Improving lung health in low-income and middle-income countries: from challenges to solutions

被引：173

作者：

Meghji, Jamilah ^{[1
]}

Mortimer, Kevin ^{[1
,2
,3
,4
,5
,6
,7
]}

Agusti, Alvar ^{[3
,4
,8
]}

Allwood, Brian W. ^{[9
]}

Asher, Innes ^{[5
,10
]}

Bateman, Eric D. ^{[2
,12
]}

Bissell, Karen ^{[5
,11
]}

Bolton, Charlotte E. ^{[4
,13
]}

Bush, Andrew ^{[4
,14
,15
]}

Celli, Bartolome ^{[3
,16
]}

Chiang, Chen-Yuan ^{[7
,17
,18
]}

Cruz, Alvaro A. ^{[2
,19
]}

Anh-Tuan Dinh-Xuan ^{[20
,21
]}

El Sony, Asma ^{[5
,7
,22
]}

Fong, Kwun M. ^{[23
,24
,25
]}

Fujiwara, Paula I. ^{[7
]}

Gaga, Mina ^{[26
,27
]}

Garcia-Marcos, Luis ^{[5
,28
,29
,30
,31
]}

Halpin, David M. G. ^{[3
,32
]}

Hurst, John R. ^{[4
,33
]}

Jayasooriya, Shamanthi ^{[4
,34
]}

Kumar, Ajay ^{[7
]}

Lopez-Varela, Maria V. ^{[3
,35
]}

Masekela, Refiloe ^{[6
,36
]}

Ngahane, Bertrand H. Mbatchou ^{[6
,7
,37
]}

Montes de Oca, Maria ^{[3
,38
]}

Pearce, Neil ^{[5
,39
]}

Reddel, Helen K. ^{[2
,40
]}

Salvi, Sundeep ^{[3
,41
]}

Singh, Sally J. ^{[4
,42
]}

Varghese, Cherian ^{[43
]}

Vogelmeier, Claus F. ^{[3
,44
,45
]}

Walker, Paul ^{[4
,46
]}

Zar, Heather J. ^{[6
,47
,48
]}

Marks, Guy B. ^{[5
,7
,40
,49
]}

机构：

[1] Univ Liverpool Liverpool Sch Trop Med, Dept Clin Sci, Liverpool L3 5QA, Merseyside, England

[2] Global Initiat Asthma GINA, Fontana, WI USA

[3] Global Initiat COPD GOLD, Fontana, WI USA

[4] British Thorac Soc Global Hlth Grp, London, England

[5] Global Asthma Network GAN, Auckland, New Zealand

[6] Pan African Thorac Soc, Durban, South Africa

[7] Int Union TB & Lung Dis, Paris, France

[8] Univ Barcelona, CIBERES, IDIBAPS, Resp Inst,Hosp Clin, Barcelona, Spain

[9] Stellenbosch Univ, Div Pulmonol, Dept Med, Stellenbosch, South Africa

[10] Univ Auckland, Dept Paediat Child & Youth Hlth, Auckland, New Zealand

[11] Univ Auckland, Sch Populat Hlth, Auckland, New Zealand

[12] Univ Cape Town, Div Pulmonol, Dept Med, Cape Town, South Africa

[13] Univ Nottingham, NIHR Nottingham Biomed Res Ctr, Nottingham, England

[14] Imperial Coll, London, England

[15] Royal Brompton Hosp, London, England

[16] Harvard Med Sch, Boston, MA 02115 USA

[17] Taipei Med Univ, Wan Fang Hosp, Div Pulm Med, Dept Internal Med, Taipei, Taiwan

[18] Taipei Med Univ, Sch Med, Div Pulm Med, Dept Internal Med,Coll Med, Taipei, Taiwan

