Burden of major Respiratory Diseases - WHO Federation-Dr A... · Status asthmaticus Emergency...
Transcript of Burden of major Respiratory Diseases - WHO Federation-Dr A... · Status asthmaticus Emergency...
1
Burden of major Respiratory Diseases
WHO Survey
Ryazan and other regions of Russia,
October 2004 - March 2007
2
Bronchial asthma prevalence in adults
MoscowMoscowMoscowMoscow6,3%6,3%6,3%6,3%
SanktSanktSanktSankt----PeterburgPeterburgPeterburgPeterburg
7,3 %7,3 %7,3 %7,3 %
IrkutskIrkutskIrkutskIrkutsk5,6%5,6%5,6%5,6%
EkaterinburgEkaterinburgEkaterinburgEkaterinburg6,1%6,1%6,1%6,1%
РРО. Руководство…., М.,2005RRS National guidelines, 2005
3
Protocol for assessment of prevalenceof major respiratory diseases
Prevalencesurvey ofrespiratorydisease at thePHC level
Prevalencesurvey ofrespiratorydisease in ahousehold manner
Clinical surveyand lung function test
Pilot stage
Number ofpatients
October 2004 March 2005
4
Clinical survey and lung function test08.02.05-30.03.05
16 PHS were randomized for the lung function test.
All patients from the household stage were included.
5
6
GP knowlege
69%
67%
Cardiology
Correct answers
56%2006
18%1998
Respiratory medicine
Novikov, Belevskiy 2006
7
Prevalence of smoking by Age & Sex, %
0
10
20
30
40
50
60
70
м f м f
Adult Children
Smoking 21А
8
Prevalence of dyspnoea by Age & Sex, %
0
5
10
15
20
25
30
м f м f
Adult Children
Dyspnoea 5A
0
5
10
15
20
25
30
35
м f м f
Adult Children
Dyspnoea 5A CRD CVD
9
Prevalence of chronic cough by Age & Sex, %
0
5
10
15
20
25
м f м f
Adult Children
Chronic cough 1А
0
2
4
6
8
10
12
14
16
м f м f
Adult Children
Sputum production 2A
10
Prevalence of wheezing by Age & Sex, %
0
1
2
3
4
5
6
7
м f м f
Adult Children
Wheezing 3А
11
Prevalence of self reported bronchial asthma by Age & Sex, %
0
0,2
0,4
0,6
0,8
1
1,2
1,4
м f м f
Adult Children
12
Prevalence of self reported chronic bronchitis by Age & Sex, %
0
2
4
6
8
10
12
14
м f м f
Adult Children
13
Prevalence of self reported emphysema by Sex, %
0
0,05
0,1
0,15
0,2
0,25
0,3
0,35
0,4
0,45
м f
Adult
14
Prevalence of self reported tuberculosis by Age & Sex, %
0
0,2
0,4
0,6
0,8
1
1,2
1,4
1,6
м f м f
Adult Children
15
Prevalence of self reported allergic rhinitis by Age & Sex, %
0
0,2
0,4
0,6
0,8
1
1,2
м f м f
Adult Children
16
… and it’s symptoms by Age & Sex, %
0
0,5
1
1,5
2
2,5
3
3,5
4
4,5
5
м f м f
Adult Children
sneezing runny nose blocked nose apart from cold or flu
17
Prevalence of major Respiratory Diseasesby opinion of PHC workers, %
From 5,3% for chronic bronchitis
to 0.5% for allergic rhinitis and tuberculosis
18
Lung Disease and Respiratory Symptoms
Respiratory Symptoms 31%
Low Pulmonary Function 14%
Current or Prior Lung Disease 11%
19
9,02004Kirov
7,61999Tomsk
7,61999Ulan-Ude
10,72001Novokuznetsk
12,1
5,6
10,8
8,1
9,8
7,2
10,6
10,8
11,1
Prevalence
2001
2000
2000
1999
1998
1998
1997
2002
1996
Year
Yakutsk
Cheboxary
Moscow
Kazan
Nalchik
Vladivostok
Irkutsk
Novosibirsk
Novosibirsk
City
Bronchial asthma prevalence in children
National program “Bronchial asthma in children”, 2006
20
Prevalence summary
• Asthma – 6-8% (children up to 12%)
• COPD – 6-7%
• Miscellanies – 2%
Chronic respiratory diseases: 17-21%
21
Emergencies due to asthma
5754
1876
0
1000
2000
3000
4000
5000
6000
7000
1997 2005
Emerginces per year
118
21
0
20
40
60
80
100
120
140
1997 2005
Status asthmaticus
Emergency station report 1997, 2005. Irkutsk
22
Ryazan region of Russia,health care system:
• 104 hospitalsdistrict hospitals – 32
rural hospitals – 44
• 65 out-patient departments
• 792 “feldsher's” stations
23
725815Clinical survey andlung function test
20302116Household stage
9621505PHC stage
ShilovoScopin
Assessment of prevalence ofmajor respiratory diseases