In high altitude areas, inspired atmospheric oxygen decreases proporti
onally to the vertical distance from sea level. Population in these ar
eas acquire some adaptive mechanisms to cope with the relatively hypox
ic environment. This study compares populations who live in highland a
reas (2500 meters above sea level) with those in lowland areas (close
to sea level). No differences were observed in the prevalence or morta
lity rate of respiratory diseases between these two groups. It is conc
luded that even if adaptive mechanisms can be observed in dwellers of
moderately high altitude (<3000 m above sea level), such altitude does
not adversely affect the pattern of respiratory disease in these popu
lations. However, partial pressure of oxygen (PaO2) tends to be lower
in individuals of high altitude areas, leading to marked oxygen desatu
ration when such individuals encounter a significant respiratory illne
ss. Physicians are advised to introduce early and effective therapeuti
c measures before such deterioration occurs.