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Nearly All Asthma Deaths Preventable

HONG KONG (Reuters Health) - Nearly all deaths caused by asthma could be prevented if sufferers and their doctors had a better understanding of the disease, according to an Asia-wide survey released Tuesday.

``Underestimation is the main culprit of asthma deaths. Over 95% are preventable if we can assess the severity properly and use treatment promptly,'' Hong Kong respiratory specialist Christopher Lai said at a news conference to unveil the results of the regional study.

The World Health Organization (WHO) estimates at least 150 million people suffer from asthma worldwide, and that more than 180,000 people die from it each year.

Asthma is a chronic respiratory disease, often linked with allergies, that is characterized by sudden recurring attacks of labored breathing, chest constriction, and coughing.

The Asian study, sponsored by international pharmaceutical manufacturer GlaxoSmithKline, involved over 3,200 asthma patients and parents of asthma sufferers in 13 cities across China, Hong Kong, Malaysia, the Philippines, Singapore, Korea, Taiwan and Vietnam. It was conducted between September and December 2000.

The findings revealed many of those afflicted with asthma do not realize the severity of their condition or that the disease can be controlled.

Many also said that their diagnosis and treatment had been insufficient. Sixty percent said their doctors had never given them a simple lung function test.

Forty-three percent of those studied said they had been awakened at night due to asthma in the past 4 weeks.

Another 44% said they had been hospitalized, had to visit an emergency department or had required urgent care because of their conditions in the past 12 months.

Over 91% of respondents had not been treated with corticosteroids, considered by some doctors as the most effective preventative treatment around.

``There is perceived fear to use steroids because many fear it would bring about side effects. It is actually quite safe to inhale it,'' said Lai.

``Persons with asthma are enduring unnecessary suffering and risk, while more severe asthmatics are putting their lives in danger through poor asthma management,'' he said.

Lai said a deterioration in the environment had aggravated the suffering of asthma patients.

``With the worsening of air quality, you can have increased asthma symptoms and increased hospitalization from asthma.''

The WHO says the number of asthma sufferers has been rising steadily in the last 2 decades.

Reference Source 89

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