Arzu YorgancArzu YorgancııooğğluluTURKISH THORACIC SOCIETYTURKISH THORACIC SOCIETY

GARD Country Prerequisites

1. The situation of the surveillance, prevention and control of chronic respiratory diseases in the country is analysed (SITUATION ANALYSIS)

2. The Ministry of Health of the country is informed about GARD Country and invited to be involved with its development.

3. WHO Regional Office and WHO Representative in the country are informed about GARD Country and invited to be involved with its development

SITUATION ANALYSIS

Asthma

� Prevalance Children 2-15 %, Adult 2-5 % (3.87)

� MortalityAmong the first 20 diseaseUrban; in 20th rank 1.3 %. Rural; 20th rank in males (1.1%)

17th rank in females (1.5%)

6.2%

(HFA-DB, WHO- Europe)

Projection

The prevalence of COPD increased 2.75 times 0.08 to 0.22%

SMOKING(Risk Factor)

� 33.4 % of 18+ aged smoke(50.6% in males, 16.6%in females)

� Total number of cigarettes consumed in Turkey

37,506 mp (1970) 115,500 mp (2000)

overall increase of 207 %34 % in per capita cigarette consumption

SITUATION ANALYSIS

Chronic Airway Diseases in TChronic Airway Diseases in Tüürkiye ;rkiye ;

��Significant cause of death Significant cause of death ��Significant factor of burden of diseaseSignificant factor of burden of disease��COPD and smoking a special placeCOPD and smoking a special place

TTS GARD CommitteeTTS GARD Committee� GARD country coordinators (Haluk Türktaş, Arzu Yorgancıoğlu)� TTS Chair of Scientific Committee(Toros Selçuk)Representatives Of;� Turkish Board of Pneumology (Ali Kocabaş)� TTS Assembly of COPD (Lütfü Çöplü,Nurdan Köktürk)� TTS Assembly of Asthma and Allergy (Bilun Gemicioğlu)� TTS Assembly of Pediatric Pulmonology (Hasan Yüksel)� TTS Assembly of Chronic Care and Rehabilitation (Pınar Ergün)� TTS Assembly of Tobacco and Health (Şule Akçay)� TTS Assembly of Occupational and Enviromental Diseases(İbrahim Akkurt)

� University and training hospitals(Rıfat Özacar,Çiğdem Biber)

GARD Project in Turkey

A National Policy in Chronic Airway A National Policy in Chronic Airway Disease Disease

(Asthma and COPD)(Asthma and COPD)

AIMAIM��To avoid the development of chronic To avoid the development of chronic airway diseasesairway diseases

��To reduce the mortality and morbidityTo reduce the mortality and morbidity��To reduce the burden of diseases To reduce the burden of diseases (Social,economical)(Social,economical)

GARD Country GARD Country PrerequisitesPrerequisites

1.1. The situation of the surveillance, prevention The situation of the surveillance, prevention and control of chronic respiratory diseases and control of chronic respiratory diseases in the country is analysedin the country is analysed. .

2.2. The Ministry of Health of the country is The Ministry of Health of the country is informed about GARD Country and invited to informed about GARD Country and invited to be involved with its developmentbe involved with its development..

3.3. WHO Regional Office and WHO WHO Regional Office and WHO Representative in the country are informed Representative in the country are informed about GARD Country and invited to be about GARD Country and invited to be involved with its developmentinvolved with its development

GARD Country GARD Country PrerequisitesPrerequisites

1.1. The situation of the surveillance, prevention The situation of the surveillance, prevention and control of chronic respiratory diseases and control of chronic respiratory diseases in the country is analysed. in the country is analysed.

2.2. The Ministry of Health of the country is The Ministry of Health of the country is informed about GARD Country and invited to informed about GARD Country and invited to be involved with its development.be involved with its development.

