Finnish Allergy Programme time to act and change the course

Transcription

1 Finnish Allergy Programme time to act and change the course Erkka Valovirta, M.D.Ph.D., Turku, Finland Allergy Programme Working Group: Tari Haahtela Jan Lindgren Leena v Hertzen Satu Lähteinen Mika Mäkelä Pertti Paakkinen Matti Hannuksela Juha Pekkanen Marika Erhola Anne Pietinalho Minna Kaila Anneli Pouta Ritva Kauppinen Elina Toskala Lola Killström Outi Vaarala Timo Klaukka Erkka Valovirta Krista Korhonen Erkki Vartiainen Antti Lauerma Petra Vidgren Haahtela et al Allergy 2008; 63:

2 Finnish Allergy Programme time to act and change the course Erkka Valovirta, M.D.Ph.D., Turku, Finland Allergy Programme Working Group: Haahtela et al Allergy 2008; 63: Tari Haahtela Jan Lindgren Leena v Hertzen Satu Lähteinen Mika Mäkelä Pertti Paakkinen Matti Hannuksela Juha Pekkanen Marika Erhola Anne Pietinalho Minna Kaila Anneli Pouta Ritva Kauppinen Elina Toskala Lola Killström Outi Vaarala Timo Klaukka Erkka Valovirta Krista Korhonen Erkki Vartiainen Antti Lauerma Petra Vidgren Editorial In Allergy, A new day has begun J Bousquet et al

3 CRD Programmes in Finland approved by Ministry of Social Affairs and Health Asthma Programme COPD Programme Stop Tuberculosis Programme Sleep Apnea Programme PAL Programme in Kyrgyzstan

4 29 March 2006 Allergy Programme in progression Ministry of Social Affairs and Health nominates an Advisory Board to evaluate the latest scientific data 28 March2007 IPH nominates the Allergy Programme Working Group to plan the Allergy Programme Spring 2007 Fall 2007 Programme planning Defining goals, tools, measures Spring 2008 Programme launching 3 April 2008 (1. phase starts: )

5 Allergy Programme in progression Spring 2008 Programme launching 3 April 2008 (1.phase starts) Spring 2008 spring 2009 Implementation to health care, professional societies and NGOs starts Spring 2008 Year Implementation to patients and population 1. phase ends 2. phase, day-care, schools 3. phase, evaluation

6 Allergy Programme organization Programme Working Group (22 persons) Secretariat (4 persons) Project workers - Project leader (half-time) - Project worker (full-time) - Medical advisor (MD, half-time) informants, educators Funding Finland s Slot Machine Association Ministry of Social Affairs and Health National Public Health Institute NGOs: Filha, Allergy & Asthma Federation, Pulmonary Association Heli

7 Allergy Programme Goals Prevent allergies Prevelences of asthma, allergic rhinitis and atopic dermatitis reduce by 20 % 2. Increase tolerance to allergens in the population Avoidance diets to foods decrease by 50 % 3. Improve allergy diagnostics All central hospitals have a quality-certified allergy-testing centre/lab 4. Reduce work related allergies Their number reduces by 50 % 5. Use resources to treat severe allergies and reduce exacerbations Good Allergy Care is employed all over the country and asthma exacerbations are reduced by 40 % 6. Reduce costs caused by allergies Cost reduction by 20 %

8 Networking is the key to successful implementation! Asthma Responsible General Practitioners, N = 200 Asthma Nurses, N = 580 Asthma Pharmacists, N = 695 (94 % of the Pharmacies participated) Asthma Nurses at Healthy Baby Clinics (n= 805; 99% of babies visiting regurlarly since birth up to 7 yrs of age) => 2280 in total Population of 5,3 million

9 Working strategy Filha, ALL, Heli initiate and maintain the working strategy The ultimate goal: All stakeholders are actively working and promoting the programme from spring 2008 Entire HCS Schools Daycare centres Relevant professional bodies Scientific societies Education for HCPs in co-operation with County Governments and Central Hospital Districts by Filha Population and patients by Heli and ALL Education will take place in own locales of HC during the normal office hours as a part of the regular educational programmes

10 First Action: Information and Education to Central Hospital Districts (n=21) Seinäjoki, 22 April 2008 HUS, Espoo,Jorvi 21 May HUS, Lohja 22 May Helsinki, 24 September Jyväskylä, 1 October Rovaniemi, 9 October Porvoo, 22 Octber Lahti, 29 October Tampere, 30 October Kuopio, 5 November Mikkkeli, 19 November Kajaani, 10 December Joensuu, 11 December In total 30 until May 2009

11 Allergy Programme: Main messages 1. Endorse health, not allergy. 2. Strengthen tolerance. 3. Adopt a new attitude to allergy. Avoid allergens only if mandatory. 4. Recognize and treat severe allergies early. Prevent exacerbations. 5. Improve indoor air quality. Stop smoking.

12 GARD Country: GARD Finland founded May 22, Members: Ministry of Social Affairs and Health Institute of Public Health Filha, Finnish Lung Health Association Finnish Pediatric Society, Allergy Section Finnish Society of Allergology and Clinical Immunology Skin and Allergy Hospital, Univ. Of Helsinki - Country Coordinators: - Organisational Coordinator: Jan Lingren, Secretary General, Filha - Advisor Coordinator: Erkka Valovirta, Allergy Project Medical Advisor, Filha