By Mohammad Ghazal
AMMAN — Everyone in the chest clinic in Jabal Amman noticed that Adnan Mohammad was having great difficulty in breathing. Whenever he took a breath his shoulders instinctively arched up. With his palms resting on his knees, Mohammad would pause for a moment to retain his composure before exhaling slowly.
As a patient diagnosed in the advanced stage of chronic obstructive pulmonary disease (COPD), which causes airflow obstruction and breathing-related problems, Mohammad, 75, now struggles to do the simplest of tasks.
“For almost five years now I have been unable to do any activity,” said the patient, a smoker since the age of 15.
“I can no longer walk upstairs any more, I can’t do any of the activities I used to enjoy such as working on my car. I can’t do anything without getting short of breath.”
According to the Global Burden of Disease Study (GBD), conducted under the auspices of the World Health Organisation (WHO) and the World Bank, the worldwide prevalence of COPD in 2002 was estimated to be 11.6/1,000 in men and 8.77/1,000 in women.
The GBD study estimated that in 2002 COPD resulted in a total of 2.75 million deaths globally, representing 4.8 per cent of all recorded deaths.
Since Mohammad retired from his job at the Jordan Phosphate Mines Company 14 years ago, his condition has steadily deteriorated.
His doctor, Abdul Rahman Anani, said Mohammad first came to his clinic four years ago complaining of coughing and a bad chest, believing these symptoms were normal for someone who had been smoking all his adult life.
“Almost every smoker in the world believes it is normal to cough, wheeze, get short of breath and produce more phlegm,” said Anani, a pulmonary diseases specialist.
But these are the symptoms of COPD, the fourth leading cause of death in the world, the doctor explained.
By 2020, the disease is set to become the third leading cause of death, according to the WHO.
By the time Mohammad had his first diagnosis, said Anani, almost 60 per cent of his lungs were irreversibly destroyed, which the doctor described as typical of COPD sufferers.
Anani said the late detection rate is due to a number of factors, including a lack of awareness on the part of both sufferers and physicians, who often fail to detect the disease in its early stages.
“Though I was smoking for more than 50 years I had never heard about this disease. I thought the coughing and wheezing was normal, but almost five years ago the coughing became painful, it was then I decided to go to the doctor,” Mohammad explained.
In a recent speech at a scientific seminar, organised by the Boehringer Ingelheim Pharmaceutical Company, Anani claimed that “around 20 per cent of smokers are likely to be infected with COPD and 90 per cent of COPD patients are previous smokers.”
“I advise every smoker aged 40 and above to undergo a spirometry test because the possibility that they have COPD is great,” Anani said.
The prevalence of COPD is highest in countries where cigarette smoking has been, or still is, very common, according to the WHO website. Jordan is one such country.
Abu Rumman, director of the Chest Diseases Department at the Ministry of Health, confirmed that there are currently no studies on the prevalence of COPD in the Kingdom.
However, the ministry estimates that 10 per cent of the population suffer from pulmonary diseases, of which 4 per cent suffer from COPD.
According to Ministry of Health figures, around one-third of the Kingdom’s 5.5 million population are smokers.
Director of the ministry’s Anti-Smoking Department, Heba Ayyub, said 50 per cent of males over the age of 25 are smokers, while the proportion of females smoking in the same age group is 18 per cent, which she said is probably far higher as women tend to conceal their habit.
Moreover, 34 per cent of children aged between 13-15 smoke cigarettes and other tobacco products such as the hubble-bubble, she said.
In an attempt to highlight the disease and increase early detection rates, Abu Rumman said the ministry is currently compiling an information booklet, which will be distributed to the Kingdom’s 1,000 healthcare centres next year.
The booklet is designed to upgrade the diagnosis skills of doctors and raise awareness among smokers.
When Mohammad and many other sufferers began smoking no such information was available.
“I wish I knew about it because it would have been easy to stop it since I was not a heavy smoker in the beginning,” Mohammad said.
When asked by The Jordan Times whether he now warns others against the dangers of smoking, Mohammad replied: “There is no need to say it in words, they just have to look at me to know where smoking is taking them.”
What is COPD?
* COPD is a slowly progressive disease of the airways characterised by a gradual loss of lung function. It usually occurs as a result of cumulative exposure to tobacco smoke, occupational dusts or vapours, and indoor or outdoor air pollution.
* COPD is usually not diagnosed until it is clinically apparent and moderately advanced.
* Almost 90 per cent of people with COPD are previous smokers.
* Morbidity due to COPD increases with age and is greater in men than women.
Symptoms
* These can range from chronic cough and sputum production to severe disabling shortness of breath.
Therapy
* The first step to recovery is to quit smoking.
* There is no 100 per cent recovery and each patient needs his/her own treatment depending on the severity of the case.
* Therapy includes inhalers that dilate the bronchioles, antibiotics and the flu vaccine.
* In severe cases when the lungs are completely destroyed a lung transplant is essential.
Source: www.who.int
Via Jordan Times
Very disturbing eh?I don’t blame the tobacco industry because I know they do it for money, I blame smokers who in addition to gaining nothing, they lose a lot. And nobody can force a smoker to quit, he has to do it himself, which is sad.
Tags: Quit smoking, Smoking