Chronic obstructive pulmonary disease (COPD) is a chronic condition that is less well known in France, affecting 8% of the population, or 3.5 million patients. The Greater East has been very concerned since, after Hauts-de-France, this region was most affected by this chronic disease affecting the bronchi and lungs. The Moselle is "the French department that has the highest mortality by BCPO in the period 2001-2013, with 20.4 deaths per 100,000 inhabitants," read in the Grand Est 2018 -2027 regional health project document which makes it a public health priority. Every year in France, 18,000 people die.
Tobacco use is responsible for this disease in 90% of cases. Other risk factors include certain occupational exposures (iron and steel industry, mining, construction, agriculture, etc.) and genetic causes: "The potential role of atmospheric pollution, especially inland pollution, is also highlighted", explains Dr Anne Guillaumot, pulmonologist at the University Hospital of Nancy.
Symptoms are often underestimated
On November 21, COPD World Day will be held to raise public awareness about untreated diseases that are progressively and irreversibly shrinking bronchial size. Therefore the importance of early diagnosis. Before shortness of breath with effort, first symptoms of COPD, dangerous, often attacked, regret Dr Anne Guillaumot. But "coughing every day or recurrent bronchitis" is a warning sign that should not be taken lightly and requires consultation. Remember the main risk of chronic obstructive pulmonary disease: respiratory failure.
Screening for COPD consists of a breath test. There are three types of treatments: quit smoking of course; drug therapy with bronchodilators to reduce symptoms and improve the quality of life of patients; and respiratory rehabilitation to improve sports performance, "an important treatment component," recalled Dr Anne Guillaumot.
Pulmonologist Nancy also emphasizes the role of physical activity in the management of this disease, and its role as a preventive measure.