PREVENTION OF COPD WHAT SHOULD WE DO NOW ?

Prevent the Young ones from smoking

- Have a total ban on cigarette smoking in all public places.

- Totally ban the display of tobacco products in any commercial site.

- Have a total ban in advertising tobacco, and the depiction of smoking under the circumstances.

- Purchase of tobacco requiring the production of photo identity.

- Introduce really severe penalties , including closing down of businesses and imprisonment for those who sell cigarettes to children.

In addition, a campaign needs to be targeted in antenatal clinics:

- If you smoke during pregnancy, your unborn baby is smoking too.

- This will affect the baby throughout their life.

- Even if you became pregnant without having given up smoking it is not too late; if you give up in pregnancy, you can avoid harming the baby.

- Preferably link maternity benefits to quitting smoking with objective checks on urine or salivary cotinine levels .

Viral infections?

The RESPIRATORY SYNCYTIAL VIRUS infection is a marker for previous damage, not a cause of subsequent problems . There is a theory that those infections may be the cause of the COPD in certain children with polymorphism in pro-inflammatory genes , those cases may have had anatomical damage when children that cause an increase likelihood of later COPD, comparable with other cases of just polymorphism genes or antenatal factors.

Other adenovirus have been linked to COPD as well as Chlamydia infections but nothing is been demonstrated.

Obesity is not well defined as a cause of COPD , however the obesity could be a pro-inflammatory state that may affect airway reactivity.

Finally we would say that maternal obstetric problems may have long-term effects in the development of COPD. Optimal obstetric care is desirable and it may be the spin-off of also preventing prematurity and its consequences, and promoting good lung health in term infants

Advanced Dianostic Methots

The Tomography substitutes other more agressive and expensive diagnosis methods
such as Arthroscopy and Magnetic
Resonance.