3.3. WHO Regional Office and WHO WHO Regional Office and WHO Representative in the country are informed Representative in the country are informed about GARD Country and invited to be about GARD Country and invited to be involved with its developmentinvolved with its development

Next Steps1.1. Agreeing on a definition of allianceAgreeing on a definition of alliance2.2. Nominating the GARD Country CoordinatorNominating the GARD Country Coordinator3.3. Identifying other partnersIdentifying other partners4.4. Running an exploratory workshopRunning an exploratory workshop5.5. Defining the Terms of ReferenceDefining the Terms of Reference6.6. Defining the structureDefining the structure7.7. Identifying outcomesIdentifying outcomes

UNIVERSITY and NON-GOVERMENTAL ORGANIZATIONS (9)(9)

� TURKISH THORACIC SOCIETY� TURKISH NATIONAL SOCIETY of CLINICAL

ALLERGY and IMMUNOLOGY � TURKISH PHARMACISTS ASSOCIATION� THE SOCIETY of PUBLIC HEALTH � TURKISH SOCIETY of FAMILY PRACTIONER� THE SOCIETY of GENERAL PHYSICIANS� MEDICAL ONCOLOGY SOCIETY� TURKISH MEDICAL ASSOCIATION � TURKISH ASSOCIATION of MUNICIPALITIES

GOVERNMENTAL ORGANIZATONS

MINISTRY of HEALTH (15)

� GENERAL DIRECTORATE OF PRIMARY HEALTH CARE SERVICESDepartment of Non-communicable Diseases and Chronic Conditions(Respiratory System Diseases Unit)Department of Health Promotion

�GENERAL DIRECTORATE OF PHARMACEUTICALS AND PHARMACY�GENERAL DIRECTORATE OF CURATİVE SERVICES�GENERAL DIRECTORATE OF HEALTH EDUCATION�GEN.DIRECT. OF MATERNAL/CHILD HEALTH AND FAMILY PLANNNG�PERSONNEL GENERAL DIRECTORATE�STRATEGY DEVELOPMENT PRESIDENCY�EU COORDINATION DEPARTMENT�INFORMATION PROCESSING DEPARTMENT�CANCER CONTROL DEPARTMENT�TUBERCULOSİS CONTROL DEPARTMENT�REFİK SAYDAM HYGIENE CENTER PRESIDENCY�REFİK SAYDAM HYGIENE CENTER PRESIDENCY

SCHOOL OF PUBLIC HEALTH

OTHER GOVERMENTAL ORGANIZATONS (17)

�� MINISTRY of NATIONAL EDUCATIONMINISTRY of NATIONAL EDUCATION�� MINISTRY of INDUSTRY and COMMERCEMINISTRY of INDUSTRY and COMMERCE�� TURKISH STATISTICAL INSTITUTETURKISH STATISTICAL INSTITUTE�� MINISTRY of INTERIORMINISTRY of INTERIOR�� MINISTRY OF LABOUR AND SOCIAL SECURITYMINISTRY OF LABOUR AND SOCIAL SECURITY

-- SOCIAL SECURITY INSTITUTIONSOCIAL SECURITY INSTITUTION-- GENERAL DGENERAL DIIRECTORATE RECTORATE FOR OCCUPATIONAL HEALTH AND FOR OCCUPATIONAL HEALTH AND SAFETYSAFETY

�� MINISTRY OF ENVIRONMENT AND FORESTRYMINISTRY OF ENVIRONMENT AND FORESTRY�� MINISTRY of FINANCEMINISTRY of FINANCE�� MINISTRY of AGRICULTUREMINISTRY of AGRICULTURE�� GENERAL DIRECTORATE OF GENERAL DIRECTORATE OF YOUTH AND SPORTYOUTH AND SPORT�� TOBACCO, TOBACCO PRODUCTS AND ALCOHOLIC BEVERAGES TOBACCO, TOBACCO PRODUCTS AND ALCOHOLIC BEVERAGES

REGULATORY AUTHORREGULATORY AUTHORİİTYTY�� RADIO AND TELEVISION SUPREME COUNCILRADIO AND TELEVISION SUPREME COUNCIL�� GENERAL DGENERAL DIIRECTORATE OF TURKRECTORATE OF TURKIISH RADSH RADIIO AND TELEVO AND TELEVIISSIION ON

CORPORATCORPORATİİON ON �� The PRESIDENCY OF RELIGIOUS AFFAIRSThe PRESIDENCY OF RELIGIOUS AFFAIRS�� STATE PLANNING ORGANIZATIONSTATE PLANNING ORGANIZATION�� WORLD HEALTH ORGANIZATION (Regional representative)WORLD HEALTH ORGANIZATION (Regional representative)

