333 Asthma in the CIS-region: The Prevalence and Peculiarities of the Course

BACKGROUND: In this study there has been analyzed the data from epidemiological studies on the prevalence and peculiarities of the course of bronchial asthma (BA) among the adult (Ad), children (Ch) and teenagers (Tg) in the CIS-region (CIS-R) over the past 5 to 10 years. METHODS: There has been used the results of studies of ISAAC, Statistical Reports (SR) of the Republic Ministries of Health and Medical facilities; the literature data. RESULTS: It has been established that BA is dominated in the structure of allergic diseases (ADs) of the CIS-R. BA, on average, suffer from 7 to 48.3% Ad and from 4 to 31% Ch. The highest incidence of BA among the population, especially Ad is observed in Armenia, Belarus, Moldova, Ukraine, Kyrgyzstan, Russia, Tajikistan. The actual incidence among Ch and Tg was 21 to 40%, for the Ad-23 to 48%. In this case, the diagnosis of BA was recorded by the SR in only 2.3% of children (Tg-3.2%, Ch-1.5%), and Ad-less than 1%. In the structure of the severity of BA among Ch and Tg, and Ad are dominated by mild forms of the disease (60 to 90% and 35 to 55% respectively) as mild intermittent or mild persistent BA, which in most cases are not diagnosed and do not receive adequate, timely assessment. The share of severe and moderate BA according to the age accounted for between 2 and 48%. The structure of BA recorded by statistical morbidity, dominated the moderate or severe forms of BA. CONCLUSIONS: Thus, an analysis of existing data revealed that the mild forms of BA were dominated. The true incidence is much higher, as the uptake to the doctor takes place only in cases of the disease formed, earlier symptoms often go undetected. Often BA has been diagnosed at later stages with severe disease and complications. Unified account of the early features of ADs in a particular region will not only develop a National Prevention Program of ADs in the CIS-R, identify the main ways of their implementation, but also will allow to plan Allergic service in each region, important element of which is education and training of primary care physicians to identify early symptoms of ADs.