Conflict Of Interest Statement
AC has received personal fees for consultancy from Regeneron/Sanofi, Philips and Boehringer Ingelheim consultancy and speaker fees from Novartis and speaker fees from Thermo Fisher Scientific. JP has received a travel grant from Boehringer Ingelheim. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
Why Are Respiratory Diseases Important
Currently more than 25 million people6,7 in the United States have asthma. Approximately 14.8 million adults have been diagnosed with COPD, and approximately 12 million people have not yet been diagnosed.8 The burden of respiratory diseases affects individuals and their families, schools, workplaces, neighborhoods, cities, and states. Because of the cost to the health care system, the burden of respiratory diseases also falls on society it is paid for with tax dollars, higher health insurance rates, and lost productivity. Annual health care expenditures for asthma alone are estimated at $20.7 billion.9
- People living in the northeastern United States
- People living below the federal poverty level
- Employees with certain exposures in the workplace
While there is currently no cure for asthma, there are diagnoses and treatment guidelines that are aimed at ensuring that all people with asthma live full and active lives.10
What Is An Asthma Action Plan
An asthma action plan is a plan agreed by you with your doctor or nurse. The plan enables you to make adjustments to the dose of your inhalers, depending on your symptoms and/or peak flow readings. The plan is tailored to individual circumstances. The plan is written down, usually on a standard form, so you can refer to it at any time. Research studies suggest that people who complete personal asthma action plans find it easier to manage their asthma symptoms and that their plan helps them to go about their lives as normal. Asthma UK provides asthma action plans which you can download from www.asthma.org.uk/advice-personal-action-plan.
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Asthma Morbidity & Mortality
There are just under 25 million people living with asthma in the United States, including:
Of those who have ever had a diagnosis of asthma, many reported at least one or more asthma attack including:
- 51.6% of children 9
In 2017 3,564 people died from asthma 11:
- The asthma death rate is highest among people over the age of 65 11
- Adult females have a higher rate of death than males 11
- Among children, boys are more likely to die than girls 11
- Blacks are two to three times more likely to die from asthma than all other racial or ethnic groups 11
How Common Is Asthma
- Approximately 25 million Americans have asthma. This equals to about 1 in 13 Americans, including 8 percent of adults and 7 percent of children.1
- About 20 million U.S. adults age 18 and over have asthma. 1
- Asthma is more common in adult women than adult men.1
- It is the leading chronic disease in children. 2 Currently, there are about 5.1 million children under the age of 18 with asthma. 1
- Asthma is more common in boys than girls.1
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The Conditions Prevalence Among Kids Increased From 87% In 2001 To 94% In 2010
However, asthma among kids decreased to 8.3 in 2016. Even though some changes werent significant in the statistical sense, an interchangeable pattern was noticed among other groups, with the exception of Mexican-American and Mexican kids. In fact, the asthma prevalence among kids belonging to this demographic group increased from 5.1% to 6.5% in 2016.
What Is The Impact Of Asthma On Disability And Premature Death
Burden of disease is a measure of healthloss attributable to specific diseases. The GBDstudy has used mortality statistics and healthsurvey data, where available, to estimate, formany countries of the world, two componentsof disease burden: Years of Life Lost due topremature death and Years of Life livedwith Disability . The latter quantifies boththe extent of disability and its duration. DisabilityAdjusted Life Years are the sum of YLL andYLD. The GBD study publishes new analyses everyfew years and the 2016 findings are the basis ofthe estimates cited below.
In 2016, asthma, across all ages, contributed23.7 million DALYs globally. This total burden ofdisease has remained unchanged since 1990,despite the substantial increase in worldpopulation over that time. Hence, the agestandardisedrate has decreased by 36% since1990. Globally, asthma ranked 28th among theleading causes of burden of disease and 27th inlow- and middle-income countries .
More than half of the global burdenattributable to asthma was due to 13.2 millionYLD. This represents a small increase in theage-standardised rate of YLD due to asthma since2006. In 2016, asthma ranked 16th in the leadingcauses of YLD globally.
Worldwide, there were 10.5 million YLLattributed to asthma-related premature deaths.This represents an age-standardised rate of 148·5YLL per 100,000 population, 26% lower in 2016compared to 2006. In 2016, asthma ranked 23rd and 31st among the leadingcauses of premature mortality .
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Join A Clean Air Campaign In Your Community
Several community groups in Northern Manhattan and the South Bronx are working to improve air quality. They are getting new laws passed that reduce bus and truck traffic and require the use of new technologies that lower diesel emissions. These organizations are also working hard to prevent new sources of pollution from being put in their neighborhoods, and ensuring that existing polluters such as power plants and waste transfer stations are doing everything possible to minimize pollution. Many groups are planting trees that absorb bad chemicals and put more oxygen in our air, and building parks to increase green space. More community clean air campaign successes.
