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Q: Prevalence of Chronic Obstructive Pulmonary Disorder (COPD) in Asian Countries ( Answered 4 out of 5 stars,   0 Comments )
Question  
Subject: Prevalence of Chronic Obstructive Pulmonary Disorder (COPD) in Asian Countries
Category: Health > Conditions and Diseases
Asked by: wooner-ga
List Price: $20.00
Posted: 25 Feb 2003 17:52 PST
Expires: 27 Mar 2003 17:52 PST
Question ID: 167148
Are there articles or surveys done on what the prevalence rate of COPD
in various Asian countries ($5). In particular, I would like data for
Thailand ($3),India ($3), Pakistan ($3), Malaysia ($3) and Vietnam
($3)?
Answer  
Subject: Re: Prevalence of Chronic Obstructive Pulmonary Disorder (COPD) in Asian Countries
Answered By: tutuzdad-ga on 25 Feb 2003 21:52 PST
Rated:4 out of 5 stars
 
Dear wooner-ga;

Thank you for allowing me an opportunity to answer your interesting
question.

I found a number of sources for which I have tried to include examples
where feasible. I hope you find that this information meets your
criteria:

http://www.mb.com.ph/HLTH/2001-12/HL0112273312f.txt
“Lack of awareness ups incidence of COPD in Asia. Some 2.74 million
people worldwide died of Chronic Obstructive Pulmonary Disease (COPD)
in 2000. As a single cause of death, the disease shares fourth and
fifth places with HIV/AIDS, after coronary heart disease,
cerebrovascular disease and acute respiratory infection. The
prevalence of COPD in the Asia Pacific region and strategies for
managing the burden of this disease were key issues at a recent
regional conference in Hong Kong. Sponsored by Boehringer Ingelheim, a
leading global provider of respiratory care, the conference entitled
"COPD Today: Bringing new life into a global problem" brought together
respiratory experts from the Asia Pacific region and elsewhere to
explore ways of better diagnosing and managing COPD.

The prevalence of COPD and its potential to rise by alarming rates are
due largely to a lack of awareness of the existence of this disease. 
Its symptoms are often mistaken for other respiratory ailments like
asthma, emphysema and bronchitis.”

This is a sample statement from a document, directly from
COPDeducation.org, that covers much of what you are looking for:

http://www.copdeducation.org/Portal2/PORTAL?PID=copd_news_feature.htm&C=com.jaeger.paweb.comp.content.ContentHandler&DOCID=82ec0224858c4c32abc0b3402160e449

“…research consistently shows that there is less awareness of the
serious health risks associated with smoking among South Asians. Only
a quarter of Indians (23%), Pakistanis (27%) and Bangladeshis (27%)
associate smoking with heart disease. Some 52% of Indians, 47% of
Pakistanis and 41% of Bangladeshis identify a link between smoking and
lung cancer. Very few people associate smoking with respiratory
diseases other than lung cancer (Indians 11%, Pakistanis 15% and
Bangladeshis 12%). While experts recognise that there is a gap in the
body of epidemiological evidence on the prevalence of COPD among
Asians, some studies have suggested that tobacco may be a significant
contributory factor in the high incidence of the disease in Asia.

This lack of awareness is of particular concern because the rate of
tobacco usage - which includes smoking and chewing tobacco paan (see
below) - is higher among the Asian community than among the general
population in the UK. Among South Asian men in the UK, 44% of
Bangladeshis and 26% of Pakistanis smoke cigarettes, compared with 27%
of men in the general population. When you take into account that
smoking contributes to the risk of conditions which are already
disproportionately prevalent among South Asian people, including
diabetes, stroke, heart attack and high blood pressure, the need to
raise awareness of the health risks associated with tobacco in a
culturally sensitive way becomes clear.”

This document, from the “New States Times”, cites “data presented at
the 97th International Conference of the American Thoracic Society has
shown that over six per cent of the population of Asia-Pacific
countries may have Chronic Obstructive Pulmonary Disease (COPD), the
fourth leading cause of death in the world. “

“Countries with higher levels of smoking, such as the Philippines with
a smoking prevalence of 53 per cent among men, had a much higher COPD
prevalence at 6.3 per cent. Malaysia, which has a moderately high
smoking prevalence of 25 per cent, was at 4.7 per cent.”

“New States Times”
http://www.tobacco.org/articles/country/asia-pacific/?printable=1

With regard to Thailand specifically, “Health Promoting Hospital in
Thailand” says this about one area of the country:
“Based on the result of the district health problem analysis, the
chronic obstructive pulmonary disease (COPD) is found the main cause
of illness in the area.”
http://www.anamai.moph.go.th/newsletter/Presentation/MaiAi.html

More Asian statistics of interest:

FACTS ABOUT COPD
http://www.goldcopd.com/Gold_guidelines/facts1.html

TOBACCO.ORG
http://www.tobacco.org/articles/country/malaysia/

COPD INTERNATIONAL
http://www.copdinternational.com/library/statistics.htm
“COPD is estimated to be 6.2 percent in 11 Asian countries surveyed by
the Asian Pacific Society of Respiratory Diseases.”