[19] Univ Fed Bahia, Dept Internal Med, Salvador, BA, Brazil

[20] Univ Paris, Cochin Hosp, Paris, France

[21] European Resp Soc, Lausanne, Switzerland

[22] Epidemiol Lab EPI Lab Publ Hlth & Res, Khartoum, Sudan

[23] Univ Queensland, Thorac Res Ctr, Brisbane, Qld, Australia

[24] Prince Charles Hosp, Chermside, Qld, Australia

[25] Asian Pacific Soc Respirol, Tokyo, Japan

[26] Athens Chest Hosp Sotiria, Athens, Greece

[27] WHO, Geneva, Switzerland

[28] Univ Murcia, Arrixaca Childrens Univ Hosp, Paediat Pulmonol Unit, Murcia, Spain

[29] Univ Murcia, Arrixaca Childrens Univ Hosp, Allergy Unit, Murcia, Spain

[30] BioHlth Res Inst Murcia, Murcia, Spain

[31] ARADyAL Network, Madrid, Spain

[32] Univ Exeter, Sch Med, Coll Med & Hlth, Exeter, Devon, England

[33] UCL, UCL Resp, London, England

[34] Univ Sheffield, Acad Unit Primary Care, Sheffield, S Yorkshire, England

[35] Univ Republica, Dept Pulm, Montevideo, Uruguay

[36] Univ KwaZulu Natal, Nelson R Mandela Sch Clin Med, Coll Hlth Sci, Durban, South Africa

[37] Douala Gen Hosp, Douala, Cameroon

[38] Univ Cent Venezuela, Dept Pulm, Caracas, Venezuela

[39] London Sch Hyg & Trop Med, London, England

[40] Univ Sydney, Woolcock Inst Med Res, Sydney, NSW, Australia

[41] Pulmocare Res & Educ Fdn, Pune, Maharashtra, India

[42] Univ Leicester, Dept Resp Sci, Leicester, Leics, England

[43] WHO, Dept Noncommunicable Dis Disabil Violence & Injur, Geneva, Switzerland

[44] Philipps Univ Marburg, Univ Med Ctr Giessen & Marburg, Dept Med Pulm & Crit Care Med, Marburg, Germany

[45] German Ctr Lung Res DZL, Giessen, Germany

[46] Liverpool Teaching Hosp, Dept Resp Med, Liverpool, Merseyside, England

[47] Red Cross Childrens Hosp, Dept Paediat & Child Hlth, Cape Town, South Africa

[48] Univ CapeTown, SA MRC Unit Child & Adolescent Hlth, Cape Town, South Africa

[49] UNSW Med, Sydney, NSW, Australia

来源：

LANCET | 2021年 / 397卷 / 10277期

关键词：

OBSTRUCTIVE PULMONARY-DISEASE; STRUCTURED OPERATIONAL-RESEARCH; LATIN-AMERICAN CITIES; AIR-FLOW OBSTRUCTION; CHRONIC RESPIRATORY-DISEASE; INHALED CORTICOSTEROIDS; BUDESONIDE-FORMOTEROL; RESEARCH CAPACITY; DIESEL EXHAUST; TRAINING SORT;

D O I：

10.1016/S0140-6736(21)00458-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Low-income and middle-income countries (LMICs) bear a disproportionately high burden of the global morbidity and mortality caused by chronic respiratory diseases (CRDs), including asthma, chronic obstructive pulmonary disease, bronchiectasis, and post-tuberculosis lung disease. CRDs are strongly associated with poverty, infectious diseases, and other non-communicable diseases (NCDs), and contribute to complex multi-morbidity, with major consequences for the lives and livelihoods of those affected. The relevance of CRDs to health and socioeconomic wellbeing is expected to increase in the decades ahead, as life expectancies rise and the competing risks of early childhood mortality and infectious diseases plateau. As such, the World Health Organization has identified the prevention and control of NCDs as an urgent development issue and essential to the achievement of the Sustainable Development Goals by 2030. In this Review, we focus on CRDs in LMICs. We discuss the early life origins of CRDs; challenges in their prevention, diagnosis, and management in LMICs; and pathways to solutions to achieve true universal health coverage.

引用

页码：928 / 940

页数：13

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