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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oxygen is an essential medicine: a call for international action</title><author><name sortKey="Duke, T" sort="Duke, T" uniqKey="Duke T" first="T." last="Duke">T. Duke</name><affiliation><nlm:aff id="A1"> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia</nlm:aff></affiliation></author><author><name sortKey="Graham, S M" sort="Graham, S M" uniqKey="Graham S" first="S. M." last="Graham">S. M. Graham</name><affiliation><nlm:aff id="A1"> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia</nlm:aff></affiliation><affiliation><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Cherian, M N" sort="Cherian, M N" uniqKey="Cherian M" first="M. N." last="Cherian">M. N. Cherian</name><affiliation><nlm:aff id="A3"> Department of Essential Health Technologies, World Health Organization, Geneva, Switzerland</nlm:aff></affiliation></author><author><name sortKey="Ginsburg, A S" sort="Ginsburg, A S" uniqKey="Ginsburg A" first="A. S." last="Ginsburg">A. S. Ginsburg</name><affiliation><nlm:aff id="A4"> PATH, Seattle, WA, USA</nlm:aff></affiliation></author><author><name sortKey="English, M" sort="English, M" uniqKey="English M" first="M." last="English">M. English</name><affiliation><nlm:aff id="A5"> Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Howie, S" sort="Howie, S" uniqKey="Howie S" first="S." last="Howie">S. Howie</name><affiliation><nlm:aff id="A6"> Medical Research Council, Banjul, The Gambia</nlm:aff></affiliation></author><author><name sortKey="Peel, D" sort="Peel, D" uniqKey="Peel D" first="D." last="Peel">D. Peel</name><affiliation><nlm:aff id="A7"> Ashdown Consultants, Hartfield, London, UK</nlm:aff></affiliation></author><author><name sortKey="Enarson, P M" sort="Enarson, P M" uniqKey="Enarson P" first="P. M." last="Enarson">P. M. Enarson</name><affiliation><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Wilson, I H" sort="Wilson, I H" uniqKey="Wilson I" first="I. H." last="Wilson">I. H. Wilson</name><affiliation><nlm:aff id="A8"> World Federation of Societies of Anaesthesiologists, London, UK</nlm:aff></affiliation></author><author><name sortKey="Were, W" sort="Were, W" uniqKey="Were W" first="W." last="Were">W. Were</name><affiliation><nlm:aff id="A9"> Department of Child and Adolescent Health, World Health Organization, Geneva, Switzerland</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20937173</idno><idno type="pmc">2975100</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2975100</idno><idno type="RBID">PMC:2975100</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">002204</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002204</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oxygen is an essential medicine: a call for international action</title><author><name sortKey="Duke, T" sort="Duke, T" uniqKey="Duke T" first="T." last="Duke">T. Duke</name><affiliation><nlm:aff id="A1"> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia</nlm:aff></affiliation></author><author><name sortKey="Graham, S M" sort="Graham, S M" uniqKey="Graham S" first="S. M." last="Graham">S. M. Graham</name><affiliation><nlm:aff id="A1"> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia</nlm:aff></affiliation><affiliation><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Cherian, M N" sort="Cherian, M N" uniqKey="Cherian M" first="M. N." last="Cherian">M. N. Cherian</name><affiliation><nlm:aff id="A3"> Department of Essential Health Technologies, World Health Organization, Geneva, Switzerland</nlm:aff></affiliation></author><author><name sortKey="Ginsburg, A S" sort="Ginsburg, A S" uniqKey="Ginsburg A" first="A. S." last="Ginsburg">A. S. Ginsburg</name><affiliation><nlm:aff id="A4"> PATH, Seattle, WA, USA</nlm:aff></affiliation></author><author><name sortKey="English, M" sort="English, M" uniqKey="English M" first="M." last="English">M. English</name><affiliation><nlm:aff id="A5"> Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Howie, S" sort="Howie, S" uniqKey="Howie S" first="S." last="Howie">S. Howie</name><affiliation><nlm:aff id="A6"> Medical Research Council, Banjul, The Gambia</nlm:aff></affiliation></author><author><name sortKey="Peel, D" sort="Peel, D" uniqKey="Peel D" first="D." last="Peel">D. Peel</name><affiliation><nlm:aff