Summary Of Recent Changes
Updates to the list of underlying medical conditions that put adults of any age at high risk for severe illness from the virus that causes COVID-19 were based on evidence from published reports, scientific articles in press, unreviewed pre-prints, and internal data. Updates to the following conditions were completed based on evidence from the date range below:
- Pregnancy related references were added in May 2021.
- Substance use disorders were based on evidence published between December 1, 2019, and January 2021.
- Asthma, blood disorders, cancer, cerebrovascular disease, chronic obstructive pulmonary disease , chronic kidney disease , cystic fibrosis, diabetes, Down syndrome, heart disease, hypertension, immunosuppressant medications, use of corticosteroids or other immunosuppressive medications, solid organ or blood stem cell transplantation, neurological conditions, and obesity were based on evidence published between December 1, 2019, and December 2020.
- Smoking was based on evidence published between December 1, 2019, and July 20, 2020.
- All other conditions were based on evidence published between December 1, 2019, and October 16, 2020.
In keeping with an ever-growing volume of literature, references are now categorized by study type. With these categories, we can be more specific about the type of study used as supporting evidence. By presenting the references in these categories, clinicians can better evaluate the quality of the data to determine risk.
Who Is Considered Clinically Extremely Vulnerable With Asthma
People are regarded as clinically extremely vulnerable if they are at very high risk of severe illness as a result of coronavirus , and may need to be admitted to hospital. People with asthma may be in this group if they have severe asthma or another condition that makes them clinically extremely vulnerable.
Many children and young people who, at the start of the pandemic, were identified as clinically extremely vulnerable, have already been removed from the shielded patient list. The decision has now been made by the chief medical officer in all four UK nations to remove all remaining children and young people from the clinically extremely vulnerable list. Read more about children and the clinically extremely vulnerable list from our sister charity, the British Lung Foundation.
Data has shown that age is by far the most important factor influencing a persons risk of becoming seriously ill with coronavirus. Its thought that although children can catch COVID-19, very few children develop severe symptoms, even if they have an underlying health condition.
Are People With Asthma At Higher Risk Of Getting Covid
So, there is no hard evidence that people with asthma get sicker with COVID-19 . But is there any evidence that people with asthma are more likely to catch the coronavirus? Again, not that we are aware of. A study of 140 cases showed no link between coronavirus infections and asthma.
Some people with asthma may wonder if they are immunocompromised and what that means. Immunocompromised means that your immune system is weakened, either by a disease or by a medication. It means you are more likely to catch an infection and more likely to have a more severe illness than someone who is not immunocompromised.
Some people with asthma can be immunocompromised because of the medication they take. Here are some asthma medications and treatment combinations that can blunt the immune system:
- Any biologic therapy such as omalizumab
- Daily corticosteroid tablets or liquid
- Antibiotic tablets or liquid taken for asthma every week
- Tiotropium , a prescription asthma medication
- A combination inhaler that contains a high daily steroid dose
- Taking an inhaler with a high daily steroid dose and montelukast together
Check with your provider if youre not sure about whether your medications could be making you immunocompromised.
Study Finds No Evidence Patients With Asthma At High Risk For Adverse Covid
Disclosures: We were unable to process your request. Please try again later. If you continue to have this issue please contact .
A review of 150 studies yielded no clear evidence that patients with asthma are at increased risk for COVID-19 diagnosis, hospitalization, severity or mortality.
Health agencies such as the CDC and WHO expressed the opinion that patients with asthma were more vulnerable to becoming severely ill with COVID-19, yet formal comprehensive assessments of the medical literature were lacking,Rajiv Dhand, MD, professor of medicine, Wahid T. Hanna MD Endowed Chair of Medicine and associate dean of clinical affairs at the Graduate School of Medicine at the University of Tennessee Health Sciences Center, told Healio. Patients with asthma were apprehensive about getting severe COVID-19 and wondered whether they should continue to use inhaled corticosteroids, which are the mainstays of asthma treatment.
