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Nurses must take the lead in the management of asthma.

Every seven hours in the UK one person dies from asthma and, according to a recent report by Asthma UK, more than half a million people with asthma live in fear that their next attack will be fatal (Asthma UK, 2004). The death rate from respiratory disease in the UK is twice the EU average and illnesses such as lung cancer, asthma, pneumonia and chronic obstructive pulmonary disease are now killing more people in the UK than coronary heart disease. In addition, respiratory disease is the most common illness responsible for an emergency admission to hospital (European Respiratory Society, 2004). Given these facts, the fear that asthmatics experience is not unreasonable.