What Further Information Do We Need About The Burden Of Asthma
Tracking the global burden of asthma dependson the acquisition of new standardised data overtime for relevant parameters including, at least,prevalence, disability and mortality. It is becomingclear that asthma is a heterogeneous disease,with diverse causes, life-courses, outcomes andoptimal treatments . In further work onthe burden of asthma, including both disabilityand premature mortality, it would be useful tolink this burden to avoidable causes and treatabletraits. This would highlight the potential value ofinterventions to prevent asthma and mitigate theconsequences of asthma with effective treatment.
Guy Marks, Neil Pearce, David Strachan, Innes Asher, Philippa Ellwood
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How Many People Died From Asthma In The Uk In 2012
Around 1,200 people a year are recorded as dying from asthma.
Although low compared with most other lung diseases, this figure is still too high. Given the manageability of asthma, mortality should be closer to zero. The Royal College of Physicians report Why asthma still kills details how managing the disease more effectively could dramatically reduce mortality.
UK deaths from asthma compared with other lung diseases, 2012
Our Strategic Plan 2018
Since changing our name from the Asthma Society of Canada to Asthma Canada we have had an expanded focus on ALL people affected by asthma, including patients, caregivers, families, healthcare workers and support networks. We have adopted a strategy that will allow us to help change the lives of as many Canadians impacted by this chronic disease as possible. Together, we will make our vision of a future without asthma a reality.
Asthma Canadas strategic directions for 2018 to 2021 are to:
- Strengthen our connections with asthma community
- Expand the focus on asthma
- Raise funds to support our mission
- Build capacity and optimize operational excellence
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How Many People Develop Asthma For The First Time Each Year In The Uk
Around 160,000 people a year receive an asthma diagnosis. This is more than are diagnosed with any other lung condition. However, incidence rates went down by around 10% between 2008 and 2012.
We need further research to understand why. Possible reasons include:
- Asthma is becoming less common.
- Conditions like COPD are becoming less likely to be misdiagnosed as asthma.
- Better diagnosis has reduced the backlog of cases that failed to be diagnosed in the past. Consequently, only new cases are being diagnosed.
Number of people per 100,000 newly diagnosed with asthma, each year, 200412
The Us Asthma Statistics Reveal That Approximately 10 Americans Die From The Condition Every Day
In fact, the statistics in the United States show that 3,564 individuals passed away from the condition in 2017. However, many of the reported deaths would be avoidable if the condition was treated in time. Even though asthma in children is more prevalent, adults have a four times higher chance of dying from it.
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Tablets To Open Up The Airways
Most people do not need tablets, as inhalers usually work well. However, in some cases a tablet is prescribed in addition to inhalers if symptoms are not fully eased by inhalers alone. Various tablets may be used which aim to open up the airways. Some young children use liquid medication instead of inhalers.
School Children & Asthma
Asthma is one of the leading chronic illnesses of childhood and adolescence 12
- One in 10 school-aged children have asthma 12
- Over 13 million school days are missed annually due to asthma 15
- Children with asthma miss 2.3 days more of school than their peers with a per-child cost of $207
- Over half of school children with asthma missed as least one day of school in the previous year due asthma 13
- 5.5% of children with an asthma-related school absence were unable to see a primary care doctor due to cost 13
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Asthma And Allergy Triggers
As the weather gets colder and more time is spent indoors, indoor asthma and allergy triggers are of growing concern. We also know that researchers have observed, in some studies, a link of seasonal and indoor allergies to the later development of asthma, added Dr. Bassett.
Indoor and outdoor trigger include: smoke pollution and strong odors, pet dander, mold, pollen, dust mites, exercise, pests like roaches and mice, colds and flus, certain foods, and changes in the weather.
What Are The Typical Symptoms If You Have Mild Untreated Asthma
You tend to develop mild symptoms from time to time. For example, you may develop a mild wheeze and a cough if you have a cold or a chest infection, or during the hay fever season, or when you exercise. For most of the time you have no symptoms. A child with mild asthma may have an irritating cough each night but is often fine during the day.
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New York City New York
In New York City, about 10 percent of all the adults are asthmatic. However, racial disparities exist, as the rate of asthma is the highest in African American children at 22%. On the other hand. Hispanic children have a 15% rate of asthma prevalence, while the percentage is 10% for Asian children and 4% for White children.
A Typical Treatment Plan
A common treatment plan for a typical person with moderate asthma is:
- A preventer inhaler , taken each morning and at bedtime. This usually prevents symptoms throughout the day and night.
- A reliever inhaler may be needed now and then if breakthrough symptoms occur. For example, if symptoms flare up when you have a cough or cold.
- If exercise or sport causes symptoms then a dose of a reliever inhaler just before the exercise usually prevents symptoms.
- The dose of the preventer inhaler may need to be increased for a while if you have a cough or cold, or during the hay fever season.
- Some people may need to add in an LTRA and/or a long-acting bronchodilator if symptoms are not controlled with the above.
