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Update – July 25, 2021

We updated this blog post to include updated information and guidance from the Asthma and Allergy Foundation of America (AAFA) and the Centers for Disease Control and Prevention (CDC).

Note: Because this is a constantly changing situation, any data in this blog post may not represent the most up-to-date information. We will update this blog when possible.


In December 2019, a new coronavirus named SARS-CoV-2 started spreading and triggered a pandemic (worldwide outbreak). This coronavirus causes an illness known as COVID-19.

The coronavirus spreads through close contact from person to person. A person with the virus can spread it to others by talking, coughing, sneezing, singing, or breathing. The virus will be in large or small droplets that are exhaled from the mouth or nose out into the air.

If you are within 6 feet (2 meters) of someone who is ill with COVID-19, you may be at greatest risk for becoming infected. But it may be possible to catch the virus even if you are more than 6 feet away from an infected person because very small droplets can spread in the air. If someone who is sick coughs on or near your face, you may get infected. People may be infected with the coronavirus and not show any symptoms. They may spread the virus without knowing it. The virus may also spread through direct contact with a person who has COVID-19.

What Are the Symptoms of COVID-19?

According to the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), COVID-19 symptoms can include:

  • Fever
  • Chills
  • Cough
  • Shortness of breath or trouble breathing
  • Feeling tired and weak
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Stuffy or runny nose
  • Nausea or vomiting
  • Diarrhea

If you or someone you know has these emergency warning signs, call 911 or go to the emergency room immediately:

  • Trouble breathing or shortness of breath
  • Pain or pressure in the chest that doesn’t go away
  • Newly confused
  • Can’t wake up or stay awake
  • Cyanosis which is tissue color changes on mucus membranes (like tongue, lips, and around the eyes) and fingertips or nail beds – the color appears grayish or whitish on darker skin tones and bluish on lighter skin tones

According to the CDC, this list may not include all symptoms. If you have any symptoms that are severe or concerning, call your doctor.

The CDC warns that symptoms may appear two to 14 days after coming in contact with the virus.

How Can I Tell the Difference Between Asthma, COVID-19, the Flu, a Cold, or Seasonal Allergies?

Some symptoms are similar between these respiratory illnesses. Respiratory illnesses may worsen asthma, so it’s important to keep taking your asthma medicines. If you have a fever and a cough, call your doctor. If you have seasonal allergies, there are things you can do to treat them at home. If your allergy symptoms are hard to control, make an appointment with an allergist.

This chart can help you figure out if you may be feeling symptoms of asthma, allergies, or a respiratory illness like COVID-19, the flu, or a cold:



Are People With Asthma at Risk of Severe Illness From COVID-19?

Many studies show that having asthma does not put you at a greater risk of getting COVID-19 or having severe COVID-19.1,2,3 A study published in “The Journal of Allergy and Clinical Immunology: In Practice” (JACI: In Practice) found that people with well-controlled asthma have less severe COVID-19 outcomes than people with uncontrolled asthma.4

The CDC continues to list moderate-to-severe asthma as a chronic lung disease that can make you more likely to have severe illness from COVID-19.

No matter what, it is important to keep your asthma well-controlled. If your asthma is not under control, you are at a greater risk in general of having an asthma episode or attack, going to the emergency room, staying in the hospital, or even death. If you feel like your asthma is not well-controlled, talk with your doctor as soon as possible.

Even though people with asthma are not at the highest risk for COVID-19, it is still important to keep your asthma under control. Common medicines you may take for asthma and allergies do not increase your risk of getting COVID-19. They will help you keep your asthma under control. You are at greater risk for having an asthma attack if you stop taking your medicines. Take your medicines at the first sign of symptoms as listed on your asthma action plan. Continue to take these medicines as prescribed:

  • Quick-relief medicine (such as albuterol)
  • Inhaled corticosteroids (controller medicines)
  • Oral corticosteroids (such as prednisone)
  • Biologics
  • Antihistamines (allergy medicine)
  • Proton pump inhibitors for acid reflux
  • Nasal allergy sprays
  • Allergy shots

If you have any questions about asthma medicines and COVID-19, talk with your doctor.

If you need to take quick-relief medicine (such as albuterol) for an asthma episode, use an inhaler (with a spacer if directed by your doctor) if possible. Using a nebulizer can increase the risk of sending virus particles in the air if you are sick. But if you have a nebulizer and solution, it is OK to use it to treat an asthma episode. When using a nebulizer, limit the number of people in the room or use it in a room by yourself.

How Can I Avoid Getting COVID-19 (And Other Respiratory Infections)?

The following steps will help you avoid COVID-19, the flu, and other respiratory infections:

1. Get your vaccines.

Vaccines can help protect you, your loved ones, older adults near you, teachers, and essential workers from getting a respiratory infection. They can also cut down your symptom severity if you do get sick. Vaccines reduce the burden on our health care system by reducing the number of people who get COVID-19 or the flu.

Everyone who is 6 months and older can get a COVID-19 vaccine for free with no out-of-pocket costs in the United States. There are currently four vaccines available: Pfizer, Moderna, Johnson & Johnson (J&J), and Novavax.

