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Condition · ICD-10 J45

Asthma

Chronic inflammatory airway disease causing breathlessness, wheezing and cough. Affects 1 in 20 Moroccans.

In Morocco — Asthma affects about 4.5% of Morocco's population (1.6 million people), according to the National Asthma Survey (Moroccan Society of Pneumology, 2019). 10% of school-age children.

Main symptoms

  • •Shortness of breath at rest or on exertion
  • •Wheezing
  • •Chest tightness
  • •Dry cough, especially at night
  • •Attacks triggered by allergens, cold or exertion

Risk factors

  • ⚠️ Family history of asthma or allergy
  • ⚠️ Allergies (pollen, dust mites, animal dander)
  • ⚠️ Active and passive smoking
  • ⚠️ Air pollution (Casablanca, Rabat)
  • ⚠️ Childhood viral respiratory infections
  • ⚠️ Occupational exposure (flour, paints, solvents)
  • ⚠️ Obesity

Management and treatments

Two-track treatment: **maintenance therapy** (inhaled corticosteroids ± long-acting bronchodilators — budesonide, fluticasone) and **rescue therapy** (short-acting beta-2 agonists: salbutamol, terbutaline). For severe forms: biotherapies (omalizumab, mepolizumab) available in Morocco. Asthma qualifies as ALD — 100% reimbursement by CNOPS/CNSS/AMO Tadamon.

Prevention

Avoid identified allergens (dust mites: anti-mite covers, ventilation), strict smoking cessation (including passive smoke), annual flu and pneumococcal vaccination, suitable physical activity (swimming is ideal), weight control. Annual pulmonologist visit to adjust maintenance therapy.

Frequently asked questions

How can I recognise a severe asthma attack?+
Warning signs: difficulty speaking in full sentences, blue lips/nails, pulse > 120/min, saturation < 92%, no response to Ventolin. Call 141 or 15 IMMEDIATELY — the attack can be fatal.
Can asthmatic children play sport?+
Yes, and it's even recommended! Physical activity (especially swimming) improves lung function. Take 2 puffs of Ventolin 15 min before exercise for exercise-induced asthma.
Is asthma curable?+
Asthma is a chronic disease, but in 60% of paediatric cases symptoms disappear at adolescence. In adults, good control allows a normal life.
How much does monthly asthma treatment cost in Morocco?+
Budesonide/formoterol (Symbicort): 350-450 MAD/inhaler. Reimbursed 100% under ALD, 80% otherwise (CNOPS) / 70% (CNSS).
⚠️ Medical disclaimer. This sheet is informational. It does not replace a consultation with a healthcare professional. Cited sources: WHO, HAS, ANAM.

Need a medical opinion?

Consult a pneumologue near you.

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