“In Malaysia, respiratory illness is the primary cause of visits to
health clinics and outpatient hospital clinics. It is estimated that
50 percent of the male population smokes, with higher rates in the
rural areas than the urban areas.”

I had hoped to get much more and thought I’d struck gold when I found
this document, but although it offers a full description of COPD
prevalence by country, unfortunately it is not free:
INFO PLEASE
http://www.the-infoshop.com/study/dc11687_copd_toc.html


Below you will find that I have carefully defined my search strategy
for you in the event that you need to search for more information. By
following the same type of searches that I did you may be able to
enhance the research I have provided even further. I hope you find
that that my research exceeds your expectations. If you have any
questions about my research please post a clarification request prior
to rating the answer. Otherwise, I welcome your rating and your final
comments and I look forward to working with you again in the near
future. Thank you for bringing your question to us.

Best regards;
Tutuzdad-ga


INFORMATION SOURCES

COPDeducation.org
http://www.copdeducation.org/Portal2/PORTAL?PID=copd_news_feature.htm&C=com.jaeger.paweb.comp.content.ContentHandler&DOCID=82ec0224858c4c32abc0b3402160e449

“New States Times”
http://www.tobacco.org/articles/country/asia-pacific/?printable=1

“Health Promoting Hospital in Thailand
http://www.anamai.moph.go.th/newsletter/Presentation/MaiAi.html

FACTS ABOUT COPD
http://www.goldcopd.com/Gold_guidelines/facts1.html

TOBACCO.ORG
http://www.tobacco.org/articles/country/malaysia/

COPD INTERNATIONAL
http://www.copdinternational.com/library/statistics.htm

INFO PLEASE
http://www.the-infoshop.com/study/dc11687_copd_toc.html


SEARCH STRATEGY


SEARCH ENGINE USED:

Google ://www.google.com


SEARCH TERMS USED:

COPD VIETNAM

COPD THAILAND

COPD PAKISTAN

COPD MALAYSIA

COPD ASIA

COPD DEMOGRAPHICS

COPD GLOBAL STATISTICS

COPD WORLD STATISTICS

COPD PREVALENCE

COPD PREVALENCE WORLD

COPD PREVALENCE GLOBAL

ALTERNATIVELY SUBSTITUTED THE TERM “COPD” WITH “CARDIO-PULMONARY
OBSTRUCTIVE DISORDER”, “CARDIO-PULMONARY OBSTRUCTIVE DISEASE”,
“CHRONIC OBSTRUCTIVE PULMONARY DISEASE” AND “CHRONIC OBSTRUCTIVE
PULMONARY DISORDER”

Request for Answer Clarification by wooner-ga on 25 Feb 2003 23:39 PST
Good stuff. I have seen some of what you have dug up.

You cited: COPD is estimated to be 6.2 percent in 11 Asian countries
surveyed by
the Asian Pacific Society of Respiratory Diseases. Could you find this
exact study or more on the society? This would be very helpful.

Thanks

Chet

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 06:36 PST
Dear wooner-ga; 

Please bear with me a bit longer. I have emails out seeking the document(s)

Regards;
tutuzdad-ga

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 12:34 PST
Your question regarding the the data is being addressed. I just
received an email from the source stating:

"I will try to find the original documentation for this ASAP....and
will forward on to you. Please realize that our first attention goes
to helping the COPDer and/or family."

I will provide it to you as soon as I get it.

Regards;
tutuzdad-ga

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 13:12 PST
Dear wooner-ga:

I was advised that the reference comes from studies conducted by, and
reports submitted by THE WORLD HEALTH ORGANIZATION
(http://www.who.int/en/). While inquiring about this issue with them,
I found a treasure chest of additional information on their site...

The study from which the earlier infromation originated:
http://www.who.int/bulletin/pdf/2001/issue10/bu1281.pdf
(This one actually contains just about all the information you are
needing, by itself)

Others:
http://www.wpro.who.int/theme_publication/t2f1/haze%20workshop%20report.doc

http://www.who.int/whr2001/2001/archives/1997/exsum97e.htm

://www.google.com/u/who?hl=en&lr=&ie=ISO-8859-1&domains=who.int&q=copd+asia&sitesearch=who.int

://www.google.com/u/who?q=copd&sitesearch=who.int&domains=who.int

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 13:17 PST
I'm sorry - I seemed to have posted prematurely. I wanted to add that
I hoped this supplies you with all the information you are needing. As
someone who has experienced this problem first hand (both my parents
are afflicted with this disease), I too find the information very
educational and fascinating. I'd like to thank "you" for inspiring me
to find answers to questions I have also had about this disease.