id="A7"> Ashdown Consultants, Hartfield, London, UK</nlm:aff></affiliation></author><author><name sortKey="Enarson, P M" sort="Enarson, P M" uniqKey="Enarson P" first="P. M." last="Enarson">P. M. Enarson</name><affiliation><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Wilson, I H" sort="Wilson, I H" uniqKey="Wilson I" first="I. H." last="Wilson">I. H. Wilson</name><affiliation><nlm:aff id="A8"> World Federation of Societies of Anaesthesiologists, London, UK</nlm:aff></affiliation></author><author><name sortKey="Were, W" sort="Were, W" uniqKey="Were W" first="W." last="Were">W. Were</name><affiliation><nlm:aff id="A9"> Department of Child and Adolescent Health, World Health Organization, Geneva, Switzerland</nlm:aff></affiliation></author></analytic><series><title level="j">The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease</title><idno type="ISSN">1027-3719</idno><idno type="eISSN">1815-7920</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><p id="P2">Hypoxaemia is commonly associated with mortality in developing countries, yet feasible and cost-effective ways to address hypoxaemia receive little or no attention in current global health strategies. Oxygen treatment has been used in medicine for almost 100 years, but in developing countries most seriously ill newborns, children and adults do not have access to oxygen or the simple test that can detect hypoxaemia. Improving access to oxygen and pulse oximetry has demonstrated a reduction in mortality from childhood pneumonia by up to 35% in high-burden child pneumonia settings. The cost-effectiveness of an oxygen systems strategy compares favourably with other higher profile child survival interventions, such as new vaccines. In addition to its use in treating acute respiratory illness, oxygen treatment is required for the optimal management of many other conditions in adults and children, and is essential for safe surgery, anaesthesia and obstetric care. Oxygen concentrators provide the most consistent and least expensive source of oxygen in health facilities where power supplies are reliable. Oxygen concentrators are sustainable in developing country settings if a systematic approach involving nurses, doctors, technicians and administrators is adopted. Improving oxygen systems is an entry point for improving the quality of care. For these broad reasons, and for its vital importance in reducing deaths due to lung disease in 2010: Year of the Lung, oxygen deserves a higher priority on the global health agenda.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9706389</journal-id><journal-id journal-id-type="pubmed-jr-id">20773</journal-id><journal-id journal-id-type="nlm-ta">Int J Tuberc Lung Dis</journal-id><journal-id journal-id-type="iso-abbrev">Int. J. Tuberc. Lung Dis.</journal-id><journal-title-group><journal-title>The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease</journal-title></journal-title-group><issn pub-type="ppub">1027-3719</issn><issn pub-type="epub">1815-7920</issn></journal-meta><article-meta><article-id pub-id-type="pmid">20937173</article-id><article-id pub-id-type="pmc">2975100</article-id><article-id pub-id-type="manuscript">UKMS33165</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Oxygen is an essential medicine: a call for international action</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Duke</surname><given-names>T.</given-names></name><xref ref-type="aff" rid="A1">*</xref></contrib><contrib contrib-type="author"><name><surname>Graham</surname><given-names>S. M.</given-names></name><xref ref-type="aff" rid="A1">*</xref><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Cherian</surname><given-names>M. N.</given-names></name><xref ref-type="aff" rid="A3">‡</xref></contrib><contrib contrib-type="author"><name><surname>Ginsburg</surname><given-names>A. S.</given-names></name><xref ref-type="aff" rid="A4">§</xref></contrib><contrib contrib-type="author"><name><surname>English</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="A5">¶</xref></contrib><contrib contrib-type="author"><name><surname>Howie</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="A6">#</xref></contrib><contrib contrib-type="author"><name><surname>Peel</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="A7">**</xref></contrib><contrib contrib-type="author"><name><surname>Enarson</surname><given-names>P. M.