GARD – Slovak experience

Ladislav Chovan

Department of pneumology and phtisiology

Slovak Medical University

Univeristy Hospital Bratislava

Pneumology and phthisiology…?

Pneumology

and phthisiologyPneumology

and phthisiology

Myocardial infarction

� Acute event

� Risk of fatality

� Influencing following

course of disease

� Effective treatment

available – also for

secondary prevention

Exacerbation of COPD

� Acute event

� Risk of fatality

� Influencing following

course f the disease

� Effective treatment

available – also for

secondray prevention

Cardiology vs PaF

Development of selected

pulmonary diseases in the period

2001-2004

Number Change

2001 2006

COPD 54801 91433 + 78%

Asthma 47854 69971 + 46%

Fibriosis 2826 1884 + 50%

Mortality for COPD in Slovakia

0

2

4

6

8

10

12

14

16

18

1997 1998 1999 2000 2001 2002 2003

Structure of cases of invalidity in 2005

Respiratory

49,23%

Gastrointestinal

5,91%

Injuries

6,47%

Other diseases

18,78%

Musculoskeletal

6,47%

GOVERMENTAL DOCUMENT OF SRGOVERMENTAL DOCUMENT OF SR

Overall mortality for respiratory

diseases in Slovakia

• 60-70/100 000

(exceeding the average of European Union)

1645

621

342

0

200

400

600

800

1000

1200

1400

1600

1800

Examined Confirmed

COPD

Newly

diagnosed

COPD

Prevalence of COPD in risk exposure

(37,8%)(37,8%)

(20,8%)(20,8%)

Lung cancer

• Mortality: about 2000 persons a year

• 85% diagnosed in late, inoperable

stage

• Incidence in Slovakia: 70/100 th. M

12/100 th. F

Incidence of TB 2006 - Europe

World Health Organization

Regional Office for Europe

< 10

10-24

25-49

50-99

> 100

Range of rates (per 100 000)

0,0

20,0

40,0

60,0

80,0

100,0

120,0

140,0

160,0

180,0

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

TB Slovakia 1960-2005

Incidence in 2005 – 732 cases (13,6/100 000)

Task forces for Slovak GARD

(SARD)

• Identification (quite satisfactorily)

• Measures:

Antismoking campaign (40% people from the

age of 17 smoke; 2/3 regularly)

LTOT (1200 oxygenators needed, 800 in use)

Home care for chronically diseased

Funds

ThankThankThank youyouyou forforfor youryouryour attentionattentionattention