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id
int64
age
int64
sex
string
child
int64
urban
int64
education
string
bmi
float64
biomass_fuel_cooking
int64
tobacco_smoking
int64
passive_smoking
int64
occupational_dust
int64
outdoor_air_pollution
int64
childhood_respiratory_infection
int64
family_history_asthma
int64
allergic_rhinitis
int64
tb_history
int64
hiv_positive
int64
diagnosis
string
severity
string
spirometry_done
int64
peak_flow_done
int64
fev1_percent_predicted
int64
clinical_diagnosis_only
int64
misdiagnosed
int64
chronic_cough
int64
wheezing
int64
dyspnoea
int64
sputum_production
int64
nocturnal_symptoms
int64
exercise_limitation
int64
inhaler_prescribed
int64
inhaler_type
string
inhaler_technique_correct
int64
oral_steroids
int64
oral_theophylline
int64
inhaler_affordable
int64
inhaler_available_pharmacy
int64
action_plan_given
int64
exacerbations_past_year
int64
hospitalised_exacerbation
int64
emergency_visit
int64
icu_admission
int64
oxygen_given
int64
died
int64
school_days_missed
int64
work_days_missed
int64
1
45
M
0
0
secondary
14
0
0
0
1
0
0
0
0
0
0
asthma
mild
0
0
0
1
1
0
1
0
0
1
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
33
M
0
1
none
25.2
0
0
0
0
1
1
1
0
0
0
asthma
severe
0
0
0
1
0
0
0
1
0
1
0
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
28
M
0
1
secondary
27.8
0
0
0
0
1
0
1
0
0
0
chronic_bronchitis
mild
0
1
0
0
0
1
1
0
1
0
0
0
none
0
0
0
0
0
0
1
0
0
0
0
0
0
0
4
33
F
0
0
none
23.1
1
0
0
0
0
0
0
0
0
0
chronic_bronchitis
severe
0
0
0
1
0
0
0
1
1
0
1
1
nebuliser
0
1
0
1
0
0
0
0
0
0
0
0
0
0
5
41
F
0
0
secondary
31
1
0
0
1
0
0
0
1
0
0
asthma
severe
0
0
0
1
0
1
1
0
0
1
0
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
32
M
0
1
secondary
23.8
1
0
1
0
1
0
0
0
0
0
asthma
mild
0
0
0
1
0
0
0
1
0
0
0
1
beclomethasone_mdi
1
0
0
0
1
0
0
0
0
0
0
0
0
0
7
16
F
1
0
secondary
22.4
1
0
0
0
0
0
0
1
0
0
asthma
mild
0
1
0
0
0
0
1
1
0
0
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
51
F
0
0
none
24.7
1
0
0
1
0
0
0
0
0
0
copd
moderate
0
1
0
0
0
1
0
1
1
0
1
1
nebuliser
1
0
0
0
1
0
1
0
1
0
0
0
0
5
9
85
F
0
0
secondary
15.7
1
1
1
0
0
0
0
0
0
0
copd
moderate
0
1
0
0
0
1
0
0
1
0
1
1
combination
0
0
0
1
1
0
0
0
0
0
0
0
0
0
10
71
M
0
1
tertiary
25.2
1
1
1
1
1
1
1
0
0
0
asthma
moderate
0
0
0
1
0
1
1
1
0
1
1
1
salbutamol_mdi
0
0
0
0
1
0
0
0
0
0
0
0
0
0
11
48
M
0
0
tertiary
