Toward Making Inroads in Reducing the Disparity of Lung Health in Australian Indigenous and New Zealand Māori Children

Frontiers in Pediatrics

Anne B. Chang¹ 

关键词: Indigenous;    acute respiratory infections;    outcomes;    lung health;    bronchiectasis;    children;   

DOI  :  10.3389/fped.2015.00009

学科分类：儿科学

来源: Frontiers

【 摘 要 】

Relative to its substantial disease burden, lung health receives little attention worldwide compared with other conditions, which attract substantially more media attention and support from research funding bodies. Yet, pneumonia remains the most important cause of mortality and morbidity in young children globally (3, 4). By 2020, chronic obstructive pulmonary disease (COPD) is expected to be the third-ranked cause of mortality in the world (5). Moreover, COPD, thought previously to occur only in smokers, is recognized increasingly in non-smoking individuals (5, 6). Indeed, those with non-smoking-related COPD may have poorer clinical outcomes (higher hospitalizations for COPD and pneumonia) than smoking-related COPD (6). Non-smoking-related COPD is associated with childhood respiratory infections, as is bronchiectasis (7). The latter often goes under-recognized as 29–50% of people with severe COPD (8), and as many as 40% of patients with difficult to control asthma and chronic cough, have bronchiectasis (9).

【 授权许可】

CC BY