Visit vaccines.gov to find out where you can get the COVID-19 vaccine near you. Most people can get the COVID-19 vaccine with no issues. Allergic and adverse reactions are rare.

The flu vaccine is recommended for everyone age 6 months and older with rare exceptions.

It is safe to get both the COVID-19 vaccine and the flu vaccine at the same time.


2. Wear a mask.

Face masks can help reduce the spread of the coronavirus. They can benefit people who are vaccinated and unvaccinated alike. Some people may have COVID-19 and not show symptoms for a few days, while some may not have any symptoms at all. And some vaccinated people have gotten breakthrough infections, which have usually been mild.

Wear a mask that fits snugly on your face, and covers your nose, mouth, and beard completely. Wear a mask when you leave your home, if you are caring for someone at home who is sick, and if you have been exposed to someone with COVID-19. People with asthma should be able to wear face masks.

Face masks offer other benefits as well. They can reduce your exposure to pollen, air pollution, and other respiratory infections like the flu.


3. Keep a physical distance from people outside your household.

In general, the more closely you interact with other people and the longer that interaction, the higher the risk of coronavirus or flu spread. Try to stay home when possible when these illnesses are spreading in your community. Avoid large crowds of people, especially in indoor locations. When in public, keep at least 6 feet apart. Stay away from people who are sick or have been in contact with someone who is sick. Even when you’re at home with family, don’t share makeup, food, dishes, or eating utensils.

Postpone any unnecessary travel during the COVID-19 pandemic. See the CDC’s guidelines on how to protect yourself at specific locations and in certain situations, such as shops, public places, gatherings, and more.

4. Wash your hands properly and often.

Use soap and warm water to wash your hands for 20 to 30 seconds. Always wash your hands before and after eating and after coughing or sneezing. Don’t touch your eyes, nose, or mouth.

If you don’t have access to running water, use an alcohol-based hand sanitizer that is at least 60% ethyl alcohol (ethanol) or 70% isopropyl alcohol (isopropanol).


5. Make sure your indoor spaces are well-ventilated and have good indoor air quality.

If you are staying indoors more because of COVID-19, be mindful of the quality of your indoor air. The air inside our homes can often be more polluted than the air outside. Unhealthy indoor air can be full of asthma triggers and allergens that can cause symptoms and make your asthma harder to control. Take steps to improve and maintain healthy indoor air quality.

Air circulation is important too. Keep your indoor spaces well-ventilated by opening windows or doors, using fans, running air cleaners, or using proper air filters in your HVAC system.

Current evidence shows the risk of the coronavirus spreading is much lower outdoors than indoors. Good ventilation in your indoor environment may help reduce the spread of the coronavirus. It may also affect the risk of transmission (how fast it spreads).

On days when pollen is low and air quality is good, open your windows to let in fresh air. Run your HVAC system as much as possible (especially when windows are closed). Use high efficiency air filters in your HVAC system and replace them at least every three months.


6. Take care of your health.

Take your asthma control medicines as directed to keep your airways open. Eat well and get enough sleep.

Pollen (such as grass or ragweed pollen) may impact people across the U.S. too. Seasonal allergies can affect people with allergic asthma. If pollen allergies trigger asthma symptoms for you, be sure to follow your allergy treatment plan to keep your allergies under control to prevent asthma episodes or attacks.

If you stopped seeing your allergist or getting allergy shots (immunotherapy) during the COVID-19 pandemic, consider making an appointment soon. Keeping up with your regular allergist visits is an important part of keeping your asthma controlled.

The most important thing you can do is to keep your asthma under control. If your asthma is not under control, call your doctor right away.

In general, tracking your symptoms and following your asthma action plan are key to managing your asthma. Some people use peak flow meters to monitor their airways. Monitoring your blood oxygen levels with a pulse oximeter (or “pulse ox”) is not a recommended part of home management of asthma. Many pulse oximeters you can buy for home use are not as accurate as medical grade devices.

It is important to remember that the symptoms you feel should always come before pulse ox and peak flow numbers. But if your peak flow numbers are down and you don’t have symptoms, follow your asthma action plan and contact your doctor.

There are no data demonstrating that monitoring your pulse ox through an oximeter or smartphone app will help manage your asthma. As always, talk with your doctor about the best ways to monitor your symptoms and asthma control.6

If I Think I Have COVID-19, What Should I Do?

If you start having symptoms of COVID-19, get tested or take an at-home test. If you have mild symptoms and are not at high risk for having more severe COVID-19, you do not need to call your doctor. Call your local health department within 24 hours to let them know so they accurately report local cases.

If you are at high risk for severe COVID-19, call your doctor within 24 hours if you test positive. They may want to you to take the medicine Paxlovid.

Many pharmacies have various testing options (including at-home or drive-thru tests). The United States Postal Services is providing free at-home COVID-19 tests. U.S. households can get eight rapid antigen COVID-19 tests for free. To receive them, you’ll need to complete an online form. Please note: You will not need to enter any credit or debit card details to place the order.

Some doctors may offer telehealth (video or virtual appointments). 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 expanded the coverage of telehealth services during the COVID-19 pandemic.