17.4
1
0
0
0
0
1
0
0
0
0
asthma
moderate
0
1
0
0
0
1
1
1
0
1
1
1
salbutamol_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
71
M
0
0
secondary
25.2
1
0
0
0
0
0
0
0
0
0
copd
mild
0
0
0
1
1
0
1
0
0
0
0
1
combination
0
0
0
0
0
0
2
1
0
0
1
0
0
4
13
5
F
1
0
secondary
31.1
1
0
0
0
0
1
1
1
0
0
asthma
moderate
0
1
0
0
0
0
1
1
0
1
1
1
salbutamol_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
25
F
0
0
primary
29.6
1
0
1
0
0
0
1
0
0
1
copd
severe
0
1
0
0
0
1
1
1
0
0
0
1
nebuliser
0
1
0
0
1
0
2
1
0
1
1
0
0
17
15
54
F
0
0
none
22.4
1
0
0
0
0
0
1
0
0
0
copd
severe
0
1
0
0
0
1
1
1
0
0
0
0
none
0
1
0
0
0
0
0
0
0
0
0
0
0
0
16
54
F
0
0
none
17.8
1
0
0
0
0
1
0
0
0
0
copd
moderate
0
1
0
0
0
0
1
0
1
0
0
0
none
0
0
1
0
0
0
2
0
0
0
0
0
0
0
17
42
M
0
0
secondary
22.9
1
0
1
0
0
0
1
0
0
0
copd
moderate
0
0
0
1
0
1
1
0
1
0
1
1
salbutamol_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
36
F
0
1
secondary
26.3
0
0
0
0
1
0
0
1
0
0
asthma
mild
0
0
0
1
1
1
0
0
0
0
0
1
beclomethasone_mdi
0
0
0
1
1
0
0
0
0
0
0
0
0
0
19
46
M
0
1
secondary
31.1
0
0
0
1
1
0
1
0
0
0
asthma
mild
0
0
0
1
1
1
1
1
0
0
0
1
salbutamol_mdi
1
0
0
0
1
0
1
0
0
0
0
0
0
1
20
52
M
0
0
primary
24.5
1
0
0
0
0
0
0
0
0
0
asthma
severe
0
0
0
1
1
1
1
1
0
0
1
1
beclomethasone_mdi
1
1
0
0
0
0
2
0
0
0
0
0
0
8
21
5
F
1
0
secondary
26.6
1
0
0
0
0
0
0
0
0
0
asthma
moderate
0
1
0
0
0
1
1
0
0
1
0
1
nebuliser
0
0
0
0
1
0
1
0
0
0
0
0
0
0
22
9
M
1
1
secondary
15.9
0
0
0
0
0
0
1
0
0
0
asthma
moderate
0
0
0
1
1
1
0
0
0
1
0
1
nebuliser
1
0
0
0
1
0
0
0
0
0
0
0
0
0
23
19
M
0
1
secondary
26.5
0
0
0
1
1
0
0
0
0
0
copd
mild
0
1
0
0
0
1
1
1
1
0
0
1
salbutamol_mdi
0
0
0
0
0
0
1
0
0
0
0
0
0
6
24
48
F
0
0
secondary
24.4
1
0
0
0
0
0
0
0
0
0
asthma
moderate
0
0
0
1
0
0
0
0
0
1
1
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
25
M
0
1
none
18.4
0
0
1
1
1
1
0
0
0
0
asthma
mild
0
1
0
0
0
0
1
0
0
1
0
1
salbutamol_mdi
0
0
0
0
1
0
0
0
0
0
0
0
0
0
26
13
F
1
1
primary
26.8
1
0
0
0
0
1
1
1
0
1
asthma
mild
0
1
0
0
0
1
1
0
0
0
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27
72
M
0
0
secondary
23.1
0
0
0
0
0
0
0
0
0
0
asthma
moderate
0
1
0
0
0
1
1
1
0
1
1
1
combination
0
0
0
1
0
0
0
0
0
0
0
0
0
0
28
43
F
0
1
primary
16.5
1
1
0
0
1
0
0
0
0
0
asthma
moderate
0
1
0
0
0
1
0
1
0
0
1
0
none
0
0
1
0
0
0
1
0
0
0
0
0
0
2
29
59
F
0
0
primary
24.1
1
0
0
0
0
1
0
0
0
0
chronic_bronchitis
