G.W.CanonicaG.W.Canonica

GARDGARDBejing, March 28-29, 2006Bejing, March 28-29, 2006

Project for Allergy DiagnosisProject for Allergy DiagnosisIn In

Emerging CountriesEmerging Countries

World Allergy Organization (WAO)

The World Allergy Organization is The World Allergy Organization is an international coalition of an international coalition of

7474 regional and national allergy and regional and national allergy and clinical immunology societies. clinical immunology societies.

• WAO recently promoted Surveys WAO recently promoted Surveys through its member societies:through its member societies:

1-APRES1-APRESAllergy PREvalence SurveyAllergy PREvalence Survey

2-GAPP2-GAPPGlobal Asthma Patient PhysicianGlobal Asthma Patient Physician

• Research among adults and their physicians was conducted in 16 countries16 countries including:

– North America: the U.S. and Canada– Northern Europe: Belgium, Germany, Ireland, The

Netherlands, Poland, Switzerland, the UK– Southern Europe: France, Italy, Spain– Pacific Rim: Australia and Japan– Other: Brazil, South Africa

• In total, 5,4825,482 interviews were conducted globally

• This reports represents 3,459 of those interviews that were conducted worldwide among two distinct respondent groups that pertain to the adult marketplace:

– 1,726 adults age 18+ diagnosed with asthma1,726 adults age 18+ diagnosed with asthma• Recruiting was accomplished via:

– Harris Interactive’s online panel– Physician referrals– Existing sample lists

– 1,733 physicians who treat adults1,733 physicians who treat adults• Including the following mix of physician types*:

– 916 generalists – 817 specialists

•Adult arm:Adult arm:

•Global report 2005; Global report 2005;

• 16 country reports16 country reports

•Pediatric armPediatric arm::

•Global report 2006; Global report 2006;

•9 Country reports9 Country reports

AAllergy llergy PREPREvalence valence SSurveyurvey

• A WAO document for publication in 2006 A WAO document for publication in 2006 based on the 2005 WAO member society based on the 2005 WAO member society survey survey

• Data on national prevalence of allergic Data on national prevalence of allergic diseases obtained from peer reviewed diseases obtained from peer reviewed publications and government figurespublications and government figures

• Reports on national prevalence of allergic Reports on national prevalence of allergic rhinitis, allergic asthma, atopic rhinitis, allergic asthma, atopic dermatitis, insect/hymenoptera, food, and dermatitis, insect/hymenoptera, food, and drug allergydrug allergy

10.0 20.0 30.0 40.0

Rhinitis

BangladeshAzerbaijan

PolandUSA

MexicoSpain

IcelandSerbia

IranRussiaCroatia

KoreaMongolia

SwizerlandGermanyRomania

TurkeyAustralia

ChileHungary

LatviaIndonesia

BrazilEgypt

BulgariaItaly

ParaguayUK

IndiaMacedoniaColombia

VenezuelaGreece

PhilippineSouth Africa

PortugalUkraine

Co

un

try

Allergic Rhinitis Prevalence (%)

10.0 20.0 30.0 40.0

Asthma

IcelandMongolia

ItalyAzerbaijanMacedonia

HungaryKorea

GermanyTurkeyPolandGreeceSerbia

CroatiaSpain

SwizerlandRomania

RussiaIndonesia

LatviaBulgaria

IranMexico

ColombiaUSA

South AfricaChile

EgyptBrazil

PortugalIndia

AustraliaPhilippineParaguay

BangladeshUK

VenezuelaUkraine

Co

un

try

Allergic Asthma Prevalence (%)

2.500 5.000 7.500 10.000 12.500

Drug allergy

Venezuela

Germany

Iran

Egypt

Turkey

Italy

Swizerland

Spain

Poland

Macedonia

Iceland

Co

un

try

Drug Allergy Drug Allergy Prevalence %Prevalence %

A response was obtained A response was obtained byby

more thenmore then6060

societiessocieties

AAllergy llergy PREPREvalence valence SSurveyurvey

Emerging Societies ProgramEmerging Societies Program

1-Meetings in different regions of the world1-Meetings in different regions of the world2-Educational programs2-Educational programs

3-Pollen traps to monitor allergens3-Pollen traps to monitor allergens

Survey on Allergy Diagnosis ProceduresSurvey on Allergy Diagnosis Procedures

Survey on Prevalence of AllergensSurvey on Prevalence of Allergens

Simple and cheap diagnostic testsSimple and cheap diagnostic testsdevelopmentdevelopment

Project on Allergy Diagnosis Project on Allergy Diagnosis

in in GARDGARD

1st STEP 1st STEP AA

Circulate a questionnaireCirculate a questionnaire to all WAO member societies to all WAO member societies

to collect data about theto collect data about the diagnostic proceduresdiagnostic procedures

used in the country/regionused in the country/region

1st STEP 1st STEP BB

Circulate a questionnaireCirculate a questionnaire to all WAO member societies to all WAO member societies

to collect data about to collect data about the Most Relevant Allergensthe Most Relevant Allergens

In the country/regionIn the country/region

On the basis of step 1 On the basis of step 1 AA and 1 and 1 B B surveyssurveys

A simple and cheap tool A simple and cheap tool (such as a skin multitest)(such as a skin multitest)

may be developedmay be developedon the basis of regional needson the basis of regional needs

EXAMPLESEXAMPLES

PRESENT COSTPRESENT COST<2 USD<2 USDa testa test

Project on Allergy Diagnosis Project on Allergy Diagnosis inin

GARDGARDA useful and inexpensive tool A useful and inexpensive tool

may become accessiblemay become accessibleto regions/countries whereto regions/countries where

Allergy DiagnosisAllergy Diagnosisis not (or poorly) presently performedis not (or poorly) presently performed

Further Initiativesmay be developed