Stay home and isolate from family members so you don’t spread the coronavirus to other people.

Medical Review, July 2022 by Mitchell Grayson, MD

How do you stay healthy and avoid asthma symptoms during the COVID-19 pandemic? Join our community to stay up to date on protecting yourself from COVID-19.

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References
1. Chhiba, K.D., Patel, G.B., Vu, T.H.T, Chen, M.M., Guo, A., Kudlaty, E., Mai, Q., Yeh, C., Muhammad, L.N., Harris, K.E., Bochner, B.S., Grammar, L.C., Greenberger, P.A., Kalhan, R., Kuang, F.L., Saltoun, C.A., Schleimer, R.P., Stevens, W.W., & Peters, A.T. (2020). Prevalence and characterization of asthma in hospitalized and non-hospitalized patients with COVID-19, Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2020.06.010.
2. Butler, M. W., O’Reilly, A., Dunican, E. M., Mallon, P., Feeney, E. R., Keane, M. P., & McCarthy, C. (2020). Prevalence of comorbid asthma in COVID-19 patients. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2020.04.061
3. Lieberman-Cribbin, W., Rapp, J., Alpert, N., Tuminello, S., & Taioli, E. (2020). The Impact of Asthma on Mortality in Patients With COVID-19. Chest. https://doi.org/10.1016/j.chest.2020.0air pol.575
4. Huang, B. Z., Chen, Z., Sidell, M. A., Eckel, S. P., Martinez, M. P., Lurmann, F., Thomas, D. C., Gilliland, F. D., & Xiang, A. H. (2021). Asthma disease Status, COPD, and COVID-19 severity in a large Multiethnic POPULATION. The Journal of Allergy and Clinical Immunology: In Practice. https://doi.org/10.1016/j.jaip.2021.07.030
5. Kampf, G., Todt, D., Pfaender, S., & Steinmann, E. (2020). Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Journal of Hospital Infection, 104(3), 246–251. doi: 10.1016/j.jhin.2020.01.022
6. Heneghan, C. (2018, January 30). Self-management of asthma – is there an app or pulse oximeter for that? Retrieved from https://blogs.bmj.com/bmjebmsp...-app-pulse-oximeter/

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Comments (131)

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We have updated this blog post to reflect more recent information on the 2019 new coronavirus (COVID-19). Even though coronavirus numbers have risen worldwide, people in the U.S. are still at a greater risk of getting the flu. 

Keep washing your hands and avoiding people who are sick. And don't forget to follow your Asthma Action Plan if you start feeling ill. 

AAFA Community Services

I have intermittent asthma. I usually manage my symptoms (wheezing during the pollen season) with antihistamines and sometimes the Ventolin inhaler. I had an attack about a month ago and the last time before that was 10 years ago. For the most recent attack, I was prescribed Deltacortril for five days, and they certainly sorted the problem. The doctor also suggested I take a preventive inhaler to keep the asthma at bay.

However, I read on the internet that the preventive inhaler which delivers a small dose of steroids can weaken the immune system. So in light of the coronavirus outbreak, should I not take the preventive inhaler? I should add the I travel overseas regularly. 

A

Hi @Azmtick - those are all great questions!

Many long-term controller or preventative medicine inhalers do contain an inhaled corticosteroid. These prevent and reduce airway swelling. They also reduce mucus in the lungs. They are the most effective long-term control medicines available. It's important to keep taking your controller medicine even when you don't have symptoms because they prevent asthma symptoms. Stopping your controller medicine may increase your asthma symptoms and the risk of complications if you do get the coronavirus, flu or other illness. If you are concerned about the steroid affecting your immune system, discuss that with your doctor.

Travel can expose you to germs. There are steps you can take to reduce your exposure and hopefully avoid getting sick. This article has lots of tips on traveling with asthma and allergies.

Kathy P
Kathy P posted:

Hi @Azmtick - those are all great questions!

Many long-term controller or preventative medicine inhalers do contain an inhaled corticosteroid. These prevent and reduce airway swelling. They also reduce mucus in the lungs. They are the most effective long-term control medicines available. It's important to keep taking your controller medicine even when you don't have symptoms because they prevent asthma symptoms. Stopping your controller medicine may increase your asthma symptoms and the risk of complications if you do get the coronavirus, flu or other illness. If you are concerned about the steroid affecting your immune system, discuss that with your doctor.

Travel can expose you to germs. There are steps you can take to reduce your exposure and hopefully avoid getting sick. This article has lots of tips on traveling with asthma and allergies.

Thanks Kathy P. That's very useful advice.

