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Do you know if your asthma is under control? Learn why asthma control is important and how you can manage your asthma during our on-demand webinar, โDo Not Let Your Asthma Control You!โ
Topics covered during this two-part program include:
- Asthma control
- The role of inflammation in asthma
- Common conditions seen with asthma
- Biologics treatments
โDo Not Let Your Asthma Control You!โ has two online sessions:
Session 1: ModerateโtoโSevere Asthma in Children and Adults: Why and How to Achieve Control
Pulmonologist Dr. Michael Wechsler, a representative from the Asthma and Allergy Foundation of America (AAFA), and a caregiver of a child with asthma discuss how to recognize symptoms of moderateโtoโsevere asthma, how related conditions can influence asthma control, and how biologics can be used for asthma control in children and adults.
Session 2: Medlive Match!
Test your asthma knowledge in a fastโpaced trivia game hosted by an asthma expert and a representative from AAFA. Game categories include asthma control, the role of inflammation in asthma, common conditions seen with asthma and biologic medicines.
CME Program on Moderate-to-Severe Asthma
Health care professionals: Donโt miss this continuing medical education (CME) program on moderate-to-severe asthma, โSeeking Control for Moderate to Severe Asthma: The Underestimated Impact of Comorbidities Along the Lifespan,โ and earn AMA PRA Category 1 CreditTM.
An expert panel discussed the effects of comorbid conditions on asthma, biologic treatments for asthma, and strategies to recognize and better manage moderate-to-severe-asthma.
April is National Healthy Homes Month. Your home can have a big impact on how well you manage your asthma and allergies. Reducing asthma triggers and allergens in your home should be an important part of your asthma and allergy management plan.
How Do I Know If I Have a Healthier Home?
Take this quick home assessment to see if you have allergy and asthma triggers lurking in your home that could be affecting your health:
- Do you have wall-to-wall carpeting?
- Do you have leaks under your sinks or mold in damp areas like your bathrooms and basement?
- Do you have a lot of fabric dรฉcor that canโt be washed, like throw pillows and blankets, heavy drapes, large area rugs, etc.?
- Have you had your mattresses longer than 10 years and your pillows longer than 2 years? Do you have allergen-barrier covers on them?
- Do you allow your pets in your bedrooms?
- Do you have piles of clutter collecting dust and pet dander?
- Do you open your windows during high pollen season or wear your shoes inside your home?
- Do you use scented candles, wax melts, plug-ins, or potpourri?
- Do you have signs of pests, like cockroaches or mice?
- Do you or anyone living in your home smoke?
If you answered yes to any of these items, you may have allergens and irritants that could affect your asthma and allergies. But thankfully, you can improve the overall health of your home.
How Can I Have a Healthier Home?
There are several steps you can take to improve the health of your home. If you arenโt sure where to begin, start by improving indoor air quality in your bedroom. You spend most of your time at home in your bedroom. And it tends to have more allergens than anywhere in your home. Then you can work on improving indoor air quality in other areas of your home, like the kitchen, living room, and the attic and/or basement.
To start a new habit of maintaining a healthier home, try these tips:
- Have everyone who lives in your home take their shoes off at the front door to avoid bringing in pollen.
- Wipe your pets off when they come inside to remove pollen and donโt allow your pets to go in your bedrooms.
- Keep your windows closed during high pollen seasons or when outdoor air quality is poor.
- Encase your mattresses and pillows in CERTIFIED asthma & allergy friendlyยฎ covers to reduce your exposure to dust mites.
- Wash your bedding and throw rugs weekly in water that is 130ยฐF or hotter to remove dust mites and pollen.
- Reduce piles of clutter that can collect dust and pet hair.
- Vacuum carpet at least weekly with a CERTIFIED vacuum cleaner.
- Fix leaks and have mold cleaned.
- Donโt allow smoking in your home.
- Store your trash and food in airtight containers to prevents pests. Clean up spills and donโt leave food or dirty dishes on the counter.
- Use a CERTIFIED air filter in your HVAC unit to help reduce allergens in the air.
- Consider a CERTIFIED air cleaner to also reduce allergens in the air in your home.
There are many other ways you can improve the health of your home. Once you have made the changes above, check out other ways to continue to create a healthier home.
- Improve your indoor air quality and reduce allergy and asthma triggers room by room using our Healthier Home Checklist.
- Improve other areas of your home with National Healthy Homes Month tips from the U.S. Department of Housing and Urban Development (HUD).
Visit aafa.org/certified to search for CERTIFIED products. There you can also learn more about the asthma & allergy friendlyยฎ Certification Program.
