Air Pollution Air Pollution & your health& your health

Boehringer IngelheimBoehringer IngelheimMohammed AL-TawiLMohammed AL-TawiL

Air pollution and its’ effect on our body Air pollution and its’ effect on our body

Air Pollution RisksAir Pollution Risks

Many risks including:Many risks including:

Heart disease Heart disease Throat disease Throat disease Lung cancer Lung cancer Shortness of breath & Chronic coughing Shortness of breath & Chronic coughing COPDCOPD ? ?

One of the main One of the main problems of Air problems of Air

pollution ispollution is

COPDCOPD……

ImpairmentImpairment DisabilityDisability HandicapHandicap

The Impact of a Chronic Disease

Witek TJ. Respir Care Clin North Am (1999)

Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998

00

0.50.5

1.01.0

1.51.5

2.02.0

2.52.5

3.03.0

Proportion of 1965 Rate Proportion of 1965 Rate

1965 - 19981965 - 1998 1965 - 19981965 - 1998 1965 - 19981965 - 1998 1965 - 19981965 - 1998 1965 - 19981965 - 1998

–59%–59% –64%–64% –35%–35% +163%+163% –7%–7%

CoronaryHeart

Disease

CoronaryHeart

Disease

StrokeStroke Other CVDOther CVD COPDCOPD All OtherCauses

All OtherCauses

Burden Of DiseasesBurden Of Diseases

COPD has a Profound Impact on Health-Related Quality of LifeCOPD has a Profound Impact on Health-Related Quality of Life

PF = Physical Functioning; RP = Role-Physical; BP = Body Pain; GH = General Health; VT = Vitality; SF = Social Functioning; RE = Role-Emotional; MH = Mental Health

30

40

50

60

70

80

90

PF RP BP GH VT SF RE MH

SF-36 Scale

SF

-36 S

co

re

Norm (Age 65-74)

COPD (Baseline US)

Impact of COPD on HRQOL (SF-36™)Impact of COPD on HRQOL (SF-36™)

11.0%

9.1%

8.5%

6.8%

6.8%

4.5%

3.7%

0% 2% 4% 6% 8% 10% 12%

Italy

Spain (IBERPOC)

Japan (NICE)

US (NHANES III)

Hong Kong

Norway

Denmark

11.0%

9.1%

8.5%

6.8%

6.8%

4.5%

3.7%

0% 2% 4% 6% 8% 10% 12%

Italy

Spain (IBERPOC)

Japan (NICE)

US (NHANES III)

Hong Kong

Norway

Denmark

Rates of COPD per 100 adultsRates of COPD per 100 adults

Refs: Viegi, 2000; Pena, 2000; Fukuchi, 2001; Mannino, 2000; Woo, 1988; Bakke, 1991; Lange, 1989

COPD is Prevalent Throughout the WorldCOPD is Prevalent Throughout the World

-80

-60

-40

-20

0

20

40

60

80

100

COPD Ischemic HeartDisease

Stroke Depression Tuberculosis RespiratoryInfections

Chan

ge in

glo

bal D

ALYs

19

90-2

020

(%)

-80

-60

-40

-20

0

20

40

60

80

100

COPD Ischemic HeartDisease

Stroke Depression Tuberculosis RespiratoryInfections

Chan

ge in

glo

bal D

ALYs

19

90-2

020

(%)

Ref: Murray & Lopez, 1996. DALY = Disability adjusted life-year.

COPD is growing faster than many major global causes of COPD is growing faster than many major global causes of disease-related disabilitydisease-related disability

The Rise of COPD as a Cause of DisabilityThe Rise of COPD as a Cause of Disability

Please Help me ….Please Help me ….

Pollution inJordanian main citiesIs killing

me

Questions ? Questions ?

Thank youThank you