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Clin Transl Allergy. 2019 Jan 28;9:7. doi: 10.1186/s13601-019-0242-2. eCollection 2019.

Vilnius Declaration on chronic respiratory diseases: multisectoral care pathways embedding guided self-management, mHealth and air pollution in chronic respiratory diseases.

Author information

1
1Department of Public Health, Clinic of Children's Diseases, and Institute of Health Sciences, Vilnius University Institute of Clinical Medicine, Vilnius, Lithuania.
2
European Academy of Paediatrics (EAP/UEMS-SP), Brussels, Belgium.
3
3MACVIA-France, Fondation partenariale FMC VIA-LR, CHU Montpellier, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France.
4
INSERM U 1168, VIMA : Ageing and Chronic Diseases Epidemiological and Public Health Approaches, Villejuif, France.
5
5UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France.
6
Euforea, Brussels, Belgium.
7
7Charité, Berlin, Germany.
8
Minister of Health, Vilnius, Lithuania.
9
Minister of Health, Kiev, Ukraine.
10
Minister of Labour, Health and Social Affairs, Tbilisi, Georgia.
11
Minister of Health, Labour and Social Protection, Chișinău, Moldova.
12
European Parliament, Perugia, Italy.
13
European Parliament, Helsinki, Finland.
14
Lithuianian Academy of Sciences, Vilnius, Lithuania.
15
15Faculty of Medicine, Transylvania University, Brasov, Romania.
16
Global Alliance Against Chronic Respiratory Diseases (GARD), Joensuu, Finland.
17
17Imperial College and Royal Brompton Hospital, London, UK.
18
18Department of Pediatrics, and Iashvili Central Children's Hospital, Tbilisi State Medical University, Tbilisi, Georgia.
19
19Faculty of Postgraduate Education, Lviv National Medical University by Danylo Halytsky, Lviv, Ukraine.
20
20Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands.
21
21Centre for Genomics and Child Health, Blizard Institute, Queen Mary University of London, London, UK.
22
22Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
23
23Children's Clinic, Tartu University Institute of Clinical Medicine, Tartu, Estonia.
24
Vinnytsa National Medical University by Mykola Pyrogov, Vinnytsa, Ukraine.
25
Global Alliance Against Chronic Respiratory Diseases (GARD-WHO), Geneva, Switzerland.
26
26European Federation of Allergy and Airways Diseases Patients' Associations (EFA), Brussels, Belgium.
27
27Department of Human and Medical Genetics, Institute of Biomedical Sciences, Vilnius University Faculty of Medicine, Vilnius, Lithuania.
28
Association of Medical Schools in Europe, Berlin, Germany.
29
State Institute of Phtysiopulmonology by Chiril Draganiuk, Chisinau, Moldova.
30
iQ4U Consultants Ltd, London, UK.
31
31Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland.
32
32Clinic of Chest Diseases, Immunology and Allergology, Centre of Pulmonology and Allergology, Institute of Clinical Medicine, Vilnius University Medical Faculty, Vilnius, Lithuania.
33
33Medical School, European University of Cyprus, Nicosia, Cyprus.
34
34Tbilisi State University Faculty of Medicine, Tbilisi, Georgia.
35
35Clinic of Infectious Chest Diseases, Dermatology and Allergology, Institute of Biomedical Sciences, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Vilnius, Lithuania.
36
36Clinic of ENT and Eye Diseases, Institute of Clinical Medicine, Vilnius University Medical Faculty, Vilnius, Lithuania.
37
Danish Commitee for Health Education, Copenhagen East, Denmark.
38
38Department of Prevention of Envinronmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.
39
39Institute of Child and Adolescent Health at Arabkir Medical Centre, Yerevan State Medical University, Yerevan, Armenia.
40
40Department of Immunology and Allergology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
41
European Health Futures Forum (EHFF), Dromahair, Ireland.
42
42Clinic of Children's Diseases, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
43
43Department of Rehabilitation, Physical and Sports Medicine, Institute of Health Sciences, Vilnius University Medical Faculty, Vilnius, Lithuania.
44
44Department of Otorhinolaryngology, University Hospital Leuven, Leuven, Belgium.
45
45Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Abstract

Background:

Over 1 billion people suffer from chronic respiratory diseases such as asthma, COPD, rhinitis and rhinosinusitis. They cause an enormous burden and are considered as major non-communicable diseases. Many patients are still uncontrolled and the cost of inaction is unacceptable. A meeting was held in Vilnius, Lithuania (March 23, 2018) under the patronage of the Ministry of Health and several scientific societies to propose multisectoral care pathways embedding guided self-management, mHealth and air pollution in selected chronic respiratory diseases (rhinitis, chronic rhinosinusitis, asthma and COPD). The meeting resulted in the Vilnius Declaration that was developed by the participants of the EU Summit on chronic respiratory diseases under the leadership of Euforea.

Conclusion:

The Vilnius Declaration represents an important step for the fight against air pollution in chronic respiratory diseases globally and has a clear strategic relevance with regard to the EU Health Strategy as it will bring added value to the existing public health knowledge.

KEYWORDS:

Air pollution; Asthma; Chronic respiratory diseases; Guidelines; Integrated care pathways; Rhinitis; Vilnius Declaration; mHealth

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