Am J Respir Crit Care Med
Researchers identified 150 worldwide studies from PubMed and medRxiv databases by searching the terms asthma,SARS-CoV-2 and COVID-19 and cross-referenced citations in studies available in print or online before December 2020. Data on asthma prevalence were collected from studies of patients with COVID-19 and regional health statistics, and researchers compared asthma prevalence among patients with COVID-19 by region, disease severity and mortality.
For more information:
Rajiv Dhand, MD, can be reached at firstname.lastname@example.org.
Steps Everyone Can Take To Lower The Risk Of Getting And Spreading Covid
- Practice social distancing/self-monitoring/self-isolation/isolation as directed by the Public Health Agency of Canada.
- Wash your hands thoroughly and often with soap and warm water for at least 30 seconds.
- Wear a non-medical grade face mask when you are in public places and in situations where you are not able to maintain physical distancing, like on public transportation or the grocery store.
- Avoid closed spaces, crowded places, and close contact.
- Clean and disinfect frequently touched objects and surfaces, such as toys, phones and door handles.
- Avoid touching your eyes, nose, ears or mouth.
- Stay home if you are sick. Encourage those you know who are sick to stay home until they no longer have symptoms.
- Avoid contact with people who are unwell.
- Make sure that you get high-quality information about COVID-19 from reliable sources. The Public Health Agency of Canada is a reliable source of information, as are provincial and territorial public health authorities.
Risk Of Severe Covid May Depend On Your Type Of Asthma Experts Say
Everyone agrees about the good newsfolks whose asthma is spurred on by allergies don’t appear to have an increased risk of life-threatening illness if they contract COVID-19.
“Asthma has not risen as one of the top comorbid diseases for worse COVID-19 outcomes,” said Dr. Sandhya Khurana, director of the Mary Parkes Center for Asthma, Allergy and Pulmonary Care at the University of Rochester Medical Center. “We always worry with asthma and viral infections, because they seem to trigger asthma exacerbation unreasonably. But what we’ve seen so far is reassuring.”
But debate continues to swirl regarding the potential severity of COVID infection in people with non-allergic asthma.
Some studies have suggested that people who have asthma caused by something other than allergiesexercise, stress, air pollution, weather conditionsmight have an increased risk of severe COVID-19.
For example, Harvard researchers found that having non-allergic asthma increased the risk of severe COVID-19 by as much as 48%. That conclusion was based on data from 65,000 asthma sufferers presented in the June issue of the Journal of Allergy and Clinical Immunology.
“For those people, I think being more cautious would be good for them,” said senior researcher Liming Liang, an associate professor of statistical genetics at the Harvard T.H. Chan School of Public Health in Boston. “I think the next wave is coming. We’ve got to be more cautious.”
Free Advice For Everyone
As a charity, Asthma UK provides free health advice to millions of people through our Website and our specialist nurses Helpline – a team dedicated to offering life-changing advice over the phone.
As the UK’s leading asthma charity, now more than ever before people need our help, yet COVID-19 has devastatedour ability to raise vital funds! For us to continue being there for everyone who needs us, we need your support.
If you’ve benefited from this advice on face coverings today, if you can please make a small donation to help ensure we can give you the support you need now and in the future.
What Support Can I Get
Wherever you are in the UK, there is support available if you need to self-isolate. Find out more about support you can get if you are clinically extremely vulnerable.
In all four nations, you can get in touch with your local COVID Mutual Aid group. Theyll put you in touch with people who live locally wholl be able to help you.
In England, if you meet certain criteria, you can get support from the NHS volunteer responders. They can do things like helping you with shopping, getting prescriptions, or just checking in to see how you are doing. Register for support online or by calling 0808 196 3646. There are equivalent services in the devolved administrations.
Tips For Wearing A Face Mask With Asthma
The Public Health Agency of Canada currently recommends that Canadians wear non-medical face masks while in public spaces where physical distancing cannot be maintained such as on public transit, or at the grocery store.
