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Improving lung health in low-income and middle-income countries: from challenges to solutions

Meghji, Jamilah ORCID: https://orcid.org/0000-0002-4693-8884, Mortimer, Kevin ORCID: https://orcid.org/0000-0002-8118-8871, Agusti, Alvar, Allwood, Brian W, Asher, Innes, Bateman, Eric D, Bissell, Karen, Bolton, Charlotte E, Bush, Andrew, Celli, Bartolome, Chiang, Chen-Yuan, Cruz, Alvaro A, Dinh-Xuan, Anh-Tuan, El Sony, Asma, Fong, Kwun M, Fujiwara, Paula I, Gaga, Mina, Garcia-Marcos, Luis, Halpin, David M G, Hurst, John R, Jayasooriya, Shamanthi, Kumar, Ajay, Lopez-Varela, Maria V, Masekela, Refiloe, Mbatchou Ngahane, Bertrand H, Montes de Oca, Maria, Pearce, Neil, Reddel, Helen K, Salvi, Sundeep, Singh, Sally J, Varghese, Cherian, Vogelmeier, Claus F, Walker, Paul, Zar, Heather J and Marks, Guy B (2021) 'Improving lung health in low-income and middle-income countries: from challenges to solutions'. Lancet, Vol 397, Issue 10277, pp. 928-940.

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Abstract

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.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WF Respiratory System > WF 140 Diseases of the respiratory system (General)
WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General)
WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1016/S0140-6736(21)00458-X
Depositing User: Stacy Murtagh
Date Deposited: 25 Feb 2021 10:18
Last Modified: 06 Apr 2021 14:27
URI: https://archive.lstmed.ac.uk/id/eprint/17068

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