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Asthma’s attack: a dramatic increase worldwide

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Asthma’s attack there’s been a dramatic increase worldwide in this sometimes-fatal respiratory disease. Although it’s a familiar ailment, researchers know surprisingly little about it – or why it’s on the rise.
Asthma, a disease once treated as a minor irritant, is now a global medical problem that has reached epidemic proportions. The number of cases in the United States grew more than 150 percent between 1990 and 2008 – from 10 million to 25 million – according to the most recent numbers available from the Centers for Disease Control and Prevention.
Asthma is the most common chronic problem among children. In fact, the American Lung Association says children make up about one-third of the nation’s 20 million asthma sufferers.The statistics are even more dramatic in some areas. Like in St. Louis, MO around 15 to 20 percent of children suffer from asthma, more than double the national average of 6.3 percent, according to studies by the St. Louis Regional Asthma Consortium.

Asthma, an insidious, suffocating disease, is spreading across New York City in epidemic proportions, overwhelming the public health system as it steals the breath from ever more people. An estimated One million New Yorkers, from the tiniest infants to the frail elderly, now suffer from this chronic, incurable illness more than 9% of the population. With numbers that large, the city has to be termed as the Asthma Capital.

Asthma can be a hard condition to manage for some people. So if an individual has questions regarding their condition or medication and their doctor isn’t readily available, they now have another option. Asthma patients and their caregivers can visit asthma-friendly pharmacies and speak to a specially-trained pharmacist who will address concerns and answer questions about the asthma.

Asthma tops childhood illnesses, New England study examines environment, poverty as contributing factors.
Asthma affects one in eight children in New England, eclipsing all other chronic illnesses of childhood and flooding emergency rooms and clinics with hacking, wheezing youngsters, according to a report scheduled to be released this week. The study from a coalition of federal and state public health agencies provides the most comprehensive assessment ever of asthma in the six-state region. It found that more than 400,000 children have been diagnosed with the condition.

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asthma under-diagnosed and under-treated,

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Terming asthma as under-diagnosed and under-treated, the federal government issued new guidelines yesterday that recommend prompt, aggressive treatment for this common respiratory condition. An estimated 14 million Americans — including nearly 5 million children — suffer the wheezing, breathlessness, chest tightness and cough that characterize asthma, according to the latest government figures. Asthma claims 5,000 lives each year. What troubles researchers is that the incidence of asthma has increased in geometric proportions over the past decade.

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asthma is characterized by chronic respiratory failure

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In some individuals asthma is characterized by chronic respiratory failure. In others, it is an intermittent illness marked by episodes of symptoms that can result from a series of triggering events, including the upper respiratory tract infection, stress, air allergens, air pollutants (such as smoke or fumes traffic), or exercise. Some or all of the following symptoms may be present in people with asthma: shortness of breath, wheezing, stridor, coughing, tightness and itchiness in the chest or an inability to physical effort. Some asthmatics who have severe shortness of breath and tightening of the lungs wheeze or have stridor and its symptoms can be confused with a kind of disease COPD.

An acute exacerbation of asthma is commonly referred to as an asthma attack. The clinical identification of an attack are shortness of breath (dyspnea) and wheezing, whether or stridor. While the former is “often regarded as the sine qua non of asthma, some patients have mainly cough, and in the final stages of an attack, the movement of air can be affected by what can not be heard whistling . When this cough may sometimes produce clear sputum. The onset can be sudden, with a feeling of constriction in the chest, breathing becomes difficult, and wheezing occurs (particularly after the due date, but it can be in both respiratory phases).

Signs of an episode of asthma include wheezing, prolonged expiration, a rapid heart rate (tachycardia), rhonchous lung sounds (audible through a stethoscope), the presence of a paradoxical pulse (the pulse is weaker than during inhalation and stronger during exhalation), and more than inflation in the chest. During a severe asthma attack, the accessory muscles of respiration (sternocleidomastoid and scalene muscles of the neck) can be used, as shown in the drawing of tissues between the ribs and above the sternum and clavicles.

