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首页> 外文期刊>Allergy >Finnish Allergy Programme 2008-2018--time to act and change the course.
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Finnish Allergy Programme 2008-2018--time to act and change the course.

机译：芬兰过敏项目2008-2018-是采取行动和改变路线的时候了。

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BACKGROUND: The prevalence of allergic diseases has grown in Finland, similarly to many other western countries. Although the origin of allergy remains unresolved, increasing body of evidence indicates that the modern man living in urban built environment is deprived from environmental protective factors (e.g. soil microorganisms) that are fundamental for normal tolerance development. The current dogma of allergen avoidance has not proved effective in halting the 'epidemic', and it is the Finnish consensus that restoring and strengthening tolerance should more be in focus. AIM: The national 10-year programme is aimed to reduce burden of allergies. The main goals are to (i) prevent the development of allergic symptoms; (ii) increase tolerance against allergens; (iii) improve the diagnostics; (iv) decrease work-related allergies; (v) allocate resources to manage and prevent exacerbations of severe allergies and (vi) decrease costs caused by allergic diseases. METHODS: For each goal, specific tasks, tools and evaluation methods are defined. Nationwide implementation acts through the network of local co-ordinators (primary care physicians, nurses, pharmacists). In addition, three nongovernmental organizations (NGOs) take care of the programme implementation. The 21 central hospital districts carry out a three step educational process: (i) healthcare personnel; (ii) representatives and educators of NGOs and (iii) patients and the general population. For outcome evaluation, repeated surveys are performed and healthcare registers employed at the beginning, at 5 years, and at the end of the programme. The process will be evaluated by an independent external body. CONCLUSION: The Finnish initiative is a comprehensive plan to reduce burden of allergies. The aim is to increase immunological tolerance and change attitudes to support health instead of medicalizing common and mild allergy symptoms. It is time to act, when allergic individuals are becoming a majority of western populations and their numbers are in rapid increase worldwide. The Programme is associated with the Global Alliance of Chronic Respiratory Diseases (GARD), WHO.
机译：背景：与许多其他西方国家一样，芬兰的过敏性疾病患病率也在上升。尽管过敏的根源尚未解决，但越来越多的证据表明，生活在城市建筑环境中的现代人被剥夺了对正常耐受力发展至关重要的环境保护因素（例如土壤微生物）。当前避免过敏原的教条尚未被证明能有效地遏制“流行病”，芬兰的共识是，恢复和加强耐受性应成为重点。目的：国家十年计划旨在减轻过敏负担。主要目标是（i）预防过敏症状的发展; （ii）增加对过敏原的耐受性; （iii）改善诊断; （iv）减少与工作有关的过敏; （v）分配资源以管理和预防严重过敏的恶化，以及（vi）降低由过敏性疾病引起的成本。方法：为每个目标定义了特定的任务，工具和评估方法。全国范围内的实施通过地方协调员（初级保健医生，护士，药剂师）的网络进行。此外，三个非政府组织负责该计划的实施。 21个中央医院区执行三个步骤的教育过程：（i）医护人员; （ii）非政府组织的代表和教育者，以及（iii）患者和一般人群。为了评估结果，在计划的开始，五年和结束时进行了重复的调查，并使用了医疗记录仪。该过程将由独立的外部机构进行评估。结论：芬兰的倡议是减少过敏负担的综合计划。目的是提高免疫耐受性并改变态度以支持健康，而不是将常见和轻度过敏症状医学化。是时候采取行动了，当过敏性个体成为西方人口的大多数，并且其数量在全球范围内迅速增长时。该计划与世界卫生组织全球慢性呼吸疾病联盟（GARD）有关。

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