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Asthma mortality in Israel 1971-1990
M Livne1, J Weissgarten, D Stav
1Pulmonary and Allergy Unit, Assaf Harofeh Medical Center, Zrifin, Israel.
Summary
Asthma mortality rates increased in young Israelis (5-34 years) between 1980-1990, mirroring global trends despite medical advancements. A prior decrease in 1976-1980 likely reflects improved healthcare during that period.
Area of Science:
- Epidemiology
- Public Health
- Respiratory Medicine
Background:
- Despite advances in asthma understanding and treatment, asthma mortality has paradoxically increased globally since the mid-1970s.
- Previous surveys in Israel (1960-1986) showed no similar rise, though a slight increase prompted further investigation.
Purpose of the Study:
- To evaluate temporal changes in asthma mortality rates within Israel.
- Specifically examine asthma mortality trends from 1971 to 1990.
Main Methods:
- Utilized statistical data on asthma mortality in Israel spanning 1971-1990.
- Grouped data into 5-year periods to analyze variations and small annual numbers.
Main Results:
- Asthma mortality rates (per 100,000) for ages 5-34 were 0.43 (1971-75), 0.18 (1976-80), 0.39 (1981-85), and 0.40 (1986-90).
- A statistically significant increase in asthma mortality was observed in the 5-34 age group during 1981-1990 compared to 1976-1980, with a greater rise in males.
- In the 35-64 age group, mortality decreased from 10.4 (1971-75) to 4.8 (1976-80) but remained stable thereafter.
Conclusions:
- Asthma mortality rates have risen in young Israelis (5-34 years) during 1980-1990, aligning with international trends.
- The earlier decline in asthma mortality (1976-1980) likely correlates with general improvements in Israeli healthcare during that period.