Paraguay, Latin America

Due to special circumstances, Paraguay is a country that has taken long to develop, including our medicine. Until very recently, our medicine was primarily asistencialist, and mainly dealt with emergencies only. Chronic diseases were not treated and of course the prevention of these chronic diseases was not considered. Bronchial asthma, and the drama and severity of its crisis, has always occupied an important place in emergency clinics.

In the decade from 1950 to 60, pulmonologists were busy with tuberculosis, and the first allergists appeared. The ISAAC survey in 1998 came to fill an important place in the consideration of allergic conditions. For example, allergic rhinoconjunctivitis was a disease largely ignored by general practitioners and specialists. Five years later, in the 2nd ISAAC survey, allergic rhinoconjunctivitis, came to the fore with an incidence greater than 40% and this coincided with the appearance of ARIA (Allergic Rhinitis and its Impact on Asthma)

These events attracted the attention of specialists, and this made otolaryngologists and allergists come to a consensus on allergic diseases that affect upper respiratory conditions. Unfortunately, this consideration was not taken with atopic dermatitis. However, there is always the desire and hope of a consensus with dermatologists, to consider together the various aspects of this disease

Finally, it should be noted that the survey was received by the young people surveyed with enthusiasm and many of them were helped, because it gave them attention that they never received before.