Gina Country Focused Activities: GINA Global Strategy For Asthma Management and Prevention

GINA COUNTRY FOCUSED
ACTIVITIES
GINA Global Strategy for Asthma

Management and Prevention
© Global Initiative for Asthma

GINA structure
Board of Directors
Chair: Søren Pedersen, MD
Dissemination & Implementation

Science Committee
Committee
Chair: Helen Reddel, MBBS PhD
Chair: L-P Boulet, MD
GINA ASSEMBLY
GINA 2017 © Global Initiative for Asthma

GINA Board of Directors 2016
 Søren Pedersen, Denmark, Chair

 Eric Bateman, South Africa
 Louis-Philippe Boulet, Canada
 Alvaro Cruz, Brazil
 J Mark FitzGerald, Canada
 Hiromasa Inoue, Japan
 Mark Levy, United Kingdom
 Jiangtao Lin, China
 Paul O'Byrne, Canada
 Helen Reddel, Australia
 Stanley Szefler, USA
 Arzu Yorgancioglu, Turkey

GINA Science Committee 2016
 Helen Reddel, Australia, Chair

 Leonard Bacharier, USA
 Eric Bateman, South Africa
 Allan Becker, Canada
 Roland Buhl, Germany
 Johan de Jongste, The Netherlands
 J. Mark FitzGerald, Canada
 Hiromasa Inoue, Japan
 Fanny Wai-san Ko, Hong Kong
 Jerry Krishnan, USA
 Paul O'Byrne, Canada
 Soren Pedersen, Denmark
 Emilio Pizzichini, Brazil
 Stanley J. Szefler, USA

ASSEMBLY
Abdallah El Meziane MD G.W. Wong Louise Giles Raj B. Singh MD
Alvaro Cruz Gustavo > Rodrigo MD Maia Gotua MD Rekha Chaudhuri MD
Amnon Ariel MD Guy Joos, MD Manuel Soto Renaud LOUIS
Aziz Koleilat MD Kıvılcım Oğuzülgen Mark Levy MD Professor Richard Beasley
Carlos Adrian Jimenez Hugo Neffen Meir Raz MD Rohini V. Chowglue MD
Chau Ngo Quy Javaid A. Khan MD Michiko Haida Dr Ron Tomlins
Christian Virchow MD Jean Sauveur Uwitonze Mihaela Oros MD Sy Duong-Quy MD
Damilya Nugmanova Jeyaindran Sinnadurai MD Mohammad Osman Yusuf MD T.K. Lim MD
Daniela Petrova MD Jiangtao Lin Mohammed Al Ghobain MD Tari Haahtela MD

Todor A. Popov MD
Dashtsered Ichinnorov MD Jing-Long Huang MD Mona El-Falaki MD
Vaclav Spicak MD
Dr. Oyunchimeg MD Joaquin Sastre MD Mostafizur Rahman
Eshanth Perera Carlos Robalo Cordeiro Nan San Zhong MD Vibeke Backer MD
Essel Rockson Ken Ohta MD Patrick Manning MD Dr. Vicente Plaza
Eva Mantzouranis MD KS Jung MD Petr Pohunek MD Wan Tan
Ewa Nizankowska Ladislav Chovan MD Pierluigi Paggiaro MD Wan-Cheng Tan MD
Faisal Unus Lexley M Pinto Pereira MD Louise Giles
Frantisel Salajka MD Leyla Sedighipour MD Dr. R. Narasimhan 69

Frode Gallefoss MD Lkhagvaa Battur MD Rafael Stemach
TEMPLATE
COUNTRY
GINA Assembly Member Name
Contact Details
(e-mail, GSM, address)
When did you start activities that support the GINA Objectives ?
How would you describe your work as a GINA leader in your country?
Do you and/or does your work in asthma have any association with;
a. National Allergy society
b. National Respiratory society (Pediatric/Adult)
c. National Primary Care Society
in your country?
If yes, Please describe briefly
Please choose which of these are used in your country:
a. Your own National Guideline
b. The GINA Strategy document
c. Both National Guideline and GINA Strategy
Do you and/or does your work about asthma have any relationship or contact with national or regional government in
your country ?
If yes please describe briefly
Have you participated in GINA assembly meetings held during ATS and ERS conferences?
If so, which years ?
Are there any barriers to your attending ?
Please summarize your activities relating to asthma and GINA in 2017
and your plans for 2018 ?
(you may append another document but please no more than a half/page)
Please describe shortly the barriers to asthma management you face in your country
What are your expectations from the GINA Board? How may it be of assistance to you in your efforts described above?
Do you use the Dissemination and Implementation tools available on GINA website?
Would you like to become or remain a member of the GINA Assembly ?
If NOT , please suggest someone from your country that might like to take up this role, and provide his/her email address?
REPLIES
COUNTRY
15(1) /69
ARGENTINA Hugo Eduardo Neffen
BELGIUM Renaud Louis
BRAZIL Rafael Stelmach
DENMARK Vibeke Backer
EGYPT Mona El Falaki,
GEORGIA Maia Gotua
INDONESIA Faisal Yunus
LEBANON Aziz Koleilat
NEW ZEALAND Letitia O’Dwyer
KAZAKHSTAN Damilya Nugmanova
PAKISTAN Javaid Khan
ROMANIA Mihaltan Florin Dumitru, Ruxandra Ulmeanu

Diana Deleanu, Oros Mihaela
SPAIN Vicente Plaza
TURKEY İpek Kıvılcım Oğuzülgen
VIETNAM Lan Le Thi Tuyet, Sy Duong-Quy

