TY - JOUR
T1 - Improving lung health in low-income and middle-income countries
T2 - from challenges to solutions
AU - Meghji, Jamilah
AU - Mortimer, Kevin
AU - Agusti, Alvar
AU - Allwood, Brian W.
AU - Asher, Innes
AU - Bateman, Eric D.
AU - Bissell, Karen
AU - Bolton, Charlotte E.
AU - Bush, Andrew
AU - Celli, Bartolome
AU - Chiang, Chen-Yuan
AU - Cruz, Alvaro A.
AU - Dinh-Xuan, Anh-Tuan
AU - El Sony, Asma
AU - Fong, Kwun M.
AU - Fujiwara, Paula I.
AU - Gaga, Mina
AU - Garcia-Marcos, Luis
AU - Halpin, David M. G.
AU - Hurst, John R.
AU - Jayasooriya, Shamanthi
AU - Kumar, Ajay
AU - Lopez-Varela, Maria V.
AU - Masekela, Refiloe
AU - Mbatchou Ngahane, Bertrand H.
AU - Montes de Oca, Maria
AU - Pearce, Neil
AU - Reddel, Helen K.
AU - Salvi, Sundeep
AU - Singh, Sally J.
AU - Varghese, Cherian
AU - Vogelmeier, Claus F.
AU - Walker, Paul
AU - Zar, Heather J.
AU - Marks, Guy B.
PY - 2021/3/6
Y1 - 2021/3/6
N2 - Low-income and middle-income countries (LMICs) bear a disproportionately high burden of the global morbidity and mortality caused by chronic respiratory diseases (CRDs), including asthma, chronic obstructive pulmonary disease, bronchiectasis, and post-tuberculosis lung disease. CRDs are strongly associated with poverty, infectious diseases, and other non-communicable diseases (NCDs), and contribute to complex multi-morbidity, with major consequences for the lives and livelihoods of those affected. The relevance of CRDs to health and socioeconomic wellbeing is expected to increase in the decades ahead, as life expectancies rise and the competing risks of early childhood mortality and infectious diseases plateau. As such, the World Health Organization has identified the prevention and control of NCDs as an urgent development issue and essential to the achievement of the Sustainable Development Goals by 2030. In this Review, we focus on CRDs in LMICs. We discuss the early life origins of CRDs; challenges in their prevention, diagnosis, and management in LMICs; and pathways to solutions to achieve true universal health coverage.
AB - Low-income and middle-income countries (LMICs) bear a disproportionately high burden of the global morbidity and mortality caused by chronic respiratory diseases (CRDs), including asthma, chronic obstructive pulmonary disease, bronchiectasis, and post-tuberculosis lung disease. CRDs are strongly associated with poverty, infectious diseases, and other non-communicable diseases (NCDs), and contribute to complex multi-morbidity, with major consequences for the lives and livelihoods of those affected. The relevance of CRDs to health and socioeconomic wellbeing is expected to increase in the decades ahead, as life expectancies rise and the competing risks of early childhood mortality and infectious diseases plateau. As such, the World Health Organization has identified the prevention and control of NCDs as an urgent development issue and essential to the achievement of the Sustainable Development Goals by 2030. In this Review, we focus on CRDs in LMICs. We discuss the early life origins of CRDs; challenges in their prevention, diagnosis, and management in LMICs; and pathways to solutions to achieve true universal health coverage.
UR - http://www.scopus.com/inward/record.url?scp=85101909339&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(21)00458-X
DO - 10.1016/S0140-6736(21)00458-X
M3 - Review article
C2 - 33631128
AN - SCOPUS:85101909339
SN - 0140-6736
VL - 397
SP - 928
EP - 940
JO - The Lancet
JF - The Lancet
IS - 10277
ER -