HHT Presentation: Asthma in Maine


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Presentation by Jim Braddick, Maine Asthma Program, on Asthma in Maine and why it is a healthy housing issue. Presented at the Maine Asthma Coalition's Healthy Homes Trainings.

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HHT Presentation: Asthma in Maine

  1. 1. Today’s Agenda• What is Asthma• Why Asthma is a Concern in Maine• Asthma and Healthy Homes
  2. 2. Asthma is: Asthma is a chronic inflammatory disease of the airways that may cause:  Wheezing  Breathlessness  Chest tightness  Night-time or early morning coughing
  3. 3. Pathology of Asthma Asthma involves inflammation of the airways Normal AsthmaSource: “What You and Your Family Can Do About Asthma” by the Global Initiative For AsthmaCreated and funded by NIH/NHLBI, 1995
  4. 4. Asthma in Maine (BRFSS Data)•Maine has the 3rd highestadult current asthma rate in theUS at 10.3%. Nat’l avg. 8.5%•Maine’s current child asthmarate is 9.4%. Nat’l avg. 9%.•In 2000, Maine’s current adultasthma rate was 8.9% - highestin the US. Nat’l avg. 7.2%.
  5. 5. Asthma Prevalence Downeast Adults
  6. 6. Asthma Disparities in the U.S. Low-income populations, minorities, and children living in inner cities experience more ED visits, hospitalizations, and deaths due to asthma than the general population.1 The burden of asthma falls disproportionately on non- Hispanic black, American Indian/Alaskan Native and some Hispanic (i.e., Puerto Rican) populations.2, 3 Adults and children on MaineCare have higher asthma prevalence than individuals with other types of insurance.1Lieu TA et al. Racial/Ethnic Variation in Asthma Status and Management Practices Among Children in Managed Medicaid. Pediatrics 2002; 109:857–865.2National Center for Health Statistics. Health data for all ages http://www.cdc.gov/nchs/health_data_for_all_ages.htm.3Asthma and Allergy Foundation of America and National Pharmaceutical Council. Ethnic Disparities in the Burden and Treatment of Asthma. Reston, 2005.
  7. 7. Risk Factors for Developing Asthma  Genetic characteristics  Occupational exposures  Environmental exposures
  8. 8. A Public Health Response to Asthma: Environmental Interventions Help people create and maintain healthy home, school, and work environments. Environmental interventions may consist of: › Assessments to identify asthma triggers › Education on how to remove asthma triggers › Remediation to remove asthma triggers
  9. 9. Indoor Environmental Asthma Triggers • Oil & Wood heat - fumes, dust, smoke • Old Homes - dust and mold • Odors from cleaning products • Fumes from Furniture and Carpets • Cockroaches/Pests – feces & shell material • Pets: fur, hair & dander • Personal scents – perfume & cologne • Secondhand smoke
  10. 10. Other Asthma Triggers Air pollution Trees, grass, and weed pollen
  11. 11. A Public Health Response to Asthma: School  A leading chronic disease cause of school absence  Common disease addressed by school nurses  Affects teachers, administrators, nurses, coaches, students, bus drivers, after school program staff, maintenance personnel
  12. 12. A Public Health Response to Asthma: What can make asthma worse in the school?  Mold and mildew  Animals in classroom  Carpeted classrooms  Cockroaches  Poor air quality
  13. 13. Summary: A Public Health Response to Asthma Asthma is a complex disease that is not yet preventable or curable. Asthma can be managed with medication, environmental changes, and behavior modifications. By working together, we can ensure that people with asthma enjoy a high quality of life.
  14. 14. Maine Asthma Program ContactsJim Braddick - 287-7302Desi-Rae Severson – 287- 3041http://www.maine.gov/dhhs/bohdcfh/mat/