Update:
On April 12, 2024, AAFAโs Senior Director of Advocacy and Policy, Jenna Riemenschneider, joined representatives from Earthjustice, Consumer Reports, Terawatt Infrastructure, and National Grid of New York to brief congressional staff on the new car and truck emission standards. Riemenschneider shared the health benefits that the these standards will bring, especially for people with asthma. The purpose of the briefings was to ensure that Congress understands the importance of the standards and does not take action to weaken the standards in the future.
On March 29, 2024, the Environmental Protection Agency (EPA) finalized additional emissions standards for heavy-duty vehicles like trucks and buses. These standards will apply to trucks made after 2026.
According to the EPA, โThe final standards will reduce air pollution for the 72 million people who live near major truck freight routes, who bear the burden of higher levels of pollution and are more likely to be people of color or low-income. Reducing these emissions also provides cleaner air for communities across the country, preventing health issues like asthma, and ultimately saving money, lives, and trips to the hospital.โ
On March 20, 2024, the Environmental Protection Agency (EPA) finalized the strongest vehicle emissions standards ever. The standards will apply to cars made after 2026.
Vehicle emission standards limit how much pollution vehicles can release into the environment. These standards aim to reduce air and climate pollution and to improve air quality.
The Asthma and Allergy Foundation of America (AAFA) advocated for these standards and will continue to advocate for a future where cars donโt pollute the air or contribute to climate change. You can read AAFAโs full statement below:
Washington, D.C., March 20, 2024 โ The Asthma and Allergy Foundation of America (AAFA) applauds a new rule by the Environmental Protection Agency (EPA) that will drive America toward a future with zero vehicle emissions. The move will help the 27 million people in the United States with asthma breathe easier.
The EPAโฏannouncedโฏfinal national pollution standards for passenger cars, light-duty trucks, and medium-duty vehicles for model years 2027 through 2032 and beyond.
According to the EPA, the final rule will avoid more than 7 billion tons of CO2 emissions through 2055, roughly equal to four times the emissions of the entire transportation sector in 2021.
EPA's estimates suggest the rule's impact will prevent up to 2,500 premature deaths in 2055 as well as reducing heart attacks, respiratory and cardiovascular illnesses, aggravated asthma, and decreased lung function.
โTransportation-related emissions are a leading contributor to air pollution,โ said Kenneth Mendez, president and CEO of AAFA. โPolluted air from these emissions irritates the lungs of people who have asthma and makes their asthma worse. This pollution also accelerates climate change by trapping warm air in the atmosphere. When temperatures are warmer and air pollution is high, studies have shown that there are more emergency room visits from asthma attacks. By reducing emissions from cars and light trucks, the EPAโs new rule will improve the quality of life for the 27 million people in the United States with asthma. Weโre hopeful additional standards for heavy-duty vehicles will be announced that continue to drive us toward a zero-emissions reality.โ
AAFAโsโฏ2024 Allergy Capitalsโข reportโฏhighlights the urgency of the climate crisis. The report notes that warmer temperatures create a perfect storm of negative consequences for people with asthma. First, the warm weather means longer growing seasons, leading to both higher pollen counts and more time exposed to pollen. For people with allergic asthma (the most common form of asthma) pollen can trigger symptoms. Second, the combination of warm temperatures and high air pollution makes asthma symptoms worse.
โThe rule announced today offers hope that we can stem the tide of climate change,โ said Mendez. โWeโll continue to push for policy solutions focused on cleaner air.โ
Stay in the loop - get advocacy news straight to your inbox with our e-newsletters.
SIGN ME UP FOR UPDATES!Welcome to our April research update! Getting involved with research is an important way to impact asthma and allergy treatments, education, and awareness.
This month, we are highlighting clinical trials, surveys, and news on:
- Adults with asthma
- Approval of a treatment for kids with severe asthma
- Asthma and allergy control and quality of life
- Gaps in care for people with severe uncontrolled asthma
Note: The links below will take you to external websites.
Asthma and Allergy Clinical Trials
Are You Currently Taking Oral Corticosteroids (OCS) for Your Asthma?
Would you like to contribute to important new research? SUNRISE is a clinical study investigating whether a new biologic treatment called tezepelumab may help to reduce or remove the need for OCS in adults with severe asthma. The study is looking for people who:
- Are between 18 and 80 years of age
- Have had an asthma diagnosis for at least 1 year
- Have been taking OCS for asthma for at least 6 months
- Have been using inhaled corticosteroids for at least a year, and a long-acting beta 2-agonist (LABA) for at least 3 months
- Have not been receiving any biologic treatment for asthma for at least 4 months
Sponsored by AstraZeneca
Latest Asthma and Allergy News
Asthma
FASENRA Approved for Treatment of Children Aged 6 to 11 with Severe Asthma
The Food and Drug Administration (FDA) recently approved AstraZeneca's FASENRAยฎ (benralizumab) as an add-on treatment for kids aged 6 to 11 who have severe asthma with high levels of eosinophils. This approval expands the use of FASENRA, a biologic treatment. It was already approved for people aged 12 and older with the same type of severe asthma.
