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COPD is forcasted to be the 3rd leading cause of death worldwide between
2020 and 20301,2. Currently in the United Kindgdom it is placed at number 4. We have a particular problem
with COPD prevalence and exacerbations in Southampton City PCT. In Southampton City PCT we have been highlighted
as the only hotspot for COPD on the whole of the South Coast in a recent report published by the British Lung Foundation3.
This is due to a combination of high smoking prevalence and poverty. We have also been highlighted as an area where substantial
improvement in diagnosis and management is necessary in a recent document from SEPHO4.
1. Murray C. J. L. and Lopez A. D (1997). Mortality by cause for eight regions
of the world: Global Burden of Disease Study. The Lancet (349) 1269-1276
2. WHO statistics
3. Invisible Lives: Chronic
Obstructive Pulmonary Disease (COPD) finding the missing millions. BLF (2007)
4. Clinical Standards Indicators in South Central Report
6. Chronic Obstructive Pulmonary Disease (COPD) SEPHO (May 2009)
This web site and the presentation attached to it will help you with
the diagnosis of COPD, the discrimination between COPD and asthma, and the management of stable and acute disease. Please use the navigation links on the left side of each page to access all
areas.
A website designed for patients wanting to know more about their condition is now active at www.copdeducation.org.uk/patients
The new NICE guidelines for COPD were published recently and can be found at http://www.nice.org.uk/article.asp?a=91784. The major changes in this document concern pharmacotherapy (which do not differ much from local guidlines) and spirometry
which differ significantly from previous versions; there are now 4 clinical stages all of which are based on post bronchodilator
FEV1. The National Strategy for COPD should be formally published late this summer, the consultation document can be found
at:
http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/MediaCentre/Pressreleasesarchive/DH_113007
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Dr Simon Charles Bourne Respiratory Consultant and Lead for COPD MP810 Level F South Academic Block Southampton
General Hospital Tremona Road Southampton SO16 6YD 02380 798781
Please feeback any comments you may have about this site to the above e-mail address. Thank you.
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