Atchin

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Achoo, achis, ATCHIN! Inoculant you.....

Inflammation (CAP) is an important cause of illness, fatality and spending on healthcare materials. Worldwide, lower airway infections, including CAP, were the 4th most common cause of deaths in 2015[1]. The CAP is the most common cause of fatalities due to communicable diseases in advanced countries[2], and in 2014 it was the 8th cause of fatalities in the US[3].

In the 28 European Community Member States, inflammation of the lungs and other severe lower airway infection are associated with an estimate of 46 billion euros in total expenditures per year for DALY (direct cost and years of disabled life)[4]. The CAP can cover any population, so we are all at risk, even if some are more vulnerable than others.

A number of CAP risks are well known and studied[5], among them over 65 years of age[6], alcoholism[7], tobacco smoking[8], immunosuppression[7] and co-morbidities such as COPD[9], heart and circulatory diseases, neurovascular diseases, hepatic or kidney diseases, diabetic ulcers and dementia[10]. Similarly, immune suppressive therapies, which include the use of steroidal drugs, are important determinants of CAP development[5, 13].

Elevated risks of inflammation are an important security problem in the prescription of immunosuppressant therapy[13]. An extensive study of mature populations in West Europe from 2013 by Torres et al. [5] examined the relationship between the prevalence of CAP and old age, co-morbidities and lifestyles. This correlation and the importance of the various variable risks result in a package of lifestyles intervention to mitigate the risks of CAP in adulthood.

This includes giving up smokers, drinking alcoholic beverages responsibly, oral health care, nutrition counselling to maintain a good diet, preventing babies and youngsters with lower airway infection, and vaccinations against flu viruses and Streptococcus pulmona. On the basis of this package, we are proposing an easy-to-remember ATCHIN with a group of measures to mitigate the risks of the CAP for adult workers, aimed at simplifying its application by health care workers (Table 1).

Achoos, Achis, ATCHIN! Take every chance to address changing CAP risks. ATCHIN! Akhoo (English), Achis (Spanish), Achim ( (Portuguese), atchis (Catalan), atciu ( (Italian), atchoum (French), hatchi (German), habesjie (Dutch). F. Froes has been personally compensated by Pfizer, MSD and TEVA, Sanofi, AstraZeneca and Bayer as well as Novartis outside of the submissions.

F. Blazi has obtained individual dues from AstraZeneca, Guidotti, GSK, Grifols, Menarini, Novartis and Zambon, subsidies from Bayer, subsidies and individual dues from Chiesi, Pfizer and Teva. UKGBD 2015 Deaths and causes of deaths. In 1980-2015, a systemic study for the 2015 World Burden of Disease Study, 249 causes of deaths were analyzed for the following categories: overall survival, overall survival rate, overall morbidity and cause-specific deaths.

Economic burden of lung diseases. Heidemarie, Towards, 2013 ; S. 16-27.