The decision was based on evidence from a study called TATE, which showed that FASENRA was as safe in younger children as it was in people aged 12 and older. FASENRA is given as an injection under the skin every 4 weeks for the first 3 doses, and then every 8 weeks. This approval offers more treatment options for kids with severe eosinophilic asthma.
Poor Asthma and Allergy Control Is Linked to Lower Health-Related Quality of Life
A new study from Europe looks at how asthma and allergic nasal and eye symptoms affect people's health-related quality of life. The researchers used data from over 7,000 people in Europe with self-reported asthma or allergies who used an app called MASK-airยฎ. This app was developed in Europe and aims to reduce the burden of allergic nasal and asthma symptoms by measuring quality of life through a questionnaire.
The researchers found that when asthma or allergy symptoms were well-controlled, people had a better quality of life. But when they were not well-controlled, their quality of life got worse.
In general, having asthma or nasal and eye allergies has an effect on quality of life, but especially when they're not well-managed. This information can help doctors and scientists understand how to better care for people with asthma and nasal and eye allergies to improve their overall quality of life.
Gaps in Care Among People with Uncontrolled Severe Asthma in the United States
A new study takes a closer look at how non-specialist doctors follow treatment guidelines for severe asthma in the United States. The researchers wanted to see if people with uncontrolled severe asthma got appropriate guidelines-based treatment after having a serious asthma event that resulted in an emergency department visit and/or hospital stay.
Researchers looked at data from over 180,000 patients with severe asthma from 2015 to 2020. Half of the severe asthma patients were considered not well-controlled. They found that many patients didn't see a specialist or increase their medicine after having a severe asthma event. They also found that these patients were more likely to have more asthma attacks later. Severe asthma treatment guidelines include a recommendation for a referral to a specialist after a serious asthma event or attack.
The study authors also found that Black or Hispanic/Latino patients were less likely to get specialist care or a medicine increase after their asthma attack compared to non-Hispanic White patients. The study highlights the need for improved guideline-based care for people with severe asthma, especially if uncontrolled, and for those facing social disparities.
Medical Review: April 2024 by Mitchell Grayson, MD, and Jerry Shier, MD
Stay in the loop โ get news and research updates straight to your inbox with our e-newsletters.
Teva Pharmaceutical Industries Ltd. plans to discontinue all its Digihalerยฎ products sold in the U.S. on June 1. This includes: ProAir Digihaler, AirDuo Digihaler, and ArmonAir Digihaler. Both ProAir and AirDuo are available in Tevaโs Respiclick products โ the same medicine formulations without the digital component. Teva does not offer the ArmonAir formulation in a branded alternative or generic.
The ArmonAir Digihaler is an inhaler that had been recommended as another option for Flovent. Brand-name Flovent was discontinued at the end of 2023.
If you currently use a Digihaler product, talk with your health care provider about other options now.
Here are some other possible options for Tevaโs Digihaler products:
Possible replacements for ProAir Digihaler (quick-relief inhaler)
Clinical equivalent to ProAir Digihaler:
- ProAir Respiclick (dry powder albuterol inhaler made by Teva)
- ProAir HFA and the authorized generic (albuterol โ metered dose inhaler)
- Other generic albuterol HFA inhalers (available as metered dose inhalers but may not be exact equivalents to the ProAir HFA generic, as the inactive ingredients may be different)
Different but equally effective:
- Xopenex HFA and generic (levalbuterol HCI โ metered dose inhaler)
- AIRSUPRA (albuterol/budesonide โ a quick-relief medicine that contains two medicines)
Possible replacements for ArmonAir Digihaler (inhaled corticosteroid)
- Generic fluticasone propionate HFA (metered dose inhaler โ doses are slightly different than ArmonAir but equally effective)
- Generic fluticasone propionate Diskus (dry powder inhaler โ dosing may be different than ArmonAir and the inactive ingredients may not be exactly the same)
Other options that are different but equally effective:
- Arnuity Elipta (fluticasone furoate)
- QVAR RediHaler (beclomethasone dipropionate - breath actuated inhaler)
- Alvesco (ciclesonide โ metered dose inhaler)
- Pulmicort Flexhaler (budesonide โ dry powder inhaler)
- Asmanex HFA (mometasone furoate - metered dose inhaler)
- Asmanex Twisthaler (mometasone - dry powder inhaler)
- ARNUITY ELLIPTA (fluticasone furoate โ dry powder inhaler; not equivalent to ArmonAir Digihaler)
Possible replacements for AirDuo Digihaler
Advair Diskus and Advair HFA and their generics may be an option. They contain the same medicine as AirDuo. The doses are different but equal and can be substituted. The inactive ingredients are different.
