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  1. GARD Global Alliance against Chronic Respiratory Diseases WHO J Bousquet, R Dahl, N Khaltaev, HJ Bekedam

  2. www.who.int/chp

  3. GARD Launch Press Conference N Zhong (China): Chronic respiratory diseases (CRD) are a major burden in China S Hurd (USA): The burden of CRD N Khaltaev (WHO): From the fragmented CRD programs to GARD J Bousquet (France): The GARD action plan M Boland (Ireland): Health promotion and CRD prevention J Walsh (USA): The patient’s expectations

  4. N Khaltaev - WHO From the fragmented CRD programs to GARD

  5. WHA resolution 53.17 The 53rd World Health Assembly • recognized the enormous human suffering caused by chronic respiratory diseases (CRDs) • and requested the WHO Director General to continue giving priority to the prevention and control of CRDs • with special emphasis on developing countries and other deprived populations WHA resolution 53.17, May 2000 endorsed by all 191 WHO Member States

  6. WHO calls for a global and coordinated effort to fight chronic respiratory diseases GARD

  7. GARD • The Global Alliance against Chronic Respiratory Diseases (GARD) is a voluntary alliance of organizations, institutions, and agencies working towards a common vision to improve global lung health according to the local needs. • Vision: A world where all people can breathe freely: Breath for all.

  8. Fragmented success stories • Asthma and COPD plans: • Brasil • China • Finland • France • Portugal • USA

  9. Experience from Brazil • In Brazil since 2002 the ministry of health provides free pharmaceutical assistance for severe asthmatics. • In the province of Salvador this lead to the reduction of 55% of hospital submissions. The mean annual income of families of severe asthmatics increased by 10 %. • The public health system has saved 566 US$ per patient per year.

  10. Increase awareness on asthma (patients and public) Improve management of acute severe asthma follow-up of asthmatics diagnosis and management of childhood asthma in schools Increase patient education Better manage and prevent occupational asthma Surveillance of asthma and risk factors A Success Story: France

  11. Healthcare benefits from asthma intervention 350 Reimbursement asthma Hospitalization days Death rate 300 250 200 Asthma Indices (base 100 in 1981) 150 100 50 0 1981 1983 1985 1987 1989 1991 1993 1995 Year Haahtela et al, Thorax 1998