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GARD

GARD. Global Alliance against Chronic Respiratory Diseases WHO J Bousquet, R Dahl, N Khaltaev, HJ Bekedam. www.who.int/chp. GARD Launch Press Conference. N Zhong (China): Chronic respiratory diseases (CRD) are a major burden in China S Hurd (USA): The burden of CRD

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GARD

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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. Suzanne S. Hurd - USA The burden of CRD

  5. Chronic Respiratory Diseases: An Increasing Global Public Health Problem • The World Health Organization estimates that hundreds of million people suffer from chronic respiratory diseases worldwide • Prevalence and severity are increasing globally • Cause substantial socioeconomic burden to individuals and societies • In all countries, chronic respiratory diseases are: • Under recognized • Under diagnosed • Under treated

  6. Chronic Respiratory Diseases (CRD)

  7. 7% Global Distribution – Chronic Disease Mortality: All ages, 2005 > 4,000,000 Communicable diseases; Maternal/perinatal, Nutritional deficiencies Cardiovascular Cancer Chronic Respiratory Diseases (CRD) Diabetes Other Chronic Diseases Injuries Source: Preventing Chronic Diseases, a vital investment, WHO, 2005

  8. Increasing Burden of Diseases and Injuries: Change in Rank Order of DALYs* 1999 2020 • Acute lower respiratory • infections • 2. HIV/AIDS • 3. Perinatal conditions • 4. Diarrhoeal diseases • 5. Unipolar major depression • 6. Ischemic heart disease • 7. Cerebrovascular disease • 8. Malaria • 9. Road traffic injuries • 10. COPD • 11. Congenital abnormalities • 12. Tuberculosis 1.Ischemic heart disease 2. Unipolar major depression 3. Road traffic injuries 4. Cerebrovascular disease 5. COPD 6. Acute lower respiratory infections 7. Tuberculosis 8. War 9. Diarrhoeal diseases 10. HIV ……. 15. Trachea, bronchus, lung cancers *DALY = Disability-adjusted life year Source: WHO Evidence, Information and Policy, 2000

  9. Chronic Respiratory Diseases (CRD) Global Prevalence Asthma > 300 million Allergic rhinitis > 400 million Chronic obstructive > 80 million moderate pulmonary disease to severe COPD; many millions with mild COPD

  10. Burden of Asthma • Asthma is one of the most common chronic diseases in the world • Prevalence ranges from 1% to 18% • An estimated 250,000 deaths annually, many of them preventable • Direct costs (hospital, medications) account for 1-3% of total medical expenses in most countries

  11. Affordability of Asthma DrugsModerate persistent asthma, 1998 Cost in US$ N. Ait-Khaled and al Int J Tuberc Lung Dis 2000; 4, 3: 268-271

  12. Burden of COPD • COPD is a major cause of morbidity, mortality and disability • High prevalence, morbidity and mortality of COPD present challenges for healthcare systems • Despite its ease of diagnosis, COPD remains an under-diagnosed disease, chiefly in its milder and more treatable form

  13. COPD Mortality by Gender, USA, 1980-2000 Number Deaths x 1000 Year Source: Mannino D, US CDC, August 2002

  14. Cigarette Smoke Environmental tobacco smoke Fumes/gases Indoor/outdoor pollution Occupational dusts Risk Factors for COPD Nutrition Socio-economic status Infections

  15. Chronic Respiratory Diseases are a Global Public Health Problem

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