A

I can't find any information anywhere about patients with asthma (specifically) and COVID-19 mortality rates. I am a relatively healthy individual with mild but persistent allergy triggered asthma. My singulair seems to keep it under control. I've had the flu twice this season (different strains) with no complications. But, I am curious, so these are my questions:

 

  1. I've heard that the jury is still out on what exactly causes respiratory complications from viruses in people with asthma. Some say it's an overproduction of mucus that can become infected and/or cause an increased inflammatory response. Others say that inhaled steriods do little to one's general immune system, but could leave the lungs more vulnerable to pathogens. Both seem plausible to me, but I'm no doctor. What's your take, @AAFA Community Services ? (please no stock response like "always wash your hands" ... I'm already there, haha)
  2. Those at elevated risk include people with chronic respiratory diseases like asthma. I also know that, at least in Wuhan, COVID-19 killed significantly more men than women. Culturally in Wuhan, men smoke significantly more than women, though some doctors believe biological differences may be to blame. I know that published recommendations are general in nature on purpose because you can never be too safe, but do you have any statistics about how many cases included asthma patients and what those outcomes were? There are a million different respiratory diseases but us asthmatics are concerned specifically about asthma. 
IA

Hello @I Am Curious
I am happy to hear you weathered two different flu virus strains this year without complications! Most healthy people recover from flu without complications (and is what is being seen in coronavirus COVID-19 as well).  But when you have asthma, it can put you at higher risk because asthmatic lungs already have swelling.

When you have a respiratory infection, your immune system responds by creating more mucus and releasing substances from your cells to fight the virus or bacteria - but this also creates swelling/inflammation. When this happens in airways that are already compromised, it can make it much harder to breathe because the airways become more narrow. Imagine a straw that is filled with pudding and then trying to move air through that straw.

People at highest risk of complications from the flu:

  • Older age (our elder population is at greatest risk)
  • Asthma (especially untreated or uncontrolled asthma can mean there is more swelling in the airways to start with)
  • Other health conditions (heart disease, diabetes)
  • Being pregnant 
  • Kids under age 5, but especially those under age 2


Researchers and public health officials are still trying to determine risk factors for COVID-19.  It should be similar to other viruses in the same family. At this time, people at highest risk for COVID-19 are defined as:

  • People living in same household as someone with laboratory-confirmed COVID-19 infection and are not using home isolation techniques
  • People in or who traveled in Hubei Province, China

The definitions for medium and low risk are available here: https://www.cdc.gov/coronaviru...risk-assessment.html

I think it is helpful to know that walking past someone in public has no identifiable risk of COVID-19 infection. It appears to be that you have to have much closer contact (like living together, or being seated within 6 feet on a flight) for it to spread. 

At this time, asthma is not a risk factor for COVID-19 (although this could change). A look at 140 cases found no one with asthma: https://onlinelibrary.wiley.com/doi/10.1111/all.14238

People with asthma should continue to take the same precautions to avoid any respiratory illness - wash hands often, don't share food/drinks, try to avoid being right next to someone who is coughing/sneezing, etc. 

Melanie Carver

Distributed via the CDC Health Alert Network
February 28, 2020, 1505 ET (3:05 PM ET)

Update and Interim Guidance on Outbreak of Coronavirus Disease 2019 (COVID-19)
Summary
The Centers for Disease Control and Prevention (CDC) continues to closely monitor and respond to the COVID-19 outbreak caused by the novel coronavirus, SARS-CoV-2.


This CDC Health Alert Network (HAN) Update provides updated guidance on evaluating and testing persons under investigation (PUIs) for COVID-19. It supersedes guidance provided in CDC’s HAN 427 distributed on February 1, 2020.
The outbreak that began in Wuhan, Hubei Province, has now spread throughout China and to 46 other countries and territories, including the United States. As of February 27, 2020, there were 78,497 reported cases in China and 3,797 cases in locations outside China. In addition to sustained transmission in China, there is evidence of community spread in several additional countries. CDC has updated travel guidance to reflect this information (https://www.cdc.gov/coronaviru...travelers/index.html).

To date, there has been limited spread of COVID-19 in the United States. As of February 26, 2020, there were a total of 61 cases within the United States, 46 of these were among repatriated persons from high-risk settings. The other 15 cases were diagnosed in the United States; 12 were persons with a history of recent travel in China and 2 were persons in close household contact with a COVID-19 patient (i.e. person-to-person spread). One patient with COVID-19 who had no travel history or links to other known cases was reported on February 26, 2020, in California. The California Department of Public Health, local health departments, clinicians, and CDC are working together to investigate this case and are identifying contacts with whom this individual interacted.

CDC, state and local health departments, other federal agencies, and other partners have been implementing measures to slow and contain transmission of COVID-19 in the United States. These measures include assessing, monitoring, and caring for travelers arriving from areas with substantial COVID-19 transmission and identifying cases and contacts of cases in the United States.

Recognizing persons at risk for COVID-19 is a critical component of identifying cases and preventing further transmission. With expanding spread of COVID-19, additional areas of geographic risk are being identified and PUI criteria are being updated to reflect this spread. To prepare for possible additional person-to-person spread of COVID-19 in the United States, CDC continues to recommend that clinicians and state and local health departments consider COVID-19 in patients with severe respiratory illness even in the absence of travel history to affected areas or known exposure to another case.

AAFA Community Services

I’m not sure the flu comparison is terribly helpful here. There is a flu vaccine which at least keeps some types of flu at bay, if not all. Despite the fact that we are generally familiar with coronaviruses, there is much we still don’t know about this one. For example, there seem to be indicators that people are spreading the virus while asymptomatic, but no one is sure how. If this is indeed the case, then that makes infection control much more difficult. 