mild
0
1
0
0
0
0
0
1
1
0
0
1
nebuliser
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
68
M
0
0
secondary
18.5
1
0
0
1
0
0
0
0
0
0
asthma
moderate
0
0
0
1
0
1
0
1
0
1
1
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
31
38
F
0
1
primary
16.3
0
0
0
1
1
0
0
0
0
0
asthma
severe
0
0
0
1
0
0
0
0
0
1
1
1
beclomethasone_mdi
1
0
0
0
1
0
0
0
0
0
0
0
0
0
32
34
F
0
0
secondary
25.4
1
0
0
0
0
0
0
1
0
0
asthma
severe
0
1
0
0
0
1
1
1
0
0
0
0
none
0
1
0
0
0
0
1
0
1
0
0
0
0
20
33
29
F
0
0
primary
25.1
1
0
1
0
0
0
0
1
0
0
asthma
mild
0
1
0
0
0
0
1
0
0
1
0
1
beclomethasone_mdi
1
0
0
0
0
0
1
0
1
0
0
0
0
4
34
27
M
0
0
secondary
23
1
0
0
0
0
0
1
0
0
0
copd
mild
0
1
0
0
0
1
1
0
1
0
0
1
beclomethasone_mdi
0
0
0
0
0
0
2
0
1
0
0
0
0
18
35
51
M
0
0
secondary
26
1
0
0
0
0
0
0
0
0
0
copd
severe
0
0
0
1
0
1
1
1
1
0
1
1
beclomethasone_mdi
0
1
0
1
1
0
1
0
1
0
0
0
0
0
36
35
M
0
1
secondary
24.6
1
0
0
0
0
0
0
0
0
0
copd
mild
0
0
0
1
0
1
1
0
0
0
0
1
beclomethasone_mdi
0
0
0
0
1
0
0
0
0
0
0
0
0
0
37
49
F
0
0
secondary
22
1
0
0
0
0
0
0
0
0
0
asthma
severe
0
0
0
1
1
1
1
1
0
0
1
0
none
0
1
0
0
0
0
0
0
0
0
0
0
0
0
38
85
F
0
0
none
22.2
1
0
0
0
0
1
0
1
0
0
copd
moderate
0
0
0
1
0
0
0
1
0
0
0
1
beclomethasone_mdi
0
0
0
1
0
0
0
0
0
0
0
0
0
0
39
15
F
1
0
primary
30.4
1
0
0
0
0
1
0
1
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
0
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
5
F
1
0
secondary
29.9
1
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
0
1
1
0
1
0
1
combination
0
0
0
0
1
0
0
0
0
0
0
0
0
0
41
41
F
0
0
secondary
15.9
1
0
0
0
0
0
0
0
0
1
asthma
moderate
0
0
0
1
0
1
1
0
0
0
1
1
beclomethasone_mdi
1
0
0
0
0
0
0
0
0
0
0
1
0
0
42
15
F
1
0
none
22.3
1
0
0
0
0
1
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
0
0
1
salbutamol_mdi
1
0
0
1
0
0
0
0
0
0
0
0
0
0
43
36
F
0
1
none
14
0
0
0
0
0
0
0
1
0
0
chronic_bronchitis
moderate
0
0
0
1
1
0
1
1
0
0
1
1
beclomethasone_mdi
1
0
0
1
1
0
0
0
0
0
0
0
0
0
44
21
M
0
0
primary
23.3
0
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
0
0
1
0
1
beclomethasone_mdi
0
0
0
1
0
0
1
0
0
0
0
0
0
15
45
33
F
0
0
none
20
1
0
1
0
0
0
0
0
1
0
asthma
severe
0
1
0
0
0
1
1
1
0
0
1
1
nebuliser
0
0
0
1
0
0
0
0
0
0
0
0
0
0
46
5
F
1
0
secondary
14
1
0
0
0
0
0
0
1
0
0
asthma
mild
0
0
0
1
1
1
1
0
0
1
0
1
salbutamol_mdi
0
0
0
1
0
0
0
0
0
0
0
0
0
0
47
37
M
0
1
none
27.4
0
0
0
1
0
0
0
0
0
1
