Epidemiology of Chronic Airways Disease: Recommendations

In: Airways Disease

3 Dec 2014

Epidemiology of Chronic Airways Disease: Recommendations4. Recommendations
4.1 Mortality Statistics
To obtain improvements in the quality of mortality statistics supplied to WHO, the following measures are recommended:
4.1.1: More rapid reporting from all countries using ICD coding system.
4.1.2: Standardization of death certificates.
4.1.3: New programs to teach the importance of death certificates and how to complete them.
4.1.4: More collection of data from developing countries. 4.1.5: Improvement of the ICD itself (eg, elimination of allergic alveolitis from the list of airways diseases).

4.1.6: Expression of statistics as a proportional mortality for each country.
4.1.7: Provision of more information about airways diseases as contributory causes of death.
4.2 Prevalence and Time Trends
To obtain improvements in the quality of population studies, the following measures are recommended:
4.2.1: Develop widely standardized protocols for the measurement of symptoms and exposure to tobacco smoke by questionnaire, lung function, and bronchial responsiveness.
4.2.2: Disseminate information widely about sampling techniques and study design.
4.2.3: Ensure that confounding factors, such as the presence of cardiovascular disease, occupational lung disease or tuberculosis, are recognized and either measured or avoided.
4.2.4: Encourage studies designed to answer questions of etiology to implement strategies to prevent and control airway diseases.
4.3.5: Implement actions to reduce the known risk factors. (The authors of presented papers emphasized the urgent need to reduce smoking rates in all countries and control indoor and/or outdoor air pollution in many countries.)

5. WHO/IUATLD Initiatives
5.1 Develop guidelines for epidemiologic studies.
5.2. Provide assistance, when requested, about implementation of epidemiologic studies.
5.3 Coordinate data collection.
5.4 Report results.
5.5 Influence governments on appropriate measures for prevention and control of CAD.
5.6 Monitor government actions in response to the information provided.
5.7 Evaluate and measure the impact of the programs implemented by governments.
5.8 Develop further studies based on results of initial investigations.

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