I’m worried about my baby. She’s 15 months old, which means her immune system is weaker than an adult’s and her lungs are still developing. She was diagnosed with asthma after two hospitalizations for Rhino/Entero-induced bronchiolitis and a previous bout of RSV-induced bronchiolitis and flu. Fortunately we live in a quite isolated wilderness area but we are scheduled for medical appointments next week and for the foreseeable future to learn more about her asthma and also to see a speech pathologist, since all of this sickness seems to have set her back linguistically. Also, her dad works for a large company in an urban area, and if the above asymptomatic transmission is indeed true, he could bring it home without knowing it. We are of course worried about flu as well, but she has at least had her flu shot and so have we. We are following infection control protocol but I think it’s a pipe dream to think this thing won’t reach our state (New York).

The yardsale at the federal level is not helping. I have no faith in their capability to confront this. I hope our state health department is better.

G

Both my young adult kids have Flu- and cold-virus induced asthma.  One of them is on the other side of the country at college.  What do we know about the risk of Covid-19 with patients with this type of asthma?  They both had their flu shots last fall.  Should we be stocking up on anti-viral medication or Prednisone?  The anti-viral medication really helped reduce the symptoms my son experienced in years past when he got the flu (which he got despite getting the flu vaccination).

TB

I just read an article today that stated do not take steroids for the corona virus.  It makes it worse.
1. is this true?

2. nebulizers and rescue inhalers are essentially steroidal.  Does this also apply to them?  
3. should we try to avoid using this if we contract the virus?  

E

Welcome Evita - those are all great questions! We are currently working with our medical scientific council to update the blog based on the lastest information known about the virus. 

Kathy P

Thank you all for submitting your questions! We are working on updating our blog above with updated numbers and recommendations. We have also sent a list of questions to our Medical Scientific Council and will share the information as soon as we hear back from the council.

Stay safe and keep washing your hands!

Melanie Carver

We need a practical article that will be radically honest and realistic about how to survive this as immune-compromised people. What concrete steps should we take WHEN (not “if”) this virus spreads to our community? For example, I am doing the following: procuring an N95 mask to use in public when the virus becomes pervasive; filling all prescriptions I may need if I get sick (inhalers, prednisone, etc.); getting the pneumonia vaccine to prevent the secondary infection if I can; stocking  up on goods in case I need to quarantine myself from the outside world for either protection or illness; meeting with my doctors for input; and starting an elimination diet to reduce the load on my immune system PLUS getting good sleep and exercise and increasing nutrient-dense foods. LET’S GET SPECIFIC PLEASE.

C

Welcome CoachBW - we are working on getting the blog updated and have asked our medical advisors specific questions.

Your plan follows many of the CDC recommendations for how to prepare your household for a possible COVID-19 outbreak.

One reminder about masks is that they are most effective when worn by someone who is sick to prevent the spread of the virus through cough droplets. In general, masks don't provide much protection to someone who is not sick. You'd have to be directly coughed/sneezed on by someone who is sick for the mask to help. This is why healthcare workers wear them - they are in close proximity when treating a patient. If your mask does become contaminated, you can spread the virus to your hands when removing it.

The droplets containing the virus are heavy and land on surfaces that are then touched transferring it to your hands. I know people are sick of hearing it, but this is why handwashing is the #1 defense against this or other respiratory viruses.

Kathy P
CoachBW posted:

We need a practical article that will be radically honest and realistic about how to survive this as immune-compromised people. What concrete steps should we take WHEN (not “if”) this virus spreads to our community? For example, I am doing the following: procuring an N95 mask to use in public when the virus becomes pervasive; filling all prescriptions I may need if I get sick (inhalers, prednisone, etc.); getting the pneumonia vaccine to prevent the secondary infection if I can; stocking  up on goods in case I need to quarantine myself from the outside world for either protection or illness; meeting with my doctors for input; and starting an elimination diet to reduce the load on my immune system PLUS getting good sleep and exercise and increasing nutrient-dense foods. LET’S GET SPECIFIC PLEASE.

I absolutely agree with you CoachBW.  I've been all around the internet looking for solid advise.  I thought this would be one place where i could get some specific advice.  Hoping better answers come sooner than later.

MikeD

The title of your article is misleading; there is no information in your article specific to people suffering from asthma. Contracting coronavirus and having asthma as an underlying condition has been highly publicized as leading to critical health issues or fatalities. Your article offers nothing specific to asthma. You should consider changing the article title to: Coronavirus: What You Need to Know, since the content is general information for the public, until you actually have content for an article pertaining to coronavirus with asthma as a comorbidity. Very disappointed.

C
Aetzel Griffioen posted:

Thank you for updating your article with specific advice regarding yesterday's comments placed below.

You are welcome, Aetzel. Thank you for your patience while we continue to update the article as more information is made available. 

Lorene 

Lorene

Thank you for the updates! Super helpful!