copd
severe
0
0
0
1
1
1
1
0
1
0
0
0
none
0
1
1
0
0
0
1
1
0
0
1
0
0
13
48
56
F
0
1
none
24.9
0
0
0
0
0
0
0
0
0
0
copd
moderate
0
0
0
1
0
1
1
1
1
0
1
1
salbutamol_mdi
1
0
0
0
1
0
3
0
1
0
0
0
0
1
49
73
M
0
0
tertiary
16
1
1
1
1
0
1
0
0
0
0
asthma
severe
0
0
0
1
0
0
1
1
0
1
1
0
none
0
1
0
0
0
0
1
1
0
0
1
0
0
0
50
51
M
0
0
none
18.7
1
0
0
0
0
0
0
0
0
0
copd
mild
0
0
0
1
1
0
1
0
1
0
0
1
combination
0
0
0
0
0
0
0
0
0
0
0
0
0
0
51
41
M
0
0
secondary
19.4
1
0
0
0
0
0
0
0
0
0
asthma
moderate
0
0
0
1
0
1
1
0
0
1
1
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
52
15
M
1
1
primary
22.9
0
0
1
0
1
0
0
0
0
0
asthma
moderate
0
1
0
0
0
1
1
1
0
0
1
1
salbutamol_mdi
0
0
0
1
1
0
0
0
0
0
0
0
0
0
53
27
F
0
0
secondary
16.7
1
0
0
0
0
0
1
1
0
0
asthma
moderate
0
0
0
1
0
1
1
0
0
0
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
54
38
F
0
0
primary
19
1
0
1
1
0
0
0
0
0
0
asthma
severe
0
1
0
0
0
0
1
1
0
0
1
1
nebuliser
1
1
0
0
0
0
0
0
0
0
0
0
0
0
55
39
F
0
1
none
28.1
0
0
1
0
0
1
0
0
0
0
asthma
moderate
0
0
0
1
0
1
1
0
0
1
1
0
none
0
0
1
0
0
0
0
0
0
0
0
0
0
0
56
60
M
0
1
none
29.8
1
0
0
0
1
0
0
1
0
0
asthma
severe
0
1
0
0
0
1
1
1
0
0
1
0
none
0
0
0
0
0
0
0
0
0
0
0
1
0
0
57
59
M
0
0
secondary
22.9
1
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
0
0
1
0
0
none
0
0
0
0
0
0
1
0
0
0
0
0
0
3
58
11
F
1
0
secondary
23.6
0
0
0
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
0
0
0
1
0
0
0
1
beclomethasone_mdi
0
0
0
0
1
0
0
0
0
0
0
0
0
0
59
30
F
0
1
primary
20.3
1
0
0
1
0
0
0
0
0
0
copd
severe
0
1
0
0
0
1
1
0
0
0
0
1
beclomethasone_mdi
0
1
0
0
1
0
1
0
0
0
0
0
0
2
60
21
F
0
0
primary
26
1
0
1
1
0
0
1
1
0
0
asthma_copd_overlap
moderate
0
0
0
1
0
1
0
1
0
0
1
1
salbutamol_mdi
0
0
0
1
1
0
0
0
0
0
0
0
0
0
61
16
F
1
0
none
24.6
1
0
0
0
0
0
0
0
0
0
asthma
moderate
0
0
0
1
1
1
1
0
0
1
1
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
62
31
F
0
0
primary
28.6
0
0
0
0
0
0
1
0
0
0
copd
moderate
0
0
0
1
0
1
1
1
1
0
1
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
63
37
F
0
1
secondary
25.2
0
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
0
0
0
0
0
1
nebuliser
0
0
0
1
1
0
1
0
0
0
0
0
0
20
64
41
M
0
0
secondary
23.4
1
0
0
0
0
0
1
1
0
0
asthma
severe
0
0
0
1
1
1
1
1
0
1
1
1
beclomethasone_mdi
1
0
0
1
0
0
1
0
1
0
0
0
0
8
65
42
M
0
0
primary
24.2
1
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
0
0
1
