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IPCRG is holding its 4th Scientific Meeting, the first in Asia Pacific, May 28th (evening), 29th all day and 30th half day including lunch 2015 at the Riverview Hotel, Singapore.
Click here to download our report.
This short document introduces the International Primary Care Respiratory Group (IPCRG) to colleagues unfamiliar with our work in low and middle income countries and also describes our ambitions.
As you know, the IPCRG has worked with colleagues from Bangladesh and Pakistan from our early days. As a result of our collaboration we learned a great deal about population respiratory care needs and health systems in low income countries. We now also work with colleagues in a much larger range of middle and low income countries including Uganda, Kyrgyzstan, Romania, FYR Macedonia, Chile, Brazil Viet Nam, Sri Lanka, India as well as those not listed by the World Bank as low or middle income but in financial crisis. In addition, we believe our first scientific meeting in Asia Pacific, in Singapore May 2015, will open up new connections and possibilities in Asia Pacific countries such as China, Philippines, Indonesia, Korea and Malaysia.
This paper describes how we do this and illustrates some "showing by doing" examples.
This is all the more important given the World Health Organization's Global Action Plan to reduce avoidable mortality by 25% by 2025 when COPD is predicted to be the world's third largest cause of death and many of those deaths will be in LMICs.
We also attach two posters from our FRESH AIR programme presented at the Union conference this autumn. FRESH AIR was developed in Viet Nam, and is now running in Uganda and Kyrgyzstan and soon to be launched in India (see http://www.theipcrg.org/display/RES/FRESH+AIR)
We hope you enjoy reading.
Authors: Jesper Lykkegaard
The risk to people with chronic obstructive pulmonary disease (COPD) of death or readmission to hospital increases if GP practices conduct home visits to too high or too low a proportion of them, according to a study published online this week in npj Primary Care Respiratory Medicine. The lowest risk of readmission or death was found for GP practices that conducted home visits for 20-30% of COPD patients in the year before they are first admitted to hospital. Jesper Lykkegaard and colleagues conducted a study in Denmark of 14,425 patients with COPD over the age of 45 who were hospitalised for the first time between 2006 and 2008. The authors found that when GPs visited more than 60% of their COPD patients in the year before hospitalisation, their patients had the highest risk of readmission or death 30 days after they left hospital. The authors suggest that GPs may be unable to run some laboratory tests during home visits which might increase confidence in treatment outside hospital. Without these tests, the likelihood of readmission may increase. Meanwhile, they also found there was an almost equivalent risk when GP practices visited none of their patients with COPD.
Clearly further studies are required to investigate how home visits may affect a patient’s risk of readmission. Meanwhile, the authors urge that a practice’s tendency to conduct home visits should not be used as an indicator of its ability to prevent COPD hospital readmission, and visits should not be refused when requested.
To access the paper at the npj Primary Care Respiratory Medicine, please click here
ERS Vision has produced a highly accessible video on the The Burden of COPD introduced by Professor Jorgen Vestbo with a number of international experts including Professor Maureen Rutten-van Molken on the economic impact. See http://www.ersvision.org/videos/the-burden-of-chronic-obstructive-pulmonary-disease "COPD is the only disease where the mortality has increased constantly.....To get COPD you need to be susceptible and you need to inhale something...."
Pakistan The Allergy and Asthma Clinics and The Institute of Asthma and Allergy
Launch of Why Asthma Still Kills: National Review of Asthma Deaths in UK [link to http://www.rcplondon.ac.uk/projects/national-review-asthma-deaths]
Wiley KE et al. Med J Aust. 2013 Apr 15;198(7):373-5.
An Australian study investigated the factors influencing vaccination rates in pregnant women. Women who received a clear doctor’s recommendation to get vaccinated were 20 times more likely to do so than those who did not receive a recommendation. Nevertheless, overall only 42% of the study population received such a recommendation while only 27% were vaccinated.…
Freed GL et al. Pediatrics. 2011 May;127 Suppl 1:S107-12. Epub 2011 Apr 18.
A study performed in the US in 2009 investigated the degree of influence of different information sources on parental confidence in the safety of the flu vaccine. Over 1500 parents of children aged 17 years or younger participated in the study by answering an internet questionnaire. 76% of the parents answered that they rely strongly on information supplied by their pediatrician,…
Bradley JS et al. Clin Infect Dis. 2011 Oct;53(7):e25-76. Epub 2011 Aug 31.
In 2011 the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America published guidelines for treatment of community acquired pneumonia (CAP) in infants and children aged over 3 months. The guidelines include a clear recommendation to vaccinate all infants aged above 6 months and all children and adolescents against the flu every year, in order to prevent CAP.…
Fraaij PL et al. Vaccine. 2011 Oct 6;29(43):7524-8. Epub 2011 Aug 4.
Rates of seasonal flu are usually high amongst children: 20-30% of the overall population of children and up to 50% of children in daycare contract flu every year. Children with cardiac, respiratory and neurological diseases have a high risk of severe flu and flu-related mortality. Despite low overall mortality rates in the general population of children,…
Hambidge et al. JAMA. 2006 Oct 25;296(16):1990-7.
In the largest population-based study of its type in the US, over 45,000 infants aged 6-23 months, who received inactivated influenza vaccine between 1991 and 2003 were included. Medically attended events after flu vaccination were reviewed for 4 different time periods, and compared with 2 control time periods. All diagnostic codes were checked.…
Flood EM et al. Clin Ther. 2010 Aug;32(8):1448-67.
Despite the CDC recommendations to vaccinate children aged 6 months to 18 years against the flu every year, the vaccination rates in this population remain disappointingly low. A recent study investigated the factors influencing parental decisions regarding vaccination of children aged 2-12 years. The sample included 500 parents who were asked, among other things,…
Activity on the IPCRG Website
IPCRG Receives Global Recognition for Tobacco Dependence Treatment
IPCRG has been awarded one of the first Global Bridges awards in low and middle income countries. Work starts in November in Masindi, Uganda on a tobacco dependence education programme in the context of lung health.
FRESH AIR in India
The FRESH AIR protocol will now used by our colleague Prof Onno van Schayck in his inspiring new project in India Health in Slums. See the TED talk and read more here:
FRESH AIR India
Making the case for primary care in the ERS White Book launched Sept 2013 written by IPCRG President Niels Chavannes and Executive Officer Sian Williams
To view online click here
To access the journal, click here
The journal is the only fully indexed scientific journal devoted to the management of respiratory diseases in primary care. It is the official journal of the Primary Care Respiratory Society UK and the International Primary Care Respiratory Group.
As of July 2014 the journals impact factor increased to 2.909 making it #2 in Primary Health Care and #21 in Respiratory.
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