During severe attacks, suffering from asthma may turn blue from lack of oxygen (called blue bloaters), and may experience chest pain or even loss of consciousness. Just before loss of consciousness, the possibility exists that the patient will feel numbness in the limbs and palms may start to sweat. The person may become ice-cold feet. Severe asthma attacks, which may not be sensitive to standard treatments (status asthmaticus), are a threat to life and can lead to respiratory arrest and death. Despite the severity of symptoms during an asthma episode, between attacks an asthmatic may show few or no signs of disease.

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How Is Asthma Diagnosed?

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*- May , 1998 BREATH OF FRESH AIR IN BX. ASTHMA ED MAY SAVE SOME LIVES BREATH OF FRESH AIR IN BX. ASTHMA ED MAY SAVE SOME LIVES MILAGROS ACOSTA BELIEVES she might have been able to save her beloved grandmother’s life, if only she had been taught how to care for her grandmother’s asthma. If I knew then what I know now, I would have been able to help her, said Acosta, 21, whose younger brother also suffers from the chronic and sometimes deadly respiratory disease.

How Is Asthma Diagnosed?

Some things your doctor will ask about include:

  • Periods of coughing, wheezing, shortness of breath, or chest tightness that come on suddenly, occur often, or seem to happen during certain times of the year or season
  • Colds that seem to “go to the chest” or take more than 10 days to get over
  • Medicines you may have used to help your breathing
  • Your family history of asthma and allergies
  • Things that seem to cause your symptoms or make them worse

Your doctor will listen to your breathing and look for signs of asthma or allergies.

Your doctor will probably use a device called a spirometer (speh-ROM-et-er) to check how your lungs are working. This test is called spirometry (speh-ROM-eh-tree). The test measures how much air you can blow out of your lungs after taking a deep breath, and how fast you can do it . The results will be lower than normal if your airways are inflamed and narrowed, or if the muscles around your airways have tightened up.

As part of the test, your doctor may give you a medicine that helps open narrowed airways to see if the medicine changes or improves your test results.

Spirometry is also used to check your asthma over time to see how you are doing.

Spirometry usually cannot be used in children younger than 5 years. If your child is younger than 5 years, the doctor may decide to try medicine for a while to see if the child’s symptoms get better.

If your spirometry results are normal but you have asthma symptoms, your doctor will probably want you to have other tests to see what else could be causing your symptoms.

These include:

  • Allergy testing to find out if and what allergens affect you.
  • A test in which you use a peak flow meter every day for 1-2 weeks to check your breathing. A peak flow meter is a hand-held device that helps you monitor how well you are breathing.
  • A test to see how your airways react to exercise.
  • Tests to see if you have gastroesophageal reflux disease.
  • A test to see if you have sinus disease.

Other tests, such as a chest x ray or an electrocardiogram, may be needed to find out if a foreign object or other lung diseases or heart disease could be causing your symptoms. A correct diagnosis is important because asthma is treated differently from other diseases with similar symptoms.

Depending on the results of your physical exam, medical history, and lung function tests, your doctor can determine how severe your asthma is. This is important because the severity of your asthma will determine how your asthma should be treated. One way for doctors to classify asthma severity is by considering how often you have symptoms when you are not taking any medicine or when your asthma is not well controlled.

Based on symptoms, the four levels of asthma severity are:

  • Mild intermittent (comes and goes)—you have episodes of asthma symptoms twice a week or less, and you are bothered by symptoms at night twice a month or less; between episodes, however, you have no symptoms and your lung function is normal.
  • Mild persistent asthma—you have asthma symptoms more than twice a week, but no more than once in a single day. You are bothered by symptoms at night more than twice a month. You may have asthma attacks that affect your activity.
  • Moderate persistent asthma—you have asthma symptoms every day, and you are bothered by nighttime symptoms more than once a week. Asthma attacks may affect your activity.
  • Severe persistent asthma—you have symptoms throughout the day on most days, and you are bothered by nighttime symptoms often. In severe asthma, your physical activity is likely to be limited.