- Advair Diskus or generic fluticasone propionate/salmeterol Diskus (dry powder inhaler)
- Wixela Inhub (fluticasone propionate/salmeterol โ dry powder inhaler)
- Advair HFA or generic fluticasone propionate/salmeterol HFA (metered dose inhaler)
Other options that are different but equally effective:
- Symbicort and generic Breyna (budesonide/formoterol - metered dose inhaler)
- Dulera (mometasone/formoterol โ metered dose inhaler)
Your doctor can help you choose the best replacement for you.
How to Use an Asthma Inhaler
Incorrect inhaler use can stop your asthma medicines from getting to your lungs. If your medicine isnโt reaching your lungs, your asthma might be harder to control.
Inhaler mistakes are more common than you might think. Up to 92% of people with asthma use their devices incorrectly.
How you use your inhaler depends on what type it is. There are four types of inhalers:
Metered dose inhaler โ This inhaler has a canister that you press down as you breathe in the medicine. It is also commonly used with a spacer or valved holding chamber.
Breath actuated inhaler - This type of inhaler is not a press-and-breathe inhaler. When you take a fast, deep breath in, it pulls the medicine out of the device and into your lungs.
Dry powder inhaler โ This inhaler delivers medicine as a dry powder. It is a type of breath actuated inhaler. It delivers the medicine when you inhale. Some of these inhalers are round. These are Diskus inhalers.
Soft mist inhaler โ This inhaler delivers medicine in a mist form. You have to prepare a new soft mist inhaler by inserting a cartridge and priming it before you use it.
Learn how to use your asthma inhaler by looking up your inhaler on our Asthma Medicines Search or check out our resource โHow to Correctly Use Your Asthma Devices.โ
This is part of a statement Teva sent to health care providers:
โOn 6/1/2024 Teva will discontinue distribution of the Digihalerยฎ products in the US [ProAirยฎ Digihalerยฎ (albuterol sulfate) Inhalation Powder, ArmonAirยฎ Digihalerยฎ (fluticasone propionate) Inhalation Powder, AirDuoยฎ Digihalerยฎ (fluticasone propionate and salmeterol) Inhalation Powder]. Software and technical support for the Digihaler app and dashboard will end on 6/1/2024.โ
AAFA issued the following statement about the discontinuation:
โIt is unfortunate to hear that more asthma inhalers are being discontinued. The Teva Digihaler portfolio had offered an innovative approach to encourage adherence to treatment by integrating a digital solution with an inhaler. We hope manufacturers continue to invest in new asthma therapies.
It is imperative that people using Tevaโs Digihaler products to treat their asthma reach out to their provider now to determine the best alternative treatment options. Unfortunately, when GSK discontinued Flovent, some people using that inhaler were transitioned to the ArmonAir Digihaler. Some formularies do not cover the authorized generic of Flovent, forcing patients to change treatment. Manufacturers, insurance companies, and pharmacy benefit managers have a responsibility to work together to ensure continued access to life-saving asthma medicines.โ
Medical Review: April 2024 by Jerry M. Shier, MD
Stay in the loop - get news and research updates straight to your inbox with our e-newsletters.
SIGN ME UP FOR UPDATES!In 1984, President Ronald Reagan declared a week in May to be National Asthma and Allergy Awareness Week at the request of the Asthma and Allergy Foundation of America (AAFA). Since then, we have expanded our annual awareness campaign to a full month. May is a perfect time to educate patients, family, friends, co-workers, and other people about asthma and allergic diseases that impact more than 100 million people in America.
Each year, AAFA continues to spread awareness in May during National Asthma and Allergy Awareness Month. Recently, AAFA sent a letter to President Biden asking him to declare May to be National Asthma and Allergy Awareness Month (see letter below). The letter highlights the importance of promoting awareness, education, and understanding of these diseases.
You can join our efforts to improve asthma and allergy awareness and health care in three ways.
- Use our simple tool below to send a tweet to President Biden and join AAFA in requesting this important declaration.
- Use the White House contact form to email President Biden using this link: whitehouse.gov/contact
- Call the White House at 202-456-6213.