Be sure to check your provincial or territorial authority for up-to-date guidance.
Wearing a face mask is NOT a substitute for physical distancing or frequent handwashing. Wearing a non-medical face mask is an extra measure that can be taken to protect those around you. When worn properly, a person wearing a non-medical mask can reduce the spread of their own infectious respiratory droplets.
Make sure you wear your mask properly. It should cover both your nose and mouth. If your mask gets soiled or wet, be sure to wash and dry it before wearing it again. You can read information about appropriate use of non-medical masks, and how to properly place, remove and clean a non-medical mask from the Public Health Agency of Canada.
The vast majority of people with asthma can wear a non-medical mask safely. If you are unable to wear a non-medical mask without experiencing breathing issues, do not wear a mask. Instead, make sure you are practicing physical distancing by maintaining a 2-metre distance. Schedule an appointment with your healthcare provider as soon as possible to go over your Asthma Action Plan and review your asthma symptoms and control. Your healthcare provider may suggest or ask you to consider other options to protect yourself.
Vulnerable Populations And Covid
While COVID-19 can make anyone sick, some Canadians may be at greater risk of COVID-19 than others due to their occupational, social, economic and other health and life circumstances.
Organizations, staff and volunteers play an important role in helping to prevent these populations from getting or spreading the COVID-19 virus. Start by sharing simple things they can do to help keep themselves and others healthy, guide them to help if they develop any signs and symptoms and learn ways help care for sick clients recovering from COVID-19.
Covid No More Deadly For People With Asthma
WEDNESDAY, Feb. 24, 2021 — During the pandemic, people with asthma have worried that their respiratory condition might raise their risk of severe illness or death from COVID-19, but new research findings should calm their fears.
After analyzing data from 57 studies that included a total of over 587,000 people, scientists discovered that rates of asthma among people with COVID-19 were similar to rates in the general population, at just over seven in 100 people and just over eight in 100, respectively.
Compared to the general population, people with asthma were actually 14% less likely to get COVID-19 and much less likely to be hospitalized with the disease.
The risk of death from COVID-19 was the same for people with asthma and those without it, according to the researchers at the George Institute for Global Health, in New South Wales, Australia.
The study was published online recently in the Journal of Asthma.
It’s unclear why COVID-19 risks aren’t higher in people with asthma, but one possible explanation is that asthma treatments may limit the coronavirus’ ability to attach to the lungs, said study co-author Christine Jenkins, head of the institute’s respiratory program.
“Also, initial uncertainty about the impact of asthma on COVID-19 may have caused anxiety among patients and caregivers leading them to be more vigilant about preventing infection,” Jenkins added.
General Precautions For People With Respiratory Conditions
General tips for those with chronic respiratory illnesses such as asthma, chronic obstructive pulmonary disease , idiopathic pulmonary fibrosis, and cystic fibrosis include the following:
- Take your medication as prescribed and manage your symptoms as well as you can.
- Get the flu shot. If you have flu symptoms call your doctor. There are treatments for the flu. However, a flu shot will not protect you against COVID-19.
- Get the pneumococcal vaccine if recommended by your provider. This will also not protect you against COVID-19, though.
- If you smoke, theres never been a better time to stop. Smoking will increase your risk of severe illness and death from COVID-19.
The Delta Variant Of The Coronavirus
The delta variant is a strain of the coronavirus that causes COVID-19. Most COVID-19 infections in the United States and in many other countries are currently from the delta variant. It is two times more contagious than earlier strains of SARS-CoV-2, meaning it is spreading very quickly. Some data suggest the delta variant might cause more severe illness in people who are not vaccinated.
It is possible for people who are fully vaccinated to get the delta variant. This happens much less in people who have their COVID-19 shot than people who do not. This is called a breakthrough infection. Symptoms of COVID-19 will be less severe in people who are vaccinated and their risk of being hospitalized or dying of COVID-19 are very low. They are also less contagious, and they will recover faster than people who are not vaccinated.
