Global Lung Health: An American Thoracic Society Perspective

8th Annual CongressTurkish Thoracic Society

Sharon Rounds, MDPresident, American Thoracic Society

Professor of MedicineBrown Medical School

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Global Lung Health An ATS Perspective

• Tell you a little bit about the American Thoracic Society

• ATS approach to global lung health• Strategic Partnerships as a means of

working together to improve lung health.• Example: TB• Future challenges for global partnerships

What is the ATS?

• A scientific and professional society dedicated to advancing pulmonary/critical care/sleep medicine

• 13,500 members• Membership: 25% international• Annual conference: 40% international attendees• Three journals: 50% of submitted manuscripts

from international authors• Strong commitment to international lung health,

consistent with mission and membership

What is the ATS?

Science Caring

Who is the ATS?

Science

Members Patients,Public

StaffPartners

1905

ATS is 100 years old!

2004-05 ATS Centennial Slogan

100 Years of Advances in Treatment and Science of

Lung Diseases

100 Years of Advances in Treatment and Science of Lung Diseases

1905 2005

SanatoriumMovement

RespPhysiology

Crit Care, Sleep

GenomicsCell Biol

NIHAsthma,Inflammation

TBChemoRx

Antibiotics

Surfactant,NRDS

ARDS

1955

DLD

ATS: Science and Public Policy for Patient Care and Public

Health

Science Public Policy

Patient Care

Public Health

ATS International Agenda: Principles

• ATS has the opportunity and responsibility to improve world lung health.

• ATS should work with other international societies with which we have shared goals.

• ATS must meet the needs of its international members.

ATS International Agenda: Principles

• Consistent with Society’s strategic objectives in:– Research– Education– Patient care – Advocacy

ATS Approach to Improving Global Lung Health

• Expertise of members• Strategic Partnerships• Advocacy• Education• Research

ATS and Global Lung Health:Strengths of Membership

• Broad base of disciplines• Geographic diversity• Strong commitment by members to the

organization• Strong scientific base• Structure that facilitates participation and

innovation

ATS Approach to Improving Global Lung Health

• Expertise of Members• Strategic Partnerships• Advocacy• Education• Research

ATS and Global Lung Health:Strategic Partnerships

• Forum of International Respiratory Societies (FIRS)• Stop TB Partnership• World Health Organization• Global Alliance Against Respiratory Diseases (GARD)• Global Initiative for Asthma (GINA)• Global Initiative for Chronic Obstructive Lung Disease (GOLD)• Tuberculosis Consortium for Technical Assistance (TBCTA)

Forum of International Respiratory Societies (FIRS)

• ACCP, ALAT/ULASTER, APSR, IUATLD, ERS, ATS

• Secretariat in Lausanne at ERS headquarters• Working Groups:

– Pulmonary Effects of Biomass Fuel– Framework Convention on Tobacco Control– Pulmonary Function Testing in Low Income Countries– Practical Approach to Lung Health (PAL)

Global Alliance Against Respiratory Disease (GARD)

•Partnership (“Alliance”) based at WHO Non-communicable Diseases & Mental Health: Chronic Respiratory Diseases and Arthritis•Focus on chronic respiratory diseases (including allergy), especially asthma & COPD•Three components-surveillance, prevention, management (in line with WHO strategy)•34 organizations have signed letters of agreement

ATS Approach to Improving Global Lung Health

• Expertise of Members• Strategic Partnerships• Advocacy• Education• Research

TB is still with us…

ATS as a Public-Minded Organization: TB as an Example

• ATS began with the Sanatorium movement for TB• Public health departments in all counties • Formation of a national TB control program• Joint statements with CDC on TB control• Successful advocacy for funding for domestic TB

control• Funding for TB research and training• Funding for international TB control• Advocacy for WHO TB program• International Standards for TB Care

ATS is a Founding Partner of the Stop TB Partnership

"Our vision is a TB free world: The first children born this millennium will see TB eliminated in their lifetime"

Stop TB is a global movement to accelerate social and political action to stop the unnecessary spread of tuberculosis around the world.

•www.stoptb.org

ATS Involvement in Stop TB Partnership Working Groups

*ATS

*ATS

*ATS

International Standards for TB Care

•Funded by USAID / TBCTA (IUATLD, KNCV, WHO, CDC, ATS) •Goal is to develop a set of essential standards that are applicable to all providers•Cochairs: Mario Raviglione (Director WHO Stop TB Dept) and Phil Hopewell (ATS): •Coordinated by ATS•Steering Committee of 28 members from 14 countries

ATS Approach to Improving Global Lung Health

• Expertise of Members• Strategic partnerships• Advocacy• Education• Research

Methods in Epidemiology, Clinical, and Operations Research

• Build capacity for public health research• Courses in Latin America for past 11 years• Well-established, successful model of very

intensive 1-week, hands-on courses, >200 graduates in 10 countries

• 42 graduates with presentations at ATS International Conference in San Diego

Methods in Epidemiology, Clinical, and Operations Research

• Interest of other societies in partnering with ATS to conduct locally adapted coursesERS- Eastern EuropeIndian Chest Society and National College of

Chest PhysiciansSouth Africa Thoracic Society

ATS Approach to Improving Global Lung Health

• Expertise of Members• Strategic Partnerships• Advocacy• Education• Research

ATS and Research for Global Lung Health

• ATS International Conference• ATS Journals:

– AJRCCM– AJRCMB– PATS

• ATS research program• Advocacy for research funding

Partnerships and Global Lung Health

• Strategic partnerships are the ATS approach to improving global lung health.

• Leverage resources through partnerships• More effective and appropriate practice

guidelines• Expand outreach globally• Help to develop research, education, and

public health capacity where needed

Challenges for Global Partnerships

• Develop world Awareness of lung diseases• Advocacy for improved prevention and care at

local and country level• Advocacy for research• Develop practice guidelines • Adapt practice guidelines for local conditions• Implement best practices

• Improve lung health care

Thank you very much for your attention.See you in San Diego!