combination
0
0
0
0
1
0
1
0
1
0
0
0
0
6
66
12
M
1
1
secondary
20.2
1
0
0
0
1
0
0
1
0
0
asthma
severe
0
0
0
1
1
0
1
1
0
1
1
1
combination
1
0
0
0
1
0
1
0
0
0
0
0
0
0
67
53
M
0
0
tertiary
29.5
1
0
0
0
0
0
0
0
0
0
chronic_bronchitis
mild
0
1
0
0
0
1
1
1
1
0
0
0
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
68
28
F
0
0
primary
17
1
0
0
0
0
1
0
0
1
0
asthma
moderate
0
0
0
1
0
1
1
0
0
1
0
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
69
35
F
0
1
primary
19.2
0
0
0
0
1
0
0
0
0
0
chronic_bronchitis
severe
0
1
0
0
0
1
0
1
1
0
0
1
beclomethasone_mdi
0
1
0
0
0
0
1
1
1
0
1
0
0
2
70
50
F
0
0
tertiary
23.6
1
0
0
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
0
0
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
71
51
M
0
0
primary
26.8
1
1
1
0
0
1
0
0
0
0
copd
severe
0
1
0
0
0
1
0
1
1
0
0
1
nebuliser
1
1
0
1
0
0
0
0
0
0
0
1
0
0
72
29
M
0
1
primary
14
1
1
1
0
0
0
0
0
0
0
asthma_copd_overlap
severe
0
0
0
1
0
1
0
1
0
0
1
0
none
0
1
0
0
0
0
2
1
0
1
1
0
0
15
73
21
M
0
1
primary
25.5
0
0
0
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
1
1
1
1
0
0
0
1
nebuliser
0
0
0
0
0
0
0
0
0
0
0
0
0
0
74
55
F
0
0
primary
21.3
1
0
0
1
0
0
0
1
0
0
copd
mild
0
0
0
1
0
1
1
0
0
0
0
1
salbutamol_mdi
1
0
0
0
0
0
0
0
0
0
0
0
0
0
75
50
M
0
1
tertiary
19.3
1
0
0
0
1
0
0
0
1
1
copd
mild
0
0
0
1
1
0
0
0
1
0
0
1
salbutamol_mdi
0
0
0
1
1
0
0
0
0
0
0
0
0
0
76
43
M
0
1
secondary
21.9
1
0
0
0
1
0
0
0
0
1
asthma
moderate
0
0
0
1
0
1
1
1
0
0
1
1
nebuliser
0
0
0
0
0
0
1
0
1
0
0
0
0
1
77
79
F
0
0
none
16.6
1
0
1
0
0
0
0
0
0
0
copd
mild
0
1
0
0
0
1
0
1
1
0
0
1
nebuliser
0
0
0
0
0
0
0
0
0
0
0
0
0
0
78
45
M
0
0
secondary
14
1
0
1
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
1
1
0
1
0
1
0
1
beclomethasone_mdi
0
0
0
1
0
0
0
0
0
0
0
0
0
0
79
46
F
0
1
secondary
15.1
1
0
0
0
0
1
0
0
0
1
asthma
severe
0
1
0
0
0
1
1
1
0
1
1
0
none
0
1
0
0
0
0
0
0
0
0
0
0
0
0
80
41
F
0
0
primary
25
1
0
0
0
0
0
0
0
0
0
copd
mild
0
0
0
1
0
1
1
1
1
0
0
0
none
0
0
0
0
0
0
2
1
0
0
1
0
0
7
81
5
M
1
0
tertiary
22.1
1
0
1
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
0
1
0
0
0
0
0
1
beclomethasone_mdi
0
0
0
1
0
0
0
0
0
0
0
0
0
0
82
54
M
0
1
secondary
31
0
0
1
0
0
0
0
0
0
0
copd
severe
0
0
0
1
0
1
0
0
1
0
1
1
beclomethasone_mdi
0
1
0
0
1
0
1
0
0
0
0
0
0
34
83
24
M
0
1
primary
14
0
1
0
0
0
0
0
0
0
0
chronic_bronchitis
moderate
0
0
0
1
0
1
1
1
1
0
