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