Asthma: moving towards a global children's charter

Yuichi Adachi, Lara J Akinbami, Kathryn V Blake, Andrew Bush, Michael Cabana, Lisa C Cicutto, Adnan Custovic, Iolo Doull, Gilberto B Fischer, Dominic A Fitzgerald, Monica Fletcher, Jonathan Grigg, Jianguo Hong, Rod Hughes, Christina Keen, David A Leather, Rob F Lemanske, Warren Lenney, Louis Garcia-Marcos, Donna J MazcykAnders Ostrem, Soren Pedersen, Bruce K Rubin, Aziz Sheikh, Kunling Shen, Peter D. Sly, Renato Stein, James Stout, Padmaja Subbarao, Stanley J. Szefler, Raj Tilak, Tonya Winders, Sian Williams, Heather J Zar

Research output: Contribution to journalEditorialpeer-review


Most children with asthma should be easy to manage and achieve good disease control. However, the global quality of asthma diagnosis and its management in children is extremely variable, with consistently high numbers of hospital admissions, avoidable asthma deaths, poor engagement in care by families, and very high financial burdens accrued by health-care systems. There is little evidence that asthma management is improving as the years progress. Great global inequalities continue in both diagnosis and management, with a disproportionate number of children in low-income and middle-income countries with no access to or unable to receive appropriate care. The Lancet Clinical Commission, After asthma: redefining airways diseases, states that asthma is an umbrella term with differing presentations across the world.
Original languageEnglish
JournalThe Lancet Respiratory Medicine
Early online date22 Feb 2019
Publication statusPublished - Apr 2019


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