Anyone with asthma can have a severe attack—even people who have intermittent or mild persistent asthma.

She didn’t know how to take care of herself; there was never anyone in the Bronx that… , of 898 words 88. Bradenton Herald, The FL – May 2, 1998 STUDY: ASTHMA RATE DOUBLES Despite cleaner air, the incidence of asthma has doubled since 1980, according to new figures from the Centers for Disease Control and Prevention.And blacks are more than twice as likely to die from the disease. The new data was released as public health officials met in Boston last month to discuss ways to control the epidemic among the minorities hit hardest. The numbers were not unexpected, but they are disappointing, said Dr. Christopher Fanta, an asthma… , of 487 words 88. Contra Costa Times Walnut Creek, CA – May 27, 1997 ASTHMA’S RISE PUZZLES EXPERTS It’s one of medicine’s greatest paradoxes. In an era of advanced medical treatments and cleaner air, more and more people around the globe are developing asthma and dying from it.The pandemic is affecting both sexes, all age groups, all races and socioeconomic groups. It has permeated every developed area of the world. And researchers still don’t understand why. It’s a big mystery, says Dr. Homer Boushey,… , of 1 1 words 88. Contra Costa Times Walnut Creek, CA – May 27, 1997 ASTHMA’S RISE PUZZLES EXPERTS It’s one of medicine’s greatest paradoxes. In an era of advanced medical treatments and cleaner air, more and more people around the globe are developing asthma and dying from it.The pandemic is affecting both sexes, all age groups, all races and socioeconomic groups. It has permeated every developed area of the world. And researchers still don’t understand why. It’s a big mystery, says Dr. Homer Boushey,… , of words 88. Newsday Melville, NY – April 15, 1997 Asthma Island / The isolated population of Tristan da Cunha could hold the genetic key to this disease THE TINY VOLCANIC island of Tristan da Cunha doesn’t have much, other than lots of ocean, enormous solitude and now maybe the key to why there’s so much asthma in the world. Even though the island in the South Atlantic is 2,000 miles from anywhere, what it has that scientists need is a very small, isolated and inbred population, about a third of which has asthma.And because the environment – meaning the food, the air and the water – is essentially the same for all… , of 1729 words 88. Chicago Sun-Times – June 26, 1994 TRYING TO BREATHE MORE EASILY Hormones May Trigger Asthma BOSTON A link between the start of a woman’s menstrual cycle and the worsening of asthma symptoms may show that hormones can trigger a person’s asthma, a Canadian researcher reported Wednesday.Changes in key hormones that occur during the monthly cycle may somehow affect the inflammation that is associated with asthma, Sara Rose, Ph.D., of the University of Calgary, said here at a meeting of the American Lung Association and the American Thoracic Society. Rose… , of 511 words 88. Fresno Bee, The CA – March 2, 1994 FRESNO COUNTY RECEIVES FEDERAL GRANT FOR ASTHMA EDUCATION Fresno County, consistently identified as one of four counties in the United States with the highest asthma mortality rates, will receive a $600,000 federal grant to educate poor and minority populations about the disease.Dr. Peter Scamagas of Kaiser-Permanente in Fresno, the principal investigator of the project, said increasing people’s understanding of asthma and teaching them to manage it will help reduce the number of deaths. Our hope is that every individual… , of 546 words 88. *- November 16, 1993 ASTHMA DEATHS INCH UP AFTER BRIEF DECLINE Although asthma deaths had begun to decline for the first time in more than a decade, they have once again inched upward, according to new figures released here at the American College of Allergy and Immunology annual meeting last weekend.

