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Implementation gaps for asthma prevention and control
Luciana K Tanno1, Tari Haahtela2, Moises A Calderon3
1Hospital Sírio Libanês, São Paulo, Brazil; Division of Allergy, Department of Pulmonology, University Hospital of Montpellier, Montpellier, and Pierre Louis Institute of Epidemiology and Public Health, Sorbonne Universités, Paris, France.
Insights
Asthma and allergic diseases are chronic respiratory conditions requiring better prevention strategies. This study analyzes current gaps to improve prevention and treatment programs for these widespread conditions.
Area of Science:
- Respiratory Medicine
- Public Health
- Environmental Health
Background:
- Asthma and allergic diseases are significant chronic, multifactorial respiratory conditions with childhood onset, persisting throughout life or appearing later.
- Prevention, early diagnosis, and treatment are public health priorities in Europe and globally.
- Allergy triggers like infections, urbanization, pollution, and climate change are persistent, necessitating optimized strategies.
Purpose of the Study:
- To critically analyze existing preventive and treatment strategies for asthma and allergic diseases.
- To identify "implementation gaps" in current prevention programs.
- To provide a basis for developing effective prevention programs.
Main Methods:
- Review and analysis of positive and negative experiences in asthma and allergy prevention.
- Identification of missing links in the prevention and treatment process.
- Critical assessment of current knowledge and practices.
Main Results:
- While treatments for asthma exist and risk factors are known, effective prevention of disease onset remains elusive.
- Significant gaps exist in the implementation of preventive strategies.
- Understanding and addressing these gaps is crucial for future programs.
Conclusions:
- There is a critical need to bridge the "implementation gaps" in asthma and allergic disease prevention.
- Optimizing preventive and treatment strategies requires a comprehensive analysis of past experiences and current limitations.
- Developing effective prevention programs is essential to combat the rising burden of these chronic respiratory diseases.
Abstract:
Asthma and allergic diseases can start in childhood and persist throughout life, but could also be manifested later, at any time for still misunderstood reasons. They are major chronic multifactorial respiratory diseases, for which prevention, early diagnosis and treatment is recognized as a priority for the Europe's public health policy and the United Nations. Given that allergy triggers (including infections, rapid urbanization leading to loss in biodiversity, pollution and climate changes) are not expected to change in a foreseeable future, it is imperative that steps are taken to develop, strengthen and optimize preventive and treatment strategies. Currently there are good treatments for asthma, several risk factors are known (e.g., allergies, rhinitis, tobacco smoke) and tools to control the disease have been developed. However, we are still uncertain how to prevent patients from developing asthma and allergic diseases. In this paper, we list the positive and negative experiences in this field as well as analyze the missing links in the process. This critical analysis will be the basis of setting-up an effective program for prevention and making, a process labeled as "implementation gaps".
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