IPOPI White Paper: Advancing Respiratory Care for People with Immunodeficiencies
IPOPI’s new White Paper sets out a European policy framework to address the respiratory health challenges faced by people living with Primary Immunodeficiencies (PIDs), also known as Inborn Errors of Immunity (IEI), and related conditions, including Secondary Immunodeficiencies (SIDs). Building on IPOPI’s 2025 Expert Round Table and a structured 2026 engagement process involving clinicians and experts from around the world, the White Paper puts forward concrete recommendations for European and national decision-makers to improve prevention, diagnosis, treatment and long-term respiratory care.
Respiratory disease remains a major cause of illness and death among people living with PIDs and related conditions. Recurrent infections, chronic inflammation and structural lung damage can reinforce one another, leading to serious complications such as bronchiectasis and interstitial lung disease. Despite these significant risks, patients continue to face diagnostic delays, inequalities in access to appropriate testing and treatment, insufficient multidisciplinary care structures and limited research opportunities.
To address these gaps, the White Paper identifies four key policy priorities: prevention and early diagnosis; delivering adequate care; awareness and patient empowerment; and research and innovation. It calls for actionable measures, including reimbursement policies aligned with clinical practice, routine respiratory monitoring, stronger multidisciplinary care standards, improved transition between paediatric and adult services, and dedicated European support for clinical guidelines, data-sharing and collaborative research. Its ultimate goal is to ensure that respiratory health becomes a stronger priority in European health policy and that people living with PIDs and related conditions receive the timely, coordinated and appropriate care they need.
Members of the European Parliament (MEPs) Kristian Vigenin, Adam Jarubas, Chair of the European Parliament’s Committee on Public Health (SANT), and Dr András T. Kulja have already endorsed the White Paper. Their support to the White Paper is key in spreading the word on how the EU can support cross-border expertise, shared data and coordinated research to ensure that good respiratory care becomes the norm everywhere in the EU.











