COPD Strategies Across Countries and the Project for COPD MOrtality REduction BY 2032 (COMORE-By2032) in Japan

Chronic obstructive pulmonary disease (COPD) is a major global health burden. However, it remains widely under-recognized despite its substantial impact on morbidity and mortality rates. Most cases remain undiagnosed because the early symptoms are often subtle, thus hindering timely intervention. Globally, the World Health Organization (WHO), within its noncommunicable disease framework, advocates a multifaceted approach to COPD, including prevention, early diagnosis, and long-term management. Several countries have established national COPD strategies that emphasize early diagnosis, rehabilitation, and population-based interventions. In Japan, the Japanese Respiratory Society launched "COMORE-By2032" (Project for COPD Mortality Reduction By 2032), which phonetically corresponds to the Japanese word "Komorebi," pronounced "koh-moh-reh-bee." It employs a two-step approach. Step 1 promotes public awareness and early consultation for high-risk individuals, whereas Step 2 supports healthcare professionals in improving diagnosis and treatment. This initiative emphasizes collaboration to enhance awareness, improve the diagnostic rates, prevent exacerbations, and ultimately extend the healthy life expectancy.