The CDC recently updated their COVID-19 vaccine recommendations for pregnant people and people who are immunocompromised.
Asthma May Not Increase The Risk Of Severe Covid
A recent review of research suggests that the proportion of all patients hospitalized with COVID-19 who also have asthma is similar to the prevalence of asthma in the wider population.
All data and statistics are based on publicly available data at the time of publication. Some information may be out of date. Visit our coronavirus huband follow our live updates page for the most recent information on the COVID-19 pandemic.
In their latest advice, the Centers for Disease Control and Prevention warn that people with moderate-to-severe asthma may be at greater risk of developing severe COVID-19.
However, a review of research by scientists at the University of Colorado in Denver has found no evidence of an increased prevalence of asthma among patients hospitalized with COVID-19 compared with the conditions prevalence in the wider population.
In addition, they found that patients hospitalized with COVID-19 who had asthma were no more likely to be intubated than other patients.
The CDC people with asthma at higher risk COVID-related hospitalization, says senior author Dr. Fernando Holguin. However, many international studies show low numbers of among hospitalized COVID-19 patients. These findings challenge the assumption about asthma as a risk factor.
In a research letter that appears in the Annals of the American Thoracic Society, the authors report:
Coronavirus Vaccine And The Booster
All UK adults should have been offered the coronavirus vaccine. All teenagers aged 16 and 17 are now eligible for their first dose. Some children aged 12 to 15, who are at increased risk from COVID-19, are also being offered the vaccine.
All coronavirus vaccines are very effective at reducing your risk of becoming ill with the virus should you get COVID-19. Its also now known that being vaccinated reduces your risk of becoming infected with the virus. But it doesnt mean you cannot get the virus.
We know people have a lot of questions about the vaccine, which is why weve worked with our sister charity, the British Lung Foundation, to create a COVID-19 vaccine FAQ.
The JCVI has provisionally advised that booster vaccines should be offered from September 2021 to people who are most vulnerable to COVID-19 ahead of the winter months. They have advised that the booster vaccine should be offered in two stages.
If you are clinically extremely vulnerable, you will be offered the booster COVID-19 and a flu vaccine from September, under stage 1.
Stage 2 includes everyone aged 50-69 and adults aged 16-49 who are offered a free flu vaccine each year. People in these groups will be offered a booster COVID-19 vaccine as soon as possible and practical after stage 1. They will also be offered a flu vaccine, where appropriate.
Should I Still Wear A Face Mask
While COVID-19 cases continue to rise, it is a good idea to wear a wear a face mask in public places to protect yourself and others, even if you are fully vaccinated. The CDC also recommends wearing a face mask if you are immunocompromised or are at risk of severe disease due to other health conditions.
Wearing a face mask may have other benefits. If you have asthma or allergies, masks can help protect you from pollen and other allergens and irritants that trigger symptoms. Masks also can protect you from respiratory infections like the flu, COVID-19, and even the common cold. Masks provide protection for people who are immunocompromised.
You will still need to follow federal, state, local, tribal, or territorial laws. These jurisdictions, workplaces, and private businesses may still require that you wear masks.
Wearing a face mask is still required when traveling on planes, buses, trains, or other forms of public transportation. Masks are still required at hospitals, airports, bus and train stations, homeless shelters, and prisons.
The CDC recommends universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status.
If I Think I Have Covid
If you start having symptoms of COVID-19, call your doctor or your local health department within 24 hours. Many states have various testing options, and your doctor or department of health can tell you what to do.
Many doctors have been offering telehealth . If that is an option, ask your insurance company if telehealth is covered under your plan. And if you have Medicare, you might be able to have a virtual visit with your doctor. The government has expanded the coverage of telehealth services during the COVID-19 crisis.
Extra Precautions A Person With Asthma Should Take
To protect our health and prevent the spread of COVID-19, each and every one of us should be practicing universal preventive measures, including social distancing, wearing masks in public and using excellent hand hygiene.
