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TACKLING ANAPHYLAXIS: A PROPOSAL FROM THE MONTPELLIER WORLD HEALTH ORGANIZATION COLLABORATING CENTRE FOR BETTER MANAGEMENT AND PREVENTION OF ANAPHYLAXIS
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  • LUCIANA TANNO,
  • Nidhal Touati,
  • Salome Allichon,
  • Bryan Martin,
  • Motohiro Ebisawa,
  • Ignacio J Ansotegui,
  • Mario Sanchez-Borges,
  • Victoria Cardona,
  • PA Greenberger,
  • Dermot Ryan,
  • Guillaume Pouessel,
  • Etienne BEAUDOUIN,
  • Jean-Marie Renaudin,
  • Francis Thien,
  • Yoon-Seok Chang,
  • Ruby Pawankar,
  • Maximiliano Gómez,
  • Edgardo Jares,
  • Patricia Latour,
  • Ioana Agache,
  • Antonella Muraro,
  • Tood Mahr,
  • JAMES Sublett,
  • Thomas Casale,
  • David Lang,
  • Pascal Demoly
LUCIANA TANNO
Hospital Sírio Libanês
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Nidhal Touati
University Hospital Centre Montpellier
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Salome Allichon
University Hospital Centre Montpellier
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Bryan Martin
Columbus State University
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Motohiro Ebisawa
National Hospital Organization, Sagamihara National Hospital
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Ignacio J Ansotegui
Hospital Quironsalud Bizkaia
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Mario Sanchez-Borges
Centro Medico-Docente La Trinidad
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Victoria Cardona
Hospital Universitari Vall d’Hebron
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PA Greenberger
Northwestern University
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Dermot Ryan
University of Edinburgh
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Guillaume Pouessel
Centre Hospitalier de Roubaix
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Etienne BEAUDOUIN
Regional Institute for Allergic and Environemental Disease Clinical Immunology
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Jean-Marie Renaudin
University Hospital Nancy
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Francis Thien
Monash University
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Yoon-Seok Chang
Seoul National University Bundang Hospital
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Ruby Pawankar
Nippon Medical School
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Maximiliano Gómez
Fundación Ayre
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Edgardo Jares
LIBRA Foundation and CMP SA
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Patricia Latour
Centro Avanzado de Alergia y Asma
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Ioana Agache
Transylvania University of Brasov
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Antonella Muraro
Padua General University Hospital
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Tood Mahr
Gundersen Health System in La Crosse
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JAMES Sublett
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
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Thomas Casale
University of South Florida
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David Lang
Department of Allergy
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Pascal Demoly
University Hospital of Montpellier
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Abstract

Since the first description of anaphylaxis in 1902, its clinical importance as an emergency condition has been recognized worldwide. Anaphylaxis is a severe, potentially life-threatening systemic hypersensitivity reaction characterized by rapid onset and the potential to endanger life through respiratory or circulatory compromise. It is usually, although not always, associated with skin and mucosal changes. Although the academic/scientific communities have advocated to promote greater awareness and protocols for management of anaphylaxis based on best evidence, there are few efforts documenting feedback as to the success of these efforts. In this document, we review the key unmet needs related to the diagnosis and management of anaphylaxis, propose a public health initiative for prevention measures and a timetable action plan which intends to strengthen the collaboration among health professionals and especially primary care physicians dealing with anaphylaxis that can encourage enhanced quality of care of patients with anaphylaxis. More than calling for harmonized action for best management of anaphylaxis to prevent undue morbidity and mortality, the Montpellier World Health Organization Collaborating Centre here proposes an action plan as a baseline for a global initiative against anaphylaxis. We strongly believe these collaborative efforts are a strong public health and societal priority that is consistent with the overarching goals of providing optimal care of allergic patients and best practices of allergology.