作為醫生，我們接受訓練去治療疾病，以減輕市民的病痛和幫助維持他們的健康狀態。在病菌感染盛行的年代，我們不斷研究和開發更強的抗生素來殺死新出現的病菌，我們在過去幾個十年間已取得了成果。今時今日，傳染病死亡率下降，相反心血管系統慢性疾病、癌症和意外傷害的死亡率則有上升的趨勢。在許多情況下，導致死亡或殘疾的源頭可能已經從微生物轉移到人本身上 ; 帶病毒的水源或昆蟲轉移到充滿脂肪，卡路里和鹽份的膳食 ; 汽車; 或毒品等。一些慢性疾病的風險，與人類的習慣建立了新的關係並喚起了第二次公共衛生革命的決心。
有關查詢，請致電九零一三六四七八或電郵 firstname.lastname@example.org / email@example.com聯絡香港西醫工會會長楊超發醫生。
Press Statement of Hong Kong Doctors Union on
“Ban e-Cigarettes, Prevention is better than Cure”
5th October 2018
Hong Kong Doctors Union is the one and only trade Union specially designed for all doctors in Hong Kong whether working as employee or self-employed. Our primary objectives have changed from the basic task of supervising allocation of public housing estate clinics in the very beginning to higher ideals of safeguarding the welfare and rights of doctors. Our transformation from Estate Doctors Association Ltd. into Hong Kong Doctors Union Ltd. in 2000 proclaimed our final evolution into a strong and committed community to serve all doctors in Hong Kong, to cater for their legitimate rights and welfare, their recreation, continuous education and development. To mark the final stage of evolution, Hong Kong Doctors Union adopted its present name officially in 2002.
As doctors, we are trained to treat diseases to relieve the sufferings of people and upkeep the healthy status of Hong Kong citizens in particular. Since the older days when infections prevailed, we have been developing better antibiotics to kill emerging germs and we have been quite successful in the last decades. Nowadays the declining mortality rate from infectious diseases intersected the rising mortality rate from chronic diseases of the cardiovascular system, cancer, and unintended injuries. In many instances, the agent responsible for death or disability has shifted from the microorganism to the person; the vector has also shifted from contaminated water supplies or insects to diets laden with fat, calories, and salt; likewise the automobile or drugs. The relationship between human behaviour and increased risk for certain chronic diseases is well established. Awareness of the “new morbidity” has summoned the call for a second public health revolution.
In Hong Kong, even with the longest life expectancy in the world, we do have certain percentage of our citizens who die each year prematurely, that is, before the age of sixty-five. If people were successful in adopting healthier behaviour and life style, as many as three-quarters of these premature deaths could be prevented. Through early detection and intervention, immunization, and motivated change in individual behaviour, we could have eliminated an estimated 45 percent of cardiovascular deaths, 23 percent of cancer cases and over 50 percent of the disabling complications of diabetes mellitus. These three conditions dominate the current practice of medicine and, with the enormous areas for prevention, offer an ideal entry for health providers' involvement in health promotion. With better control of fewer than ten risk factors such as poor diet, inadequate exercise, the use of tobacco and drugs, the abuse of alcohol, driving unsafely, and a few others, we could prevent between 40 and 70 percent of all premature deaths. More than one-third of acute disabilities and over two-thirds of chronic disabilities are preventable by improving risky behaviour.
Given these data, the great challenge for doctors is to pay more attention to helping patients to adopt healthy behaviour. Doctors’ desire to intervene with the power of modern medicine, with the diagnostic and therapeutic armamentarium now at hand, is insufficient. We must also counsel patients to understand and modify their risk factors, help them quit smoking, help them initiate an appropriate exercise program and engage in safer practices in driving, sex, etc. The counselling benefits will be documented and appreciated many, many years later – long after patients have forgotten their doctors' involvement.
The immediate effect we had seen recently was the result from Government's prompt measures to prevent and alleviate damages from the Super typhoon Mangkhut which salvaged Hong Kong lately. The advice from the top Government officials had been playing a pivotal role in minimizing the damages of the whole city. With that in mind, we doctors should be in a better position when it comes to health hazards.
Apart from Pap smear screening for Carcinoma of Cervix, the Colorectal Carcinoma screening programme started two years ago has been doing a good job in sorting out 6 to 7 % abnormalities in asymptomatic elderly citizens. The success is due to the cooperation from our private colleagues under adequate funding from the Government. Further programmes should be brought up to screen and treat other types of cancers.
Another screening test worth much doing is that for the cardiovascular events. Hong Kong Doctors Union has been screening Hong Kong citizens for the last two years and the result is quite alarming, exposing positive cases for hypertension, diabetes mellitus and hypercholesterolemia through our screening programme initiated by the Heart Kidney Care Alliance. With the launching of the community health centre early next year and with the funding from the Government, we should be able to decrease the occurrence and harmful consequences of these common diseases of the modern world.
Now comes the import of e-cigarettes and Heat-not-Burn new tobacco products into Hong Kong which illogically the Government tends to insist. We have applauded the Government in the work of safeguarding health and in promoting breastfeeding among all newborns and children by the Hong Kong Code of Marketing of Formula Milk and Related Products, and Food Products for Infants & Young Children. With the encouragement from the Government, there is establishment of a number of Baby friendly Hospitals and initiatives in supporting child health and child development. However, we have to argue with the Government against her intended import of such new tobacco products with solid evidence from the harm already done to our younger populations elsewhere. Hong Kong Doctors Union has collected more than 500 signatures from among our 2000 members in supporting a total ban of e-cigarettes and other new tobacco products. This number, according to the Government, is not good enough to achieve our mission. We need more signatures from the city to show our determination. Now, with the establishment of the Total Ban e-Cigarettes Alliance, we shall work together against the import of new tobacco products into the city. We wish the Government will implement the ban as soon as possible and to formulate a concrete timeline to achieve a smoke free healthy Hong Kong.
Dr. Yeung Chiu Fat Henry
Hong Kong Doctors Union
For enquiries, please contact Dr. Yeung Chiu Fat, President, HKDU at 9013 6478 or Email: firstname.lastname@example.org / email@example.com