People with moderate-to-severe asthma, however, will need to make sure they’re prepared and properly managing their asthma throughout this pandemic by doing the following:
- Ensuring you continue to take the medications that are a part of your maintenance regimen
- Finding your rescue inhaler and making sure it’s full and up-to-date
- Avoiding asthma triggers, particularly the ones that are common for you
“Right now, the best way for a person with asthma to prevent becoming seriously ill from COVID-19 is to avoid exposure to the new coronavirus altogether by social distancing and wearing a mask,” adds Dr. Connolly. “If you have questions about your risk or your asthma treatment plan during this pandemic, it’s important to talk to your doctor.”
- Need help managing your asthma? Our pulmonologists and respiratory therapists can help you get your asthma under control.
Asthma Treatments And Covid
The CDC advises that you should not stop any of your asthma medications or make changes to your asthma treatment plan without talking to your healthcare provider first. Asthma medication is not considered to interfere with COVID-19 outcomes or prognosis.
Continuing to take your asthma medication as prescribed will help you reduce the risk of triggering an asthma attack. The AAAAI states that the best thing a person with asthma can do during the pandemic is to keep their asthma under control.
The CDC offers the following tips for keeping asthma under control:
- Do not make any changes to your asthma medication without consulting a medical professional.
- Continue to take all of your prescribed asthma medication as normal, and know how to use your inhaled medication effectively.
- Follow your asthma action plan.
- Always carry your reliever inhaler with you in case symptoms are triggered.
- Ask your doctor for a 30-day emergency supply of your asthma medication to keep at home if you have to quarantine for a long time.
- Try to avoid asthma triggers and reduce stress where possible.
- Ensure that you speak with your doctor about recommended vaccinations to help you stay healthy.
You Have Strong Vitamin D Levels
A study published in the Journal of the American Medical Association in September found thatÂ having a vitamin D deficiency makes you much more likely to test positive for the virus. The University of Chicago doctors behind the research looked at 489 patients at the University of Chicago who were tested for coronavirus between March and April. They found that, of the 60 percent of patients with adequate vitamin D levels, only 12 percent ended up contracting COVID-19. However, among the 25 percent of patients who had a vitamin D deficiency, 22 percent tested positive, which means they were 77 percent more likely to have COVID. And for more guidance on how to stay safe, check out This Type of Face Mask Isn’t Protecting You From COVID, WHO Warns.
Follow Your Asthma Action Plan
An asthma action plan helps you recognize and manage asthma symptoms. This includes continuing with your current medications, such as short-acting rescue inhalers and long-acting inhalers with steroids. The plan also covers what to do in an emergency.
Don’t stop taking any medications or change your asthma treatment plan without talking to your healthcare provider.
While in-person routine visits are, in many cases, being curtailed due to the pandemic, University of Maryland Medical System providers are caring for the needs of their patients via telemedicine and in-person visits, as needed. To learn more, call your healthcare provider or use to make contact.
Are People With Asthma Less Likely To Be Affected By Covid
What we showed and what others have shown is that asthma alone really isnt a risk factor for severe outcomes from COVID-19, and that is great news for asthma patients, Dr. Robinson told MedPage Today.
However, researchers acknowledge that more work is needed to understand the risks that asthmatic patients may or may not face with COVID, including the impact of asthma-related inflammation and the use of inhaled corticosteroids.
As we continue to learn more about the coronavirus and its impact on asthma patients, people with asthma should continue to practice recommended precautions, such as getting the vaccine, wearing a face mask, and social distancing, and follow their asthma action plans.
Does My Child Need To Wear A Mask
COVID-19 vaccinations are now available in the U.S. for everyone 12 years old and older. Children in this age range should get vaccinated as soon as possible so they are protected from COVID-19.
Children should continue to wear a face mask and stay 3 feet apart in all public spaces, including schools if they are:
- 2 years old and older
- Too young to receive the COVID-19 shot
- Are not fully vaccinated
Children with a disability that keeps them from safely wearing a mask and children under 2 should not wear masks.