Global alliance against chronic respiratory diseases in Italy (GARD-Italy): Strategy and activities

Dipartimento della Prevenzione e Comunicazione, Ministero della Salute, Italy.
Respiratory medicine (Impact Factor: 3.09). 01/2012; 106(1):1-8. DOI: 10.1016/j.rmed.2011.10.002
Source: PubMed


The steady increase in incidence of chronic respiratory disease (CRD) now constitutes a serious public health problem. CRDs are often underdiagnosed and many patients are not diagnosed until the CRD is too severe to prevent normal daily activities. The prevention of CRDs and reducing their social and individual impacts means modifying environmental and social factors and improving diagnosis and treatment. Prevention of risk factors (tobacco smoke, allergens, occupational agents, indoor/outdoor air pollution) will significantly impact on morbidity and mortality. The Italian Ministry of Health (MoH) has made respiratory disease prevention a top priority and is implementing a comprehensive strategy with policies against tobacco smoking, indoor/outdoor pollution, obesity, and communicable diseases. Presently these actions are not well coordinated. The Global Alliance against Chronic Respiratory Diseases (GARD), set up by the World Health Organization, envisages national bodies; the GARD initiative in Italy, launched 11/6/2009, represents a great opportunity for the MoH. Its main objective is to promote the development of a coordinated CRD program in Italy. Effective prevention implies setting up a health policy with the support of healthcare professionals and citizen associations at national, regional, and district levels. What is required is a true inter-institutional synergy: respiratory diseases prevention cannot and should not be the responsibility of doctors alone, but must involve politicians/policymakers, as well as the media, local institutions, and schools, etc. GARD could be a significant experience and a great opportunity for Italy to share the GARD vision of a world where all people can breathe freely.

  • Source
    • "few decades, in recent years developing countries have witnessed an increase in the prevalence of respiratory diseases (Anandan et al., 2010; Bjerg et al., 2011; Chkhaidze et al., 2009; de Marco et al., 2011; Laurendi et al., 2012). Contemporary research studies have indicated that indoor air pollution is a key environmental risk factor contributing to this burden of respiratory disease (Desalu et al., 2010; Ingale et al., 2011; Kurmi et al., 2010; Laurendi et al., 2012; Regalado et al., 2006; Rumchev et al., 2007). Numerous studies have documented an association between chronic airflow obstruction in adults in developing countries, including China, with exposure to indoor air pollution resulting from the combustion of unprocessed solid fuels, such as biomass and charcoal, used for cooking and heating (Perez-Padilla et al., 2010; Kurmi et al., 2012). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Few studies have assessed the impact of residential home characteristics and home environmental risk factors on respiratory diseases in Chinese women. Therefore, this study sought to determine the association between residential home features, domestic pets, home renovation and other indoor environmental risk factors with respiratory health outcomes of Chinese women. This cross-sectional study included a study sample of 30,780 Chinese women aged 23 to 49 from 25 districts of seven cities in Liaoning Province, Northeast China. Information on respiratory health, residential characteristics, and indoor air pollution sources was obtained by a standard questionnaire from the American Thoracic Society. Multivariable logistic regression was used to estimate prevalence odds ratios (POR) and 95% confidence interval (95%CI). The odds of respiratory diseases were higher for those who lived near the main road, or near ambient air pollution sources. Pet-keeping was associated with increased odds of chronic bronchitis (POR=1.40; 95%CI: 1.09-1.81) and doctor-diagnosed asthma (POR=2.07; 95%CI: 1.18-3.64). Additionally, humidifier use was associated with increased odds of chronic bronchitis (POR=1.44; 95%CI: 1.07-1.94). Home renovation in recent 2years was associated with increased likelihood of allergic rhinitis (POR=1.39; 95%CI 1.17-1.64). Home renovation and residential home environmental risk factors were associated with an increased likelihood of respiratory morbidity among Chinese women.
    Full-text · Article · Jun 2013 · Science of The Total Environment
  • Source
    • "In 2005 more than 3 million people died because of COPD, accounting for 5% of all deaths worldwide that year. It is estimated that the total number of deaths due to COPD is likely to increase by over 30% in the next 10 years if nothing is done to reduce the risks, particularly those resulting from exposure to tobacco smoke [2]. No effective treatment for COPD exists to date and research into new therapies will be essential if this disease is to be managed in the future. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Significant heterogeneity of clinical presentation and disease progression exists within chronic obstructive pulmonary disease (COPD). This article discusses and refines the concept of desaturator phenotypes in COPD with pulmonary hypertension (PH) obtained by cluster analysis and presents a pattern of phenotypic markers that could be used as a framework for future diagnosis and research. Nocturnal oxygen desaturation results in sleep disturbances which predispose to nocturnal cardiac dysrhythmias, PH and possibly nocturnal death, particularly during acute exacerbations. We assume that in patients with COPD at least two factors play a role in PH: the severity of pulmonary impairment, and the severity of systemic nocturnal hypoxaemia due to reduced pulmonary functions. Establishing a common language for future research will facilitate our understanding and management of such a disease. This knowledge could lead to different pharmacological treatments and other interventions directed at specific phenotypic groups.
    Full-text · Article · Nov 2012
  • Source

    Full-text · Article · Feb 2014 · Primary care respiratory journal: journal of the General Practice Airways Group
Show more