Chronic Lower Respiratory Disease (CLRD) is a genuine sickness influencing a huge number of individuals. Right now the fourth driving reason for death in the United States, CLRD has been the third driving reason for death in West Virginia since 2000 and is projected to move into third spot cross country by 2020 . While death rates for the best two driving reasons for death in the state and country, coronary illness and malignancy, separately, are diminishing, passings from CLRD keep on rising. CLRD really includes three significant infections, i.e., constant bronchitis, emphysema, and asthma, that are completely portrayed by windedness brought about via aviation route obstruction1. The check is irreversible in constant bronchitis and emphysema, reversible in asthma. Before 1999, CLRD was called Chronic Obstructive Pulmonary Disease (COPD). The International Classification of Diseases utilized by the World Health Organization (WHO) to code illnesses and mortality was modified in 1999, with slight changes to the class between the ninth and tenth versions . While the two groupings are comparative, in this record COPD is utilized to allude to persistent bronchitis and emphysema just (for similarity with most of studies refered to), and CLRD is utilized to allude to constant bronchitis, emphysema, and asthma.