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195 information available on COPD prevalencemorbidity and mortal- ity comes from high-income countries though its incidence in the developing world is rising. Building on his earlier work in Trinidad on COPD Professor Seemungal has now started the Burden of Obstructive Lung Diseases Study BOLD in Trinidad and Tobago.The importance of this study is two-fold firstly it is the first to formally assess lung function at a national level in this country and will inform on the prevalence of COPD chronic respiratory symptoms and the burden of smoking within the country.Alsoaccurate estimates of the prevalence of this disease will be useful to anticipate the future burden of COPDtarget key risk factorsand plan for provid- ing COPD-related health services. This study is part of an international one involving over 40 countries. Professor Seemungal has encouraged his thoracic medicine colleagues at Mona Jamaica to be part of the BOLD study and he is on the organizing committee for the study in Jamaica. This will allow for comparison of chronic obstructive diseases between two geographically and historically similar countries with differing ethnicity and socioeconomic status and is of great interest internationally. Eye on the future Looking Ahead As Prof Seemungal says to paraphrase Isaac Asimov it is change continuing change inevitable change that is the dominant factor in society today. No sensible decision can be made any longer in clinical medicine without taking into account not only the medicine as it isbut the medicine as it will be. Professor Seemungal is truly a man with an eye on the future needs of our country not only medically but also in producing research that is specific to our country as well as ensuring the development of high quality future practitioners and researchers. Selected Publications TeelucksinghS.S.JaimungalL.Pinto-PereiraT.Seemungal and S. Nayak. Does insulin resistance co-exist with glucocorticoid resistance in the Metabolic Syndrome Studies comparing skin sensitivity to glucocorticoids in individuals with and without acanthosis nigricans.Cardiovascular Diabetology2012 1131. Donaldson G.C. T.A. Seemungal J.R. Hurst and J.A. Wedzicha. Detrended fluctuation analysis of peak expiratory flow and exacerbation frequency in COPD. Eur Respir J. 2012 Feb 9. Epub ahead of print PubMed PMID22323575 Sherry S. M. Rios S. Mohammed C.V. Rao P. Maharaj and T.A.R. Seemungal. Sarcoidosis in a 42 year old AfroCaribbean male who presented with a pulmonary embolism A case report and review of the literature.Carib Med J.201273218.