ABOUT THE REPORT

The Global Asthma Report has been prepared through the collaboration of the International Study of Asthma and Allergies in Childhood (ISAAC) and the International Union Against Tuberculosis and Lung Disease (The Union), two organisations that have been dedicated to helping countries identify and address the problem of asthma for more than two decades.

Designed for stakeholders from government ministers and policy-makers to health workers and people with asthma, the report provides an overview of what is known about the causes and triggers of the disease, the global incidence, the progress being made and the significant challenges today and for the future. It demonstrates that the suffering and waste of resources caused by not managing asthma effectively are much greater than the cost of effective action. Asthma is a public health problem that can – and should – be solved now.

Nils E Billo, MD MPH
Executive Director
International Union Against Tuberculosis and Lung Disease (The Union)

About the Union
About ISAAC


Acknowledgements

The Union would like to thank all of the authors who contributed chapters and all of those around the world who collected data for this first Global Asthma Report. In addition, we would like to acknowledge Innes Asher, Philippa Ellwood and Eamon Ellwood from ISAAC and Karen Bissell and Alice Boatwright from The Union for coordinating the development and production of the report.

The Union has been working with low- and middle-income countries to improve the management of asthma for 25 years. What has been accomplished is largely due to the long-standing leadership of Nadia Aït-Khaled and Don Enarson; the valuable contributions of members of The Union’s Lung Health Scientific Section, its Working Groups and the Department of Lung Health and Non-Communicable Diseases; and the dedicated work of the Asthma Drug Facility team, led by Cécile Macé and Karen Bissell.

We would also like to acknowledge Moira Chan-Yeung, past Editor-in-Chief for lung health at the International Journal of Tuberculosis and Lung Disease, for raising the visibility of asthma and disseminating important research. As always, we are indebted to The Union’s members from around the world for their tireless efforts to improve global lung health and their ongoing commitment to our common cause.

The International Study of Asthma and Allergies in Childhood (ISAAC) was open to any collaborator who agreed to adhere to the protocol, and each centre was requested to provide its own funding. The programme was funded by the many funding bodies throughout the world that supported the individual ISAAC centres and collaborators and their meetings.

The coordination and central analyses of ISAAC Phases One, Two and Three were funded by the following:

The Health Research Council of New Zealand, The Asthma and Respiratory Foundation of New Zealand, The National Child Health Research Foundation, The Hawke’s Bay Medical Research Foundation, The Waikato Medical Research Foundation, Glaxo Wellcome New Zealand, Glaxo Wellcome International Medical Affairs, Astra Zeneca New Zealand, The Maurice & Phyllis Paykel Trust, the Fifth Framework Programme of European Commission, the BUPA Foundation, the Auckland Medical Research Foundation and The New Zealand Lotteries Commission.


Global asthma report: Authors

Prof Nadia Aït-Khaled
Senior Consultant, International Union
Against Tuberculosis and Lung Disease
(The Union) France

Prof H Ross Anderson
Division of Community Health Sciences
St Georges, University of London,
United Kingdom

Prof M Innes Asher
Dept of Paediatrics: Child and Youth Health
Medical and Health Sciences,
The University of Auckland
New Zealand (NZ)

Dr Zaheer-Ud-Din Babar
School of Pharmacy
Medical and Health Sciences,
The University of Auckland, NZ

Dr Karen Bissell
Dept of Research, The Union
France

Prof Bert Brunekreef
Institute of Risk Assessment Sciences
Universiteit Utrecht, The Netherlands

Prof Peter Burney
Dept of Respiratory Epidemiology
and Public Health
National Heart and Lung Institute
Imperial College, London, UK

Dr Francisco Castillo
Programa Nacional de Tuberculosis
y Enfermedades Respiratorias
Ministry of Health – El Salvador

Dr Chiang Chen-Yuan
Dept of Lung Health and NCDs, The Union
France

Tadd Clayton
Dept of Paediatrics: Child and Youth Health
Medical and Health Sciences,
The University of Auckland, NZ

Eamon Ellwood
Dept of Paediatrics: Child and Youth Health
Medical and Health Sciences,
The University of Auckland, NZ

Philippa Ellwood
Dept of Paediatrics: Child and Youth Health
Medical and Health Sciences,
The University of Auckland, NZ

Prof Asma El Sony
The Epidemiological Laboratory (Epi-Lab)
Sudan

Dr Mai El-Tigany
The Epidemiological Laboratory (Epi-Lab)
Sudan

Prof Donald A Enarson
Senior Advisor, The Union
France

Dr Julio Garay
Programa Nacional de Tuberculosis
y Enfermedades Respiratorias
Ministry of Health – El Salvador

Prof Luis García-Marcos
Instituto de Salud Respiratoria
Universidad de Murcia, Spain

Dr Martin Gninafon
Programme National contre la Tuberculose
Ministry of Health – Benin

Prof Tari Haahtela
Skin and Allergy Hospital,
Helsinki University Hospital
Finland

Dr Deborah Jarvis
National Heart and Lung Institute
Imperial College, London, UK

Charon Lessing
School of Pharmacy
Medical and Health Sciences,
The University of Auckland, NZ

Elizabeth Limb
National Heart and Lung Institute
Imperial College, London, UK

Cécile Macé
Asthma Drug Facility, The Union
France

Dr Gillian Mann
CRESTHA
Liverpool School of Tropical Medicine, UK

Prof Neil Pearce
Dept of Medical Statistics, Epidemiology
and Public Health
London School of Hygiene and Tropical
Medicine, UK

Dr Anne Pietinalho
Peijas Hospital, Helsinki University Hospital
Finland

Prof Dr Ricardo Sepúlveda M.
Respiratory Health Unit Coordinator
Ministry of Health – Chile

Prof David Strachan
Division of Community Health Sciences
St Georges, University of London, UK

Dr Léon Tawo
Programme National contre la Tuberculose,
Ministry of Health – Benin

ISAAC Study Groups

View ISAAC Phase One, Two and Three Study Groups

Photography

Report cover: Francisco Castillo
Home page sequence: Francisco Castillo, Gary Hampton, Photoshare/ © 2010 Deepak Paudel and © 2005 Sangini Shah
What Is Asthma?: Photoshare/ © 2006 Quique Bassat_Mozambique; Gary Hampton
Asthma in Children: Damien Schumann
Asthma in Adults: Gary Hampton
Causes and Triggers: Damien Schumann, Gary Hampton
COPD: Damien Schumann, Philip.greenspun.com
Essentials: Photoshare/© 2005 Sangini Shah, Damien Schumann
Guidelines: Touhou Calixte
Medicines: Gary Hampton
ADF: Raimond Armengol, Touhou Calixte
Profiles: Photoshare/© 2009 Arie Basuki
Benin: Touhou Calixte
Chile: Monica Poblete
El Salvador: Francisco Castillo
Finland: Courtesy of the Finnish National Allergy Programme
Sudan: Rashid K. Khalid
Access: Jim Mullins, Photoshare/© 2003 Amelie Sow CCP
Poverty: Gary Hampton; Photoshare/© 2006 Gautam Pandey
Burden: Photoshare/© 2003 Nialah Santuah
Priority: Photoshare/© 2010 Deepak Paudel and /© 2004 Roobon, The Hunger Project-Bangladesh; Jim Mullins
Maps, References: Touhou Calixte

Cartoons

© 2011 Sabir Nazar

Report Design

Gilles Verant, Paris

Website Design

Global Health Communications Center