0
1
salbutamol_mdi
1
0
0
1
0
0
0
0
0
0
0
0
0
0
84
22
M
0
0
tertiary
24.4
1
0
0
0
0
0
0
0
0
1
copd
severe
0
0
0
1
0
1
0
0
1
0
0
1
salbutamol_mdi
1
1
0
1
0
0
0
0
0
0
0
0
0
0
85
27
M
0
1
secondary
26.3
0
0
1
0
0
0
0
0
0
0
asthma
severe
0
0
0
1
0
1
1
1
0
0
1
1
salbutamol_mdi
0
1
0
0
1
0
0
0
0
0
0
0
0
0
86
59
F
0
0
tertiary
20.3
1
1
0
0
0
1
0
0
0
0
copd
moderate
0
1
0
0
0
1
0
0
1
0
1
0
none
0
0
0
0
0
0
1
0
0
0
0
0
0
7
87
49
M
0
0
none
26.4
1
0
0
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
1
1
0
0
0
1
0
1
beclomethasone_mdi
0
0
0
1
1
0
1
0
0
0
0
0
0
16
88
32
F
0
0
primary
14
1
0
0
0
0
0
0
0
0
0
asthma
moderate
0
1
0
0
0
1
1
1
0
1
0
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
89
57
F
0
0
secondary
28
1
0
0
0
0
0
0
0
0
0
copd
severe
0
1
0
0
0
1
1
1
0
0
1
1
salbutamol_mdi
0
0
0
0
1
0
0
0
0
0
0
0
0
0
90
54
M
0
1
primary
19.6
0
0
0
0
1
0
0
1
0
0
copd
mild
0
0
0
1
0
1
0
1
0
0
0
0
none
0
0
0
0
0
0
1
1
0
0
1
0
0
19
91
29
F
0
1
secondary
18.2
0
0
1
0
0
0
0
0
0
0
asthma
moderate
0
0
0
1
1
1
1
0
0
1
1
1
combination
0
0
0
1
1
0
1
1
1
0
1
0
0
14
92
48
M
0
0
secondary
25.5
1
0
1
0
0
0
0
0
0
0
asthma
mild
0
0
0
1
0
1
0
0
0
0
0
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
93
55
F
0
0
secondary
25
0
0
0
0
0
1
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
1
0
1
beclomethasone_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
94
18
F
0
0
secondary
22.9
1
0
0
0
0
0
1
0
0
0
asthma
moderate
0
1
0
0
0
1
1
0
0
0
1
1
beclomethasone_mdi
1
0
0
0
0
0
2
0
0
0
0
0
0
16
95
10
F
1
0
primary
19.5
1
0
1
0
0
0
0
0
0
0
asthma
mild
0
1
0
0
0
1
1
1
0
1
0
1
salbutamol_mdi
0
0
0
1
1
0
1
0
0
0
0
0
17
0
96
66
F
0
0
secondary
28.5
1
0
0
0
0
0
1
0
0
0
copd
severe
0
1
0
0
0
1
1
1
1
0
1
1
salbutamol_mdi
0
0
0
1
1
0
0
0
0
0
0
0
0
0
97
53
F
0
1
none
26.4
1
0
1
0
0
0
0
1
0
0
copd
moderate
0
1
0
0
0
0
1
0
1
0
0
0
none
0
0
1
0
0
0
2
0
0
0
0
0
0
6
98
54
M
0
1
primary
29.8
1
0
0
1
1
0
1
0
0
0
asthma
moderate
0
0
0
1
1
1
0
0
0
1
1
1
salbutamol_mdi
1
0
0
0
1
0
2
1
1
0
1
0
0
7
99
60
F
0
1
secondary
23.7
0
0
0
0
1
0
0
0
0
0
copd
mild
0
0
0
1
0
1
0
1
1
0
0
1
salbutamol_mdi
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
73
F
0
0
primary
32.7
1
0
1
1
0
0
0
0
0
0
asthma
moderate
0
0
0
1
0
1
1
0
0
1
0
1
salbutamol_mdi
0
0
0
1
0
0
1
1
1
0
1
0
0
28
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Asthma & COPD Dataset

