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- Title
Decline in Asthma Prevalence and Severity in Israel over a 10-Year Period.
- Authors
Cohen, Shlomo; Berkman, Neville; Avital, Avraham; Springer, Chaim; Kordoba, Levana; Haklai, Ziona; Eshel, Amram; Goldberg, Shmuel; Picard, Elie
- Abstract
Background: The prevalence of asthma has increased in western countries towards the end of the last century, but recently seems to have stabilized. Objective: To evaluate trends in the prevalence and severity of asthma that occurred in Israel over the past decade. Methods: The medical records of 17-year-old boys, eligible for national service, between 1999 and 2008 were reviewed. National annual hospitalization and death rates for asthma were extracted. Results: Three hundred thousand medical records were reviewed. During the study period, lifetime asthma prevalence decreased from 9.7 to 8.1% (p = 0.002). The point prevalence of moderate-to-severe and mild persistent asthma decreased significantly from 0.88 and 3.41% to 0.36 and 2.44%, respectively, during this period. The prevalence of intermittent asthma and asthma in clinical remission for more than 3 years did not change significantly. The annual hospitalization rate for asthma decreased from 13.0 to 7.5 per 10,000 population (p < 0.0001), whilst the annual death rate due to asthma decreased between 1999 and 2008 from 2.1 to 1.4 per 100,000 population (p = 0.003). Conclusions: The prevalence of asthma in Israeli teenage boys decreased significantly over the last decade. In addition, asthma hospitalization and asthma-related death rates in the total population also decreased. © 2014 S. Karger AG, Basel
- Subjects
ISRAEL; ADRENOCORTICAL hormones; AIR pollution; ALLERGENS; ASTHMA; REGRESSION analysis; TIME; DISEASE prevalence; SEVERITY of illness index; DATA analysis software
- Publication
Respiration, 2015, Vol 89, Issue 1, p27
- ISSN
0025-7931
- Publication type
Article
- DOI
10.1159/000368613