ASSEMBLY MEMBER UPDATE
Aziz Koleilat Vicente Plaza İ.Kıvılcım Oğuzülgen

Lebanon Spain Turkey
Le Thi Tuyet Lan Rafael Stelmach Maia Gouta

Vietnam Brazil Georgia

ARGENTINA
COUNTRY Argentina
GINA Assembly Member Hugo Eduardo Neffen
Name
Contact Details hugoneffen@gmail.com
(e-mail, GSM, address) Irigoyen Freyre 2670 (3000) –Santa Fe, Argentina (cel.+5493424327770)
When did you start activities that support the GINA Objectives ? A Worshop was carried out on December 1995 in Buenos Aires with the participation of 4 members of the
GINA Board (Tim Clark, Leo Fabbri, Martyn Partridge, Ronald Dahl). Thirty pulmonologists and
allergologists participated from 4 different countries (Chile, Paraguy, Uruguay and Argentina).
How would you describe your work as a GINA leader in your country? The first activity was the dissemination of a broad systematic and intensive national educational program
based on GINA guidelines, which was implemented in Argentina from 1996 to 1999 and reached 10000
family doctors, pediatricians and primary care physicians from all over the country. It focused mainly on
early diagnosis and therapeutic recommendations to achieve a better asthma control and to reduce asthma
morbidity and mortality. This educational program was carried out together with allergologists and
pulmonologists.
Four consecutive marathons (1999-2002) were organized in Buenos Aires (Argentina) under the slogan
“For a better breathing” with more than 2000 participants each year.
World asthma day: different activities have been organized toghether with the AAAeIC and the AAMR to
celebrate this day.
Do you and/or does your work in asthma have any association with; The educational program was carried outh with the support of the Argentine Association of Allergology
a. National Allergy society and Clinical Immunology and the Argentine Association of Respiratoy Medicine.
b. National Respiratory society (Pediatric/Adult) We developed symposia and educational activities during congresses organized by National Primary Care
c. National Primary Care Society Societies.
in your country?
Please choose which of these are used in your country: In Argentina we use the GINA Strategy document for adults and children.
a. Your own National Guideline In the field of pediatricians, moreover, the Argentine Association of Pediatrics published a guideline for
b. The GINA Strategy document pediatric asthma which is in accordance with the GINA guidelines.
Do you and/or does your work about asthma have any relationship or contact with national or Since we started working in 1995, we had several meetings with national and provincial ministries to get
regional government in your country ? them involved in National Programs based on GINA document to reduce asthma morbidity and mortality.
If yes please describe briefly Fortunately, in 2014 we succedded since the National Ministry of Health launched a National Program for
the Control of Chronic Respiratory Diseases (CRD). It includes asthma and COPD to reduce CRD in the
adult population in Argentina by strengthening the capacity of healthcare services to detect and manage
CRD and improving access to treatment.
In 2018, the National Ministry of Health, as part of this National Program, is going to launch the zero
asthma mortality campaign in the 5-39 age group (~40 deaths/year). With this aim, the cause of death,
level of exacerbations, quality of care, and previous patient’s therapy during the two previous years are
assessed to specifically target them.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? I have participated in most GINA assembly meetings held during ATS or ERS conferences since its
If so, which years ? constitution.

ARGENTINA cont.
Please summarize your activities relating to asthma and GINA in 2017 2017:
and your plans for 2018 ? World Asthma Day:
(you may append another document but please no more than a half/page) Activities carried out in different cities of Argentina including free-of-charge spirometries
Pre-meeting course for primary care physicians during the AAAeIC meeting under the auspicies of
GINA and the National Ministry of Health.
Dissemination of GINA guidelines through lectures during regional meetings of allergy and
immunology
2018:
World Asthma Day: we are planning activities together with the Argentina Association of Allergy
and Clinical Immunology (AAAeIC) and the Argentine Association of Respiratory Medicine
(AAMR).
Posgradute Education Course on Asthma during the Argentine Federation of Family and General
Medicine (October)
Conferences about the 25th anniversary of GINA during the annual meetings organized by the
AAAeIC and the AAMR.
As a member of the advisory committee of the National Program for the Control of Chronic
Respiratory Diseases (CRD), I will continue working for the inclusion of GINA guideline
recommendations in all the educational material for primary care physicians and patients
distributed at public health services by the National Ministry of Health
Please describe shortly the barriers to asthma management you face in your country Some of the barriers to asthma management in my country are:
Access to medication; access to health services; and patient underestimation of disease severity; lack
of knowledge of guidelines by primary care physicians, pediatricians and clinicians; and lack of
spirometers to assess patients in public healths services
What are your expectations from the GINA Board? How may it be of assistance to you in your efforts GINA Board members always update us about scientific changes in the GINA guidelines and future
described above? activities and goals during GINA Assemblies. I expect they will continue working in this way.
Do you use the Dissemination and Implementation tools available on GINA website? I use the dissemination and implementation tools available on GINA website.
Would you like to become or remain a member of the GINA Assembly ? I would like to remain a member of the GINA Assembly.
If NOT , please suggest someone from your country that might like to take up this role, and provide
his/her email address?

BELGIUM
COUNTRY Belgium
GINA Assembly Member Name: LOUIS
Name First Name: Renaud
Contact Details r.louis@chu.ulg.ac.be
When did you start activities that support the GINA Objectives ? 2004
How would you describe your work as a GINA leader in your country? Promoting change in the conception of asthma management
Do you and/or does your work in asthma have any association with; National respiratory Society
in your country?
Please choose which of these are used in your country: GINA startegy Document
Do you and/or does your work about asthma have any relationship or contact with national or Research supported by a fedral grant
regional government in your country ?
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes
Please summarize your activities relating to asthma and GINA in 2017
and your plans for 2018 ?
Please describe shortly the barriers to asthma management you face in your country Difficulty in incorporating the the new strategies to phenotype asthma in care path
What are your expectations from the GINA Board? How may it be of assistance to you in your To better recognise the heterogeneity of airway diseases and to support the theory of treatable trait
efforts described above?
Do you use the Dissemination and Implementation tools available on GINA website? Yes when teaching students
Would you like to become or remain a member of the GINA Assembly ? Yes
If NOT , please suggest someone from your country that might like to take up this role, and
provide his/her email address?

