Global Lung Health: An American Thoracic Society Perspective

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Global Lung Health An American Thoracic Society
Perspective

• 8th Annual CongressTurkish Thoracic Society
• Sharon Rounds, MD
• President, American Thoracic Society
• Professor of Medicine
• Brown Medical School

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Global Lung Health An ATS Perspective

• Tell you a little bit about the American Thoracic
  Society
• ATS approach to global lung health
• Strategic Partnerships as a means of working
  together to improve lung health.
• Example TB
• Future challenges for global partnerships

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What is the ATS?

• A scientific and professional society dedicated
  to advancing pulmonary/critical care/sleep
  medicine
• 13,500 members
• Membership 25 international
• Annual conference 40 international attendees
• Three journals 50 of submitted manuscripts
  from international authors
• Strong commitment to international lung health,
  consistent with mission and membership

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What is the ATS?
Science
Caring
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Who is the ATS?
Science
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ATS is 100 years old!
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2004-05 ATS Centennial Slogan
100 Years of Advances in Treatment and Science of
Lung Diseases
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100 Years of ATS
1955
1905
2005
Independent Organization
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100 Years of Advances in Treatment and Science of
Lung Diseases
1955
1905
2005
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ATS Science and Public Policy for Patient Care
and Public Health
Science
Public Policy
Patient Care
Public Health
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ATS International Agenda Principles

• ATS has the opportunity and responsibility to
  improve world lung health.
• ATS should work with other international
  societies with which we have shared goals.
• ATS must meet the needs of its international
  members.

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ATS International Agenda Principles

• Consistent with Societys strategic objectives
  in
• Research
• Education
• Patient care
• Advocacy

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ATS Approach to Improving Global Lung Health

• Expertise of members
• Strategic Partnerships
• Advocacy
• Education
• Research

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ATS and Global Lung HealthStrengths of
Membership

• Broad base of disciplines
• Geographic diversity
• Strong commitment by members to the organization
• Strong scientific base
• Structure that facilitates participation and
  innovation

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ATS Approach to Improving Global Lung Health

• Expertise of Members
• Strategic Partnerships
• Advocacy
• Education
• Research

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ATS and Global Lung HealthStrategic Partnerships

• Forum of International Respiratory Societies
  (FIRS)
• Stop TB Partnership
• World Health Organization
• Global Alliance Against Respiratory Diseases
  (GARD)
• Global Initiative for Asthma (GINA)
• Global Initiative for Chronic Obstructive
• Lung Disease (GOLD)
• Tuberculosis Consortium for Technical
• Assistance (TBCTA)

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Forum of International Respiratory Societies
(FIRS)

• ACCP, ALAT/ULASTER, APSR, IUATLD, ERS, ATS
• Secretariat in Lausanne at ERS headquarters
• Working Groups
• Pulmonary Effects of Biomass Fuel
• Framework Convention on Tobacco Control
• Pulmonary Function Testing in Low Income
• Countries
• Practical Approach to Lung Health (PAL)

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Global Alliance Against Respiratory Disease (GARD)

• Partnership (Alliance) based at WHO
  Non-communicable Diseases Mental Health
  Chronic Respiratory Diseases and Arthritis
• Focus on chronic respiratory diseases (including
  allergy), especially asthma COPD
• Three components-surveillance, prevention,
  management (in line with WHO strategy)
• 34 organizations have signed letters of agreement

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ATS Approach to Improving Global Lung Health

• Expertise of Members
• Strategic Partnerships
• Advocacy
• Education
• Research

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TB is still with us
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ATS as a Public-Minded Organization TB as an
Example

• ATS began with the Sanatorium movement for TB
• Public health departments in all counties
• Formation of a national TB control program
• Joint statements with CDC on TB control
• Successful advocacy for funding for domestic TB
  control
• Funding for TB research and training
• Funding for international TB control
• Advocacy for WHO TB program
• International Standards for TB Care

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ATS is a Founding Partner of the Stop TB
Partnership
"Our vision is a TB free world The first
children born this millennium will see TB
eliminated in their lifetime" Stop TB is a
global movement to accelerate social and
political action to stop the unnecessary spread
of tuberculosis around the world.

• www.stoptb.org

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ATS Involvement in Stop TB Partnership Working
Groups
ATS
ATS
ATS
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International Standards for TB Care

• Funded by USAID / TBCTA (IUATLD, KNCV, WHO, CDC,
  ATS)
• Goal is to develop a set of essential standards
• that are applicable to all providers
• Cochairs Mario Raviglione (Director WHO Stop TB
  Dept) and Phil Hopewell (ATS)
• Coordinated by ATS
• Steering Committee of 28 members from 14
  countries

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ATS Approach to Improving Global Lung Health

• Expertise of Members
• Strategic partnerships
• Advocacy
• Education
• Research

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Methods in Epidemiology, Clinical, and Operations
Research

• Build capacity for public health research
• Courses in Latin America for past 11 years
• Well-established, successful model of very
  intensive 1-week, hands-on courses, gt200
  graduates in 10 countries
• 42 graduates with presentations at ATS
  International Conference in San Diego

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Methods in Epidemiology, Clinical, and Operations
Research

• Interest of other societies in partnering with
  ATS to conduct locally adapted courses
• ERS- Eastern Europe
• Indian Chest Society and National College of
  Chest Physicians
• South Africa Thoracic Society

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ATS Approach to Improving Global Lung Health

• Expertise of Members
• Strategic Partnerships
• Advocacy
• Education
• Research

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ATS and Research for Global Lung Health

• ATS International Conference
• ATS Journals
• AJRCCM
• AJRCMB
• PATS
• ATS research program
• Advocacy for research funding

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Partnerships and Global Lung Health

• Strategic partnerships are the ATS approach to
  improving global lung health.
• Leverage resources through partnerships
• More effective and appropriate practice
  guidelines
• Expand outreach globally
• Help to develop research, education, and public
  health capacity where needed

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Challenges for Global Partnerships

• Develop world Awareness of lung diseases
• Advocacy for improved prevention and care at
  local and country level
• Advocacy for research
• Develop practice guidelines
• Adapt practice guidelines for local conditions
• Implement best practices
• Improve lung health care

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Thank you very much for your attention. See you
in San Diego!