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the impact of a program for control of asthma in a low-income setting项目控制哮喘的影响在一个低收入设置.pdf

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the impact of a program for control of asthma in a low-income setting项目控制哮喘的影响在一个低收入设置

ORIGINAL ARTICLE The Impact of a Program for Control of Asthma in a Low-Income Setting Alvaro A. Cruz, MD, PhD, 1 Adelmir Souza-Machado, MD, PhD,2 Rosana Franco, MD, PhD,3 Carolina Souza-Machado, MSc,4 Eduardo V. Ponte, MD, PhD,5 Pablo Moura Santos, MSc,5 and Maurício L. Barreto, MD, PhD6 INTRODUCTION Abstract: The prevalence of asthma is increasing in developing countries and the burden of uncontrolled asthma affects patients, sthma is associated with emergency room visits, risk of Ahospitalizations, and deaths. Asthma exacerbations place families, and the health system. This is to summarize, evaluate, and 1 a considerable burden on the health care system. According discuss previous reports on the impact of a targeted and compre- to World Health Organization (WHO) estimates, 300 million hensive approach to the most severe cases of asthma in a low- 2 people have asthma and 250,000 die every year. Most of the income setting. A Program for Control of Asthma (ProAR) was deaths are preventable with treatment, which is often not developed in Salvador, Bahia, Brazil, prio