Health Equity and Respiratory Diseases in Low- and Middle-Income Countries

Peter Jackson; Stella Zawedde Muyanja; Trishul Siddharthan

doi:10.1016/j.ccm.2023.03.015

Health Equity and Respiratory Diseases in Low- and Middle-Income Countries

Clin Chest Med. 2023 Sep;44(3):623-634. doi: 10.1016/j.ccm.2023.03.015. Epub 2023 May 8.

Authors

Peter Jackson¹, Stella Zawedde Muyanja², Trishul Siddharthan³

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Virginia Commonwealth University, 1200 East Broad Street, Box 980050, Richmond, VA 23298, USA.
² Infectious Diseases Institute, P.O. Box 22418, Kampala, Uganda.
³ Division of Pulmonary and Critical Care Medicine, University of Miami, 1951 Northwest 7th Avenue, Miami, FL 33136, USA. Electronic address: tsiddhar@miami.edu.

PMID: 37517840
DOI: 10.1016/j.ccm.2023.03.015

Abstract

Over 80% of the morbidity and mortality related to acute and chronic respiratory diseases occur in low- and middle-income countries (LMICs), a reflection of vast disparities in care for these conditions. Over the next decade, the prevalence of respiratory diseases is expected to increase, as population growth in LMICs exceeds high-income countries (HICs). Pediatric morbidity and mortality from lower respiratory tract infections and asthma occur almost exclusively in LMICs, contributing to a greater loss of quality adjusted life years from these conditions when compared with HICs.

Keywords: Asthma; Chest imaging; Chronic obstructive pulmonary disease; Low- and middle-income countries; Medication affordability; Pneumonia; Spirometry; Tuberculosis.

Publication types

Review

MeSH terms

Asthma* / epidemiology
Asthma* / therapy
Child
Developing Countries
Health Equity*
Humans
Prevalence
Respiration Disorders*