I just wanted to point out that the one study that found no to link to increased risk of complications in persons with asthma also didn't  study anyone with asthma. Ie none of the 140 had (or knew they had) asthma. I think that's an important detail. The wording of the study itself,  concerning asthma and allergic diseases, is misleading until you read the whole thing. Two patients had COPD and they both had grim outcomes. Take what you want from that, but, because of the lack of asthma specific information published, I'm thinking either not a lot of asthma patients have gotten it (doubtful considering air quality in some places), or there just hasn't been enough time to compile info. It's hard to be patient since it's very clear that healthcare workers and researchers are likely overwhelmed in the areas hardest hit, but we have to try. Get enough sleep, stay hydrated, eat nutrient rich foods, take supplements, stay active and avoid large crowds. Most importantly, get or keep your asthma under control and wash your hands. 

Thank you again for getting this information for us. Please continue to keep us posted with allergy and asthma specific information.

IA
I Am Curious posted:

Thank you for the updates! Super helpful!

I just wanted to point out that the one study that found no to link to increased risk of complications in persons with asthma also didn't  study anyone with asthma. Ie none of the 140 had (or knew they had) asthma. I think that's an important detail. The wording of the study itself,  concerning asthma and allergic diseases, is misleading until you read the whole thing. Two patients had COPD and they both had grim outcomes. Take what you want from that, but, because of the lack of asthma specific information published, I'm thinking either not a lot of asthma patients have gotten it (doubtful considering air quality in some places), or there just hasn't been enough time to compile info. It's hard to be patient since it's very clear that healthcare workers and researchers are likely overwhelmed in the areas hardest hit, but we have to try. Get enough sleep, stay hydrated, eat nutrient rich foods, take supplements, stay active and avoid large crowds. Most importantly, get or keep your asthma under control and wash your hands. 

Thank you again for getting this information for us. Please continue to keep us posted with allergy and asthma specific information.

Absolutely agree with you on this.  That study is not particularly helpful and I’m unclear ho they came to the conclusion they did without the direct study of asthmatics.  It’s hard not to panic.

MikeD

I just think that N95 masks can be helpful. They found the size of the corona virus and those masks block that size particle and yes it needs a tight seal but that is perfectly possible to teach people what that is. It can help. And high-risk population should know this and have time to irder and waut fir one before it gets widespread. And its possible to make enough for everyone including healthcare workers. And it doesnt need to be mandated fir everyobe, it usnt 100 percent, but it can help...   I feel it is deceptive and inappropriate and lowers trust for the CDC and WHO and surgeon general to tell the public it wont help them. Yes you have to remove it correctly. Yes you have to get the right size and not have a beard probably. Just give us the real facts and information that yes it can be helpful:

"N95 masks fulfill the filtering efficiency criteria of the National Institute for Occupational Safety and Health (NIOSH) and are approved for protection against droplet and airborne transmission of 95% of particles greater than 0.3 microns in size. N95 masks, which must be fit tested, are believed to offer protection against the contact and droplet spread of the coronavirus."

https://www.apsf.org/news-upda...oronavirus-covid-19/

https://www.google.com/amp/s/w...QFKAGwASA%253D#ampf=

https://smartairfilters.com/en...s-n95-surgical-mask/

 

S

i suffer from seasonal allergies & it’s been bad especially in NYC ... my doctor 🥼 gave me a cortisone shot on the buttocks to i believe reduce my allergies symptoms  & told me i won’t have to do it again till next month... my question is , if the cortisone shot weakens the immune system was it a smart decision to trust my doctor while the corona virus is out & around my state & actually my county ... i can’t imagine why he wouldn’t take that into consideration & discuss it with me before giving me the shot. i work with people everyday & i feel exposed & anxious now that i have this shot & i have to go to work & possibly be exposed to a virus that can be deadly. please i hope anyone can guide me or help me with this.

JF

I have asthma but it is well controlled with medication. My 4 year old son also has mild asthma that is typically aggravated by colds. He is too young for control medications at least based on his pattern of symptoms. He uses a nebulizer when he is sick. We are traveling in a few weeks and I am very concerned about him. I am trying not to be paranoid but, it is hard when so little is known. He is 4 so handwashing is a constant battle. I feel like I should put a mask on him at least on the plane? I don’t know what to think or do at this point. 

A
Julio Feria posted:

i suffer from seasonal allergies & it’s been bad especially in NYC ... my doctor 🥼 gave me a cortisone shot on the buttocks to i believe reduce my allergies symptoms  & told me i won’t have to do it again till next month... my question is , if the cortisone shot weakens the immune system was it a smart decision to trust my doctor while the corona virus is out & around my state & actually my county ... i can’t imagine why he wouldn’t take that into consideration & discuss it with me before giving me the shot. i work with people everyday & i feel exposed & anxious now that i have this shot & i have to go to work & possibly be exposed to a virus that can be deadly. please i hope anyone can guide me or help me with this.