Letโs make the 40th anniversary of National Asthma and Allergy Awareness Month count!
President Joseph R. Biden
The White House
1600 Pennsylvania Avenue, N.W.
Washington, DC 20500
April 4, 2024
Dear Mr. President,
On behalf of the Asthma and Allergy Foundation of America (AAFA), the leading patient organization advocating for people with asthma and allergies and the oldest asthma and allergy patient group in the world, I am writing to request that you issue a proclamation declaring May as โNational Asthma and Allergy Awareness Month.โ I believe this declaration will support the leadership youโve already demonstrated, and AAFA has supported, in addressing health equity, climate change, access to health care, and lowering the cost of inhalers.
I was honored to attend your event on April 3 on lowering health care costs where you recognized that in the United States, asthma presents significant burdens for over 27 million adults and children, as well as their families and caregivers. Annually, asthma costs our society an estimated $82 billion in direct and indirect expenses, including medical costs related to 4.9 million office visits, 1.5 million emergency visits, and 169,330 hospitalizations. It is estimated that from 2019 to 2038, the total cost of uncontrolled asthma could exceed $963 billion in direct and indirect costs. Asthma is also the leading chronic disease among children and a top reason for missed school days.
Racial and ethnic disparities in the burden of asthma have long been established and supported by a large body of evidence. Black people in the U.S. have the highest rates of asthma. Black people are nearly three times more likely to die from asthma than White Americans. Black patients are also nearly 6 times more likely to be treated for asthma in hospital emergency rooms compared to White patients. These disparities are largely driven by interrelated and multidimensional social and structural determinants. Long-term systemic racism and discriminatory policies in housing, education, labor, health care, and the environment have created disadvantages for minority populations and exacerbated racial disparities in health.
Food allergies represent another significant burden on over 20 million people in America. Approximately 1 in 16 children and adults in the U.S have food allergies.1,2 Food allergies can result in a severe reaction caused anaphylaxis that in rare cases can lead to death. Unfortunately, the prevalence and impact of food allergies in the U.S. are increasing; for example, the rate of emergency room visits for food-related anaphylaxis increased by 124% from 2005 through 2014.3 Children with food allergies are also two to four times more likely to have asthma or other allergic diseases.4
Raising awareness and educating people on how to manage asthma and allergies is key to beginning to address these longstanding disparities and the burden of disease. National Asthma and Allergy Awareness week was first recognized in 1984 by President Reagan at AAFAโs request. We ask that you continue to recognize the importance of raising awareness for the millions of Americans and their families living with asthma and allergies and have included a draft proclamation for you use to this letter. Thank you for your consideration and leadership.
Sincerely,
Kenneth Mendez
President and CEO
Asthma and Allergy Foundation of America
By the President of the United States of America
A Proclamation
Expressing support for the designation of May as โNational Asthma and Allergy Awareness Month.โ
Whereas 4,500,000 children in the United States currently have asthma;
Whereas over 27 million people in the United States have asthma and the numbers are increasing each year;
Whereas in 2018 on average, children missed more than 7,900,000 days of school and adults missed 10,900,000 days of work because of asthma;
Whereas asthma is one of the most common noncommunicable diseases among children;
Whereas 1,500,000 individuals per year visit emergency departments because of asthmaโs effects;
Whereas asthma is a leading cause of hospitalizations and school absences due to a chronic disease among children;
Whereas the total economic cost of asthma in the United States was $81,900,000,000 per year from 2008 to 2013;
Whereas fewer than half of people with asthma report being given an asthma action plan, which is key to the prevention of asthma attacks;
Whereas Black, Hispanic, and Indigenous individuals in the United States face the highest burden of asthma;
Whereas asthma is a manageable disease that claimed the lives of over 3,500 Americans in 2021;
Whereas 20,300,000 people in the United States have food allergies, including about 4,300,000 children;
Whereas food allergy has increased among children in the U.S. over the past 20 years, with the greatest increase in Black children;
Whereas children with food allergies are two to four times more likely to have asthma or other allergic diseases; and
Whereas May would be an appropriate month to designate as โAsthma and Allergy Awareness Monthโ:
Now, therefore, I, Joseph R. Biden, President of the United States of America, do hereby proclaim the Month of May 2024 as National Asthma and Allergy Awareness Month. I call upon the people of the United States to observe such month with appropriate ceremonies and activities.
