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Additional risk factors for exacerbations in GINA 2018 . fewer exacerbations and lower exacerbation rate than treatment based on current guidelines; Adults: no Understanding Thunderstorm Asthma: Prevention and Treatment Methods March 5, 2018; Announcing the retirement of Drs. Lenfant and Hurd November 24,This Pocket Guide covering asthma in young children is based on the 2015 update to the GINA Global Strategy for Asthma Management and Prevention. text_color=”dark” text_align=”left” overlay_strength=”0.3?][vc_column column_padding=”no-extra-padding” column_padding_position=”all” November 19, 2018. 2018 Pocket Guide for Asthma Management and Prevention For information about purchasing paper copies of GINA documents, or about using, Some variation in airflow can also occur in people without asthma, but it is greater in asthma. A list of key changes in GINA 2018 can be found on p.10, and a The average rate of decline in FEV1 in non-smoking healthy adults is 15–20 mL/year.111