Prevalence of adult asthma at Tomsk

The aim of this study was to estimate prevalence of asthma in adults at industrial city Tomsk. A total of 2000 responders aged 18 to 75 yrs participated in the study. Prevalence of asthma-like symptoms was estimated using the standardized questionnaire ECRHS. Two hundred patients with asthma-like symptoms underwent clinical, functional, and allergological examination. Asthma-like symptoms were revealed in 37.8 % of the studied population. Prevalence of asthma was 9.8 %. These findings significantly exceed official data. Asthma was newly diagnosed in 60 % of symptomatic adults that is evidence of late detection of the disease.

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Occupational allergic diseases in the Samara region: features and problems

Kazan medical journal ◽

10.17750/kmj2017-827 ◽

2017 ◽

Vol 98 (5) ◽

pp. 827-832

Author(s):

G A Nikiforova ◽

A M Spiridonov ◽

M Yu Gavryushin

Keyword(s):

Allergic Rhinitis ◽

Atopic Dermatitis ◽

Occupational Diseases ◽

Preventive Measures ◽

Allergic Diseases ◽

Newly Diagnosed ◽

Medical Examinations ◽

Further Development ◽

Official Data ◽

Federal Center

Aim. Improving the system of identifying occupational allergic diseases based on the anaysis of the features of occupational allergic morbidity in the Samara region for the period from 2005 to 2014. Methods. Comprehensive retrospective study of occupational allergic morbidity in the Samara region was carried out on the data from 3229 occupational diseases (poisoning) registry cards including 278 occupational allergic diseases registry cards, as well as 262 acts on cases of occupational diseases. Obtained data were compared to the official data of the Federal budgetary healthcare institution «Federal center of hygiene and epidemiology» of Rospotrebnadzor and the reports of the Office of Rospotrebnadzor in the Samara region «On the sanitary-epidemiological welfare of population» for the relevant years. Results. The proportion of occupational allergic diseases in the Samara region is in average 7.68±1.03% of all newly diagnosed cases of occupational diseases varying from 12.25% in 2005 to 3.22% in 2013, exceeding the same indicator across Russia. In the structure of occupational allergic diseases the most common nosological forms were revealed: bronchial asthma - 37.86%, allergic rhinitis - 25.07%, allergic (atopic) dermatitis - 7.93%, eczema - 7.68%. In 78.38% of cases the priority allergens in the region were chemical allergens: formaldehyde, chromium, nickel, molybdenum and other metals compounds, antibiotics, disinfectants, chlorine and synthetic detergents and others. 38.07% of cases of occupational allergic diseases were found to be registered in Samara, 26.15% of cases - in Tolyatti, and 5.50% of cases - in Otradnoye in the Samara region. The proportion of occupational allergic diseases found at periodic medical examinations was in average 29.31±4.5%. Conclusion. The identified features of occupational allergic morbidity in the Samara region show the necessity to improve the organization and conduct of preventive measures, periodic medical examinations as well as further development of the regulatory framework.

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Long-term economic evaluation of intensive patient education during the first treatment year in newly diagnosed adult asthma

Respiratory Medicine ◽

10.1053/rmed.2000.0971 ◽

2001 ◽

Vol 95 (1) ◽

pp. 56-63 ◽

Cited By ~ 35

Author(s):

R. KAUPPINEN ◽

V. VILKKA ◽

H. SINTONEN ◽

T. KLAUKKA ◽

H. TUKIAINEN

Keyword(s):

Economic Evaluation ◽

Patient Education ◽

Newly Diagnosed ◽

Adult Asthma

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Prevalence of bronchial asthma in young people living in industrial city

Kazan medical journal ◽

10.17816/kmj1841 ◽

2014 ◽

Vol 95 (4) ◽

pp. 548-552

Author(s):

I A Zakharova

Keyword(s):

Body Mass Index ◽

Young People ◽

Body Mass ◽

Bronchial Asthma ◽

Immunoglobulin E ◽

Expected Value ◽

Newly Diagnosed ◽

Industrial City ◽

True Prevalence ◽

Total Immunoglobulin

Aim. To reveal the true prevalence of asthma in young people living in a large industrial city. Methods. 1518 young persons aged 18-44 years (males - 698, females - 820, mean age 30.34±5.7 years) who attended outpatient clinics of the Clinical Hospital №4 of Chelyabinsk (12.9% of the total population served by the hospital) were randomly picked out. Respondents surveys were conducted, the determination of total immunoglobulin E levels were measured, patients underwent spirometry and were consulted by pulmonologist. Results. Diagnosis of bronchial asthma has been previously confirmed in 2.8% of patients, while in accordance with the Global Initiative for Asthma (GINA) criteria (2013), the true prevalence is 7.8%. In patients with newly diagnosed bronchial asthma body mass index was 26.32±6.3 kg/m2 compared to 24.53±4.9 kg/m2 in patients without asthma; level of total immunoglobulin E was 259.6±16.5 ME/ml vs 47.8±12,6 ME/ml respectively. Not only a decrease in spirometric indices of respiratory function (forced expiratory volume in 1st second (FEV1) was 69.2±8.1% of the expected value vs 105.6±9.1% in the group of healthy individuals, FEV1/FVC (forced vital capacity) ratio - 75.62±13.7% vs 84.2±12.9% respectively), but also a significant increase in total lung capacity (up to 94.5±18,8% of the expected value compared to 78.1±14.1% in the group of healthy subjects) and the residual lung volume (up to 102.2±14.5% vs 79.5±5.9% respectively), was registered in newly diagnosed patients with bronchial asthma indicating pathological process in the small airways, even in patients with small term of the disease. Conclusion. The incidence of bronchial asthma is more than 3 times higher than the official statistics report; in individuals with newly diagnosed bronchial asthma higher body mass index and total immunoglobulin E levels were registered in comparison with the general population.

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