COLLABORATING PARTIES

41

Next Steps1.1. Agreeing on a definition of allianceAgreeing on a definition of alliance2.2. Nominating the GARD Country CoordinatorNominating the GARD Country Coordinator3.3. Identifying other partnersIdentifying other partners4.4. Running an exploratory workshopRunning an exploratory workshop5.5. Defining the Terms of ReferenceDefining the Terms of Reference6.6. Defining the structureDefining the structure7.7. Identifying outcomesIdentifying outcomes

GARD TurkeyGeneralMeeting

GARD TÜRKİYEI.NATIONAL

GENERAL MEETING26 October 2007

ANKARA

CHAIRS and Rapporteurs

WORKING GROUPS

W1. The establishment of prevention/ control program and action plan against chronic airway disease

W2. Awareness and AdvocacyW3. Prevention of the development of diseaseW4. Early detection of diseases and prevention of

progressW5. Effective treatment of the diseases and

prevention of complication developmentW6. Monitoring the chronic diseases and the control

program evaluation

AIM Strategy Responsibl

eParty

Parties

ActivitiesPerformanceCriteria

Monitoring

and

evaluation

Dead LinesPlanning Application Monituring

C.6.1. Hastalık

yükü ve risk faktörlerini izlemek,

güvenilir veri elde etmeye

yönelik standart metodlar geliştirmek ve buna

uygun veri toplamak

C. 6. 1. 1. Ulusal ve uluslararasıverileri gözden geçirmek

1.Sağlık Bakanlığı, 2.STK’3.Üniversiteler4.TÜİK

Sağlık BakanlığıSTK’lar, Üniversi-teler, TÜİK

Sağlık BakanlığıÜniversi-teler

Sağlık Bakanlığı, Üniversiteler

1.Yayınlarıtoplamak, 2.Yayınlarıdeğerlendirmek, 3.Rapor hazırlamak(Bu çalışmalarda Dünya Sağlık Örgütü, OECD, EUROSTAT değerlendirdiği indikatörler ile uyumluluğun gözetilmesi “Health for All”kriterlerinin de göz önünde bulundurulması)

Çalışmaların tümüne ulaşmak

Altı ay sonra rapor tamamlanmışolmalıHaziran -Aralık 2008

C. 6. 1. 2. KOAH ve Astım’a özel prevalans ve insidans verilerinin toplanması

1. Sağlık Bakanlığı,2.Üniversiteler

Sağlık BakanlığıÜniversi-teler

Sağlık BakanlığıÜniversi-teler

Sağlık Bakanlığı,Üniversite-er

Ulusal çalışmalar, Sağlık Bakanlığının değişik hastalıklar için izleme kaynak verileri, koah için bold un çalışmaları, anketler, hastalıkların ekonomik yüklerinin hesaplanmasıve bu verilerin incelenmesi ve bir yöntem

Çalışmaların tümüne ulaşmak

Altı ay sonra rapor tamamlanmışolmalı

ACTION PLAN

GARD TURKEY EXECUTIVE COMMITTEE

• Haluk Türktaş Country coordinator

• Arzu Yorgancıoğlu Country coordinator

• Ömer Kalaycı Representative of AIS

• Bekir Keskinkılıç Representative of MoH

• Fehmi Aydınlı Representative of MoH

• Ali Kocabaş• Füsun Yıldız• Celal Karlıkaya• Dilşad Mungan• Pınar Ergün

PRESIDENTS OF THEWORKING GROUPS

GOsUniversity/NGOs

WorkingGroups

General CouncilThe Branch of

Respiratory Disease in MoH

Executive Committee

STRUCTURAL BODY

AGENDAREPORTING THE MEETING

DECEMBER 2007

CIRCULATING THE PARTIES

for CORRECTIONS MARCH 2008

ASSIGNMENT OF THE TERMS OF REFERENCE MAY-JUNE 2008

GARD COUNTRY LAUNCH

29 May 2008ISTANBUL

GARGARDDTURKEY LAUNCH TURKEY LAUNCH

29 May 200829 May 2008Istanbul, TurkIstanbul, Turkiyeiye

Expected Number of Deaths in Expected Number of Deaths in Turkey in 2010Turkey in 2010

COPDCOPD 4083140831ASTHMAASTHMA 33083308

Take your GARD

Against Respiratory Diseases