Usually one shot doesn't do enough to weaken your immune system. The dosage is too small and it's only a one time thing. If you were to get shots frequently and on a regular basis, it would have more of an effect on the strength of your immune system and your doctor would be required to let you know. But in an otherwise healthy individual with only one shot, you should be in the clear. This is just what my doctor told me. I'm no doctor. If you to be super thorough, call your doctors office or health insurance nurse line

IA
Last edited by I Am Curious
AG posted:

I have asthma but it is well controlled with medication. My 4 year old son also has mild asthma that is typically aggravated by colds. He is too young for control medications at least based on his pattern of symptoms. He uses a nebulizer when he is sick. We are traveling in a few weeks and I am very concerned about him. I am trying not to be paranoid but, it is hard when so little is known. He is 4 so handwashing is a constant battle. I feel like I should put a mask on him at least on the plane? I don’t know what to think or do at this point. 

Hi @AG - I don't blame you for being concerned for your little one. According to the CDC, there is no evidence that children are more susceptible to the virus. In fact, most confirmed cases reported from China have been in adults. 

The CDC says "Children and their family members should engage in usual preventive actions to prevent the spread of respiratory infections, including covering coughs, cleaning hands often with soap and water or alcohol-based hand sanitizer, and staying up to date on vaccinations, including influenza.  Additional information on prevention measures can be found here (Prevention for 2019 Novel Coronavirus)." 

Masks are only being recommended at this time for those with the disease to stop it's spread. Wiping the seating area on the plane with disinfectant wipes may provide some protection as well. 

Lorene 

Lorene
Candace posted:

The title of your article is misleading; there is no information in your article specific to people suffering from asthma. Contracting coronavirus and having asthma as an underlying condition has been highly publicized as leading to critical health issues or fatalities. Your article offers nothing specific to asthma. You should consider changing the article title to: Coronavirus: What You Need to Know, since the content is general information for the public, until you actually have content for an article pertaining to coronavirus with asthma as a comorbidity. Very disappointed.

Hi @Candace - we appreciate your feedback. Have you checked out the latest update? There is a Q&A with Mitchell Grayson, M.D., FAAAAI, FACAAI, allergist/immunologist at Nationwide Children's Hospital and chair of AAFA’s Medical Scientific Council. He specifically addresses asthma and COVID-19.

Lorene  

Lorene
Shea posted:

I just think that N95 masks can be helpful. They found the size of the corona virus and those masks block that size particle and yes it needs a tight seal but that is perfectly possible to teach people what that is. It can help. And high-risk population should know this and have time to irder and waut fir one before it gets widespread. And its possible to make enough for everyone including healthcare workers. And it doesnt need to be mandated fir everyobe, it usnt 100 percent, but it can help...   I feel it is deceptive and inappropriate and lowers trust for the CDC and WHO and surgeon general to tell the public it wont help them. Yes you have to remove it correctly. Yes you have to get the right size and not have a beard probably. Just give us the real facts and information that yes it can be helpful:

"N95 masks fulfill the filtering efficiency criteria of the National Institute for Occupational Safety and Health (NIOSH) and are approved for protection against droplet and airborne transmission of 95% of particles greater than 0.3 microns in size. N95 masks, which must be fit tested, are believed to offer protection against the contact and droplet spread of the coronavirus."

https://www.apsf.org/news-upda...oronavirus-covid-19/

https://www.google.com/amp/s/w...QFKAGwASA%253D#ampf=

https://smartairfilters.com/en...s-n95-surgical-mask/

 

Hi @Shea N95 masks may provide a layer of protection, but they may be hard to breathe through when you have asthma or an infection. They can also be hot, and often masks lead to people touching their face more in an effort to make the mask most comfortable. Wearing a mask can't hurt, but hand washing and sanitizing are going to be our best bet for protection. Thank you for sharing your thoughts. 

Lorene 

Lorene

Hi - my asthma comes about mostly when I get a cold and at times (3-4 times in last few years) it has developed into  bronchitis and walking pneumonia. Also I have animals which I am allergic to and of course I have that has developed into asthma and shortness of breathe.  I use an Inhaler prior to working out as a precautionary measure bc at times I develop shortness of breathe.  I also have a disc.  After reading your article it appears that people w asthma that’s controlled are no more at risk that general population - would it be the same for people that have a tendency to get bronchitis when they get sick?

A

Can I suggest that you refer to the actual text of the Chinese report at https://onlinelibrary.wiley.co...ll/10.1111/all.14238 rather than the summary linked on this page. It provides much more detail and explanation of their findings in the Chinese study. It shows that the prevalence of asthma, COPD and allergy in the study was, surprisingly, lower than in the general population. Good luck to all.

J
Argos1w posted:

After reading your article it appears that people w asthma that’s controlled are no more at risk that general population - would it be the same for people that have a tendency to get bronchitis when they get sick?

@Argos1w - Because this is a new virus, researchers are still collecting data about the risk for people with asthma. Keeping your asthma under control reduces the risk of complications from any type of respiratory illness. 

Kathy P
JonS posted:

Can I suggest that you refer to the actual text of the Chinese report at https://onlinelibrary.wiley.co...ll/10.1111/all.14238 rather than the summary linked on this page. It provides much more detail and explanation of their findings in the Chinese study. It shows that the prevalence of asthma, COPD and allergy in the study was, surprisingly, lower than in the general population. Good luck to all.

Could this be because the prevalence of asthma in China is lower? Or at least it’s left undiagnosed more often, and that would skew the results of a study. 

