【COPD英文精品课件】World COPD Day_

Prevalence of GOLD Stage 1+ COPD1, Guangzhou, China
MEN 15.3%
WOMEN 7.6%
1 FEV1/FVC<0.70, post BD
Of the six leading causes of death in the United States, only COPD has been increasing steadily since 1970.
Improve diagnosis, management and prevention of COPD
10.00%
8.5%**
8.00%
6.00%
4.00%
2.00%
0.3%
0.00%
Study
MHW Survey
5.3 vs 0.2M COPD patients in Japan ≥40 years
*Adjusted for age, sex, cluster **8.5-10.9% depending on criteria
Source: Jemal A. et al. JAMA 2005
COPD Mortality by Gender, U.S., 1980-2000
Number Deaths x 1000
70 60 50 40 30 20 10
0 1980
1985
1990
1995
2000
Men Women
COPD Mortality Worldwide
November 19, 2006 World COPD Day, Kyoto Japan
Why was GOLD Started?
▪ The social and economic burden of
COPD is increasing rapidly in countries at all levels of economic development
Example from Japan:
▪ NICE Survey of COPD prevalence ▪ Carried out in several regions of Japan
using standardized methods
COPD Prevalence Rate (adjusted)* in Population 40 years
▪ COPD is under-appreciated, under-
diagnosed and under-treated
▪ Important questions about COPD are
still unanswered
COPD is Under-appreciated and Under-diagnosed
Fukuchi et al. Respirology 2004;9:458-65
COPD Prevalence Survey (NICE) in Japan
9% Had prior diagnosis
Undiagnosed Diagnosed
Did not have prior diagnosis: 91% Fukuchi et al. Respirology 2004;9:458-65
▪ Changing demographics globally with more of the population, especially in the developing countries living into the COPD age range
Dr. Suzanne S. Hurd New GOLD Guidelines
1990
Ischaemic heart disease
Cerebrovascular disease
Lower resp infection
Diarrhoeal disease
Perinatal disorders
COPD
6th
Tuberculosis
Measles
Road Traffic Accidents
GOLD Scientific Director Gaithersburg, Maryland, USA
GOLD Objectives
Increase awareness of COPD among health professionals, health authorities, and the general public
【COPD英文精品课件】World COPD Day
Chronic Obstructive Pulmonary Disease (COPD)
The airflow limitation in COPD is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles and gases
Severe COPD leads to respiratory failure, hospitalization and eventually death from suffocation
Risk Factors for COPD
Nutrition Infections Socio-economic status
Lung Cancer
2020
3rd
Stomach Cancer: Murray & Lopez. Lancet 1997
Why is COPD Increasing Worldwide?
▪ Increase in exposure to risk factors (especially tobacco) in developing countries & in women
Aging Populations
Dr. A. Sonia Buist Introduction of
GOLD
Chair, GOLD Executive Committee Portland, Oregon USA
Global Initiative for Chronic Obstructive L ung D isease