G.W.CanonicaG.W.Canonica
GARDGARDBejing, March 28-29, 2006Bejing, March 28-29, 2006
Project for Allergy DiagnosisProject for Allergy DiagnosisIn In
Emerging CountriesEmerging Countries
World Allergy Organization (WAO)
The World Allergy Organization is The World Allergy Organization is an international coalition of an international coalition of
7474 regional and national allergy and regional and national allergy and clinical immunology societies. clinical immunology societies.
• WAO recently promoted Surveys WAO recently promoted Surveys through its member societies:through its member societies:
1-APRES1-APRESAllergy PREvalence SurveyAllergy PREvalence Survey
2-GAPP2-GAPPGlobal Asthma Patient PhysicianGlobal Asthma Patient Physician
• Research among adults and their physicians was conducted in 16 countries16 countries including:
– North America: the U.S. and Canada– Northern Europe: Belgium, Germany, Ireland, The
Netherlands, Poland, Switzerland, the UK– Southern Europe: France, Italy, Spain– Pacific Rim: Australia and Japan– Other: Brazil, South Africa
• In total, 5,4825,482 interviews were conducted globally
• This reports represents 3,459 of those interviews that were conducted worldwide among two distinct respondent groups that pertain to the adult marketplace:
– 1,726 adults age 18+ diagnosed with asthma1,726 adults age 18+ diagnosed with asthma• Recruiting was accomplished via:
– Harris Interactive’s online panel– Physician referrals– Existing sample lists
– 1,733 physicians who treat adults1,733 physicians who treat adults• Including the following mix of physician types*:
– 916 generalists – 817 specialists
•Adult arm:Adult arm:
•Global report 2005; Global report 2005;
• 16 country reports16 country reports
•Pediatric armPediatric arm::
•Global report 2006; Global report 2006;
•9 Country reports9 Country reports
AAllergy llergy PREPREvalence valence SSurveyurvey
• A WAO document for publication in 2006 A WAO document for publication in 2006 based on the 2005 WAO member society based on the 2005 WAO member society survey survey
• Data on national prevalence of allergic Data on national prevalence of allergic diseases obtained from peer reviewed diseases obtained from peer reviewed publications and government figurespublications and government figures
• Reports on national prevalence of allergic Reports on national prevalence of allergic rhinitis, allergic asthma, atopic rhinitis, allergic asthma, atopic dermatitis, insect/hymenoptera, food, and dermatitis, insect/hymenoptera, food, and drug allergydrug allergy
10.0 20.0 30.0 40.0
Rhinitis
BangladeshAzerbaijan
PolandUSA
MexicoSpain
IcelandSerbia
IranRussiaCroatia
KoreaMongolia
SwizerlandGermanyRomania
TurkeyAustralia
ChileHungary
LatviaIndonesia
BrazilEgypt
BulgariaItaly
ParaguayUK
IndiaMacedoniaColombia
VenezuelaGreece
PhilippineSouth Africa
PortugalUkraine
Co
un
try
Allergic Rhinitis Prevalence (%)
10.0 20.0 30.0 40.0
Asthma
IcelandMongolia
ItalyAzerbaijanMacedonia
HungaryKorea
GermanyTurkeyPolandGreeceSerbia
CroatiaSpain
SwizerlandRomania
RussiaIndonesia
LatviaBulgaria
IranMexico
ColombiaUSA
South AfricaChile
EgyptBrazil
PortugalIndia
AustraliaPhilippineParaguay
BangladeshUK
VenezuelaUkraine
Co
un
try
Allergic Asthma Prevalence (%)
2.500 5.000 7.500 10.000 12.500
Drug allergy
Venezuela
Germany
Iran
Egypt
Turkey
Italy
Swizerland
Spain
Poland
Macedonia
Iceland
Co
un
try
Drug Allergy Drug Allergy Prevalence %Prevalence %
A response was obtained A response was obtained byby
more thenmore then6060
societiessocieties
AAllergy llergy PREPREvalence valence SSurveyurvey
Emerging Societies ProgramEmerging Societies Program
1-Meetings in different regions of the world1-Meetings in different regions of the world2-Educational programs2-Educational programs
3-Pollen traps to monitor allergens3-Pollen traps to monitor allergens
Survey on Allergy Diagnosis ProceduresSurvey on Allergy Diagnosis Procedures
Survey on Prevalence of AllergensSurvey on Prevalence of Allergens
Simple and cheap diagnostic testsSimple and cheap diagnostic testsdevelopmentdevelopment
Project on Allergy Diagnosis Project on Allergy Diagnosis
in in GARDGARD
1st STEP 1st STEP AA
Circulate a questionnaireCirculate a questionnaire to all WAO member societies to all WAO member societies
to collect data about theto collect data about the diagnostic proceduresdiagnostic procedures
used in the country/regionused in the country/region
1st STEP 1st STEP BB
Circulate a questionnaireCirculate a questionnaire to all WAO member societies to all WAO member societies
to collect data about to collect data about the Most Relevant Allergensthe Most Relevant Allergens
In the country/regionIn the country/region
On the basis of step 1 On the basis of step 1 AA and 1 and 1 B B surveyssurveys
A simple and cheap tool A simple and cheap tool (such as a skin multitest)(such as a skin multitest)
may be developedmay be developedon the basis of regional needson the basis of regional needs
EXAMPLESEXAMPLES
PRESENT COSTPRESENT COST<2 USD<2 USDa testa test
Project on Allergy Diagnosis Project on Allergy Diagnosis inin
GARDGARDA useful and inexpensive tool A useful and inexpensive tool
may become accessiblemay become accessibleto regions/countries whereto regions/countries where
Allergy DiagnosisAllergy Diagnosisis not (or poorly) presently performedis not (or poorly) presently performed
Further Initiativesmay be developed