisson regression to daily numbers of hospitalizations and mortality to develop core models after adjustment for potential time-varying confounding variables. We assessed modification of influenza by adding variables for concentrations of single ambient air pollutants and proportions of influenza-positive specimens (influenza intensity) and their cross-product terms. Results: We found significant effect modification of influenza (p < 0.05) for effects of ozone. When influenza intensity is assumed to increase from 0% to 10%, the excess risks per 10-μg/m 3 increase in concentration of O 3 increased 0.24% and 0.40% for hospitalization of respiratory disease in the all-ages group and ≥ 65 year age group, respectively; 0.46% for hospitalization of acute respiratory disease in the all-ages group; and 0.40% for hospitalization of chronic obstructive pulmonary disease in the ≥ 65 group. The estimated increases in the excess risks for mortality of respiratory disease and chronic obstructive pulmonary disease in the all-ages group were 0.59% and 1.05%, respectively. We found no significant modification of influenza on effects of other pollutants in most disease outcomes under study. Conclusions: Influenza activity could be an effect modifier for the health effects of air pollutants particularly for O 3 and should be considered in the studies for short-term effects of air pollutants on health.published_or_final_versio