It is estimated that over 300,000 people have asthma in the Breathe California of Sacramento Emigrant Trails 28 county service area. Asthma is the leading cause of school absences due to chronic illness
and lost workdays. Why is it such a problem?
The increase is related to complex and multiple causes including:
- Lack of education on self-management and/or diagnosis
- Access to medical services and/or not receiving the medical help necessary to manage their asthma
- Outdoor air pollution caused primarily by vehicle emissions in our non-attainment air
basin
- Secondhand Smoke and other indoor air pollution
- Dissemination of asthma management guidelines and healthcare providers following
these guidelines
Asthma must be aggressively attacked. Asthma intervention with public health strategies are needed in three major areas medical management, environment and schools. Breathe California is actively working toward reducing the severity and prevalence of asthma in our local communities with the guidance of our Asthma Collaborative.
- According to the UCLA Center for Health Policy Research (7/8/08):
- California children miss 1.9 million days of school because of asthma
- Adult workers miss 2 million days of work due to asthma
- A lack of health insurance and preventative care means children and adults with asthma suffer far more then they should and is related to frequent asthma attacks and visits to the emergency room
Here is a quick reference of asthma information:
What is Asthma?
Asthma is a long term disease that causes the air passages in the lungs to become inflamed and narrow or blocked. It can range from annoying to life-threatening. When you’re having an asthma episode or attack, you get a tight feeling in your chest. Often it feels like you’re breathing through a straw pinched in the middle. You may have occasional symptoms or they may be there most of the time.
Symptoms of Asthma
Asthma symptoms can include:
- Coughing
- Chest tightness
- Wheezing (as air whistles through narrowed passages)
- Shortness of breath
- Difficulty breathing
The symptoms of asthma may be different for each person. You may have a dry cough at night or wheeze when you have a cold. You may have chest tightness when you exercise. You may have episodes of wheezing and difficulty breathing. When asthma begins to act up, you may have a scratchy throat, itchy eyes, or a runny nose.
You may have symptoms every day or only occasionally. Learn to recognize your own symptoms and what to do. If you act quickly, your attack is likely to be less severe. Work with your health care provider to make an individualized plan to control your asthma.
What Triggers Asthma?
When you have asthma, certain things that generally do not bother people without asthma can affect your sensitive airways. These things are called asthma triggers. They can be irritants, infections, exercise, or allergens. Irritants, infections, and exercise are triggers for most people with asthma. Many people with asthma are also sensitized to allergens such as pollens, animal dander, cockroaches, dust and molds. You should discuss with your doctor whether you are allergic to anything and, if you are, what you are allergic to. Once you have identified your particular asthma triggers, you can often control your asthma by avoiding them.
Indoor Triggers
Common irritant triggers in the home:
- Smoke (from cigarettes, fireplace, or incense)
- Perfumes
- Dust
- Aerosol sprays (including hair spray)
- Strong chemical fumes
What you can do about irritant triggers in the home:
- Keep your entire home smoke-free.
- Change your house filter often
- Do not use fireplaces, wood burning stoves, or incense.
- Avoid household chemicals with strong odors
Outdoor Triggers
Irritant outdoor triggers:
- Change of weather
- Pollens, trees & grasses
- Cold dry air
- Smog
What you can do about irritant triggers in the outside environment:
- If cold air triggers your asthma, wear a scarf over your mouth and nose.
- Stay indoors on “Bad Air Days ” (Spare the Air Days) especially in the afternoon. Go to www.sparetheair.com for more information
In addition infection, exercise, food and medications can be a trigger.
"Your Asthma Book"
The Asthma Tool Kit, “Your Asthma Book” and Self Care Card is a resource for asthma sufferers to learn more about their asthma and to better manage their care. The tool kit is in its 4th revision, thanks to the Asthma Collaborative, and is available in English, Spanish, Vietnamese, Hindi and Chinese. More than 35,000 copies have been distributed around the world to Bangladesh, Bosnia, Canada, Indonesia, New Guinea, Philippines, Poland, Russia, Ukraine, Australia, India, Kyrgyzstan, Nepal, Nigeria, Pakistan, Romania, Serbia, the United Kingdom and the United States. Call (916)444-5900 to have a copy sent to you.
Teens and Asthma
We have launched our teen-friendly asthma webpage! Thanks to a generous grant from Citigroup/Smith Barney, our Teen Asthma Task Force, in collaboration with our Asthma Collaborative, created a series of questions and answers geared towards teens to help them and their parents better understand the disease and how to control it. The materials will also help school staff better understand the seriousness of asthma among this age group. Do not forget to visit our My Space page on asthma, add yourself as a friend.
Check out the information available in English and Spanish on our new web page now by clicking here!
Little Lungs Kit
The Little Lungs Kit is a packet of information to help child care providers and families become healthier through the use of handy reference regarding asthma, secondhand smoke and air pollution. Contact the office for more information at 916-444-5900.