Regards;
tutuzdad-ga

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 16:34 PST
This same source has contacted me again and offers this bit of advice
regarding the data you need:

"The Global initiative on chronic Obstructive Lung Disease (GOLD) is a
collaborative project of the U.S. National Heart, Lung, and Blood
Institute (NHLBI) and the World Health Organization (WHO). These
statistics are from the Global Burden of Disease Study. You can check
out the GOLD site and the WHO site for the particulars."

GOLD, which is an acronym for "Global Initiative for Chronic
Obstructive Lung Disease", operates this site
http://www.goldcopd.com/. The links above (in my clarification)
basically reiterate the information provided by GOLD research and
support the my clarification that these are indeed the sources of the
data I provided in my original answer.

Regards;
tutuzdad-ga

Request for Answer Clarification by wooner-ga on 26 Feb 2003 20:22 PST
Tutuzdad

Appreciate your effort. You wrote:

The study from which the earlier infromation originated: 
http://www.who.int/bulletin/pdf/2001/issue10/bu1281.pdf 
(This one actually contains just about all the information you are
needing, by itself)

Unfortunately I was unable to access the link. Could you please
recheck this. Perhaps, if you can access, it, could you just cut and
paste the info with the reference, just in case I have problems again
accessing the link.

Again, if this offers the prevalence rate for the countries that I
want, then, its a good wrap. Thanks.

Clarification of Answer by tutuzdad-ga on 26 Feb 2003 21:04 PST
I do apologize for the problem. The document that I directed you to is
viewable by Adobe reader. Here is an html version of the report. While
it's doesn't have all the frills offered by the Adobe document, it
contains all the same information:

http://216.239.53.100/cobrand_univ?q=cache:lHcSNREOYOIC:www.who.int/bulletin/pdf/2001/issue10/bu1281.pdf+bu1281&hl=en&ie=UTF-8

It should be noted that this organization and most others groups some
simmilar repiratory ailments together for statistical purposes because
of the problems with obtaining absoulte data from some third world
countries. This is common with statistics of this type from these
regions, but the document will give you the best and most reliable
data that is currently known.

Regards;
tutuzdad-ga

Request for Answer Clarification by wooner-ga on 27 Feb 2003 00:26 PST
Tutuzdad

The article from the WHO has some references that are useful. Thanks.

I am still very keen on the exact report that shows: 6.2 percent in 11
Asian countries surveyed by the Asian Pacific Society of Respiratory
Diseases.

You suggest that you have made contact with the organization and that
they are sending the document. That would be great-- if you want them
to just direct us to a weblink or even name of journal where the
detailed report is published, or let me followup on that contact
myself, that would be fine too.

Can I have the contact information about the organization? Is this the
same as Asian Pacific Society of Respirology?



Regards

Chet

Clarification of Answer by tutuzdad-ga on 27 Feb 2003 11:43 PST
Dear wooner-ga:

With regard to my request for the origin of the data referring to the
"11 asian ountries", I recieved this the link to this document:
http://216.239.53.100/cobrand_univ?q=cache:lHcSNREOYOIC:www.who.int/bulletin/pdf/2001/issue10/bu1281.pdf+bu1281&hl=en&ie=UTF-8
 

From "Chip", the web master of COPD International. His email address
is:
Webmaster@COPD-International.com

As a follow-up, Susie Bowers, Editor of COPD International
(http://www.copd-international.com) is the one who sent me a response
saying "The Global initiative on chronic Obstructive Lung Disease
(GOLD) is a collaborative project of the U.S. National Heart, Lung,
and Blood Institute (NHLBI) and the World Health Organization (WHO).
These statistics are from the Global Burden of Disease Study. You can
check out the GOLD site and the WHO site for the particulars."

Her email address is: sgbowers@fast.net

The Asian Society of Respirology can be found here:
http://www.apsresp.org
You can contact them here:
http://www.apsresp.org/contact.htm

Using this search strategy:
://www.google.com/search?hl=en&ie=UTF-8&oe=UTF-8&q=%22Asian+Pacific+Society+of+Respiratory+DISEASES%22

...I found references to the Asian Society of Repiratory Diseases as
quoted in the documents I directed you to, but no actual mention of an
entity by that name. It is possible that the two are the same but I
cannot confirm this. Perhaps the Asian Society of Respirology can shed
more light on this or confirm that the data is indeed theirs.

I hope this helps you 

Regards;
tutuzdad-ga
wooner-ga rated this answer:4 out of 5 stars
Highly effective. Courteous and prompt.

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