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COPD Chronic obstructive pulmonary disease By Espen Gavin and Zabihulla Mirzai What is COPD? • Chronic obstructive pulmonary disease • Syptoms - Dyspnea (Ex. Activity) - Emphysema - Sleep apnea - Chronic coughing with mucus - Chest pressure • Reasons • Smoking • Polluted air Diagnosis • Spirometry and other tests Severity of COPD (GOLD scale) FEV1 % predicted Mild (GOLD 1) ≥80 Moderate (GOLD 2) 50–79 Severe (GOLD 3) 30–49 Very severe (GOLD 4) <30 or chronic respiratory failure symptoms • COPD vs Asthma Norwegian and international Statistics • About 370 000 people • 4-10% of worlds population (8-20% in South America) • Women more exposed then men • WHO (4th on ranking) – 2020 (3rd) Restrictions from government • • • • • • • • • Total smoking ban in public spaces (Also restaurants) – 2004 National free COPD number Increase awareness of COPD in the population Strengthen the focus on preventive measures against smoking amongst adolescents Smoke-free schools Training of primary health care physician such as GPs to advice patients on how to quit smoking. Routine documentation of smoking habits in patient records Tobacco tax (0,4 USD per cigarette) 4,5 Billion NOK each year! (797 million USD/494 million GBP) “Treatment” “Once you go black, you never go back!” Medications There are easier ways to kill yourself than smoking! Sources • • • • • • • http://www.fhi.no/eway/default.aspx?pid=233&trg=MainLeft_5670&MainArea_5661=5670: 0:15,3102:1:0:0:::0:0&MainLeft_5670=5544:55604::1:5675:2:::0:0 http://en.wikipedia.org/wiki/Chronic_obstructive_pulmonary_disease#Signs_and_symptoms http://lancastria.net/blog/wp-content/uploads/2011/05/COPD.jpg http://www.lhl.no/no/om-lhl/organisasjonen-lhl/presentasjoner/presentasjon-av-lhlslikemannsarbeid411/ http://www.childrensdayton.org/image/ial/images/883/883_image.gif http://www.apotek1.no/lunger-og-luftveier/kols http://www.copd.com/treating/index.html