Report of the eighteenth annual meeting of the Global Alliance against Chronic Respiratory Diseases: virtual meeting, 28 October 2025

The Global Alliance against Chronic Respiratory Diseases (GARD) is a voluntary network convened by WHO to reduce the global burden of chronic respiratory diseases (CRDs), with a focus on low- and middle-income countries. Its annual meeting provides a platform for member organizations to review progress, share knowledge, and strengthen collaboration.

The eighteenth GARD meeting, held virtually on 28 October 2025, reflected a landmark year for lung health. Discussions highlighted major global developments, including the first-ever World Health Assembly resolution on integrated lung health, commitments from the UN high-level meeting on NCDs, and pledges to reduce air pollution impacts. The report summarizes high-level commitments, advocacy priorities, and actions to improve access to inhaled medicines, strengthen primary care, and engage people living with CRDs. It also introduces new initiatives such as the Global Primary Care Respiratory Collaborative and outlines strategies for amplifying patient voices.

This edition captures key achievements, challenges, and opportunities for advancing integrated lung health and equitable access to care worldwide. It serves as a resource for policymakers, health professionals, and advocates committed to reducing the burden of CRDs and promoting universal health coverage.