Vilnius Declaration on chronic respiratory diseases: multisectoral care pathways embedding guided self-management, mHeal
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Clinical and Translational Allergy Open Access
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Vilnius Declaration on chronic respiratory diseases: multisectoral care pathways embedding guided self‑management, mHealth and air pollution in chronic respiratory diseases A. Valiulis1,2, J. Bousquet3,4,5,6,7*, A. Veryga8, U. Suprun9, D. Sergeenko10, S. Cebotari11, D. Borelli12, S. Pietikainen13, J. Banys14, I. Agache15, N. E. Billo16, A. Bush17, I. Chkhaidze18, L. Dubey19, W. J. Fokkens20, J. Grigg21, T. Haahtela22, K. Julge23, O. Katilov24, N. Khaltaev25, M. Odemyr26, S. Palkonen26, R. Savli26, A. Utkus27,28, V. Vilc29, T. Alasevicius1,2, A. Bedbrook3, M. Bewick30, J. Chorostowska‑Wynimko31, E. Danila32, A. Hadjipanayis33, R. Karseladze34, V. Kvedariene35, E. Lesinskas36, L. Münter37, B. Samolinski38, S. Sargsyan39, B. Sitkauskiene40, D. Somekh41, L. Vaideliene42, A. Valiulis43 and P. W. Hellings6,44,45
Abstract Background: Over 1 billion people suffer from chronic respiratory diseases such as asthma, COPD, rhinitis and rhinosinusitis. They cause an enormous burden and are considered as major non-communicable diseases. Many patients are still uncontrolled and the cost of inaction is unacceptable. A meeting was held in Vilnius, Lithuania (March 23, 2018) under the patronage of the Ministry of Health and several scientific societies to propose multisectoral care pathways embedding guided self-management, mHealth and air pollution in selected chronic respiratory diseases (rhinitis, chronic rhinosinusitis, asthma and COPD). The meeting resulted in the Vilnius Declaration that was developed by the participants of the EU Summit on chronic respiratory diseases under the leadership of Euforea. Conclusion: The Vilnius Declaration represents an important step for the fight against air pollution in chronic respira‑ tory diseases globally and has a clear strategic relevance with regard to the EU Health Strategy as it will bring added value to the existing public health knowledge. Keywords: Air pollution, Asthma, Chronic respiratory diseases, Guidelines, Integrated care pathways, mHealth, Rhinitis, Vilnius Declaration Background: chronic respiratory diseases are major chronic diseases across the life cycle Over 1 billion people suffer from chronic respiratory diseases such as asthma, COPD, rhinitis and rhinosinusitis. Chronic respiratory diseases are major chronic diseases [1]. Asthma and allergic diseases occur along the life cycle from early childhood, affecting 30 million children and adults under 45 years of age in Europe. COPD *Correspondence: [email protected] 3 MACVIA-France, Fondation partenariale FMC VIA-LR, CHU Montpellier, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France Full list of author information is available at the end of the article
has an estimated annual death rate of over 4 million people globally. The annual costs due to asthma (direct costs, indirect costs and loss of productivity) in the EU are estimated at 72 b€ and those due to COPD at 142 b€ [2]. Work productivity loss due to rhinitis is estimated at 30–50 b€ [3]
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