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Asthma Management Handbook 2006
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Contents
Introduction
Levels of evidence
Asthma: the basic facts
Diagnosis in adults
Diagnosis in children
Principles of drug therapy
Drugs and devices
Acute asthma
Managing exacerbations
Complementary medicine
Diet and asthma
Asthma and allergy
Ongoing care
Smoking and asthma
COPD and asthma
Exercise-induced asthma
Occupational asthma
Pregnancy and asthma
Asthma in the elderly
Other comorbidities
Prevention
Appendices
References
Errata

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Asthma: Basic facts

Asthma in Australia

Over 2.2 million Australians have currently diagnosed asthma.1 

The prevalence of asthma in Australia is relatively high, by international standards:1
- 14-16% of children (one in six)
- 10-12% of adults (one in nine)

More boys than girls have asthma. However, after teenage years, asthma is more common in women than in men.1  

Asthma is more common among Indigenous Australians, particularly adults, than among other Australians.1  

There is a strong link between asthma and allergy: more than 80%of people with asthma have evidence of allergic sensitisation.2  

Atopy is strongly associated with asthma that persists beyond the first 6 years of life.3,4  

The presence of other allergic disorders (eczema or allergic rhinitis) or parental history of atopy are risk factors for persistent asthma at 6 years.5  

Atopy is also a risk factor for hospitalisation for asthma, as are frequent respiratory symptoms, airway hyperresponsiveness and reduced lung function.6

Children aged 0 to 4 years are the group that most commonly visits general practitioners or emergency departments or is hospitalised for asthma.1   

Among pre-school and primary age children, rates of hospital visits for asthma are highest in February.1 

Around 40% of children who have asthma live with smokers and are likely to be exposed to passive smoke.1

Despite the known additional health risks, just as many people with asthma smoke as people without asthma.1  

People with asthma report poorer general health and quality of life than people without asthma.1

More people with asthma suffer from anxiety and depression than people without asthma.1

A greater proportion of people with asthma had days away from work or study in the last two weeks (11.4%) than people without asthma (7.9%) preceding a survey.1  

Poorly controlled asthma restricts participation in normal physical and social activities. 

The risk of dying from asthma is highest in the elderly; however, asthma deaths occur in all age groups.1  

In 2005, 318 people died from asthma - the latest figures.8  

Asthma deaths are more common among those living in less well-off localities in Australia.1  

However, education, together with self-monitoring, appropriate drug therapy, regular medical review and an written asthma action plan, reduces morbidity and mortality.7,9  

Most people with asthma lead normal lives and can participate competitively in sport. Many of Australia's leading sportsmen and women have asthma.7  

 

Content Created (Thursday, 16 November 2006)

Last Updated ( Thursday, 31 May 2007 )
 
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