Asthma Collaborative
Established in 1999, the Breathe California Asthma Collaborative came together to create a group of dedicated physicians, school nurses, nurse practitioners, respiratory therapists, pharmacists, health care administrators, parents and interested community partners. The focus is the needs of the local asthma community to:
- Raise public awareness of the seriousness of asthma and the resources available in the community
- Partner with school districts and community organizations to improve policies and to bring asthma and related education (i.e. secondhand smoke an air quality) to the children, parents and staff
- Partner with local health care providers to help educate asthmatic patients
Asthma Medication at School
As of January 1, 2005, a California law has authorized students to carry and self-administer inhaled asthma medication if the school district has written permission from the child’s health provider and parent or guardian. Prior to passage of the law, school districts were not required to permit students with asthma to carry and self-administer their medications at the onset of an asthma attack.
Asthma & Secondhand Smoke
Secondhand smoke has been known to cause new cases of asthma in children. Exposure of the smoke to children with asthma can make their asthma worse. They can have more severe symptoms, use more medication and miss more school days. Secondhand smoke also has a link to lung cancer, nasal sinus cancer and breast cancer. Secondhand smoke is on e cause of asthma that can be avoided.
Visit our tobacco page for ways to quit!
Children are more likely than adults to suffer health effects from secondhand smoke:
- There bodies and immune systems are still developing and makes them more sensitive to the effects of secondhand smoke
- Children breathe more air in then adults for their size and weight
Smoke-Free Cars
Effective January 1, 2008, California bans the smoking of any cigarette, pipe, or cigar in all moving or parked vehicle while a youth younger than the age of 18 is present. As a result of this law, children will breathe less secondhand smoke. The level of toxic air in a vehicle when someone is smoking is up to ten times greater than the level which the United States Environmental Protection agency considers hazardous. The harmful chemicals in secondhand smoke can remain in the air and on surfaces in vehicle for many hours and even days.
For more information contact the California Clean Air Project at www.ccap.etr.org.
Questions?
- For questions about our asthma programs, contact Shellie at (916) 444-5900 ext. 215 or email swilletts@sacbreathe.org.
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Asthma Recources
New!
Asthma in the Classroom
Asthma in the Classroom is a
guide designed to help teachers and school staff understand asthma and how it affects their students.
Click here to download your copy now. Hard copies are available by mail.
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Suffering From Allergies?
Following are some Dos and Don'ts that you may want to follow during the pollen and mold seasons to lessen your exposure to the pollens or molds that trigger your allergy symptoms.
DO keep windows closed at night to prevent pollens or molds from drifting into your home. Instead, if needed, use air conditioning, which cleans, cools, and dries the air.
DO minimize early morning activity when pollen is usually emitted-between 5-10 a.m.
DO keep your car windows closed when traveling.
DO try to stay indoors when the pollen count or humidity is reported to be high, and on windy days when dust and pollen are blown about.
DO take a vacation during the height of the pollen season to a more pollen-free area, such as the beach or sea.
DO take medications prescribed by your allergist/immunologist regularly, in the recommended dosage.
DON'T take more medication than recommended in an attempt to lessen your symptoms.
DON'T mow lawns or be around freshly cut grass; mowing stirs up pollens and molds.
DON'T rake leaves, as this also stirs up molds.
DON'T hang sheets or clothing out to dry. Pollens and molds may collect in them.
DON'T grow too many, or overwater, indoor plants if you are allergic to mold. Wet soil encourages mold growth.
Reference:
American
Academy
of Allergy, Asthma and Immunology (AAAAI) www.aaaai.org
Asthma-Friendly Planting
By making careful decisions about what plants to include in landscaping or a garden, and what plants to avoid, allergy sufferers can reduce the symptoms that frequently accompany gardening. You may be better off choosing plants that are less likely to cause a reaction.
Certain flowers, trees and grasses are naturally better suited for the gardens of people with outdoor allergies. They are less likely to produce irritating pollen but will still add color and variety to the garden.
You may be better off choosing plants that are less likely to cause a reaction.
These include:
Cacti
Cherry
Dahlia
Daisy
Geranium
Hibiscus
Iris
Magnolia
Roses
Snapdragon
Tuli
p
In general, highly-allergenic plants to avoid include:
Ash
Cedar
Cottonwood
Maple
Oak
Pine
Saltgrass
Timothy
Willow
The best way to determine which plants will trigger reactions is through skin testing at your allergist/immunologist's office. An allergist/immunologist can help you develop strategies to avoid troublesome plants and pollen and can prescribe medication to alleviate symptoms.
Whenever working around plants likely to cause an allergic reaction, avoid touching your eyes or face. You may also consider wearing a mask to reduce the amount of pollen spores that you breathe in. Leave gardening tools and clothing - such as gloves and shoes - outside to avoid bringing allergens indoors. Showering immediately after gardening may also help reduce symptoms.
Taking these steps can help put the fun back into gardening.
Please contact an allergist/immunologist for more information on treatment options and tips.
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