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Asthma
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May 23, 2015

Asthma
What is Asthma?
Asthma is a chronic disease that obstructs the flow of air, the obstruction is reversible.
What is Asthma?
• Inflammation (swelling)
• Mucous in the airways
• Tightening in muscles around the airways
Asthma is most common chronic disease in childhood, almost 9 million children in America have asthma, (Over 100,000 in Wisconsin). Children under 6 years old have the highest rates for hospital admissions, this is the #1 reason children are admitted into hospitals and this is also one of the main reasons children are absent from school, children miss about 7 days of school due to asthma.
Causes of Asthma: (There is no one single onset of Asthma)
• Hereditary
• Exposure to or not enough exposure to “triggers:
• Exposure to environmental tobacco smoke
• Air pollution
Asthma is more common in families where someone already has the condition. If one parent has asthma, the chance of their child developing asthma is approximately double that of children whose parents don't have asthma. We also know that a mother has a greater risk of passing on asthma than a father, though the reasons are not clear. Environmental Tobacco Smoke is the #1 trigger of asthma, but also studies have shown that exposure to ETS can cause the onset of the disease of asthma.
Having a plan and goals of asthma management is the next step that should be taken for children and adults after being diagnosed with this chronic respiratory disease.
Goals for Asthma Management
• What brings on your asthma symptoms
• How to avoid triggers and reduce exposure
• What medicines to take and when to take them
• Knowing when to seek medical help

There are many different “triggers” to asthma and it is best to know what sets you off so that you can avoid any attacks if possible. Cockroaches – how are we allergic to them? As roaches grow, they shed skin and leave droppings, and then they die. The dead body parts and droppings dry up and flake into small pieces that become part of our house dust. When we breathe these small pieces into the lungs, allergic reaction can occur. Use hotels where they check in, but don’t check out because then you throw away the body parts. If the roaches die in their nests, you have lots of dead bugs that will continue to pump allergens into your house dust for months into the future.

We’re allergic to dust mites in the same way, the dead bodies and droppings get into out lungs. We know that 40% of any building’s dust content it sloughed human skin, so anywhere you find dust, you’ll find dust mites because dead human skin is what they eat. You especially find them in pillow, mattresses, and carpets. If you haven’t washed your pillow in 3 years, up to 1/3 the total weight of the pillow can be dead dust mites and their droppings. Use pillow covers! They will only die when washed in 130 degree water – wash bedding weekly. Vacuuming doesn’t do much for dust mites because they hold onto the shag, that’s why doctors will recommend removing carpets, especially in the bedroom. Dander is basically dried saliva. You think of a cat licking to clean – that saliva dries and flakes into the air, then we breathe it in and it causes allergy. No pets is best, but if you remove them from the bedroom 24-hrs/day, that can help. Frequent damp dusting will help lower dander in the house.
Cigarette smoke causes asthma attacks and can cause the onset of the disease, asthma. Take it outside if you can’t quit. Smoking in a separate room, away from the child won’t help. Wash hands and swish with mouthwash before attending to child because if you can smell cigarette smoke, even if you can’t see it, you are breathing in the chemicals that can cause reaction. Remind childcare providers to do the same.
In 2009, there were 3,388 deaths attributed to asthma – an age-adjusted rate of 1.1 per 100,000. Approximately 63% of these deaths occurred in women. The annual direct health care cost of asthma is approximately $50.1 billion; indirect costs (lost productivity) add another $5.9 billion, for a total of $56.0 billion dollars.
Asthma is a seriously chronic respiratory disease and it affects millions of people in the U.S. The list of information would be so much longer, it is best to bring up all the facts when you speak to your physicians so that the correct treatment management plan is created for you.

References:
1. Centers for Disease Control and Prevention: National Center for Health Statistics, National Health Interview Survey Raw Data, 2009. Analysis by the American Lung Association Research and Program Services Division using SPSS and SUDAAN software
2. Center for Disease Control and Prevention: Behavioral Risk Factor Surveillance Survey, 2009. Analysis by the American Lung Association Research and Program Services Division using SPSS and SUDAAN software

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