Global Asthma Report 2014: Understanding and Addressing the Asthma Epidemic

1. www.globalasthmareport.org Funded by The Union

2. Designed for Global Asthma Report 2014 Government ministers Policy makers Health authorities Health professionals Patient organisations People living with asthma

3. Asthma can be a terrible disease Global Asthma Report 2014: Headlines People with asthma struggle to breathe Asthma is a big cause of disability at all ages Asthma emergencies fill hospitals People can die 334 million people have asthma

4. Asthma can be a terrible disease Global Asthma Report 2014: Headlines and there are effective essential asthma medicines and management programmes which can control asthma well and reduce the burden

5. Economies suffer because of asthma Global Asthma Report 2014: Headlines Children miss school Adults cant work Many adults dont work effectively Serious loss of productivity Asthma costs are huge Europe 19 billion for 2011 USA $56 billion for 2007 These costs may be severely underestimated

6. Economies suffer because of asthma Global Asthma Report 2014: Headlines and this can be changed by good asthma management available to all people with asthma

7. Effective essential asthma medicines* arent reaching people Global Asthma Report 2014: Headlines Asthma inhalers are commonly o not manufactured properly o not available o too expensive *salbutamol (reliever) inhaled corticosteroids (preventer)

8. Effective essential asthma medicines arent reaching people Global Asthma Report 2014: Headlines and this can be changed, so essential asthma inhalers are o quality-assured o available to all o affordable for all

9. Asthma is seriously neglected Global Asthma Report 2014: Headlines other diseases fashionable invisible compared with obesity, stroke, cancer etc big gaps in asthma data no WHO monitoring programme scandal that economic burden is so high but attention is not being given

10. Asthma is seriously neglected Global Asthma Report 2014: Headlines and this can be changed by higher awareness of asthma national asthma strategies standard case management more data and monitoring advocacy for change higher on national and global priorities

11. Packed full with information and solutions

12. 16 specific recommendations to WHO, governments, health authorities and health professionals

13. Global Asthma Network: 280 centres in 120 countries

14. The Global Asthma Network will close the data gaps will improve asthma management will continue advocacy will reduce asthma suffering needs sustainable funding www.globalasthmanetwork.org

15. What happens in asthma ? GAN

16. Part One: The Burden of Asthma Global Asthma Report 2014: Contents The Global Burden of Disease due to Asthma Hospital Admissions Due to Asthma Asthma Mortality Wheezing in infants The Economic Burden of Asthma Factors Affecting Asthma

17. Prevalence of asthma symptoms in 13-14 year olds (ISAAC) 2000-2003

18. Prevalence of asthma symptoms in 18 to 45 year olds (WHO) 2002-2003

19. Burden of disease (disability adjusted life years DALYs)

20. Asthma deaths all ages

21. Asthma is made worse by Global Asthma Report 2014: Headlines Tobacco smoking Second-hand tobacco smoke Occupational exposures

22. Part Two: Management of Asthma and Capacity Building Global Asthma Report 2014: Contents National Asthma Strategies (new survey results) Asthma Management Guidelines (new survey results) Access to Quality-Assured, Affordable Asthma Medicines (new survey results) Quality of Inhalers Asthma Management in Low-Income Countries Short Courses Relevant to Asthma Research and Policy

23. Quality of asthma inhalers Global Asthma Report 2014: Headlines Asthma inhalers are complex devices which require accurate manufacturing Quality should never be compromised in the search for affordably-priced medicines

24. Global Asthma Report 2014: Key Recommendation add essential asthma medicines to their Prequalification Programme promote the standardisation of the dosages of active ingredients in combined inhalers harmonise quality requirements for inhalers across international reference documents such as the pharmacopoeias WHO and asthma inhalers

25. Access to quality-assured, affordable essential asthma medicines Global Asthma Report 2014: Headlines Quality-assured essential asthma medicines are not available to many people with asthma Many countries do not have them on national reimbursement lists or essential medicines lists Guaranteed access to these medicines is vital to improving asthma outcomes

26. Part Three: Asthma a Global Priority Global Asthma Report 2014: Contents Asthma as a Lung Health Priority in Low- and Middle-Income Countries Asthma as an NCD Priority

27. Access to asthma care Global Asthma Report 2014: Headlines Reduce under-diagnosis of asthma Asthma education Standard case management

28. Asthma is a hugely neglected public health and development problem in the world which could be solved Global Asthma Report 2014: Headlines Political commitment and action are required urgently Asthma medicines need to be affordable Raise awareness and priority of asthma More data are needed