Abstract

This dataset provides 30,000 simulated chronic respiratory disease records (10,000 per scenario) from sub-Saharan Africa. Each record contains 45+ variables including diagnosis, risk factors, symptoms, spirometry, inhaler access, exacerbations, and outcomes. Three settings: urban respiratory clinic (0.81% mortality), district hospital (1.71%), and rural health centre (3.82%).

1. Introduction

Asthma and COPD are under-recognised, under-diagnosed, and under-treated in SSA. Over 90% of rural households depend on biomass fuel for cooking — the leading risk factor for chronic respiratory disease. Spirometry is rarely available, inhaler access is extremely limited outside urban areas, and only ~35% of users have correct inhaler technique.

This dataset is entirely simulated. It must not be used for clinical decision-making.

2. Methodology

2.1 Parameterization

Parameter Value Source
Biomass fuel use (rural) ~90% Nature 2011
Inhaler technique correct ~35% PMC 2025
COPD neglected in SSA Yes PubMed 2018
Household air pollution #1 risk PMC 2025
Asthma underdiagnosis Common PubMed 2017

2.2 Scenario Design

Scenario Spirometry Inhalers O2 Mortality
Urban clinic Yes Yes Yes 0.81%
District hospital No Yes Yes 1.71%
Rural HC No No No 3.82%

3. Schema

Column Type Description
id int Unique identifier
age int Patient age
diagnosis categorical asthma / copd / overlap / chronic_bronchitis
severity categorical mild / moderate / severe
biomass_fuel_cooking binary Uses biomass fuel
tobacco_smoking binary Current smoker
spirometry_done binary Spirometry performed
fev1_percent_predicted int FEV1% predicted
inhaler_prescribed binary Inhaler prescribed
inhaler_technique_correct binary Correct technique
exacerbations_past_year int Annual exacerbations
hospitalised_exacerbation binary Hospitalised
died binary Died

4. Validation

Validation Report

Key validation checks:

  • Mortality gradient: 0.81% → 1.71% → 3.82% ✓
  • Biomass fuel: ~70% overall ✓
  • Inhaler access: 75% urban → 0% rural ✓
  • Inhaler technique: ~35% correct ✓
  • Spirometry: only at specialist centres ✓
  • Asthma ~50% of diagnoses ✓

5. Usage

from datasets import load_dataset
dataset = load_dataset("electricsheepafrica/asthma-copd-respiratory", "district_hospital")
df = dataset["train"].to_pandas()

6. Limitations

  • Simulated: Not from real respiratory registries.
  • No lung function curves: No flow-volume loops.
  • No allergen data: No skin prick/IgE testing.
  • Simplified: No detailed pharmacotherapy.
  • Cross-sectional: No longitudinal lung function decline.

7. References

  1. PMC (2025). Household air pollution and respiratory health Africa.
  2. PMC (2022). Ambient air pollution and NCRDs SSA.
  3. Nature (2011). Asthma/COPD in SSA, biomass fuel.
  4. PubMed (2011). Asthma/COPD under-treated in SSA.
  5. PubMed (2017). Biomass fuel and asthma severity Nigeria.
  6. PubMed (2018). COPD neglected in LMICs.
  7. PubMed (2024). CHEST-Africa respiratory observatory.

Citation

@dataset{esa_asthma_copd_2025,
  title={Asthma and COPD Dataset},
  author={Electric Sheep Africa},
  year={2025},
  publisher={Hugging Face},
  url={https://huggingface.co/datasets/electricsheepafrica/asthma-copd-respiratory}
}

License

CC-BY-4.0

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