29261 - Asthma in Indian children Dr. Swati Bhave Former...

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Unformatted text preview: Asthma in Indian children Dr. Swati Bhave Former President ( IAP)Indian Academy of Pediatric(2000) National Co-coordinator IAP Asthma awareness program Honorary Fellow ( AAP) American Academy of Pediatrics Standing Committee member 2001-03 (IPA) International Pediatric association Disease Trends Asthma Prevalence in India No Representative National Data Vast Country Variable population density Variable Climates Variable Pollution Levels Wide variety in education, life style, infections, Infectious Diseases are still a priority Prevalence 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Vishwanathan, 1966 Chhabra, 98 Chhabra, 99 Chakravorty, 2002 ISSAC Phase-I ever had asthma 14 centers, 228 schools, n=100,000 13-14 years ( 95 % responded) 2.6 - 6.5% (Kottayam-12.4%) average 4.5 % 6-7 years ( 92 % responded ) 1- 4.2% (Kottayam 14.4%, ) average 3.7% . Prevalence of wheeze ( in response to self-completed wheezing questionnaire (video) data) 13-14 yrs - 0.8 to 7.1% average 2.9%. Prevalence of Asthma in Indian Children First Populations study, ISAAC Study in 1990s. ISAAC - India Groups 6 - 7 Yrs 13-14 Yrs Wheeze 5.6 % 6.0% (0.8 - 14.6) (1.6 - 17.8 ) > 4 attacks 1.5% 1.6% (0.1 - 4.7) (0.5 - 3.5) Night Cough 12.3% 14.1% (3.3 - 27) (3.8 - 32.2) Ever had Asthma 3.7% 4.5% (1.0 - 14.4) (1.8 - 12.4 ) Shah, Amdekar, Mathur, IJMS,6,2000,213-220. ISAAC India Video Data 13-14 Years (n = 30,043) Wheeze 2.9 % (0.8 - 7.1) Night Wheeze 2.3% (0.8 -7.5) Night Cough 3.7% (0.9 - 7.8) Severe Wheeze 2.5% (0.7 - 6.2) Wheezing (Ave 12 mths) 6% Shah, Amdekar, Mathur, IJMS,6,2000,213-220. 12-month prevalence of self-reported asthma symptoms from written questionnaires 12-month prevalence of asthma symptoms from video questionnaires Urban rural 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Past BD Nocturnal Cough Recent Wheeze Diagnosed Asthma Exercise Induced Urban Rural Chakravorty, Chennai. Natl Med J India 2002; 15:260-3 Sudhir P Prasad CE, Hyderabad. J Trop Pediatr 2003 Apr; 49(2):104-8 Rural children 2001 n=119, Age 06-15 yrs , Ratio M:F 1:2.3 8.40% 2.52% 5.80% 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% Total Boys Girls Source - H. Paramesh, E. Cherian. Ind. Joul of Pediatr 2002 Factors associated with higher incidence Positive association School in heavy traffic areas Low SES Male sex No windows Atopy or asthma in family Grandparents, sibling...
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29261 - Asthma in Indian children Dr. Swati Bhave Former...

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