At first, adjusting doses of inhalers is usually done on the advice of a doctor or nurse. In time, you may agree an asthma action plan with your doctor or nurse.
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Parental And Personal Smoking
In utero maternal smoking and parental smoking in early life has been shown to be temporally associated with increased asthma in young children . Recent evidence from multi-generational studies suggest that grandmaternal smoking while the mother is in utero and paternal smoking during his adolescence can independently increase the risk of subsequent offspring childhood asthma. These findings suggest that tobacco smoking may cause heritable modifications of the epigenome, which increase the risk of asthma in future generations .
Smoking also seems to interact with sex. Female smokers had a higher prevalence of asthma than female non-smokers, but this difference was less frequent for males, suggesting that females may be more susceptible. Many studies have found that personal smoking predisposes an individual to increased risk of incident or new-onset asthma, although smoking-onset in adolescence, or adulthood typically occurs after early-onset asthma . As non-atopic asthma becomes increasingly common compared with atopic asthma in adults, this is most likely because this phenotype frequently coincides with a substantial history of cigarette smoking and its potential to predispose to chronic airflow limitation . Smokers with asthma form a distinct group that are more likely to have suboptimal asthma control and develop asthma-COPD overlap syndrome in later life, characterized by incompletely reversed airflow obstruction following an inhaled bronchodilator .
Asthma Uk’s Press Office Can Provide Facts And Statistics About Asthma Including Prevalence Deaths And Hospital Admissions
If you use any of the statistics below, please attribute them to Asthma UK
Key facts for journalists
- 5.4 million people in the UK are currently receiving treatment for asthma: 1.1 million children and 4.3 million adults .
- Every 10 seconds someone is having a potentially life-threatening asthma attack in the UK.
- On average, 3 people die from an asthma attack in the UK every day
- Around 200,000 people in the UK have severe asthma, this is a debilitating form of the condition that doesnt respond to usual treatments and can cause people to be in and out of hospital
- The NHS spends around £1 billion a year treating and caring for people with asthma.
- In 2016/17 there were 77,124 admissions to hospital for asthma in the UK.
- In 2017 1,484 people in the UK died from an asthma attack in the UK
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Childhood Asthma: A Growing American Epidemic
This overview is the second in a series of articles to be published concerning childrens environmental health. Additional articles will appear in the run-up to Childrens Environmental Health II: A Global Forum for Action, scheduled for September 811, 2001. This conference is sponsored by the Childrens Environmental Health Network and the Canadian Institute of Child Health, and will take place at Georgetown University in Washington, D.C.
Asthma afflicts a rapidly growing number of children in the United States. The total number of children suffering from this chronic disease increased by 75 percent between 1980 and 1994. The illness has grown fastest among the youngest children: The number of children under 5 years of age with asthma surged by 160 percent during that same time period. Today, asthma affects 4.8 million Americans under the age of 18, or one out of every 15 kids. It is the leading chronic illness for children in the United States.
Asthma is a disease of the lungs and airways that manifests itself in wheezing, coughing, and difficulty in breathing. During an asthma attack, the muscles around the airways constrict and tighten, and the lining of the airways becomes inflamed and swollen. The disease can be controlled with medicine, by avoiding certain asthma triggers, and sometimes by limiting specific activities.
What Is Being Done What Needs To Be Done
For those children in poor or racial minority communities, where rates of asthma are higher and health outcomes more severe, better access to health care, better housing, and better nutrition, as well as healthier environments, are key strategies for minimizing the effects of the disease.
While the treatment of asthma has appropriately received increasing attention, few resources are dedicated to the prevention of asthma or to tracking the asthma epidemic. In 1999, just a small portion of the federal asthma research budget was spent on asthma etiology , prevention , or tracking .
Currently there is no federal tracking system or registry for asthma in the United States similar to the system that exists for childhood cancer. An asthma tracking system could tell us the incidence and prevalence of the disease, as well as linking these variables to environmental exposures. This information can be used to analyze trends, to help determine causes, to better understand the role of the environment, and to help develop effective prevention strategies.
Just as asthma has no single cause, there is no single solution to the asthma epidemic. Our efforts must address asthma on all fronts prevention as well as treatment. Only then will we see a decrease in the number of children ill and dying due to this modern epidemic.
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Clinical Care Is Essential To Ensure That Asthma Is Being Properly Managed
Since asthma is a chronic condition, regular monitoring and education around how to manage asthma are key factors in well managed asthma. The SLCDC found that:
- 83.8% reported a family doctor or general practitioner was most responsible for their care.
- 62.3% reported having seen or talked to a family doctor or general practitioner about their condition in the past 12 months.
- 5.6% reported having seen or talked to an asthma or respiratory educator about their condition in the past 12 months.
- 77.8% reported ever receiving lung function testing.
- 65.2% reported ever having had allergy tests and 89.0% were told they have allergies.
- Individuals with uncontrolled asthma were more likely to report having received a written action plan from their health professional for asthma control compared to individuals with controlled asthma .