1. COPD Local Burden

2. 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 COPD is Underdiagnosed

4. Local Burden and Prevalence of COPD COPD is one of the top ten leading causes of mortality in the Philippines 1 Philippines (Manila): 3 rd highest prevalence of COPD stage II or higher in BOLD study 2 1 WHO Philippines Environmental Health Country Profile March 2005. 2 Buist SA, et al. Lancet 2007 3 Idolor LF, et al. Respirology.Oct 2011; 16 (7):1111-8. 4 Dantes, R. et al. Philippine BOLD Initiative Manuscript. Unpublished. CPG in the Diagnosis and Management of COPD in the Philippines 3 rd 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 age 4 Increased with increasing pack years in men 4

6. Risk Factors for COPD Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease. GOLD 2011 http://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

7. 1 Idolor 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 COPD 1 History of TB