1. www.globalasthmareport.org Funded by The Union

2. Designed for Global Asthma Report 2014  Government ministers  Policy makers  Health authorities  Health professionals  Patient organisations  People living with asthma

3. Asthma can be a terrible disease Global Asthma Report 2014: Headlines  People with asthma struggle to breathe  Asthma is a big cause of disability at all ages  Asthma emergencies fill hospitals  People can die  334 million people have asthma

4. Asthma can be a terrible disease Global Asthma Report 2014: Headlines and there are effective essential asthma medicines and management programmes which can control asthma well and reduce the burden

5. Economies suffer because of asthma Global Asthma Report 2014: Headlines  Children miss school  Adults can’t work  Many adults don’t work effectively  Serious loss of productivity  Asthma costs are huge  Europe €19 billion for 2011  USA $56 billion for 2007  These costs may be severely underestimated

6. Economies suffer because of asthma Global Asthma Report 2014: Headlines and this can be changed by good asthma management available to all people with asthma

7. Effective essential asthma medicines* aren’t reaching people Global Asthma Report 2014: Headlines Asthma inhalers are commonly o not manufactured properly o not available o too expensive *salbutamol (reliever) inhaled corticosteroids (preventer)

8. Effective essential asthma medicines aren’t reaching people Global Asthma Report 2014: Headlines and this can be changed, so essential asthma inhalers are o quality-assured o available to all o affordable for all

9. Asthma is seriously neglected Global Asthma Report 2014: Headlines  other diseases ‘fashionable’  ‘invisible’ compared with obesity, stroke, cancer etc  big gaps in asthma data  no WHO monitoring programme  scandal that economic burden is so high but attention is not being given

10. Asthma is seriously neglected Global Asthma Report 2014: Headlines and this can be changed by  higher awareness of asthma  national asthma strategies  standard case management  more data and monitoring  advocacy for change  higher on national and global priorities

11. Packed full with information and solutions

12. 16 specific recommendations to WHO, governments, health authorities and health professionals

13. Global Asthma Network: 280 centres in 120 countries

14. The Global Asthma Network  will close the data gaps  will improve asthma management  will continue advocacy  will reduce asthma suffering  needs sustainable funding www.globalasthmanetwork.org

15. What happens in asthma? © GAN

16. Part One: The Burden of Asthma Global Asthma Report 2014: Contents  The Global Burden of Disease due to Asthma  Hospital Admissions Due to Asthma  Asthma Mortality  Wheezing in infants  The Economic Burden of Asthma  Factors Affecting Asthma

17. Prevalence of asthma symptoms in 13-14 year olds (ISAAC) 2000-2003

18. Prevalence of asthma symptoms in 18 to 45 year olds (WHO) 2002-2003

19. Burden of disease (disability adjusted life years DALYs)

20. Asthma deaths all ages

21. Asthma is made worse by Global Asthma Report 2014: Headlines  Tobacco smoking  Second-hand tobacco smoke  Occupational exposures

22. Part Two: Management of Asthma and Capacity Building Global Asthma Report 2014: Contents  National Asthma Strategies (new survey results)  Asthma Management Guidelines (new survey results)  Access to Quality-Assured, Affordable Asthma Medicines (new survey results)  Quality of Inhalers  Asthma Management in Low-Income Countries  Short Courses Relevant to Asthma Research and Policy

23. Quality of asthma inhalers Global Asthma Report 2014: Headlines  Asthma inhalers are complex devices which require accurate manufacturing  Quality should never be compromised in the search for affordably-priced medicines

24. Global Asthma Report 2014: Key Recommendation  add essential asthma medicines to their Prequalification Programme  promote the standardisation of the dosages of active ingredients in combined inhalers  harmonise quality requirements for inhalers across international reference documents such as the pharmacopoeias WHO and asthma inhalers

25. Access to quality-assured, affordable essential asthma medicines Global Asthma Report 2014: Headlines  Quality-assured essential asthma medicines are not available to many people with asthma  Many countries do not have them on national reimbursement lists or essential medicines lists  Guaranteed access to these medicines is vital to improving asthma outcomes

26. Part Three: Asthma – a Global Priority Global Asthma Report 2014: Contents  Asthma as a Lung Health Priority in Low- and Middle-Income Countries  Asthma as an NCD Priority

27. Access to asthma care Global Asthma Report 2014: Headlines  Reduce under-diagnosis of asthma  Asthma education  Standard case management

28. Asthma is a hugely neglected public health and ‘development’ problem in the world which could be solved Global Asthma Report 2014: Headlines  Political commitment and action are required urgently  Asthma medicines need to be affordable  Raise awareness and priority of asthma  More data are needed