2010 Is Year Of The Lungs
The year 2010 was declared as year of the lungs to recognize that hundreds of millions of people around the world suffer
each year from treatable and preventable chronic respiratory diseases. This initiative acknowledges that lung health has
long been neglected in public discourses, and understands the need to unify different health advocates behind one
purpose of lung health, informed Dr Nils Billo, Chair of the Forum of International Respiratory Societies (FIRS).
The FIRS partners include the International Union Against Tuberculosis and Lung Disease (The Union), American Thoracic
Society (ATS), Asian Pacific Society of Respirology (APSR), Asociacion Latinoamericana de Torax (ALAT), European
Respiratory Society (ERS), Pan African Thoracic Society and American College of Chest Physicians (ACCP).
Earlier last year, the New York Times carried a series of articles on different parts of human body, but forgot the
lungs! It is difficult to remain alive without lungs for more than few seconds!
The Declaration signed by the partners of the Forum of International Respiratory Societies (FIRS) at the 40th Union
World Conference on Lung Health last year read as following:
WE NOTE WITH GRAVE CONCERN THAT:
Hundreds of millions of people around the world suffer each year from treatable and preventable respiratory diseases,
including tuberculosis (TB), asthma, lung cancer, H1N1, pneumonia, chronic obstructive pulmonary disease (COPD).
WE RECOGNIZE THAT:
Despite the magnitude of suffering and death caused by lung disease, lung health has long been neglected in public
discourse and in public health decisions.
WE CALL UPON OUR PARTNERS TO:
Enact smoking cessation legislation and programs to reduce the prevalence and stigma of tobacco-related lung diseases.
There are a range of health and environmental factors that affect our lung health. This includes tuberculosis (TB),
tobacco smoke, biomass fuel smoke, chronic obstructive pulmonary disease, asthma, pneumonia among other respiratory
infections. The evidence of their potentially devastating effects on global public health is increasing and they require
a coordinated approach for control. These diseases all occur in predominantly resource-poor countries. They are
perpetuated by poverty and inadequate resources and their control and management require coordinated approach among
health programmes at all levels.
Statistically, there is 1 TB-related death that takes place every 18 seconds, 1 HIV death every 16 seconds, 1 child dies
of pneumonia every 15 seconds and 1 smoking-related death every 13 seconds. The enormous public challenge posed by the
combined epidemics of tobacco smoking, HIV, TB and COPD, is undoubtedly alarming.
More than 2 billion people or a third of the world's total population, are infected with mycobacterium tuberculosis.
Tuberculosis is now the world's seventh-leading cause of death. It killed 1.8 million people worldwide last year, up
from 1.77 million in 2007. It is one of the three primary diseases that are closely linked to poverty, the other two
being AIDS and malaria.
Tobacco smoking is unquestionably the primary risk factor for COPD. More than 5 million deaths are attributed to tobacco
use every year. Smokers have two fold higher risk of developing active TB disease. Tobacco smokers have 2 times more
risk of dieing of TB. Tobacco smoke increases the risk of pneumonia, influenza, menningococcal meningitis, among others.
Evidence is accumulating that smoking is a risk factor for TB. However there is no published data on the cellular
interactions of tobacco smoke and mycobacterium tuberculosis. The risk to develop active TB disease is higher when
tobacco smoking is combined with alcohol.
Dr Donald Enarson stressed that tobacco smoking cessation is an important part of the comprehensive tobacco control
programme, and not the only part. So all components of the comprehensive tobacco control measures should be implemented
for improving public health outcomes. Dr Enarson was referring to MPOWER report from Tobacco Free Initiative (TFI) of
WHO which outlines the MPOWER package, a set of six key tobacco control measures that reflect and build on the WHO
Framework Convention on Tobacco Control (FCTC, global tobacco treaty). Another delegates remarked that MPOWER is in line
with the global tobacco treaty - FCTC - and we should be demanding implementation of the treaty to which governments
have committed to enforce. The WHO FCTC is the first public health and corporate accountability treaty, said a delegate
from India. Comprehensive tobacco control programmes can yield major public health outcomes, as 30% of male TB patients
die of tobacco smoking.
Asthma is yet another major lung health challenge. It is a chronic disease that affects airways. When people have
asthma, the inside walls of their airways become sore and swollen. That makes them very sensitive, and they may react
strongly to things that they are allergic to or find irritating. When airways react, they get narrower and lungs get
less air. This can cause wheezing, coughing, chest tightness and trouble breathing, especially early in the morning or
at night. When asthma symptoms become worse than usual, it's called an asthma attack. In a severe asthma attack, the
airways can close so much that vital organs do not get enough oxygen. People can die from severe asthma attacks.
More than 300 million people around the world have asthma, and the disease imposes a heavy burden on individuals,
families, and societies. The Global Burden of Asthma Report, indicates that asthma control often falls short and there
are many barriers to asthma control around the world. Proper long-term management of asthma will permit most patients to
achieve good control of their disease. Yet in many regions around the world, this goal is often not met. Poor asthma
control is also seen in the lifestyle limitations experienced by some people with asthma. For example, in some regions,
up to one in four children with asthma is unable to attend school regularly because of poor asthma control. Asthma
deaths are the ultimate, tragic evidence of uncontrolled asthma.
According to the Global Burden of Asthma Report, the majority of asthma deaths in some regions of the world are
preventable. Effective asthma treatments exist and, with proper diagnosis, education, and treatment, the great majority
of asthma patients can achieve and maintain good control of their disease. When asthma is under control, patients can
live full and active lives.
Pneumonia claims two million children under five each year, yet no new drug, vaccine or special diagnostic test is
needed to save their lives. The answers are at hand, and effective treatment is both inexpensive and widely available.
Host of other conditions that affect the lungs, are preventable, and often treatable.
Let us hope that 2010 Year of The Lung initiative of FIRS succeeds in putting the spotlight on the long neglected part
of human body which New York Times missed, the lungs.