Health data in China

The health impacts of climate change and air pollution have gained privilege in the environmental economics arena. While the availability of climate and air pollution are getting better and better, the health data are very limited. In this post, I collected useful health data from the literature. I will update this post accordingly.

An integrated national mortality surveillance system by CCDC

  • Introduction

    In China, sample-based mortality surveillance systems, such as the Chinese Center for Disease Control and Prevention’s disease surveillance points system and the Ministry of Health’s vital registration system, have been used for decades to provide nationally representative data on health status for health-care decision-making and performance evaluation. However, neither system provided representative mortality and cause-of-death data at the provincial level to inform regional health service needs and policy priorities. Moreover, the systems overlapped to a considerable extent, thereby entailing a duplication of effort. In 2013, the Chinese Government combined these two systems into an integrated national mortality surveillance system to provide a provincially representative picture of total and cause-specific mortality and to accelerate the development of a comprehensive vital registration and mortality surveillance system for the whole country. This new system increased the surveillance population from 6 to 24% of the Chinese population. The number of surveillance points, each of which covered a district or county, increased from 161 to 605. To ensure representatives at the provincial level, the 605 surveillance points were selected to cover China’s 31 provinces using an iterative method involving multistage stratification that took into account the demographics characteristics of the population. This paper describes the development and operation of the new national mortality surveillance system, which is expected to yield representative provincial estimates of mortality in China for the first time. Note that the instruction above was obtained from the reference below.

  • Reference for the data

    Liu S, Wu X, Lopez AD, et al. An integrated national mortality surveillance system for death registration and mortality surveillance, China. Bull World Health Organ. 2016;94(1):46-57. doi:10.2471/BLT.15.153148.

  • Access to the data

    It’s interesting that I could not find any links to access the data. The reference above carefully introduces how the system was established, however did not mention how to access the data. My guess is that only the CCDC employees are able to access the data. The paper below employed the data, and one of coauthors works for CCDC. I will update the post if I am lucky enough to get the link.

  • Applications

    • Maoyong Fan, Guojun He, Maigeng Zhou. The winter choke: Coal-Fired heating, air pollution, and mortality in China. Journal of Health Economics 71 (2020). Link
Yabin Da
Yabin Da
PhD Candidate in Agricultural Economics

Research interests include Environmental Economics, Applied Econometrics, and Causal Inference.