BRAZIL
COUNTRY BRAZIL
GINA Assembly Member RAFAEL STELMACH
Name
Contact Details rafael.stelmach@incor.usp.br and/or
(e-mail, GSM, address) rafastdr@gmail.com
+5511999535724
Manoel da Nobrega st. 572/apt 42; Sao Paulo/SP; Brazil; ZIP 04001002
When did you start activities that support the GINA Objectives ? January, 2010
How would you describe your work as a GINA leader in your country? Challenging but grateful; unfortunately with difficult to gather more active collaborators; more
successful when changing action target to patients and their families; more implementation science
is needed
Do you and/or does your work in asthma have any association with; Yes, but very few. Pointless. Erratic. More related to Medical Education
a. National Allergy society Societys are focused to theirs members needs, not to the society ones.
b. National Respiratory society (Pediatric/Adult) They do not like to work in collaboration
c. National Primary Care Society Regional Societies (we have many of them) are more friendly and open to collaboration; Sao Paulo
in your country? State Punlomonology Society is one example
Please choose which of these are used in your country: c) Both
Do you and/or does your work about asthma have any relationship or contact with national or Yes, with some municipalities (cities). Few, I should say. Our National Healrh System is organized
regional government in your country ? at cities. Some actions was donne with regional levels (States)
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes, especially ERS Conferences ones (all of them in the last years). Last ATS I attended was in
If so, which years ? Denver
Are there any barriers to your attending ? Financial Support; nowdays more and more difficulty to get; we are far from USA and Europe!
Please summarize your activities relating to asthma and GINA in 2017 2017: our focus since 2016 was/is the Facebook, Youtube and Instagran: Educational Videos, Posts
and your plans for 2018 ? and GIFs: “death for asthma never more”; “zero tolerance with asthma attacks; Almost 10 million
(you may append another document but please no more than a half/page) interactions; 12k followers; Asthmatics in Brazil Group (750 members). See #GINANOBRASIL,
and WWW.GINANOBRASIL.ORG.BR
2018: Patient emporwerment to asthma care; the 2nd edition media campaing on “death for asthma
never more”
Please describe shortly the barriers to asthma management you face in your country Communication around the Country with different local cultures and social demographic realities
(poverty); no regular medicines availability; low support of MOH to asthma and chronic respiratory
diseases
What are your expectations from the GINA Board? How may it be of assistance to you in your Extent and enhance implemenation actions; translate GINA Report to usfefull tools; make
efforts described above? availalable in much more languages
Do you use the Dissemination and Implementation tools available on GINA website? No. Language barriers
Would you like to become or remain a member of the GINA Assembly ? Yes. At least more 1 or 2 years
DENMARK
COUNTRY Deanmark
GINA Assembly Member
Name Vibeke Backer
Contact Details backer@dadlnet.dk
(e-mail, GSM, address) +4551212033
When did you start activities that support the GINA Objectives ? Year 2000
How would you describe your work as a GINA leader in your country? Teaching using the stepwise approch in treatment, disease management and assessment.
Including local guidelines.
Do you and/or does your work in asthma have any association with;
a. National Allergy society a) yes
b. National Respiratory society (Pediatric/Adult) b) yes – local guidelines ect
c. National Primary Care Society c) no
in your country?
a. Your own National Guideline a) gudelines and teaching
b. The GINA Strategy document b) I would like to be part of the strategy group
Do you and/or does your work about asthma have any relationship or contact with national or Yes the national respiratory society have access to the goverment.
regional government in your country ? Furthermore, I also work tightly with the patients organizations whom have contact with the
If yes please describe briefly goverment.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes, both ATS and ERS
If so, which years ? Many times
Please summarize your activities relating to asthma and GINA in 2017 Continue for workning on the issue of airway inflammation and the treatment strategies when
and your plans for 2018 ? having low level of EOS.
Please describe shortly the barriers to asthma management you face in your country One size fits all, versus personalised treatment
What are your expectations from the GINA Board? How may it be of assistance to you in your Be more personlised treatment based that as for to day
Do you use the Dissemination and Implementation tools available on GINA website? No

EGYPT
COUNTRY Egypt
GINA Assembly Member Prof.Mona El Falaki, MD
Name Professor of Pediatri Allergy and Pulmonology, Cairo University.
Head of the Pediatric Allergy and Pulmonology Unit ,Cairo University.
Member GINA
Contact Details monafalaki@hotmail.com
(e-mail, GSM, address) +2 01005263110
Concord Gardens, villa12, 90th street, 5th Settlement , New Cairo, Egypt
How would you describe your work as a GINA leader in your country? - Member in the organizing committee and speaker in the annual congress of “Bronchial Asthma” in
celebration of the “World Asthma Day” an annual meeting held since 1993 at different locations in Egypt
(oral presentations and postgraduate training courses (organized by the Egyptian Society of Allergy and
Immunology of which I am a board member)
-The objectives of these meetings is to update physicians of different specialties and from different
institutions and locations in Egypt regarding pediatric and adult bronchial asthma and to deliver updates on
GINA and implementation of GINA guidelines.
-In 2008 GINA MED (Mediterranean ) joined the Egyptian Celebration of the “World Asthma Day” and
Asthma Congress and annually ever since.
-I have participated as an organiser and speaker in educational meetings ,training programs and conferences
in different locations in Egypt (Respiratory, Allergy, Pediatrics) to deliver updates in respiratory medicine
and implementation of guidelines.
Do you and/or does your work in asthma have any association with; Yes for a, b , and c.
a. National Allergy society Participated as an organiser and speaker in educational meetings ,training programs and conferences in
b. National Respiratory society (Pediatric/Adult) different locations in Egypt (Respiratory, Allergy, Pediatrics) to deliver updates in respiratory medicine and
c. National Primary Care Society implementation of guidelines under the patronage of these societies in Egypt and in different Arab countries
in your country? in the region (Gulf area-Lebanon-Istanbol) in collabration with similar societies.
Please choose which of these are used in your country: Both National and GINA strategies
Do you and/or does your work about asthma have any relationship or contact with national or regional Yes.Through continous medical education of phsicians held under the patronage of the ministry of health,
government in your country ? medical syndicate and Cairo university.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? I joined GINA in 2010 and was a regular attendant of the GINA Assembly Meetings during ATS and ERS
If so, which years ? ever since except for the last 2 meetings. The last one was the ERS GINA Assembly meeting in London
Are there any barriers to your attending ? sept. 2016.
Yes.I pay privetly for my attendance.Getting sponsered though pharmacological companies is getting more
difficult every year.
Please summarize your activities relating to asthma and GINA in 2017 -Partcipation as an organizer and speaker in “Asthma Day” and Asthma Congress 2017 and 2018 .
and your plans for 2018 ? - Participation as an organiser and speaker in educational meetings ,training programs and conferences in
(you may append another document but please no more than a half/page) different locations in Egypt (Respiratory, Allergy, Pediatrics) to deliver updates in respiratory medicine and
implementation of guidelines concentrating on remote parts of Egypt in 2017 and 2018.

EGYPT cont.
Please describe shortly the barriers to asthma management you face in your country - Guidelines are not compulsory in Egypt , that’s why physician education and update is a crucial
challenge in the guidelines implementation process.
- Most controllers are available in Egypt but for many Egyptians price is a significant barrier to
compliance and adherence to treatment in face of our economic problems.
What are your expectations from the GINA Board? How may it be of assistance to you in your efforts I hope the GINA will re-endorse the GINA MED initiative as in the past (Current website removed all
described above? regional initiatives). Recognition of our activities is important to us (a group of volunteer, devoted physicians
representimng 9 Meditteranian countries) and we don’t need any financial support .
Do you use the Dissemination and Implementation tools available on GINA website? Yes.
Would you like to become or remain a member of the GINA Assembly ? Yes I would you like to remain a member of the GINA Assembly .

GEORGIA
COUNTRY GEORGIA
GINA Assembly Member Maia Gotua Prof. MD. PhD.
Name General Director of the Center of Allergy&Immunology, Tbilisi, Georgia
Professor at DAVID TVILDIANI MEDICAL UNIVERSITY in Tbilisi.
Vice President of Georgian Association of Allergology and Clinical Immunology
EAACI, ERS and ATS member.
Coordinator of International Network of Universities for Molecular Allergology and
Immunology of Georgia.
GINA Assembly Member, GOLD National Leader,
ARIA National Coordinator.
Contact Details maia.gotua@gmail.com
(e-mail, GSM, address) +995 599 58 30 17
2/6 Lubliana str. Tbilisi 0159. Georgia.
Center of Allergy&Immunology
When did you start activities that support the GINA Objectives ?
Since 1993
How would you describe your work as a GINA leader in your country? 1. Leadership of the dissemination and implementation of GINA guidlines and GINA
updates in clinical practice of Georgia countrywide (Since 1993 till now).
2. Preparation of the translations of GINA guidelines in Georgian (for medical doctors,
nurses, for pocket usage, recommendations for application of inhalers since 1997-till
now).
3. Leadership of the creation, dissemination and implementation of the National Guidline
for Managing Asthma Exacerbations in Outpatient and Hospital settings (2014).
4. Leadership of the creation, dissemination and implementation of National Guidline and
protocol for Asthma Managemnet for Specilists and Family Physisions (2012).
5. Organization of World Asthma Days countrywide for increasing awarness about
management and prevention of asthma on a level of public health and specialized
allergological care (since 2000 till now).
6. Organizing of free of charge medical consultations of asthmatic patients.
7. Active participation in asthma management and prevention programs for educational
TV, Radio, Facebook social activities for asthmatic patients and health care
professionals.
8. Leadership of the creation of CME educational projects for medical doctors and medical
students.
Do you and/or does your work in asthma have any association with; Yes, I am a vice-President of Georgian National Association of Allergology and Clinical
a. National Allergy society Immunology and active member of the board of the Georgian Respiratory Society (Pediatric/Adult)
in your country?

GEORGIA cont.

a. Your own National Guideline National Guidelines are based on GINA Strategy
Do you and/or does your work about asthma have any relationship or contact with national or Yes, I am an expert of the Ministry of Health, Labour and Social Affiars of Georgia in
regional government in your country ? Allergology and Immunology collaborating with asthmatic patients and medical professionals.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes, I have participated in GINA assembly meetings held during ERS and ATS conferences:on
If so, which years ? ERS conferences since 2007, and ATS in San Franfrancisco (2016).
Are there any barriers to your attending ? It is difficult to participate in USA due to financial issues.
Please summarize your activities relating to asthma and GINA in 2017 In 2017 - GINA pocket guideline was translated into Georgian.
and your plans for 2018 ? WORLD ASTHMA DAY(WAD)- 2017 was celebrated in different cities Gergia (Tbilisi, Kutaisi,
(you may append another document but please no more than a half/page) Batumi), Conferences, TV and Radio activities were organized.
İn 2018 the celebration of WAD-2018 country-wide is planned with local and international
congresses and media activities. Special project is planed for asthmatic children.
Please describe shortly the barriers to asthma management you face in your country Due to economical problems biologicals are not availabe in Georgia and not affordable for
patients with severe asthma
What are your expectations from the GINA Board? How may it be of assistance to you in your GINA board is giving a great intelectual
efforts described above? support. Collaboration with the board is very useful for each country for being involved in
ellaboration, dissemination and implementation of GINA in their countries.
Do you use the Dissemination and Implementation tools available on GINA website? Yes,we use the Dissemination and Implementation tools of GINA website.
Would you like to become or remain a member of the GINA Assembly ? Yes, I would like to remain as a member of the GINA Assembly

INDONESIA
COUNTRY Indonesia
GINA Assembly Member Faisal Yunus
Name
Contact Details faisalyunus@ymail.com
How would you describe your work as a GINA leader in your country? Developped National Asthma Guideline based on GINA Guidelines with modification, and
disseminated to all doctors.
Do you and/or does your work in asthma have any association with; Yes, I am the chairman of The Indonesian Asthma Council that consisted of Indonesian Society of
a. National Allergy society Respirology and Indonesian Pediatric Association.
in your country?
Please choose which of these are used in your country: C
Do you and/or does your work about asthma have any relationship or contact with national or Yes, I am one of the member of asthma task force group. This group was developped by Misnistry
regional government in your country ? of health to make the asthna management pocket book for doctors who work in primary health
If yes please describe briefly cares and in government hospitals all over the country.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes, in the year of 2013, 2014, 2015, and 2016.
If so, which years ? Sometimes, lack of sponsorship to join the conference.
Please summarize your activities relating to asthma and GINA in 2017 1. Revised the Indonesian Asthma Guideline
and your plans for 2018 ? 2. Conduct several activities such as asthma symposium for GPs, Spirometry measurement,
(you may append another document but please no more than a half/page) and talk Show in Radio and TV in commemorating World Asthma Day
3. 3. Revised asthma management pocket book
PLANNING in 2018
1. Conducting asthma symposium for pulmonologists, GPs to disseminate the Indonesian
asthma guidelines
2. Updating Indonesian asthma guideline
Please describe shortly the barriers to asthma management you face in your country 1. Many doctors are still reluctant to prescribe inhaled medications, they still use oral
medications
2. Many patients are use only reliever (SABA) rather than controller in managing their
asthma
3. ICS and LABACS are more expensive than SABA
4. LABACS are not available in the Primary health Care
5. The knowlwdge oh the doctors in the primary health care about asthma is still low
What are your expectations from the GINA Board? How may it be of assistance to you in your GINA guideline is very helpful to convince them to manage asthma properly
efforts described above? If The board can develop some slides to teach the doctors how to manage asthma properly and
adequately, it is very helpful
Do you use the Dissemination and Implementation tools available on GINA website? Yes, sometimes we translate them
Would you like to become or remain a member of the GINA Assembly ? Yes, certainly.
his/her email address? © Global Initiative for Asthma
LEBANON
COUNTRY LEBANON
GINA Assembly Member AZIZ KOLEILAT
Name
Contact Details drkoleilat@hotmail.com
When did you start activities that support the GINA Objectives ? At least TWENTY years ago
How would you describe your work as a GINA leader in your country? İnformative
İmplamantation of guideline, and particiption in asthma activities
Do you and/or does your work in asthma have any association with; İn the pediatric society
a. National Allergy society İn the hospital with residency program
b. National Respiratory society (Pediatric/Adult) İn asthma primary care society
c. National Primary Care Society Asthma center(lebanese association )
in your country?
Please choose which of these are used in your country: GINA guide lines,mainly
a. Your own National Guideline a. The GINA Strategy document
Do you and/or does your work about asthma have any relationship or contact with national or No ,
regional government in your country ? İt is mainly included in pediatric society
If yes please describe briefly We are trying to have a GINA group where adult asthmaloogist are included
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes in Rome , Viena ,Prague
If so, which years ? Yearly we have meeting in Egypt with the mediterenian group,italy , greece , turky ,eygpt.lebanon
Are there any barriers to your attending ? Not attending your conference lately t oto location
Please summarize your activities relating to asthma and GINA in 2017 Lectuers , asthma day in Cairo , done by dr TARRAF
and your plans for 2018 ? Study on GINA implamantation among pediatrician , asthma day in Cairo
Please describe shortly the barriers to asthma management you face in your country Medication
Perciving the disease by the patients
No national campagne
What are your expectations from the GINA Board? How may it be of assistance to you in your efforts The possibilty to attend our meeting and encourgement and promoting our asthma group by dr
described above? Hisham Tarraf , And participating in our yearly conference of asthma day in cairo every year
Do you use the Dissemination and Implementation tools available on GINA website? Yes when available
Would you like to become or remain a member of the GINA Assembly ? Yes for sure
If NOT , please suggest someone from your country that might like to take up this role, and provide I will send the names of my associates with their adresses soon

NEW ZEALAND
COUNTRY New Zealand
GINA Assembly Member Asthma & Respiratory Foundation New Zealand
Name
Contact Details Ms Letitia O’Dwyer
(e-mail, GSM, address) letitia@asthmaandrespiratory.org.nz
When did you start activities that support the GINA Objectives ? 2017 The Foundation joined GARD
How would you describe your work as a GINA leader in your country? The Asthma and Respiratory Foundation NZ advocates to government and raise awareness about
respiratory illnesses. We also educate and support both health professionals and patients/caregivers
Do you and/or does your work in asthma have any association with;  We work closely with the Thoracic Society of Australia and New Zealand (TSANZ) and are
a. National Allergy society members of GARD
b. National Respiratory society (Pediatric/Adult) Attachement 1 press release
c. National Primary Care Society  We also work closely with The Royal New Zealand College of General Practitioners
in your country? (RNZCGP) to obtain Continuing Professional Development Points (CPD) for
If yes, Please describe briefly educational/resources meetings
 We work with the Ministry of Education (MoE) around school resources aimed to inform
about asthma and respiratory disease
Please choose which of these are used in your country: Yes, the following Guidelines were written by leading New Zealand experts in the field and are used
a. Your own National Guideline nationally
b. The GINA Strategy document  NZ Adult Asthma Guidelines (2016)
c. Both National Guideline and GINA Strategy The new guidelines have been developed to aid health professionals in delivering asthma
care, and provide up-to-date practical and evidence-based guidance.
The NZ Child and Adolescent Asthma Guidelines (2017)
The new guidelines provide simple, practical and evidence-based guidance for the
diagnosis and treatment of asthma in children and adolescents of 15 years of age and
below.
Do you and/or does your work about asthma have any relationship or contact with national or In 2017 (election year) we launched the ARFNZ Politcial manifesto
regional government in your country ? Attachment 2
If yes please describe briefly We also meet with the Ministry of Health and Ministry of Education on relevant issues to improve
respiratory health in New Zealand
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Professor Richard Beasley (GINA Ambassador) represents NZ at these meetings
Please summarize your activities relating to asthma and GINA in 2017 ARFNZ had a poster at the GARD meeting in 2017
and your plans for 2018 ? Attachment 3
Please describe shortly the barriers to asthma management you face in your country Government support by way of a nationally recognised health target with financial support
What are your expectations from the GINA Board? How may it be of assistance to you in your Acknowledgement of Asthma and Respiratory Foundation New Zealand (ARFNZ) as a partner on
efforts described above? GINA websites, regular communication of activities and sharing of knowledge
Do you use the Dissemination and Implementation tools available on GINA website? No as I was only apppointed mid last year as CE, but look forward to hearing how we can be more
involved
his/her email address? © Global Initiative for Asthma
KAZAKHSTAN
COUNTRY Kazakhstan
GINA Assembly Member
Name Damilya Nugmanova
Contact Details damilya@gmail.com
(e-mail, GSM, address) 32/2 Makataev Street, Of. 15
Almaty, 050002, Kazakhstan
When did you start activities that support the GINA Objectives ? Since 1995 when GINA was introduced by my scientific supervisor Prof. Alexander Chuchalin in Moscow
As GINA Kazakhstan NL - from 2015
How would you describe your work as a GINA leader in your country? Disseminate GINA guideline and it’s updates annually in my country with translating, printing pocket
guideline and patients educational tools into Russian and Kazakh
On regular basis provide asthma trainings for practicing physicians (most of them – primary care doctos)
and nurses in all cities of Kazakhstan since 2004
First in Kazakhstan initiated WAD in 2004 in 10 regiond of Kazakhstan and continue to make this event
vissible in our country
Using GINA guideline/report I try to overcome asthma misunderstanding, asthma underdiagnosis in adults
and children, old fashioned and not-evidence-based treatment of asthma (antibiotics, intravenous infusions
of theophylline and corticosteroids, underuse of inhaled corticosteroids, etc.)
Do you and/or does your work in asthma have any association with; In 1999 we established Kazakhstan Association of Family Physicians. The goal of our National Society is to
a. National Allergy society improve primary care quality in Kazakhstan and teach doctors and other health workers to understand,
b. National Respiratory society (Pediatric/Adult) accept, and practice evidence-based medicine. To do this with asthma GINA documents were and are the
c. National Primary Care Society leading reference sourse
in your country? In 2015 we conducted first good quality epidemiological study on COPD, asthma, allergisc rhinitis
If yes, Please describe briefly prevalens in Kazakhstan, Ukrain, and Azzerbaijan.
Our study and GINA reports help us to overcome slowly asthma misunderstanding and stop dangerous
practice. At least National adult and children Asthma treatment protocols are GINA-based
c. Both National Guideline and GINA Strategy +
Do you and/or does your work about asthma have any relationship or contact with national or I’m a member of Health Quality Assurance Committee of the Ministry of Health. This Committee approves
regional government in your country ? National diagnostic and treatment protocols, as well as approves list of medications (inncluding asthma
If yes please describe briefly medications) to be included into Kazakh National Drug Formulary
Have you participated in GINA assembly meetings held during ATS and ERS conferences? ATS San-Diego, 2014
If so, which years ? ATS DC, 2017
Are there any barriers to your attending ? ERS 2015-2017
As GOLD NL in most ERS meetings since 2003 and ATS 2014, 2017

KAZAKHSTAN cont.
Please summarize your activities relating to asthma and GINA in 2017 Provided several asthma clinical trainings for PHC doctors in different cities of Kazakhstan
and your plans for 2018 ? Provided several presentations on asthma and GINA reccommendations at national meetings (Family
(you may append another document but please no more than a half/page) Doctors, Cardiologists/ Internissts, and Pulmonologists)
WAD in 2017 was heald as a half-day training for Almaty doctors
In 2018 my KAFP colleagues and I will present new epidemiological data on asthma prevalence and new
GINA report changes at the international Family Doctors meeting in April 25-26, then national
Cardiology/Internal Medicine conference in June, and Pulmonology meeting in October.
In preparation to the WAD 2018 our Association will make 2-week thematic posts at our Facebook page,
Instagram, and Telegram Channel
In May 1st we will provede a teleconference on WAD for 6 cities of Kazakhstan
Please describe shortly the barriers to asthma management you face in your country Asthma underdiagnosis in hospitals and primary care clinics, especially in children.
Government (Ministry of Health and Oblast health Departments) regulate the number of asthma patients,
which can be registered in primary care centers. Asthma medications are centrally purchased by the
government and allocated within regions. Number of asthma patients has to fit to the amount of medications
provided.
Overuse of antibiotics, intravenous infusions of dexamethazone, other corticosteroids, and IV theophylline
in the hospitals and outpaatient facilities, by ambulance
Underuse of inhaled corticosteroids and local treatment of asthma
Because of that high level of asthma ambulance calls and hospitalization rate.
What are your expectations from the GINA Board? How may it be of assistance to you in your efforts Kazakhstan Association of Family Physicians (KAFP) members conducted first good quality
described above? epidemiological study on COPD, asthma, and allergic rhinitis prevalence in adults in Kazakhstan.
Two first articles were published:
a. Y. Feshchenko1, L. Iashyna2, D. Nugmanova3, , et al. Chronic Obstructive Pulmonary Disease,
Bronchial Asthma and Allergic Rhinitis in the adult population within the Commonwealth of
Independent States: Rationale and design of the CORE study
(https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-017-0471-x)
b. D. Nugmanova, Y. Feshchenko, L. Iashyna et al. The Prevalence, Burden and Risk Factors
associated with Chronic Obstructive Pulmonary Disease in Commonwealth of Independent States
countries (Ukraine, Kazakhstan and Azerbaijan): Results of the CORE study.
https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-018-0589-5
After asthma data will be published it will be good GINA to recomment to Kazakhstan Ministry of Health
to use this study as a reference for real asthma prevalence and allocate enough budget to cover basic astham
treatment
Do you use the Dissemination and Implementation tools available on GINA website? Sometimes
Would you like to become or remain a member of the GINA Assembly ? I can remain as a member of GINA Assembly for while before we will find fluent English speaking
If NOT , please suggest someone from your country that might like to take up this role, and provide respected specialist with good resources available

PAKISTAN
COUNTRY PAKISTAN
GINA Assembly Member Prof Javaid Khan FRCP Edin.
Name
Contact Details Javaid.khan@aku.edu
(e-mail, GSM, address) Tel 92 300 2410 670
When did you start activities that support the GINA Objectives ? Almost 25 years ago
How would you describe your work as a GINA leader in your country? I am pulmonologist and carry out regular programs on asthma for doctors as well as for the
public. I also do research related to asthma and COPD
Do you and/or does your work in asthma have any association with; Pakistan Chest Society; I am active member of this professional society which carry our world
a. National Allergy society asthma day activities . it also organizes conferences National as well as International.
in your country?
Please choose which of these are used in your country: c. Both National Guideline and GINA Strategy
Do you and/or does your work about asthma have any relationship or contact with national or Only as an advocate against smoking and environmental related issues
Have you participated in GINA assembly meetings held during ATS and ERS conferences? I do attend ERS but not ATS
Please summarize your activities relating to asthma and GINA in 2017 SEVERAL LECTURES
and your plans for 2018 ? World Astha Day seminar
(you may append another document but please no more than a half/page) İnternatıonal Conference in Islamabad March 23 2018
Please describe shortly the barriers to asthma management you face in your country Cost of inhalers
Social stigma attached to asthma
Doctors training is not up to date
Patients load is too much
What are your expectations from the GINA Board? How may it be of assistance to you in your I think Board is doing its work. Its upto members in individual countries to spread the message.
efforts described above? We need asthma/inhaler usage leaflet in local language.
Do you use the Dissemination and Implementation tools available on GINA website? yes
If NOT , please suggest someone from your country that might like to take up this role, and provide I would like to involve young blood
his/her email address? Dr Nousheen Iqbal
Assistant Professor
Email. nousheen.iqbal@aku.edu

ROMANIA
COUNTRY Romania
GINA Assembly Member Mihaltan Florin Dumitru
Name Ruxandra Ulmeanu
Diana Deleanu
Oros Mihaela
Contact Details mihaltan@starnets.ro
(e-mail, GSM, address) r_ulmeanu@yahoo.com, deleanudiana@yahoo.com, mihaelaoros70@yahoo.com,
How would you describe your work as a GINA leader in your country? İnvolved all in many activities of promoting GINA guideline, in making guidelines for patients,
educational meetings with patients,updating meeting aith doctors
Do you and/or does your work in asthma have any association with; Association with Romanian Society of Pneumology, Romanian Allergology Society,GP National
a. National Allergy society Society and Pediatric Romanian Society
b. National Respiratory society (Pediatric/Adult) Common meetings of updating information on asthma, educational activities with asthma
c. National Primary Care Society patients,national conferences and congresses
in your country?
a. Your own National Guideline b.a(local protocols)
Do you and/or does your work about asthma have any relationship or contact with national or Yes with the minister of health and secretary of the Health ministerium,Group of specialistst of
regional government in your country ? the health Ministerium
If yes please describe briefly Common meetings, change of informations on protocols
Have you participated in GINA assembly meetings held during ATS and ERS conferences? 2011-2017
Please summarize your activities relating to asthma and GINA in 2017 ASTHMA DAY
and your plans for 2018 ? Educational project for patients-Inspiro
(you may append another document but please no more than a half/page) Road Map on asthma
National Inquiry of asthma ( just running)
Please describe shortly the barriers to asthma management you face in your country Some financial barriers in every hospital induce by the system and the managers
Educational problems –low level
GP implication in this common surveillance of asthmatic patients
What are your expectations from the GINA Board? How may it be of assistance to you in your More free access to the materials
efforts described above? More implications of leaders from European East countries
More common meetings with national societies
Do you use the Dissemination and Implementation tools available on GINA website? Yes –we start to translate and publish them
Would you like to become or remain a member of the GINA Assembly ? All –yes
If NOT , please suggest someone from your country that might like to take up this role, and We are enough because we are covering all the specialities

SPAIN
COUNTRY Spain
GINA Assembly Member Vicente PLAZA
Name
Contact Details vplaza@santpau.cat
How would you describe your work as a GINA leader in your country? Coordinator of the Spanish Asthma Guidelines (GEMA), based in part in GINA, which 14 Spnish
soicetes involed in asthma disease
Do you and/or does your work in asthma have any association with; Asthma Group of SEPAR (Spanish Respiratory Society). I am active member and I was past President. I
a. National Allergy society am coordinator of the Research program of this group, and recently of the GEMA-data (data base registry
b. National Respiratory society (Pediatric/Adult) of severe asthma patients with a country scope)
in your country?
Please choose which of these are used in your country: C.
a. Your own National Guideline GEMA is the most asthma guideline in Spanish around the world
Do you and/or does your work about asthma have any relationship or contact with national or In part, with regional government
Have you participated in GINA assembly meetings held during ATS and ERS conferences? In ERS meetings
If so, which years ? No special barriers
Please summarize your activities relating to asthma and GINA in 2017 1. Annual updating of our asthma guideline GEMA
and your plans for 2018 ? 2. Doing the annual meeting, “Asthma Meeting Point”: multidisciplinary symposia for and by
(you may append another document but please no more than a half/page) asthma experts
3. Conducting some multicenter asthma studies (f.e. GEMADATA) in our Asthma Group SEPAR.
4. Coordinating several national teaching projects in asthma
5. Editing some books: GEMA inhalers for asthma
6. Celebrating in my hospital the World Asthma Day, in May
Please describe shortly the barriers to asthma management you face in your country Limited implication of nurses of the primare care in asthma education
What are your expectations from the GINA Board? How may it be of assistance to you in your
efforts described above? Remain independent regarding the influence of the pharmaceutical industry
Do you use the Dissemination and Implementation tools available on GINA website? Yes, PPT specially
Would you like to become or remain a member of the GINA Assembly ? Remain, thanks

