ABS76: Establishing allergy and asthma services de novo in a developing country

Abstract

Introduction:

Allergic diseases and asthma are rapidly increasing in prevalence all over the world. This is true even in developing countries, where these subjects are a new concept, and there is hardly any awareness at all levels of society, and also medical education regarding the diagnosis, treatment and other aspects are lacking. Allergy is a very peculiar subject, in that the diagnosis and management varies considerably from place to place, dependingon the climate, the flora, the environment, and a host of other factors. It requires a comprehensive knowledge of the local conditions before one can plan or execute preventative or therapeutic measures. The Primary Care Physician is the most important tool in planning a comprehensive strategy to affect these illnesses which may affect up to 40% of a country's population.

Methods, strategies & outcomes: 1. Creating awareness about the signs and symptoms of allergic disease at all levels of society, including especially the health care personnel. Addressing stigmata and taboos specially.

2. Finding the major respiratory allergens and their seasons or timings of prevalence.

3. Establishing aero-allergen identification and counting facilities.

4. Production of high quality allergen extracts and specific allergy diagnosis and treatment facilities.

5. Establishing “best practices” in light of the local conditions, per capita income, affordability and availability of various therapeutic options.

6. Training of all levels of educators, health care providers, planners and administrators.

7. Establishing contacts and liaison with international agencies, and improve the services.

Conflict of interest and funding

None.