References
1. Ng, A.E. & Boersma, P. (2023). NCHS Data Brief, no 460: Diagnosed allergic conditions in adults: United States, 2021. National Center for Health Statistics. https://dx.doi.org/10.15620/cdc:122809
2. Zablotsky, B., Black, L.I., & Akinbami, L.J.(2023). NCHS Data Brief, no 459: Diagnosed allergic conditions in children aged 0-17 years: United States, 2021. National Center for Health Statistics. https://dx.doi.org/10.15620/cdc:123250
3. Motosue et al., โIncreasing Emergency Department Visits for Anaphylaxis, 2005-2014.โ J Allergy Clin Immunol Pract. 2017 Jan - Feb;5(1):171-175.
4. Branum, A., & Lukacs, S. (2019). Food Allergy Among U.S. Children: Trends in Prevalence and Hospitalizations. Centers for Disease Control and Prevention; National Center for Health Statistics. https://www.cdc.gov/nchs/products/databriefs/db10.htm
Asthma is the main reason why children miss school. In fact, children in the U.S. miss about 13.8 million school days each year due to asthma.1 Missing school can affect many children's grades and well-being.
Controlling asthma triggers at home can help reduce asthma symptoms. But what about at school? If kids are exposed to triggers at school, managing asthma at home will be difficult.
April 9, 2024, is National Healthy Schools Day. The Healthy Schools Network uses this day to highlight how school environments affect the health and learning of school children. This yearโs theme is โAIR JUST AIR.โ
Children are the most affected by air pollution and poor indoor air quality. The Asthma and Allergy Foundation of America (AAFA) is a supporter of National Healthy Schools Day. We believe healthier schools can help children not only perform better in school but have a better quality of life.
Read more from AAFA on indoor air quality and its impact on school children with asthma.
How Can I Help My Childโs School Be Healthier?
Tell your child's teacher and school administrators about National Healthy Schools Day. Share these websites with your school for more information about healthy school environments and activities:
Help us support National Healthy Schools Day by spreading the word about how we need healthier schools for our children to learn in!
Learn more about National Healthy Schools Day and find a list of resources to improve our schools.
Stay in the loop - get news and advocacy updates straight to your inbox with our e-newsletters.
SIGN ME UP FOR UPDATES!Updated April 2024
Reference
Centers for Disease Control and Prevention. (2015). Asthma-related Missed School Days among Children aged 5-17 years. U.S. Department of Health and Human Services. https://www.cdc.gov/asthma/ast...ats/missing_days.htm
Youโve probably heard the buzz that a trillion cicadas from two different broods are expected to begin appearing in the Midwest and Southeast regions of the United States at the end of April. Some people are obsessed with observing or documenting these periodic cicadas. Other people think they make enticing cuisine.
But the Food and Drug Administration (FDA) says if you have a shellfish allergy, you definitely donโt want to eat cicadas. They are related to shrimp and lobsters. If you see โcicada scampi,โ are offered candy chocโ full of cicadas, or even see them served up raw, you may want to steer clear.
Hereโs the warning:
Yep! We have to say it!
โ U.S. FDA (@US_FDA) June 2, 2021
Don't eat #cicadas if you're allergic to seafood as these insects share a family relation to shrimp and lobsters. https://t.co/UBg7CwrObN pic.twitter.com/3qn7czNg53
David Stukus, MD and a member of the Asthma and Allergy Foundation of Americaโs (AAFA) Medical Scientific Council, breaks down the reasons for the FDA warning:
Hereโs the deal:
โ Dr. Dave Stukus (@AllergyKidsDoc) June 2, 2021
๐คPeople with shrimp, crab & lobster allergy reaction to a muscle protein called tropomyosin
๐ฆThey do not react to the shell
๐ชฐCicadas also have tropomyosin
โ ๏ธIf you have a shellfish allergy, itโs not advisable to eat cicadas.
Casual exposure poses no risk.๐ https://t.co/9HfJAklWum
Dr. Stukus, the Director of the Food Allergy Center and Associate Professor of Pediatrics in the Division of Allergy and Immunology at Nationwide Childrenโs Hospital in Ohio, told Emily Heil of The Washington Post that allergic reactions to foods occur when people eat proteins. People with a shellfish allergy typically react to a muscle protein called tropomyosin.
โMany insects contain this tropomyosin muscle protein which is very similar to that found in shellfish,โ Dr. Stukus noted. โTherefore, if you have a shellfish allergy, it is probably not a good idea to eat cicadas or other insects without at least first discussing it with your allergist.โ
There isnโt a lot of research on the risk of allergic reactions to cicadas in people with a shellfish allergy. But Dr. Stukus says when you arenโt certain of any danger, itโs best to leave cicadas out of your diet. So skip the cicadas on the menu, even though they literally may be all over the map.
Oh, and about that general โdonโt eat cicadas if you have a seafood allergyโ warning from the FDA? It may be broad for a reason. But it also might be a little misleading.
