A significant clinical research carried out at KRIMS Hospitals Nagpur was presented by Dr Sameer Arbat at International Chest Congress in April 2019 and published in multiple international news portals.

Dr Sameer Arbat, Pulmonologist, Nagpur was invited to present his clinical study at the American College of Chest Physicians-ACCP Chest Congress 2019. He presented a study on “Clinical profile of Non-Smoker COPD patients” and “Case Series on Cryobiopsy in 70 cases”. Dr Arbat’s study on Non-smoker COPD generated a lot of interest and was covered by more than five international news portals. The study has been published widely in health news around South Asia region.

The American College of Chest Physicians (ACCP) Chest Congress 2019 is an annual event attended by pulmonologists from all over the world. The congress has global representation of newer and innovative clinical updates in the field of respiratory medicine.

Dr Sameer Arbat was invited to present his study in all formats of the conference including an oral presentation, e-poster and journal publication. This is a pioneer study from Central India, highlighting the increase in lung diseases due to indoor and outdoor air pollution. The study focused on patients of COPD disease who have never smoked. COPD is a leading cause of disease and death all over the world and has been known to be caused in smokers and ex-smokers. The study carried out at KRIMS analysed the clinical profile of patients who were diagnosed to have COPD but had never smoked. Around 50% of all COPD patients were found to be non smokers. Majority of the patients were women who were exposed to chulha smoke. Chulha or biomass fuel is still a common means of cooking in rural as well as urban households. The study is important because it throws new light on the serious health consequences of air pollution both inside and outside. It also sends a warning to the long term ill effects of fumes and gasses produced in factories or industries.

“COPD is now known to be the fourth leading cause of morbidity and mortality all over the world. There is a need to study in detail the subset of patients who are smokers and present as severe COPD. We plan to carry forward this study on a national level through a multi centric research,” commented Dr. Sameer Arbat.

Dr. Sameer Arbat has presented similar landmark studies in the past at national and international platforms. Department of Pulmonology, KRIMS Hospitals has been one of the oldest and pioneer in providing advanced respiratory treatment to patients of Nagpur as well as parts of Chhattisgarh, MP.

What is COPD ?

  • COPD or Chronic Obstructive Pulmonary Disease is a preventable and treatable disease which leads to progressive complaints of shortness of breath and cough.
  • COPD is the fourth leading cause of death worldwide and 90% patients belong to developing countries.
  • It starts as breathing difficulty and cough, eventually leading to muscle loss and heart involvement.
  • Smoking has been known to be the main culprit for this disease.

What are the results of KRIMS study ?

  • More than 55% of COPD patients coming to tertiary healthcare centre in Nagpur are non-smokers.
  • Most of these non-smokers patients are females who use chulha for cooking or are exposed to indoor smoke.
  • 62 % of patients belonged to rural areas around Vidarbha and MP region.
  • Similar findings have been seen in rural population of Indonesia, Thailand, China who use wood for cooking purpose and have bad ventilation.

Why we should worry ?

  • COPD, although preventable, is a non-reversible disease. It involves the lungs as well as the heart and muscles as it progresses.
  • The effects of COPD are mostly seen after two to three decades of exposure to smoke or pollution. So people exposed to high levels of pollution today will show the symptoms after 20 to 30 years
  • Air pollution isn’t limited to environmental air pollution but is also dangerous as indoor and occupational air pollution.

Stronger policy changes are required to address the issue of air pollution and its effects on health.

Links to International News Portals carrying this article

https://eurekalert.org/pub_releases/2019-04/acoc-non040919.php

https://startsat60.com/health/health-issues/lung-health/number-of-non-smokers-copd-increasing-chronic-obstructive-pulmonary-disease-chest-congress-thailand-2019

https://www.upi.com/Health_News/2019/04/10/Number-of-nonsmokers-with-COPD-increasing-worldwide-report-says/6251554901591/

http://www.chestnet.org/News/Press-Releases/2019/04/Number-of-nonsmokers-with-COPD-on-the-rise