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Handbook of Healthcare in the Arab World pp 1–40Cite as

Chronic Respiratory Diseases in the Arab World

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Abstract

Chronic respiratory diseases represent a great challenge for public health policies in the Arab world. Chronic obstructive pulmonary disease (COPD) is a common disease, and smoking is of epidemic proportions in the Arab world. Available treatments and local guidelines are almost the same as those used internationally, but the accessibility and affordability of drugs, diagnostic instruments, and other treatment tools need improvement, especially for spirometry. A focus on the particularities of COPD in the Arab world is needed, such as water pipe smoking, indoor biomass exposure, and war-related risk factors. Maternal water pipe smoking and incense burning are associated with increased asthma risk.

The asthma prevalence in the Arab world is estimated at around 8%. Passive and active smoking, outdoor and indoor pollution, and exposure to house dust mites constitute the main risk factors. Despite the availability of national guidelines in several countries, management is often inadequate. Diagnosis in clinical and lung function tests is not carried out systematically. Wars and conflicts impact asthma patients negatively because of alterations in the environment, difficulty of access to drugs and equipment, and the stress of war conditions.

Children and adolescents are particularly vulnerable. There is a misconception about treatments for asthma and COPD, such as a fear of inhalers, and social stigma reduces parents’ compliance with treatment protocols. The quality of life of young asthma patients is altered by lack of education in their families. Parents, teachers, and peers should be involved in educational programs, as suggested by promising data from pilot studies.

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Authors and Affiliations

  1. National Center for Research on Chronic Respiratory Diseases, Collaborating with WHO-EMRO-GARD, Tishreen University, Lattakia, Syria

    Yousser Mohammad

  2. Syrian Private University, Daraa, Syria

    Yousser Mohammad

  3. St George Hospital University Medical Center, Balamand University, Beirut, Lebanon

    Mirna Waked

  4. Department of Paediatric Respiratory Diseases, Abderrahmen Mami Hospital, Ariana, Tunisia

    Agnes Hamzaoui

  5. Tunis Medicine School, Tunis El Manar University, Tunis, Tunisia

    Agnes Hamzaoui

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  1. Yousser Mohammad
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  2. Mirna Waked
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  3. Agnes Hamzaoui
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Correspondence to Yousser Mohammad .

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Editors and Affiliations

  1. Dept. Pharmacology Therapeutics, University of British Colombia Dept. Pharmacology Therapeutics, VANCOUVER, BC, Canada

    Ismail Laher

Section Editor information

  1. Pulmonary, Tishreen University And Syrian Private University, Lattakia, Syria

    Yousser Mohammad

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Mohammad, Y., Waked, M., Hamzaoui, A. (2019). Chronic Respiratory Diseases in the Arab World. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_127-1

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