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Bronchial asthma in Israel.

Shabtai Varsano1

  • 1Asthma Care-Education Unit, and Department of Pulmonary Medicine, Meir Hospital, Kfar Saba, Israel. varsanos@bezeqint.net

The Israel Medical Association Journal : IMAJ
|August 20, 2002
PubMed
Summary

Asthma affects 7% of Israeli children and 3.7% of the population. While mortality rates are decreasing due to increased inhaled corticosteroid use, a gap remains in applying asthma knowledge to patient care.

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Area of Science:

  • Public Health
  • Epidemiology
  • Respiratory Medicine

Background:

  • Asthma presents a significant and growing public health challenge in Israel.
  • Prevalence rates indicate that 7% of children and 3.7% of the general population are affected.
  • Historical mortality data showed an upward trend in younger age groups (5-34 years) until 1990.

Purpose of the Study:

  • To analyze trends in asthma-related mortality in Israel.
  • To investigate the impact of inhaled corticosteroid (ICS) use on mortality rates.
  • To identify disparities between asthma knowledge and its clinical application.

Main Methods:

  • Analysis of national mortality data from 1976 to recent years.
  • Correlation of mortality trends with ICS sales data.
  • Assessment of the gap between medical knowledge and patient care for asthma.

Main Results:

  • A marked decrease in asthma mortality rates for the 5-34 age group has been observed in recent years.
  • This decline may be attributed to the significant increase in inhaled corticosteroid prescriptions.
  • A declining trend in the crude mortality rate among women has also been noted.
  • Despite improvements, a gap persists in the effective utilization of medical knowledge for asthma management.

Conclusions:

  • Increased use of inhaled corticosteroids appears to be a key factor in reducing asthma mortality in Israel.
  • Further efforts are needed to bridge the gap between medical knowledge and practical application in asthma care.
  • Addressing this gap is crucial for optimizing health outcomes for the asthmatic population in Israel.

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