Media release

Tobacco culprit in chronic airway blockage 

New study points to effect on over-production of mucus   

 




16 January 2002
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New research has pointed to Chronic Obstructive Pulmonary Disease (COPD or "emphysema") as a major public health care challenge over the next decade – and tobacco is a key factor in the life-threatening disease.

Both in Australia and internationally, COPD is the only major cause of death and disability that is increasing. It’s estimated to affect about 5% of older Australians. 

The study, by Kerstjens et al  in the British Medical Journal,  predicts that “rising rates of smoking in developing countries and the impact of women ‘catching up’ with men’s smoking habits will further affect the development of COPD.”  http://bmj.com/cgi/content/full/323/7325/1349

Meanwhile, new Italian research explains tobacco’s contribution to the disease - suggesting smoking is “the major determinant” in over-supply of goblet cells in the surface of peripheral airways. These cells can over-produce mucus, causing airway obstruction and contributing to the development of COPD. http://intl-ajrccm.atsjournals.org/search.dtl  (search under author: MAESTRELLI, P).

The Italian study found that goblet cell over-production was present in smokers whether or not they were already suffering from COPD – suggesting that smoking itself was the major cause in over-supply of mucus from these cells.

Says Dr Matthew Peters, Thoracic Physician and Chairman of ASH Australia:  “This research goes a long way to explain one mechanism by which smoking causes obstruction in our breathing passages”.

“Smokers may not realise that the amount of phlegm they’re coughing up is neither normal nor trivial,” says Dr Peters. “It’s caused by their smoking - which triggers an over-production of phlegm, slowly choking off air supply to the lungs and the rest of the body.”

“The more you smoke, the more your airways get clogged up by phlegm – eventually making breathing difficult. If ignored, this may persist long after you’ve stopped smoking.

“Coughing up phlegm or swallowing it should be taken seriously by smokers as a warning sign to quit now.”

Comment:     

Dr Matthew Peters, Chairman, ASH Australia on (02) 9767.6208 
Media info:     Stafford Sanders on (02) 9334.1823

 

 

Page last updated on 16/01/2002