1. THE DAY OF SPIROMETRY BVP-SBP Dr Galdermans ZNA Middelheim Hospital Antwerp

2. OCTOBER 15, 2008 4ème JOURNEE DE LA SPIROMETRIE 4de DAG VAN DE SPIROMETRIE 31 march 2004 16 november 2005 9 may 2007 15 october 2008

3. WHY A DAY OF THE SPIROMETRY ? COPD Prevalence in Belgium 4-7% 4th cause of death worldwide Only major cause of death still increasing (+ 163% between 1965 and 1998 vs. - 64% for stroke)

4. WHY A DAY OF THE SPIROMETRY ? COPD: unknown terminology (“rokerslong” or “poumon du fumeur”) Increasing prevalence of obstructive pulmonary diseases >50% of all patients not diagnosed COPD and ASTHMA AWARENESS CAMPAIGN

5. ORGANIZATION www.bvp-sbp.org Society of individual members working in the field of pneumology >500 members Information: tel.: 02.5181818 INITIATIVE

6. ORGANIZATION 5360 Tour Pasteur, 53 avenue Emmanuel Mounier, 1200 Bruxelles. Tel. 02 7645344, fax. 02 7645327 www.bpcrg.org mail@bpcrg.org (secretary) PARTNERSHIP Belgian Primary Care Respiratory Group (BPCRG)

7. ORGANIZATION Fondation contre les Affections Respiratoires et pour l'Education à la Santé asbl www.fares.be or 02- 512.29.36 Chair: Prof. J.P. Van Vooren Vlaamse Vereniging voor Respiratoire Gezondheidszorg en Tuberculosebestrijding www.vrgt.be or 02- 512.54.55 Chair: Prof. M. Decramer PARTNERSHIP

8. Organization President BKKL-GBPP Dr. Georges De Bilderling Cliniques UCL de Mont-Godinne

9. Société Scientifique de Médecine Générale (SSMG) Rue de Suisse, 8 1060 Bruxelles www.ssmg.be Domus Medica vzw Sint-Hubertusstraat 58 2600 Berchem www.domusmedica.be

10. ORGANIZATION SPONSORS

11. ORGANIZATION SPONSORS

12. GOALS Promote use of spirometry Easy, painless and reliable Cfr. stethoscope, thermometer, blood pressure –promote spirometry in primary care (PRICAROS program) –partnership general practitioner – pneumologist Increase awareness COPD - asthma Detect patients at early stage Support smoking cessation

13. AGENDA September 23, 2008 Press conference Start registration campaign www.spirometrie.be on line Posters & leaflets: GP’s, pneumologists, paediatrics, pharmacists, hospitals… October 15, 2008 : Spirometry day Day of the Spirometry: free spirometry –GP’s –Pneumologists –Paediatrics

14. POSTER & LEAFLETS

15. HOW TO PARTICIPATE ? Do you cough several times most days ? Do you bring up phlegms or mucus most days ? Do you get short of breath more easily than others your age ? Are you older than 40 years ? Are you a current smoker or an ex-smoker ? Do you experience a wheezing breath? USE OF QUESTIONNAIRE TO TARGET PEOPLE WITH COPD Maximise detection on Day of Spirometry

16. HOW TO PARTICIPATE ? Is there asthma in your family? Do you suffer from eczema? Shortness of breath during exercise (with coughing of wheezing)? Allergy? Shortness of breath during the night? Wheezing or coughing during the day or night? USE OF QUESTIONNAIRE TO TARGET PEOPLE - CHILDREN WITH ASTHMA Maximise detection on Day of Spirometry

17. HOW TO PARTICIPATE ? < 3 times yes No spirometry advised If further doubts  visit GP ≥ 3 times yes Spirometry recommended Doubt?  visit GP Make an appointment www.spirometrie.be

18. INTERNET INFORMATION INTERNET INSCRIPTION  Questionnaire  List of participating pneumologists and GP’s and paediatrics  Appointment www.spirometrie.be (www.copd.be/www.copd.be/ www.asthma.com)

19. www.spirometrie.be

20. PARTICIPATING > 60 centres over Belgium On volunteer basis Screening ≥ 2000 patients  Importance of questionnaire People who don’t have the possibility to have a spirometry the 15 th of October can contact there GP

21. OCTOBER 15, 2008 Appointments October, 15 th between 9 AM and 12 AM and between 2 PM and 4 PM Short questionnaire and spirometry: 10 to 15 min Results handed over to the patients Patients with airflow obstruction must see their doctor to start treatment No new appointments will be made on the Day of the Spirometry

22. AFTER OCTOBER 15, 2008 GP in charge of diagnosis, treatment and follow-up Important ! Spirometry does NOT detect lung cancer and other smoking related diseases Smokers must QUIT smoking, even if they have no clear airflow obstruction !!!!! SpirometryAirflow Obstruction GP