GARD - Czech Experience

Transkript

1 GARD - Czech Experience Burden of Chronic Respiratory Diseases Initiatives for Their Control V.Kolek Czech Pneumological and Phthiseological Society

2 Epidemiological burden of respiratory diseases in the Czech Republic (10.2 mil) Tuberculosis: incidence 9.5/ COPD: prevalence 7.78 % ( ), mortality in men 19.1/ , in women 4.9/ Asthma bronchiale: prevalence 8% ( ), incidence /y Lung cancer: mortality in men 89/ , in women 24/ ILD: incidence of IPF 1.2/ , sarcoidosis 2.6/ Pneumonia: hospitalization: , mortality 22.3/ Bronchiectasis, primary pulmonary hypertension: data not known Cystic fibrosis: 33/ inborns

3 Notification of TB in CR

4 TB according age cohorts / inhabitants,, CR 2005 men

5 TB according age cohorts / inhabitants,, CR 2005 women

6 Prevalence of COPD stages CR % 0% 23% 31% 38% st.1 st.2 st.3 st pat.

7 Prevalence of asthma stages 9% CR % 31% 35% IA MiPA MoPA SA

8 Number of hospitalized for asthma in the Czech Republic % Total no. of persons Linear (Total no. of persons) ÚZIS

9 Lung cancer mortality in CR year men women

10 Medical societies and civic associations medical societies ČLS JEP Czech Medical Society of Jan Evangelista Purkyně physicians, 102 specialized medical societies, 43 regional associations (360 alergologists, 565 pneumologists) Specialized societies (doctors, health care only) are not independent legislative subjects, they organize medical meetings, postgraduate education, take part in reimbrusment procedures civic associations and patient inciatives ČOPN Czech Civic Association against COPD ČIPA Czech Inciative for AB Being independent legislative subjects (doctors, own administration), they can more effectively educate patients, organize courses, print books, teach self monitoring

11 Societies and associations potencially cooperating with GARD Česká společnost pneumologie a ftizeologie ČLS JEP Česká společnost alergologie a klinické imunologie ČLS JEP Pracovní skupina pediatrické pneumologie České pediatrické společnosti ČLS JEP Společnost pro léčbu závislosti na tabáku ČLS JEP Společnost všeobecného lékařství ČLS JEP Odborná společnost praktických dětských lékařů ČLS JEP Národní centrum pro těžké astma (NTA) Správní rada České iniciativy pro astma o.p.s. (ČIPA) České občanské sdružení proti chronické obstrukční plicní nemoci (ČOPN) Klub pro cystickou fibrózu Sdružení pro alergické a astmatické dětí (SAAD), Brno Sdružení na pomoc chronicky nemocným dětem, Praha Nadace ASTMA Sdružení respiriků, Hradec Králové Klub astmatiků, Olomouc

12 Czech Iniciative for Asthma ČIPA, o.p.s. ČIPA was founded and established in 1996 as a non-profit NGO by three medical societies Czech Society of Allergology and Clinical Immunology Czech Society of Pneumology ant Phthiseology Czech Society of Respiratory Physiology and Pathophysiology Activities Implementations and acceptance of GINA and ARIA documents in local medical practice National Guidelines for Asthma Management Courses: Asthma Management for GPs and for nurses

13 Czech Association against COPD- ČOPN ČOPN was founded and established in 2000 as a non-profit NGO by Czech Society of Pneumology and Phthiseology Activities ContinuaI implementations and acceptance of GOLD documents in local medical practice National Guidelines for COPD Weekend courses: COPD for GPs and for nurses Fighting for nonsmokers rights

14 Consumption of antiasthmatic medication in the CR in (DOT days of treatment) Antiastmatika v ČR v DOT 100% DOT 90% 80% 70% 60% 50% 40% 30% 20% 10% Theophyllines Cromoglycates Antileukotrienes SABA Anticholinergics LABA ICS Fixed combination 0% DOT Year/99 DOT Year/00 DOT Year/01 DOT Year/02 DOT Year/03 DOT Year/04 DOT Year/05 IMS

15 Role of pneumologists in GARD We understand GARD activity as an integrated approach, which should be extended to all chronic respiratory diseases, particularly since many of them share similar risk factors. Pneumologists should be reponsible for assessing all respiratory diseases and risk factors globally and to determine the major problems for our society. Information needs to be provided to educate people about risk factors and their effects

16 Strategy of the Czech GARD To find a cooperating partners from the govermental environment (after the period of political hesitations) To join all medical and civic subjects dealing with CRD To improve the level of respiratory medicine and increase its power in the Czech Republic To inform the public institutions about the huge social burden of respiratory diseases

17 Visions of Czech pneumologists Continual inovation of respiratory medicine Entering research programmes of national agencies,, EU funds, frame programmes Up grading of interventional pneumology Establishing national programme of COPD Co-organisation organisation of national oncological centres Better equipment of therapeutic bronchology centres Discussing changes of the BCG vaccination system Realize a continual care of respiratory diseases

18 freely breathing society patients doctors political lobbying mass media sponsors partners