COPD Local Burden

Population Prevalence of GOLD Stage I and Stage II & Doctor Diagnosed COPD in Manila , Philippines

Source: BOLD Study, 2007;Dantes R et al. Philippine BOLD Initiative Manuscript

Men Women All

20%

9%

14%

19%

7%

12%

3% 2% 2%

GOLD 1 GOLD ll Doctor Diagnosed

COPD is Underdiagnosed

Local Burden and Prevalence of COPD COPD is one of the top ten leading causes of

mortality in the Philippines1

Philippines (Manila): 3rd highest prevalence of COPD stage II or higher in BOLD study2

1WHO Philippines Environmental Health Country Profile March 2005. 2Buist SA, et al. Lancet 2007 3Idolor LF, et al. Respirology.Oct 2011; 16 (7):1111-8. 4Dantes, R. et al. Philippine BOLD Initiative Manuscript. Unpublished. CPG in the Diagnosis and Management of COPD in the Philippines 3rd Update 2008 version.

COPD Prevalence in the Philippines

GOLD Stage I or higher

GOLD Stage II or higher

Urban (Manila)2 13.8% 12.5%

Rural (Nueva Ecija)3 20.8% 16.7%

Men (19.6 %) > Women (8.6%) 4

Prevalence increased with age4

Increased with increasing pack years in men4

Risk Factors for COPD

Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease. GOLD 2011http://legacy.owensboro.kctcs.edu/gcaplan/anat2/notes/Image189.gif

Tobacco Smoke

Occupational dust and chemicals

Indoor and Outdoor Air pollution

• Genes• Age/Gender• Socioeconomic Status• Lung growth and development• Infection, Asthma, Chronic Bronchitis

1Idolor LF, et al. Respirology. Oct 2011; 16 (7):1111-8. http://legacy.owensboro.kctcs.edu/gcaplan/anat2/notes/Image189.gif

Tobacco Smoke

Use of firewood for cooking

Working on a farm

Risk Factors for COPD1

History of TB