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2025 Vol. 7, No. 47

Healthy China
Investing in Primary Care to Reduce the Burden of Chronic Obstructive Pulmonary Disease
Ting Yang, Jing Wu, Chunhua Chi
2025, 7(47): 1473-1476. doi: 10.46234/ccdcw2025.246
Abstract(1098) HTML (19) PDF 1162KB(5)
Abstract:

The recent inclusion of chronic obstructive pulmonary disease (COPD) in China’s national basic public health services (NBPHS) represents a historic milestone — marking the first time a chronic respiratory disease has been incorporated into this programme. This article examines the medical and socio-economic significance of integrating COPD management into the NBPHS, evaluates current efforts to address the disease burden, and discusses their alignment with broader health objectives outlined in Healthy China 2030.

Preplanned Studies
Cardiovascular Morbidity and Mortality Attributable to Potentially Inappropriate Medication Use Among Primary Prevention Populations — China, 2015–2023
Zhenping Zhao, Mei Zhang, Limin Wang, Maigeng Zhou
2025, 7(47): 1477-1482. doi: 10.46234/ccdcw2025.247
Abstract(706) HTML (19) PDF 406KB(2)
Abstract:
What is already known about this topic?

Potentially inappropriate medication (PIM) use is a global challenge. The World Health Organization’s 2017 Medication Without Harm initiative set a target to reduce medication-related harm by 50% within five years. However, trends and disease burden related to PIM use in China have remained unclear.

What is added by this report?

This study found that from 2015 to 2023, the prevalence of PIM use and the associated cardiovascular disease mortality and morbidity nearly halved. Nonetheless, substantial disparities persist across sex, age, urban–rural status, and geographic region. Inner Mongolia and Tianjin exhibited the most pronounced reductions after 2018.

What are the implications for public health practice?

Develop population-based systems to monitor medication use. Integrate rational-use training and public education into essential public health services, and strengthen implementation at the primary care level, particularly in northern and northeastern provinces.

Prevalence of Metabolic Dysfunction-Associated Steatotic Liver Disease with Clinically Significant Fibrosis in Obese Patients with Type 2 Diabetes Mellitus — China, 2017–2024
Yuping Chen, Xiao Liang, Yuxia Qi, Chuan Liu, Bingtian Dong, Xia Li, Jie Shen, Xiqiao Zhou, Xuan Liang, Minghua Zheng, Huating Li, Vincent Wai-Sun Wong, Zobair M Younossi, Yuemin Nan, Xiaolong Qi
2025, 7(47): 1483-1490. doi: 10.46234/ccdcw2025.248
Abstract(961) HTML (32) PDF 568KB(7)
Abstract:
What is already known about this topic?

Metabolic dysfunction-associated steatotic liver disease (MASLD) with clinically significant fibrosis substantially elevates the risk of liver-related complications and mortality. The American Diabetes Association consensus report specifically recommends systematic risk stratification for MASLD and hepatic fibrosis in patients with type 2 diabetes mellitus (T2DM), with particular emphasis on those presenting with obesity.

What is added by this report?

This multicenter study demonstrates that obese patients with T2DM exhibit a substantially elevated prevalence of MASLD with clinically significant fibrosis compared to their non-obese counterparts (26.7% vs. 8.4%). Furthermore, the prevalence escalates progressively with the accumulation of cardiometabolic risk factors, highlighting the synergistic impact of multiple metabolic abnormalities on hepatic fibrosis development.

What are the implications for public health practice?

Our findings underscore the critical need for routine screening and integrated management of MASLD with clinically significant fibrosis in patients with T2DM, particularly those presenting with obesity and multiple cardiometabolic risk factors.

Effectiveness and Acceptability of A Community-Based Comprehensive Smoking Cessation Intervention Incorporating Traditional Chinese Medicine Therapy — Qingdao City, Shandong Province, China, December 2023–December 2024
Yifan Yin, Yani Wang, Jie Yang, Haiyan Xu, Kun Ma, Hui Gong, Fei Qi, Yi Nan
2025, 7(47): 1491-1497. doi: 10.46234/ccdcw2025.249
Abstract(786) HTML (18) PDF 320KB(1)
Abstract:
What is already known about this topic?

Traditional Chinese Medicine (TCM) acupuncture represents a feasible, low-risk smoking cessation intervention, yet evidence supporting its integration into community-based programs in China remains limited.

What is added by this report?

The intervention group demonstrated substantially higher self-reported sustained abstinence rates compared to the control group at each follow-up assessment (23.85% vs. 7.60%, 19.25% vs. 4.40%, and 17.57% vs. 4.00%; P<0.05). Participants receiving the intervention were 2.44 times more likely to achieve sustained smoking cessation at 6 months compared to controls [adjusted odds ratio (aOR)=2.44, 95% confidence interval (CI): 1.08, 5.50].

What are the implications for public health practice?

This study establishes a precedent for integrating comprehensive TCM approaches into existing community smoking cessation services. Our findings provide innovative perspectives and empirical evidence to advance the development of smoking cessation intervention models.

Notifiable Infectious Diseases Reports
Erratum
Vol. 7 No. 38
2025, 7(47): 1500. doi: 10.46234/ccdcw2025.251
Abstract(476) HTML (18) PDF 51KB(0)
Abstract:
Vol. 7 No. 41
2025, 7(47): 1500. doi: 10.46234/ccdcw2025.252
Abstract(422) HTML (18) PDF 50KB(0)
Abstract: