Burden of Bronchiectasis in Indigenous Peoples - How Can it be Improved?
Karen Munro, Rosalyn J. Singleton, Elizabeth A. Edwards, Gregory J. Redding, Anne B. Chang and Catherine A. ByrnesAffiliation:
Paediatric Department, Faculty of Health and Medical Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Abstract Bronchiectasis remains common in indigenous populations as reported from Alaska, Australia and New Zealand. Each of these countries has published incidence and prevalence estimates, suggested aetiologies, clinical course and associated factors which may contribute to the burden of disease. The purpose of this collaborative review is to summarise literature on bronchiectasis in indigenous peoples, discuss similarities and differences between these groups and countries, and compare these findings to recent reports on non-indigenous populations. Difficulties in applying best management practice are highlighted, including the difficult and confusing terminology, and suggestions made to address the unmet healthcare needs in order to reduce future respiratory morbidity and mortality in these populations.
Indigenous, bronchiectasis, chronic cough, pneumonia, poverty, children, chronic respiratory disease
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