TURKEY
COUNTRY TURKEY
GINA Assembly Member I.Kivilcim OGUZULGEN
Name
Contact Details ikoguzulgen@gmail.com
(e-mail, GSM, address) +90.532.3728049
Gazi University School of Medicine, Department of Pulmonary Diseases
Ankara, Turkey
How would you describe your work as a GINA leader in your country? I am a member of Turkish Thoracic Society Asthma and Allergy Assembly. As Turkish Thoracic
Society, we periodically update our national asthma guideline according to changes in GINA
report. Furthermore we organize meetings to implement the recommendations. Also every year, we
organize a lot of activities (for physicians, for patients and for press) on World Asthma Day with
the logos on GINA website
Do you and/or does your work in asthma have any association with; We do all the World Asthma Day activities in association with:
a. National Allergy society 1.Turkish Thoracic Society
b. National Respiratory society (Pediatric/Adult) 2.Turkish National Allergy and Clinical Immunology Society
c. National Primary Care Society 3. GARD and Turkish Ministry of Health
In your country? National asthma guideline is prepared by Turkish Thoracic Society
Please choose which of these are used in your country: Both National Guideline and GINA Strategy
Do you and/or does your work about asthma have any relationship or contact with national or As Turkish Thoracic Society we are in contact with Turkish Ministry of Health by GARD Project
regional government in your country? of WHO in organizing World Asthma Day activities.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? I am the new assembly member of GINA. This year I am planning to attend the both meetings
If so, which years? which will be held during ATS and ERS.
Are there any barriers to your attending?
Please summarize your activities relating to asthma and GINA in 2017 On World Asthma Day 2017, we prepared a poster and press release and we shared it from Turkish
And your plans for 2018? Thoracic Society website (www.thoraks.org.tr) to all our members. In 20 different cities of Turkey
(you may append another document but please no more than a half/page) we had many activities for physicians and patients. Also our members were on local and national
TV channels, giving information about asthma.
There were 76 different “asthma news” on different Turkish news channels which can be reached
from: http://www.toraks.org.tr/subNews.aspx?sub=176&notice=3867
Similar activities will be planned for this year
Please describe shortly the barriers to asthma management you face in your country Patient adherence is the most important barrier for asthma management.
The physicians’’ patient burden is so much that they can devote very short time to their patients
and patient education seems to lack, which seems to be the second barrier
What are your expectations from the GINA Board? How may it be of assistance to you in your GINA pocket guide and teaching slide sets can be translated to Turkish.
VIETNAM
COUNTRY VIETNAM
GINA Assembly Member Le Thi Tuyet Lan
Name
Contact Details tuyetlanyds@gmail.com
(e-mail, GSM, address) +84938594470
224 Nguyen Thai Son St, Ward 4, Go Vap District, Ho Chi Minh City, Vietnam
When did you start activities that support the GINA Objectives? 2000
How would you describe your work as a GINA leader in your country? - Disseminate and implement GINA and GOLD by giving lectures and building up ACOCUs (Asthma-
COPD Outpatient Care Units) throughout Vietnam.
- Celebrate Asthma Day and COPD Day annually
- Update Vietnamese doctors on GINA and GOLD
Do you and/or does your work in asthma have any association with; b. Vietnam Respiratory Society (VNRS)
a. National Allergy society I am vice-president of Vietnam Respiratory Society and chairwoman of Society of Asthma, Allergy and
b. National Respiratory society (Pediatric/Adult) Clinical Immunology in Ho Chi Minh City
in your country?
Please choose which of these are used in your country: c. Both National guideline and GINA Strategy
a. Your own National Guideline National guideline was written according to GINA Strategy.
Do you and/or does your work about asthma have any relationship or contact with national or Yes. We help MOH in writing National Guidelines on Asthma and COPD. We also contribute to the
regional government in your country? National Program in Asthma and COPD by helping 47/63 provinces to build up ACOCUs.
Have you participated in GINA assembly meetings held during ATS and ERS conferences? Yes, I have participated in GINA assembly meetings, almost every years.
If so, which years ? I have attended GINA ang GOLD meeting
Are there any barriers to your attending? It's better if these meeting are in the lunch time, on the 2nd day of ERS and ATS conference and in the
same place of these conferences.
Please summarize your activities relating to asthma and GINA in 2017 - Disseminate and implement GINA and GOLD by giving lectures and building up ACOCUs (Asthma-
and your plans for 2018 ? COPD Outpatient Care Units) throughout Vietnam.
(you may append another document but please no more than a half/page) - Celebrate Asthma Day and COPD Day annually
- Update Vietnamese doctors on GINA and GOLD
Please describe shortly the barriers to asthma management you face in your country Although asthma and COPD are included in National Program against non-communicable diseases from
2015 to 2025, spirometers and asthma-COPD drugs are not available at all province and district hospitals.
There are still some outmoded treatments, including oral corticosteroids, antibiotics or oral bronchodilator
medications...
What are your expectations from the GINA Board? How may it be of assistance to you in your It's great if we could know beforehand the changes in GINA and GOLD, being asked for opinion as in the
efforts described above? time of Sue and Claude.
The science committee will explain the reason of changes carefully and also help us in resolving problems
in implementing , if possible.
The slides presented in these GINA and GOLD meetings are very helpful, but we could not get them.
Do you use the Dissemination and Implementation tools available on GINA website? Yes, with modifications.
Would you like to become or remain a member of the GINA Assembly? Yes, I would like to remain a member of the GINA Assembly.
If NOT , please suggest someone from your country that might like to take up this role, and provide © Global Initiative for Asthma
VIETNAM
COUNTRY Viet Nam
GINA Assembly Member Sy Duong-Quy
Name
Contact Details sduongquy.jfvp@gmail.com
How would you describe your work as a GINA leader in your country? - Update GINA guidelines to pratical physicians and primary healthcare workers
- Implement of GINA guidelines
- Training and studying in adult and childhood asthma
Do you and/or does your work in asthma have any association with; - Vietnam Respiratory Society (VNRS)
in your country?
Please choose which of these are used in your country: - The GINA Strategy document
a. Your own National Guideline - VNRS documents in asthma
Do you and/or does your work about asthma have any relationship or contact with national or - Organizing workshop in asthma
regional government in your country ? - Studying on asthma (prevalence and clinical characteristics)
Have you participated in GINA assembly meetings held during ATS and ERS conferences? - Yes: 2013, 2014, 2015, 2016, 2017
If so, which years ? - No barriers
Please summarize your activities relating to asthma and GINA in 2017 In 2017
and your plans for 2018 ? - Update GINA guidelines for local and regional physicians
(you may append another document but please no more than a half/page) - Translate GINA pocket guide to Vietnamese for GINA website
- Studying in childhood asthma: cytokin profile in acute asthma exacerbation, obstructive sleep
apnea in childhood asthma
- Studying in adult asthma: characteristics of ACO
In 2018
- Update GINA 2018 in Internal Medicine Congress (Hue city, April 14th 2018)
- Training in asthma for regional health care system in association with VNRS
- Studying in asthma (adult and children)
- Implement of GINA documents in regional area (Lam Dong province and highland area) in
cooperation with VNRS
Please describe shortly the barriers to asthma management you face in your country - Treatment of refractory asthma (difficult to treat asthma)
What are your expectations from the GINA Board? How may it be of assistance to you in your - N/A
Do you use the Dissemination and Implementation tools available on GINA website? - Yes
Would you like to become or remain a member of the GINA Assembly ? - Yes
If NOT , please suggest someone from your country that might like to take up this role, and © Global Initiative for Asthma
GINA Ambassador ’s program

World Asthma Day
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Dubai 2018

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GINA COUNTRY FOCUSED

GINA Global Strategy for Asthma

© Global Initiative for Asthma

Dissemination & Implementation

GINA 2017 © Global Initiative for Asthma

 Søren Pedersen, Denmark, Chair

GINA 2017 © Global Initiative for Asthma

 Helen Reddel, Australia, Chair

GINA 2017 © Global Initiative for Asthma

Alvaro Cruz Gustavo > Rodrigo MD Maia Gotua MD Rekha Chaudhuri MD

Amnon Ariel MD Guy Joos, MD Manuel Soto Renaud LOUIS

Aziz Koleilat MD Kıvılcım Oğuzülgen Mark Levy MD Professor Richard Beasley

Carlos Adrian Jimenez Hugo Neffen Meir Raz MD Rohini V. Chowglue MD

Chau Ngo Quy Javaid A. Khan MD Michiko Haida Dr Ron Tomlins

Christian Virchow MD Jean Sauveur Uwitonze Mihaela Oros MD Sy Duong-Quy MD

Damilya Nugmanova Jeyaindran Sinnadurai MD Mohammad Osman Yusuf MD T.K. Lim MD

Daniela Petrova MD Jiangtao Lin Mohammed Al Ghobain MD Tari Haahtela MD

Essel Rockson Ken Ohta MD Patrick Manning MD Dr. Vicente Plaza

Eva Mantzouranis MD KS Jung MD Petr Pohunek MD Wan Tan

Ewa Nizankowska Ladislav Chovan MD Pierluigi Paggiaro MD Wan-Cheng Tan MD

Faisal Unus Lexley M Pinto Pereira MD Louise Giles

Frantisel Salajka MD Leyla Sedighipour MD Dr. R. Narasimhan 69

BELGIUM Renaud Louis

BRAZIL Rafael Stelmach

DENMARK Vibeke Backer

EGYPT Mona El Falaki,

GEORGIA Maia Gotua

INDONESIA Faisal Yunus

LEBANON Aziz Koleilat

NEW ZEALAND Letitia O’Dwyer

KAZAKHSTAN Damilya Nugmanova

PAKISTAN Javaid Khan

ROMANIA Mihaltan Florin Dumitru, Ruxandra Ulmeanu

TURKEY İpek Kıvılcım Oğuzülgen

VIETNAM Lan Le Thi Tuyet, Sy Duong-Quy

Aziz Koleilat Vicente Plaza İ.Kıvılcım Oğuzülgen

Le Thi Tuyet Lan Rafael Stelmach Maia Gouta

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

Please choose which of these are used in your country:

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

© Global Initiative for Asthma

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