The World Health Organization and The Global Alliance against Chronic Respiratory Diseases

Chronic Diseases and Health Promotion – www.who.int/chp/enGlobal Alliance against Chronic Respiratory Diseases - www.who.int/respiratory/gard/en/

Nikolai Khaltaev, MD, PhD GARD Regional Launch

14th Latin American Congress on Asthma, Allergy and Clinical Immunology

Buenos Aires, 17-19 August 2006

The World Health Organization and

The Global Alliance against Chronic

Respiratory Diseases

http://www.who.int/chp/en

http://www.who.int/respiratory/gard/en/


Overview

• The World Health Organization (WHO): Preventing Chronic Diseases: a vital investment (2006)

• The Global Alliance against Chronic Respiratory Diseases (GARD): a new way to prevent and control chronic diseases

• GARD Contribution to Prevent and Control Chronic Respiratory Diseases. An example in the West Pacific Region: China




Preventing Chronic Diseases:

a vital investment




The global epidemic of chronic diseases




Cardiovascular diseases mainly heart disease and stroke

Cancer Chronic respiratory diseases Diabetes

Chronic diseases




Chronic Respiratory Diseases

• including 300 million people with asthma,

Hundreds of millions of people suffer from chronic respiratory diseases,

• 80 million people with moderate to severe chronic obstructive pulmonary disease (COPD)

• and millions of others with mild COPD, allergic rhinitis, and other chronic respiratory diseases, which are often undiagnosed.




A new way to prevent and control chronic respiratory diseases

Global Alliance against Chronic Respiratory

Diseases



The enormous human suffering caused by chronic respiratory diseases (CRD) has been recognized by the

53rd World Health Assembly (May 2000) which requested the Director General to:

• To continue giving priority to prevention and control of noncommunicable diseases, including CRD, with special emphasis on developing countries and other deprived populations;

• To coordinate, in collaboration with the international community, global partnerships and alliances for resource mobilization, advocacy, capacity building and collaborative research


What is the value added of this new way?

The value added of developing an alliance with specialized national and international NGOs is to:

• To share responsibilities and building on each partner's expertise

• To combine the partners' strengths and knowledge, thereby achieving results that no one partner could attain alone.

• To improve coordination between existing governmental and nongovernmental programmes, which avoids duplication of efforts and wasting of resources.


Before GARD = lack of coordination, competition


WHO calls for a global and coordinated effort

to fight Chronic Respiratory Diseases


GARD Launch, 28 March 2006, Beijing, People's Republic of China

"GARD will provide an effective form in which health care workers, institutions and governments from all countries may jointly work to mobilize the entire population in efforts to prevent and control chronic respiratory diseases".

Dr Longde Wang, Vice Minister of Health, China


GARD

"Reaching a major goal like conquering chronic respiratory diseases is similar to a marathon run: it's a big effort but with energy, knowledge, support and the will to win, it can be done. I am convinced that the Global Alliance for Respiratory Diseases will win the battle against chronic respiratory disease, which kills four million people a year"

Rosa Mota, former Portuguese marathon runner and Olympic champion


GARD VisionA world where all people can breathe freely: free

breath for all


GoalTo reduce the global burden of chronic respiratory diseases

ObjectiveTo initiate a comprehensive approach to fight chronic

respiratory diseases through:

• developing a standard way of obtaining relevant data on chronic respiratory disease risk factors;

• encouraging countries to implement health promotion and chronic disease prevention policies; and

• making recommendations of simple strategies for management of chronic respiratory diseases.

GARD Goal and Objective


IUATLD (N. Billo, FRA)KAF (Y. Kim, KOR)KTL (P. Puska, FIN)NHLBI (B. Alving, USA)RSP (A. Chuchalin, RUS)SFAIC (G.Pauli, FRA)SPAIC (M. Morais de Almeida)SPLF (B. Housset, FRA)TTS (A. Kocabas, TUR)WAO (C. Baena-Cagnani, ARG)WHO-CC DU (S. Makino, JAP)WHO-CC GU (G. Joos, BEL)WONCA (A. Loh, SIN)

June 2004 Jan 2005 February 2006

WHOAAA (D. Vervloet, France)AAAAI (E. Simon, CAN)AAAF (R. Pawankar, JAP)ACAAI (M. Blaiss, USA)AIMAR (C. Donner, ITA)ALAT (C. Luna, ARG)APAACI (T. Fukuda, JAP)APRS (Y. Fukuchi, JAP)ARIA (J. Bousquet, FRA)ATS (P. Wagner, USA)CCM (D. Greco, ITA)CNR-INMM (G. Rasi, ITA)DLHA (DK)EAACI (U. Wahn, GER)ECARF (T. Zuberbier, GER)EFA (S. Palkonen, FIN)ERS (R. Dahl, DK)FEMTEC (U. Solimene, ITA)FILHA (M. Nieminen, FIN)FIRS (A. Turnbull, SWI)GA2LEN (P. Van Cauwenberge, BEL)GINA (P. O’Byrne, CAN)GOLD (L. Fabbri, ITA)ICC (L. Grouse, USA)INTERASMA (I. Ansotegui, SPA)IPRAIS (J. Warner, UK)IPCRG (A. Ostrem, UK)IRCCS-SR (S. Bonini, ITA)

15

21

41

GARD Participants from

Pan American Region

Oct 2002

WHOEFA

Jan 2003

WHOEFAARIA

2 3

WHOACAAIALATARIAATS EAACIEFAERSFILHAFIRSGA2LENGINAGOLD NHLBIWAOWHO-CC DU

WHOAAAAIAAAFACAAIARIAATSEAACIEFAERSFILHAFIRSGA2LENGINAGOLDICCINTERASMAKAFNHLBIWAOWHO-CC DUWHO-CC UCMWONCA


GARD contribution to prevent and control chronic diseases


GARD is part of WHO work to prevent and control chronic

diseases

Comprehensive and integrated action is the means to prevent and control chronic diseases


GARD will contribute to the global goal

• A 2% annual reduction in chronic disease death rates worldwide, per year, over the next 10 years.

• The scientific knowledge to achieve this goal already exists.


9 out of 10 lives saved: low and middle income countries


Economic gain: billions


Documents

The World Health Organization and The Global Alliance against Chronic Respiratory Diseases