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BIG INCREASE IN REPORTED CASES OF ASTHMA SINCE THE EARLY 1980S

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The have caused Schools Chancellor Rudy Crew to rethink his rejection of requiring a count of asthmatics in every city school.The findings come just as the city completes its first round of… , of 5 words 93. *Madison, WI – July 12, 1998 UW STUDY ZEROS IN ON ALLEVIATING ASTHMA< OTHER CITIES USE THE RESEARCH AS A MODEL An innovative study designed to help young children in Dane County with asthma is getting national attention.Published this month in the influential journal Pediatrics, the five-year, $ 0,000 study found surprisingly high levels of asthma among children enrolled in local Head Start programs: 15.8 percent compared to between 3 and 7 percent of children nationally. But the authors also outlined what they say are effective ways to reduce the chance that children might suffer permanent lung… , of 802 words 93. Chicago Tribune – April 24, 1998 CHICAGO ERS TARGET RISING TIDE OF ASTHMA For the first time, Illinois has the highest rate of blacks who die of asthma in the U.S., according to new federal statistics released Thursday that also showed more Americans than ever before say they suffer from asthma.The continued rise in asthma nationwide coincides in Chicago with an unprecedented collaboration among 28 emergency departments to solve a frustrating unevenness in quality of care. The report by the U.S. Centers for Disease Control and Prevention and the local initiative… , of 1 8 words 93. Journal Star Peoria, IL – October 10, 1997 ASTHMA ON THE RISE>DOCTORS AND SCIENTISTS ARE MYSTIFIED AS TO WHY THERE’S BEEN A BIG INCREASE IN REPORTED CASES OF ASTHMA SINCE THE EARLY 1980S PEORIA — Once a year in the city of Hyderabad in southern India, hundreds of thousands of asthma sufferers line up to swallow sardines.Apparently, a 19th-century legend has it that a live sardine — swallowed whole, with a bit of an herbal solution embedded in its mouth — is a miracle cure for asthma, when followed by a strict 45-day eating regimen and abstinence from tobacco, caffeine, booze and deep-fried food. You have to repeat the process the following year. Half a million… , of 947 words 93. Press of Atlantic City, The NJ – February 22, 1997 CONDITIONS IN WINTER RIPE FOR INDUCING ASTHMA ATTACKS The windows stay closed, the temperature fluctuates madly. The lungs begin to spasm: Asthma.Asthma knows no peak season, but it doesn’t disappear in winter. While area doctors report seeing no significant increase in asthma this season, winter does bring its own asthma triggers. The result: People who may not experience asthma at any other time find their lungs constricting now. This time of year you don’t have high pollen counts, said Dr…. , of 8 words : 1 – 0 of 295486 |29 4 24 445464748
| – August 1, 1996 ABC’S OF ASTHMA OFFERS FREE SESSION ON BREATHING DISORDER JOSIE ROSE of Windsor credits an Obici Hospital class for families with asthma with enabling her teenage daughter to better understand and control her asthma.The class, ABC’s of Asthma, will be offered again next Tuesday at Obici Hospital. The free, one-night session will cover accepting asthma, the basics of asthma and controlling it, including the use of medications, inhalers and peak flow meters. A peak flow meter is a simple tool that measures the openness of large airways… , of 6 words 93. Star, The Ontario, Canada – June 13, 1996 Roaches blamed for asthma Five years ago, a team of researchers set out to determine why asthma is such a severe urban health problem. They penetrated the worst neighborhoods in seven cities and spent $17 million U.S. vacuuming up dust, giving allergy tests and poring over the medical records of poor children.In a few months their first formal reports will hit the medical journals. In the end, the piles of data largely boil down to a single nasty word: cockroaches.The surprising result is likely to change… , of 491 words 93. The Arizona Daily Star – June 10, 1996 Roaches blamed for rise in urban asthma cases Five years ago, a team of researchers set out to determine why asthma is such a severe urban health problem. They penetrated the worst neighborhoods in seven big cities and spent $17 million vacuuming up dust, administering allergy tests and poring over the medical records of poor children.

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