Chronic Obstructive Pulmonary Disease

Biography

Biography: Talant Sooronbaev

Abstract

COPD is very important problems, especially for highlanders. Particularly bad situation for COPD mortality among residents of high mountains, the mortality rate among the highlanders are 2-3 times higher than that among lowlanders, also a high prevalence of COPD among the highlanders than lowlanders. The distribution of patients by age showed an increase in the prevalence of COPD in patients older than 40 years to 25.4%. It is 4 times higher than the official statistics. Smoking is a major risk factor of COPD among highlanders, we found 60% male smokers. Indoor pollution is a very important reason for the development and progression of COPD among highlanders, especially for women and children. Each highlander’s family has large reserves of biomass (dung), which are the main fuel for heating and cooking. Noteworthy is the negative impact of smoke, when many highlanders use open fire for cooking. Also an important risk factor could be the smoke from cooking. We got interesting results, the frequency of respiratory symptoms in 2 times higher in families where they use of biomass than in families where they use of other fuels. What we can say about the clinical features of COPD in the inhabitants of the mountains. We observed a significant dyspnoea in highlanders with COPD, also in GOLD stages I and II. The quality of life of the mountain people with COPD was also worse than lowlanders. We also found a significant reduction in physical activity in highlanders with COPD. For 6 minutes, they could go much smaller distance than lowlanders. Thus, COPD is one of highly prevalent diseases of highlanders which causes high mortality. COPD in highlanders is severe and progressive. We have new approaches for the treatment of COPD in the highlands with oxygen therapy and other methods.