Tag Archives: UK

Indoor Polution Beat Smoker Caused COPD in India Study

Greeting!  Indoor pollution (Outdoor pollution too!) kills and the recent study out of India shows that “At least 93 per cent of those who had COPD were nonsmokers,” says Dr Sundeep Salvi, coordinator of the Chest Research Foundation (CRF).

Out of 3,000 people randomly selected for the study, 210 suffered from COPD.

Chest Research Foundation in collaboration with the KEM Hospital, Pune, and the Imperial College, London, UK, conducted one of the largest COPD prevalence studies in a span of two and a half years and released the data on the eve of World COPD Day on November 17.

You don’t have to be a smoker to suffer from Chronic Obstructive Pulmonary Disease (COPD). Indoor air pollution is enough for one to contract the infection, says the first-of-its-kind study conducted at 22 villages of Pune.

Out of 3,000 people randomly selected for the study, 210 suffered from COPD. “At least 93 per cent of those who had COPD were non smokers,” says Dr Sundeep Salvi, coordinator of the Chest Research Foundation (CRF).

Chest Research Foundation in collaboration with the KEM Hospital, Pune, and the Imperial College, London, UK, conducted one of the largest COPD prevalence studies in a span of two and a half years and released the data on the eve of World COPD Day on November 17.

Dr Sundeep Salvi from CRF, Dr Sanjay Juvekar from KEM Hospital and Dr Peter Barnes from UK spearheaded the study. Salvi said the country requires a national COPD control programme.

The study used a standardised respiratory health questionnaire and spirometry (lung function test that diagnoses COPD). The prevalence of COPD was found to be 6.9% (5.6% amongst females and 8% amongst males).

Among those identified to have COPD, only 7% were smokers and 93% were never smokers, indicating that smoking is clearly not the most important risk factor for COPD in India. More importantly, 23% of the COPDs occurred in age group less than 40 years, which has not been reported earlier, says Salvi.

It has always been believed that COPD starts occurring after 40 years and above in people who have smoked for over 15-20 years. But in India, indoor air pollution seems to be the most important cause so the disease occurs in earlier age groups as well because of exposures from childhood, he explained.

According to a report published by the Maharashtra State Health Resource Centre in March 2010 that examined the top 10 causes of death in Maharashtra, COPD stood out as the number one cause of death. More than 5,50,000 people die due to COPD in India and the country needs a National COPD Control Programme if the numbers of deaths and suffering caused by COPD has to be reduced, he added.

http://www.indianexpress.com/news/indoor-air-pollution-behind-copd-not-smoking-study/712430/

A COPD wet ride to Silverdale and back…

Norway’s Sigrid Ekran – Rookie of the Year – 2007 Iditarod… Anchorage, Alaska
COPD and Rosemaling go everywhere.

Hope to see you all later today – 1:30 in the Rose Room, Silverdale Harrison for World COPD Day 2010!

More later… Sharon O’Hara

COPD, Professor William MacNee Clicked for this COPDer

FLASH

Ref:  Early detection public COPD Spirometry,  World Spirometry Day and World COPD Day

I called our health district yesterday and spoke with  Cris Craig, Kitsap County Health District Public Information Officer.  She couldn’t answer my question about the health department offering free spirometry to the public.  She did say in a cheerful voice she would call in about three weeks with a response.  THAT is good news and she didn’t ask what COPD was – even better..  A hopeful sign and may mean that Spirometry will be offered and made available to the public.  I believe in miracles.

Professor William MacNee and the Royal Infirmary of Edinburgh Scotland, UK website has superb graphics – the best explanation of COPD (Chronic Obstructive Pulmonary Disease) I’ve seen in one place.  His ‘The Latest Trends in COPD Research’ graphically shows why early detection Spirometry is important.

