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

1. Nikolai Khaltaev, MD, PhDGARD Regional Launch14th Latin American Congress on Asthma,Allergy and Clinical ImmunologyBuenos Aires, 17-19 August 2006 The World Health Organization and The Global Alliance against Chronic Respiratory Diseases

2. 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

3. Preventing Chronic Diseases: a vital investment

4. The global epidemic of chronic diseases

5. Chronic diseases • Cardiovascular diseases mainly heart disease and stroke • Cancer • Chronic respiratory diseases • Diabetes

6. 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.

7. A new way to prevent and control chronic respiratory diseases Global Alliance against Chronic Respiratory Diseases

8. 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

9. 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.

10. Before GARD = lack of coordination, competition

11. WHO calls for a global and coordinated effortto fight Chronic Respiratory Diseases

12. 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

13. 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

14. GARD Vision A world where all people can breathe freely: free breath for all

15. GARD Goal and Objective • Goal • To reduce the global burden of chronic respiratory diseases • Objective • To 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.

16. June 2004 February 2006 Oct 2002 Jan 2003 Jan 2005 WHO EFA ARIA WHO ACAAI ALAT ARIA ATS EAACI EFA ERS FILHA FIRS GA2LEN GINA GOLD NHLBI WAO WHO-CC DU WHO AAAAI AAAF ACAAI ARIA ATS EAACI EFA ERS FILHA FIRS GA2LEN GINA GOLD ICC INTERASMA KAF NHLBI WAO WHO-CC DU WHO-CC UCM WONCA WHO AAA (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) WHO EFA 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) 2 3 41 15 21 GARD Participants from Pan American Region

17. GARD contribution to prevent and control chronic diseases

18. 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

19. 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.

20. 9 out of 10 lives saved: low and middle income countries

21. Economic gain: billions