</given-names></name><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Wilson</surname><given-names>I. H.</given-names></name><xref ref-type="aff" rid="A8">††</xref></contrib><contrib contrib-type="author"><name><surname>Were</surname><given-names>W.</given-names></name><xref ref-type="aff" rid="A9">‡‡</xref></contrib><on-behalf-of>the Union Oxygen Systems Working Group</on-behalf-of><xref ref-type="author-notes" rid="FN1">§§</xref></contrib-group><aff id="A1"><label>*</label> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia</aff><aff id="A2"><label>†</label> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</aff><aff id="A3"><label>‡</label> Department of Essential Health Technologies, World Health Organization, Geneva, Switzerland</aff><aff id="A4"><label>§</label> PATH, Seattle, WA, USA</aff><aff id="A5"><label>¶</label> Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi, Kenya</aff><aff id="A6"><label>#</label> Medical Research Council, Banjul, The Gambia</aff><aff id="A7"><label>**</label> Ashdown Consultants, Hartfield, London, UK</aff><aff id="A8"><label>††</label> World Federation of Societies of Anaesthesiologists, London, UK</aff><aff id="A9"><label>‡‡</label> Department of Child and Adolescent Health, World Health Organization, Geneva, Switzerland</aff><author-notes><corresp id="CR1">Correspondence to: Stephen M Graham, Centre for International Child Health, Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Flemington Rd, Parkville, Victoria 3052, Australia. Tel: (+61) 3 9345 4788. Fax: (+61) 3 9345 6667. <email>steve.graham@rch.org.au</email></corresp><fn id="FN1"><label>§§</label><p id="P1"><bold>The Oxygen Systems Working Group of The Union</bold>: S M Graham (Chair), B Bradley, S Carai, M N Cherian, P M Enarson, M English, T Duke, R P Gie, A S Ginsburg, T Hazir, S Howie, G Irimu, S La Vincente, M Okello-Nyieko, D Peel, S Qazi, J Singleton, R Subhi, M W Weber, W Were, I H Wilson.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>2</day><month>11</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>08</day><month>11</month><year>2010</year></pub-date><volume>14</volume><issue>11</issue><fpage>1362</fpage><lpage>1368</lpage><permissions><copyright-statement>© 2010 The Union</copyright-statement><copyright-year>2010</copyright-year></permissions><abstract><title>SUMMARY</title><p id="P2">Hypoxaemia is commonly associated with mortality in developing countries, yet feasible and cost-effective ways to address hypoxaemia receive little or no attention in current global health strategies. Oxygen treatment has been used in medicine for almost 100 years, but in developing countries most seriously ill newborns, children and adults do not have access to oxygen or the simple test that can detect hypoxaemia. Improving access to oxygen and pulse oximetry has demonstrated a reduction in mortality from childhood pneumonia by up to 35% in high-burden child pneumonia settings. The cost-effectiveness of an oxygen systems strategy compares favourably with other higher profile child survival interventions, such as new vaccines. In addition to its use in treating acute respiratory illness, oxygen treatment is required for the optimal management of many other conditions in adults and children, and is essential for safe surgery, anaesthesia and obstetric care. Oxygen concentrators provide the most consistent and least expensive source of oxygen in health facilities where power supplies are reliable. Oxygen concentrators are sustainable in developing country settings if a systematic approach involving nurses, doctors, technicians and administrators is adopted. Improving oxygen systems is an entry point for improving the quality of care. For these broad reasons, and for its vital importance in reducing deaths due to lung disease in 2010: Year of the Lung, oxygen deserves a higher priority on the global health agenda.</p></abstract><kwd-group><kwd>oxygen</kwd><kwd>hypoxaemia</kwd><kwd>pneumonia</kwd><kwd>lung disease</kwd><kwd>health systems</kwd></kwd-group><funding-group><award-group><funding-source country="United Kingdom">Wellcome Trust : </funding-source><award-id>076827 || WT</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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