End of the New Zealand asthma mortality epidemic

@article{Pearce1995EndOT,
  title={End of the New Zealand asthma mortality epidemic},
  author={Neil Pearce and Richard Beasley and Julian Crane and Carl D. Burgess and Rodney Jackson},
  journal={The Lancet},
  year={1995},
  volume={345},
  pages={41-44}
}
Epidemiology of Asthma Mortality
TLDR
This chapter discusses the international trends in asthma mortality throughout the 20th century, focusing primarily on the possible causes for the mortality epidemics and the gradual rise in Asthma mortality which has occurred over recent decades.
Epidemiologic studies of beta agonists and asthma deaths.
TLDR
This presentation reviews the epidemiologic evidence linking isoprenaline forte with asthma mortality epidemics in six countries during the 1960s, and the evidence linking fenoterol with an epidemic of asthma deaths in New Zealand during the 1970s and 1980s.
International trends in asthma mortality rates in the 5- to 34-year age group: a call for closer surveillance.
TLDR
The widespread increase in asthma mortality in the 1980s and the subsequent, even greater reduction has largely gone unrecognized and it is proposed that awareness of such trends and their causes is important and that they are investigated contemporaneously.
The decline in asthma hospitalisations in persons aged 0-34 years in New Zealand.
  • T. Kemp, N. Pearce
  • Medicine, Political Science
    Australian and New Zealand journal of medicine
  • 1997
TLDR
New Zealand is not only benefiting from a marked fall in asthma deaths, but is also benefiting fromA marked decline in asthma hospitalisations in young adults, and probably also in children.
International trends in asthma mortality.
TLDR
The most recent trend observed in a number of western countries during the last decade has been a gradual reduction in asthma mortality; this may relate to improvements in the management of asthma.
Trends in asthma morbidity and mortality in Japan between 1984 and 1996.
TLDR
There is a possibility that an age-specific phenomenon is at work here because asthma mortality increased only in the 10-24 and 25-44 year-old groups, although the prevalence of asthma increased in all groups, whether classified by age or sex.
Asthma and the beta agonist debate.
TLDR
It is concluded that the strong association between the use of inhaled /3 agonists and asthma mortality is confined primarily to the useof these drugs in excess of recommended limits.
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Of great concern was an abrupt increase in reported deaths from asthma in New Zealand after 1976 with the mortality rate during 1977-9 being greater than during the previous epidemic.
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Suggestions that changes in mortality from asthma in New Zealand can be explained by shifts in use of fenoterol are repeated as misleading as it leaves out critical information on trends in asthma treatment, and the hypothesised association cannot be reproduced if drug consumption is used instead of market share.
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