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We CAN Control Asthma Now “Not affiliated with the YES WE CAN Asthma Program of San Francisco State University/ City College of San Francisco.”. Asthma: The Reality. Over 17 million in the United States, with 5 million youth
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We CANControl Asthma Now “Not affiliated with the YES WE CAN Asthma Program of San Francisco State University/ City College of San Francisco.”
Asthma: The Reality • Over 17 million in the United States, with 5 million youth • 2.3 million in California, with a projected 10% prevalence rate in Long Beach • Asthma prevalence and mortality (death) rates have been increasing, especially 5-14 years old • Affects populations of all ages and SES • Low income and minority populations have the highest asthma morbidity (burden of disease)
The Long Beach Alliance for Children With Asthma • Vision: The Long Beach Alliance for Children with Asthma is a partnership to improve the lives of children with asthma in our community • One of 7 sites awarded grants under the RWJ Foundation’s Allies Against Asthma program and one of 12 sites awarded grants under CA Endowment’s Community Action to Fight Asthma (CAFA) program • Focus is on 90813 and Long Beach as a whole
What is Asthma? • A chronic (long-term) disorder of the airways, in which the airways become blocked or narrowed • A condition that causes breathing problems, called attacks or episodes • Its direct cause is unknown-genetics vs. environment? • It can be life threatening
Pathology of Asthma • Airways are the passages that carry air to the lungs. They become smaller and smaller, like branches of a tree. • Asymptomatic vs. Symptomatic
Signs and Symptoms • Coughing- day, night, or with exercise • Trouble Breathing • Wheezing (whistling noise) • Tightness in Chest • Trouble Sleeping/ Waking at night • Drop in Peak Flow Meter • Irritability
Triggers • Smoke & Strong Odors • Pets • Mold • Dust, Dust mites • Pollen (grass, trees, plants, & weeds) • Pests (cockroaches or rodents) • Certain Foods • Infections (flu and colds) • Exercise • Changes in Weather • Strong Emotions • Pollution • Some medications (aspirin)
Quick Relief (bronchodilator) Open the airways fast to stop an Asthma attack Short acting- up to 4 hours Some use before exercise or exposure to trigger Albuterol Long-Term-Control (anti-inflammatory) Decreases swelling and mucus production Must be taken daily, long-acting Flovent, Azmacort, Pulmicort, Vanceril, Advair, Serevent, Singulair, and Intal May take up to 2 weeks to work Medications
Asthma Devices • Inhaler • Spacer, with and without a mask • Nebulizer • Diskus • Peak Flow Meter • Asthma Diary • Asthma Action Plan
Signs of an Asthma Emergency in Children • Persistent or worsening asthma signs or symptoms • Extreme difficulty breathing and talking • uncontrolled cough • severe chest tightness • can’t talk, walk or move well • lips or fingernails turn blue ACT NOW!!!
What to do in an Asthma Emergency • Do not leave the child alone • Calm the child • Seat child upright • Administer the Quick Relief or Rescue Medication (Albuterol) immediately and follow the child’s Asthma Action Plan • If asthma signs do not improve immediately call 911 or go to the nearest emergency room
Working with your child’s asthma team • Ask your doctor about any information that you are unsure of • Take all medications as prescribed • Follow your asthma action plan • Go to all scheduled appointments and take medication and equipment • Notify anyone who spends time with your child that she or he has asthma and what to do in an asthma emergency (babysitters, coaches, school nurse, camp counselors, and teachers)
Asthma Affected by Exercise • Exercise Induced Asthma (EIA) = experiencing trouble breathing during or after exercise or some kind of physical activity • EIA is the most common form of asthma and can be controlled • Warm up for 10-15 minutes, to increase your heart beat gradually • Avoid exercising during cold or dry weather • Finish with cool down exercise
Asthma Affected by Exercise • Remember to take medicine at least 15 minutes before exercising • Choose a sport/activity that fits within your Asthma management (e.g. swimming, biking, football) • Avoid exercising on polluted or on smoggy days • Coaches and P.E. teachers should be notified of child’s asthma and what to do in an emergency
The Long Beach Alliance for Children With Asthma We CANControl Asthma Now!Asthma 101Not affiliated with the YES WE CAN Asthma Program of San Francisco State University/ City College of San Francisco.”
Checklist for Asthma-Friendly School or After-School/Rec Programs Medical Issues • ASK students and parents about their asthma and medication • Plan for responding to an asthma emergency • Plan for accessing medication - have appropriate medication, spacer, and plan available to child and personnel
Checklist for Asthma-Friendly School or After-School/Rec Programs Medical Issues • Limit outdoor activity on poor air quality days • Watch children while playing for symptoms and early signs of an asthma attack • Watch use (and overuse) of inhalers
Checklist for Asthma-Friendly School or After-School/Rec Programs Environment • Clean spills promptly (carpets need to be cleaned properly and dried within 24 hours to prevent mold growth) • Keep room clean and clutter-free • Keep room dusted, vacuum thoroughly and regularly • Do not use carpet mats or stuffed pillows • Remove trash daily
Checklist for Asthma-Friendly School or After-School/Rec Programs Environment • Do not keep food in room overnight • Keep setting free from furry or feathered animals • Keep room free from pests • Keep room free of the use of scented cleaners • No perfume • Least toxic pest management and landscaping
Checklist for Asthma-Friendly School or After-School/Rec Programs Environment • Low allergen plants, trees and flowers • Keep exposure to furry or feathered animals to a minimum, clean cages regularly, consider outdoor pets, and consider children in the classroom with identified allergens • Do not locate animals near ventilation system vents • Do not block ventilation system vents