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Preface 

Asthma is a serious global health problem affecting all age groups. Its prevalence is increasing in many countries, especially among children. Although some countries have seen a decline in hospitalizations and deaths from asthma, asthma still imposes an unacceptable burden on health care systems, and on society through loss of productivity in the workplace and, especially for pediatric asthma, disruption to the family. 

This year, the Global Initiative for Asthma celebrates 30 years of working to improve the lives of people with asthma by translating medical evidence into better asthma care worldwide. Established in 1993 by the National Heart, Lung, and Blood Institute and the World Health Organization, GINA works with healthcare professionals, researchers, patients and public health officials around the world to reduce asthma prevalence, morbidity and mortality. The Global Strategy for Asthma Management and Prevention (‘GINA Strategy Report’) was first published in 1995, and has been updated annually since 2002 by the GINA Science Committee. It contains guidance for primary care practitioners, specialists and allied health professionals, based on the latest high quality evidence available. More resources and supporting material are provided online at www.ginasthma.org. RIBU 

GINA supports global efforts to achieve environmental sustainability in health care, while ensuring that our guidance reflects an optimal balance between clinical and environmental priorities, with a particular focus on patient safety. GINA also supports efforts to ensure global availability of, and access to, effective quality-assured medications, to reduce the burden of asthma mortality and morbidity. Since 2001, GINA has organized the annual World Asthma Day, a focus for local and national activities to raise awareness of asthma and educate families and health care professionals about effective asthma care. In 2023, the theme for World Asthma Day is ‘Asthma Care for All’. 

GINA is an independent organization funded solely through sale and licensing of its educational publications. Members of the GINA Board of Directors are drawn globally from leaders with an outstanding demonstrated commitment to asthma research, asthma clinical management, public health and patient advocacy. GINA Science Committee members are highly experienced asthma experts from around the world, who continually review and synthesize scientific evidence to provide guidance on asthma prevention, diagnosis and management. The GINA Dissemination Task Group is responsible for promoting GINA resources throughout the world. Members work with an international network of patient representatives and leaders in asthma care (GINA Advocates), to implement asthma education programs and support evidence-based care. GINA support staff comprise the Executive Director and Project Manager. 

We acknowledge the superlative work of all who have contributed to the success of the GINA program. In particular, we 

recognize the outstanding long-term dedication of founding Scientific Director Dr Suzanne Hurd and founding Executive 

Director Dr Claude Lenfant in fostering GINA’s development until their retirement in 2015. We acknowledge the invaluable 

commitment and skill of our current Executive Director Ms Rebecca Decker, BS, MSJ. We continue to recognize the 

contribution of Prof J Mark FitzGerald to GINA for over 25 years until his passing in 2022. We also thank all members of 

the Science Committee, who receive no honoraria or reimbursement for their many hours of work in reviewing evidence 

and attending meetings, and the GINA Dissemination Task Group and Advocates. 

We hope you find this report to be a useful resource in the management of asthma and that it will help you work with each 

of your patients to provide the best personalized care. 

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