For many of us COPD is an ongoing magnet for other disease, including some really difficult stuff.  COPD and lung disease can be the beginning of a long list of personal medical challenges expanding the patient’s medical disease library.  Whatever needs to happen to avoid COPD in your life get tested for early detection and do whatever is needed to get it done.

My son, Al and I were visiting family in Northern Norway  in1997.  I didn’t know then my 40 year smoking habit was almost over.  And so was I.   I was beginning to feel sick.  The day after this picture was taken, I had to see a Norwegian doctor.  She examined me and prescribed medications for Pleurisy and Chronic Bronchitis.  The medication worked, the pain receded and we were back on schedule.   Within a couple weeks after this picture was taken and five days after returning home, I was in the hospital.

Life as I’d known it was over.

COPD is a friendly disease.  For me, once Emphysema (COPD) got settled in my lungs and got comfortable, she began to invite her Other Stuff Disease buddies for a sleep over.  Trouble is, they stayed over and didn’t go home.  They joined COPD trying to play Havoc with my health and life.

Following COPD was an open lung biopsy and Sarcoidosis – Sleep Apnea – RLS – Psoriasis – Venous Stasis Dermatitis  – Cellulitis – High Blood Pressure – Lymphedema – and  bone-on-bone Arthritis, left hip followed – to name a few.

Early detection Spirometry can stop COPD early – before it’s too late.  Ask your doctor.

This is where it gets tricky.  Health care is a huge problem.  COPD generally  takes twenty years developing before a person mentions symptoms to the doctor and by then about fifty percent of the lungs are destroyed….leading the patient to a long slow smother and the taxpayer choking form the cost.

Offering free Spirometry testing for early COPD detection gives the individual  warning.  If the problem is not genetic, it can be turned around. Telling isn’t enough – SHOW people what COPD can do to them and their families.  Let them meet willing patients who can show and tell… a real reality show.

Exercise works and muscle utilizes oxygen better than flab.  We can breathe better and move easier.  Exercise and understanding COPD gives us a quality of life back – to be the best we can be.  The recumbent trike takes us places we couldn’t easily go without one – fun stuff,  building muscle at the same time. We must keep moving … ask your doctor.

I did not qualify for lung reduction surgery or I would have opted to get it ..not enough good lung and I heard rave reviews from patients who had had one.  One COPDer told me the lung reduction surgery restored his life back to ‘normal’ and lasted about five years before time and COPD danced ahead.  Ask your doctor about it.

Pursed lip breathing training is a must for COPDers – it keeps us out of the panic mode and out of the hospital.  It has for me…and I tested it with my oximeter.Talk to your doctor about pulmonary rehab.  It is never too late to get better through our own efforts…what does your doctor say?

Photo taken by the photographer who traveled with the Trek.  This photo shows me on my recumbent trike flying the  COPD/EFFORTS safety flag and pedaling over Deception Pass with the American Lung Association of Washington’s three day bike ride – the Trek Tri Island.

It was the first time I had been away overnight from my house in seven years – since Harrison Hospital in 1997.  A slow trike rider, it is thanks to the wonderful volunteers who hop scotched me and my trike ahead of the other 200 plus bike riders time after time that enabled me to pedal 50 miles of the 137 mile trip. I felt free again.

Key motivators were the Shortness of Breath Study at the University of Washington Medical Center that I was lucky enough to qualify for and my online support group, EFFORTS.  Proof to me that  educating COPD patients work.

Stroke patient, Mary Griffith and her butterfly and gold star fingernails caught my eye the other day – more about Mary and husband, Doug later)

Kitsap County Health District … Will you be the first county health district in the nation to see the fiscal benefit of early detection Spirometry to protect citizens of ALL ethnic background.

The Kitsap County taxpayer and COPD future could rest in your hands.

Thank you Professor William MacNee for a great COPD informational website and allowing me to use it here.

http://www.efanet.org/activities/documents/WMcNeeLatestTrendsinCOPDResearch. pdf

More later… Sharon O’Hara

Part 4 of 4