慢性呼吸道疾病:一个迅速出现的公共卫生威胁
1Professor and Head Central Research and Publication Unit, Department of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Indian journal of public health
|July 17, 2023
概括
慢性呼吸道疾病如COPD和喘正在上升,特别是在印度,由于空气污染. 通过ASHA工作人员和健康中心加强初级保健对于有效管理这些情况至关重要.
科学领域:
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性呼吸道疾病,包括慢性阻塞性肺病 (COPD) 和喘,在全球范围内正在增加.
- 虽然吸烟是全球的主要危险因素,但空气污染 (室内和室外) 在印度更为重要.
- 在印度,COPD在冠状动脉心脏病的死亡率上排名第二,每1万人口约有64人死亡.
研究的目的:
- 突出印度日益严重的慢性呼吸道疾病负担.
- 讨论诊断和终身治疗这些疾病的挑战.
- 建议利用ASHA系统和健康和健康中心来改善查,诊断和管理.
主要方法:
- 对印度慢性呼吸道疾病的当前流行病学数据的审查.
- 分析诊断和治疗挑战,包括资源限制.
- 评估初级医疗保健基础设施在疾病管理中的潜在作用.
主要成果:
- 慢性呼吸道疾病在印度是一个重大的公共卫生挑战,主要是空气污染.
- 目前的诊断工具,如螺旋计,并没有得到广泛的访问,终身治疗是昂贵的.
- 恶化通常需要密集护理,耗费有限的资源.
结论:
- 对于慢性呼吸道疾病,急需加强初级卫生保健的参与.
- 赋予ASHA系统和健康健康中心的权力可以改善早期检测和管理.
- 公共卫生倡导者必须推动培训和装备所需的资源,以应对这个日益严重的健康问题.
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