โPeople who have allergies to finned fish like salmon or tuna tend to react to other proteins which donโt necessarily cross react,โ explains Dr. Stukus. โIf you have a seafood allergy, you donโt always necessarily have to always avoid crustaceans and finned fish.โ
The FDA may have put out the overall โseafoodโ language as a general precaution. But the warning is specifically for people with shellfish/crustacean allergies.
Also, thereโs no muscle protein in the cicadaโs shell. The only time cicadas pose a risk for people with a shellfish allergy is if you eat them. So if you canโt resist being around the big bug shells or the carcasses they leave behind, go wild!
โCicadas are not going to bother anybody with shellfish allergy unless they actively go out of their way to capture them and then ingest them,โ Dr. Stukus shares. โThatโs the risk for reaction. You can have millions of them on your trees and in your yard โ you are going to be fine. The shells they leave behind will not cause any risk for people who want to collect the shells. [Hereโs an example:] If you have a lobster allergy, you can hold it in your hands and play with it all day. Itโs not going to cause an allergic reaction. You just canโt eat the muscle.โ
Updated as of April 3, 2024:
We did it! We took awareness of asthma inhaler pricing all the way to the White House!
The Asthma and Allergy Foundation of America (AAFA) joined President Biden and Senator Bernie Sanders today for a briefing on health care costs and inhaler pricing.
The White House invited AAFA President and CEO Kenneth Mendez and AAFA Senior Director of Policy and Advocacy Jenna Riemenschneider in recognition of our advocacy work to advance health equity for people with asthma.
AAFA is pushing to lower the costs of asthma and allergy medicines, including inhalers. We know the high cost of medicine can be a barrier to treatment.
Some major asthma inhaler manufacturers have announced $35 a month caps on out-of-pocket costs. The price cap will apply to people with commercial/private insurance or no insurance. The inhalers that will be price capped include:
AstraZeneca (effective June 1, 2024):
- AIRSUPRAยฎ (albuterol and budesonide) inhalation aerosol
- BEVESPI AEROSPHEREยฎ (glycopyrrolate and formoterol fumarate) inhalation aerosol
- BREZTRI AEROSPHEREยฎ (budesonide, glycopyrrolate, and formoterol fumarate) inhalation aerosol
- SYMBICORTยฎ (budesonide and formoterol fumarate dihydrate) inhalation aerosol
Boehringer Ingelheim (effective June 1, 2024):
- Atroventยฎ HFA (ipratropium bromide HFA) inhalation aerosol
- Combiventยฎ Respimatยฎ (ipratropium bromide and albuterol) inhalation spray
- Spirivaยฎ HandiHalerยฎ (tiotropium bromide) inhalation powder
- Spirivaยฎ Respimatยฎ25 mcg (tiotropium bromide) inhalation spray
- Spirivaยฎ Respimatยฎ5 mcg (tiotropium bromide) inhalation spray
- Stioltoยฎ Respimatยฎ (tiotropium bromide and olodaterol) inhalation spray
- Striverdiยฎ Respimatยฎ (olodaterol) inhalation spray
GSK (with price change going into effect no later than Jan. 1, 2025):
- Advair Diskus (fluticasone propionate and salmeterol inhalation powder)
- Advair HFA (fluticasone propionate and salmeterol inhalation aerosol)
- Anoro Ellipta (umeclidinium and vilanterol inhalation powder)
- Arnuity Ellipta (fluticasone furoate inhalation powder)
- Breo Ellipta (fluticasone furoate and vilanterol inhalation powder)
- Incruse Ellipta (umeclidinium inhalation powder)
- Serevent Diskus (salmeterol xinafoate inhalation powder)
- Trelegy Ellipta (fluticasone furoate, umeclidinium, and vilanterol inhalation powder)
- Ventolin HFA (albuterol sulfate inhalation aerosol)
AAFA is leading the way to reduce health care costs for people with asthma
"On behalf of the 27 million people in the United States with asthma, we appreciate the leadership of President Biden and Senator Sanders to bring down costs for asthma treatments. Pricing announcements made in March by some manufacturers of inhalers will mean lower costs and improved access to asthma medicine for many people with asthma starting this June,โ said AAFA President and CEO Kenneth Mendez. โAs President Biden indicated, more can and should be done. Itโs not just drug companies, others need to step forward. We welcome continued efforts to improve affordability and accessibility of these essential medicines so all patients can get the treatment they need.โ
AAFA continues to raise the voice of the patient community and draw attention to the ways Americaโs complex drug pricing ecosystem makes asthma medications more expensive for people who need them most. Drug manufacturers, pharmacy benefit managers, insurers, employers, and the government must work together to improve affordability and access.
