The GINA Asthma Challenge: reducing asthma hospitalisations

Le résumé fourni par la source

For several decades, global health agendas have been dominated by the burden of endemic infections, such as malaria, and epidemics caused by respiratory viruses, HIV and the resurgence of tuberculosis (TB). Recently, under the leadership of the World Health Organization (WHO) and other agencies [1], attention has been directed towards the growing morbidity and mortality attributable to chronic diseases (which are predominantly cardiovascular, respiratory, metabolic or neoplastic in nature), as well as the fact that in many countries the strategies and resources to address these major public health challenges are either nonexistent or rudimentary [2]. In 2005, it was estimated that 35 million of all worldwide deaths were attributable to chronic diseases. This is twice the number of deaths caused by all infectious diseases, including HIV, TB and malaria, along with malnutrition and perinatal mortality [3]. The burden is not only in human suffering, but it also represents a significant economic burden on societies and health systems; estimates are that a majority of this future burden will occur in developing, rather than developed, countries. In response to these realities, the United Nations (UN) General Assembly has recently adopted a resolution that calls upon nations to address the increasing burden of premature deaths from noncommunicable diseases [4]. Moreover, in May 2010, the Assembly …

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