Access to affordable drugs is a critical component of reducing racial disparities in asthma. Black and Hispanic individuals not only experience higher rates of asthma but also are more likely to be uninsured or underinsured. Deaths due to asthma โ although decreasing overall โ occur at a much higher rate in the Black and Puerto Rican populations than in the White population. Black individuals are nearly three times as likely to die from asthma than White individuals.
Last fall, AAFA shared patient stories and its Asthma Disparities in America report with the Senate Health, Education, Labor, and Pensions (HELP) Committee which then launched an investigation into the high price of asthma inhalers early this year.
AAFAโs research indicates that when the cost of medicine becomes a barrier to treatment, people with asthma resort to rationing or simply discontinue use.
Access to asthma medications can save lives, reduce hospitalizations, and lower the more than $82 billion in annual costs to the U.S. economy from this chronic disease. But the U.S. health care system is complex, and often leaves patients with few affordable options.
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The health of your home can affect your personal health. April is National Healthy Homes Month, led by the Office of Lead Hazard Control and Healthy Homes (OLHCHH) at the U.S. Department of Housing and Urban Development (HUD).
This yearโs theme is โMAKING AN IMPACT: Healthy, Safe, and Resilient Homes.โ Each week will have its own focus:
- Week 1 โ Healthy Homes Investments Make Local Impact
- Week 2 โ Housing Professionals' Role in Healthy Homes
- Week 3 โ Impacts of Healthy Homes Interventions on Public Health
- Week 4 โ Making Home Healthy, Safe and Resilient
The Asthma and Allergy Foundation of America (AAFA) joins with HUD and OLHCHH to help raise awareness about ways to make your home healthier, especially for people with asthma and allergies.
Why Is It Important to Have a Healthier Home?
There are many factors that can affect your homeโs health. Mold from a leaky roof or lead from old paint are some examples. When you have asthma or allergies, triggers and allergens in your home โ such as dust, pests, and mold โ can cause asthma and allergy symptoms. In the U.S., people spend about 90% of their time indoors, whether at school, home, or in the workplace.1 Reducing your exposure to your triggers is an important part of managing your asthma and allergies.
How Does AAFA Advocate for Healthier Homes?
Week 1 of National Healthy Homes Month focuses on the connection between housing and health, especially in marginalized communities.
The quality of housing is a major factor in asthma disparities in the United States. Families living in low-income housing are more likely to be exposed to harmful asthma triggers and are at a greater risk of having severe asthma. These families often donโt have the resources to address health issues in the home.
AAFA advocates for state and federal policies that promote healthy settings for people with asthma or allergies in various settings, including in rental and low-income housing. We also support repayment for preventative services and home assessments that provide asthma education for people with severe asthma.
AAFA is a member of several coalitions that also support improving housing on a national and community level, including the National Safe and Healthy Housing Coalition (NSHHC), DC Healthy Housing Collaborative (DCHHS), and California Asthma Financing Workgroup.
How Can I Make My Home Healthier?
AAFA offers various resources to help improve your indoor environment.
AAFAโs Healthy Settings webpage offers a list of resources and services to promote healthier environments in a variety of settings. If you are a homeowner or renter, the Healthy Housing section of the webpage provides tools, guides, and local and national resources to help make your home healthier.
AAFAโs Healthier Home Checklist is a great tool to help you reduce asthma and allergy triggers in your home. The interactive tool shows you how to tackle these triggers in each room in your home.
AAFA's asthma & allergy friendlyยฎ Certification Program helps you make informed decisions on products that can help reduce your exposure to asthma triggers and allergens. When you are shopping for products for your home, look for the CERTIFIED asthma & allergy friendlyยฎ mark. It indicates the product has passed our testing standards. Visit aafa.org/certified to search for CERTIFIED products. There you can also learn more about the program.
Here are more resources about making your indoor air healthier:
- Improve Your Indoor Air Quality to Improve Your Health
- Why Healthy Indoor Air Quality Is Important
- Find Out If Your Home Is Asthma and Allergy Friendly with Our Healthier Home Assessment
- Sources of Air Pollution in Your Home That May Cause Asthma and Allergy Symptoms
- Breathe Easier: Improving Indoor Air Quality in Your Bedroom, Living Room, Kitchen, and Attic or Basement
Get answers to your asthma and allergy questions on our online forums.
GET SUPPORT NOWReferences
1. Environmental Protection Agency. Questions about your Community: Indoor Air. http://www.epa.gov/region1/communities/indoorair.html