H
AG posted:

I have asthma but it is well controlled with medication. My 4 year old son also has mild asthma that is typically aggravated by colds. He is too young for control medications at least based on his pattern of symptoms. He uses a nebulizer when he is sick. We are traveling in a few weeks and I am very concerned about him. I am trying not to be paranoid but, it is hard when so little is known. He is 4 so handwashing is a constant battle. I feel like I should put a mask on him at least on the plane? I don’t know what to think or do at this point. 

How old is your child? Both of my children displayed symptoms of asthma around age 2. They were both put on preventative medication. This was not easy to accomplish as the newer standards require them to be older then 4. If they are around that age group I would suggest getting very involved with their pediatrician. Simple cases of bronchiolitis had my children staying in children’s hospital for days. (Each visit was to the tune of 24k, for them to supply oxygen) This was extremely frustrating since I was about 99% sure what was going on. Asthma goes back at least three generations on my side of the family. And every time they finally gave my children the steroid we got to go home ( this usually took 3 days or better before they would listen) after expressing these experience with older doctors and not students, as well as our children's pediatrician the proper medicines were finally prescribed. This has greatly improved things for my children. The usual small viruses are no longer emergency visits and several day stays at the hospital. 

R
Ronl posted:
AG posted:

I have asthma but it is well controlled with medication. My 4 year old son also has mild asthma that is typically aggravated by colds. He is too young for control medications at least based on his pattern of symptoms. He uses a nebulizer when he is sick. We are traveling in a few weeks and I am very concerned about him. I am trying not to be paranoid but, it is hard when so little is known. He is 4 so handwashing is a constant battle. I feel like I should put a mask on him at least on the plane? I don’t know what to think or do at this point. 

How old is your child? Both of my children displayed symptoms of asthma around age 2. They were both put on preventative medication. This was not easy to accomplish as the newer standards require them to be older then 4. If they are around that age group I would suggest getting very involved with their pediatrician. Simple cases of bronchiolitis had my children staying in children’s hospital for days. (Each visit was to the tune of 24k, for them to supply oxygen) This was extremely frustrating since I was about 99% sure what was going on. Asthma goes back at least three generations on my side of the family. And every time they finally gave my children the steroid we got to go home ( this usually took 3 days or better before they would listen) after expressing these experience with older doctors and not students, as well as our children's pediatrician the proper medicines were finally prescribed. This has greatly improved things for my children. The usual small viruses are no longer emergency visits and several day stays at the hospital

He is 4.5. He has had bronchiolitis multiple times. He has never been hospitalized but each bout seems to get a little worse. It also seems to take him longer to recover. Often when I’ve taken him in to the doctor, although he has a lot of mucus, there’s no wheezing. I was rushed to the hospital multiple times as a child with blue lips. This is one of my biggest fears with him. Thankfully we have never experienced this. I’ve been on prednisone many times in the past with respiratory illnesses. I also lost my best friend to a severe asthma attack in 1996. The ptsd from those experiences and all the news on covid-19 has my anxiety through the roof. 

A

I am struck by how “experts” keep reassuring the general public that there is no alarm if you’re healthy and then in passing mention the elderly and those with underlying issues are at higher risk -  like we don’t need reassurance.  Very little time is spent on these groups when talking about Coronavirus.  There are countless people that fall into these categories - lung disease, heart disease, cancers, etc. It is hard not to panic or have anxiety with the 24/7 coverage.  So i wash my hands constantly and worry about someone coughing or sneezing around me- not much you can do to protect from that other than significant social distancing and isolation.

MikeD
MikeD posted:

I am struck by how “experts” keep reassuring the general public that there is no alarm if you’re healthy and then in passing mention the elderly and those with underlying issues are at higher risk -  like we don’t need reassurance.  Very little time is spent on these groups when talking about Coronavirus.  There are countless people that fall into these categories - lung disease, heart disease, cancers, etc. It is hard not to panic or have anxiety with the 24/7 coverage.  So i wash my hands constantly and worry about someone coughing or sneezing around me- not much you can do to protect from that other than significant social distancing and isolation.

Yes they have said these people are at greater risk of complications. That really is just a foregone conclusion. What they are all, including all the coverage you see on tv is transmission. Just because you are of compromised health does not mean you are at greater risk of contracting the illness. The current focus is on preventing the spread of the virus. It’s important to weigh what you see in the coverage, very little study has been done on the severity due to the rapid spreading. The initial data points to more severity in the elderly only because the deaths are more prevalent there. But with age comes compromised health. This is rough data based how short of time the virus has been active. If you have health complications your mortality rate is going to be higher as with any illness. It’s to early to have a proper study. And personally prevention has already been lost. Next year or so if a vaccine has not been made I’m sure there will be more information. When a vaccine is made these studies will factor into who needs immunization as a priority. if you have respiratory complications a respiratory virus is going to affect you more. If you’re looking for percentages your wasting your time. 

R
Ronl posted:
MikeD posted:

I am struck by how “experts” keep reassuring the general public that there is no alarm if you’re healthy and then in passing mention the elderly and those with underlying issues are at higher risk -  like we don’t need reassurance.  Very little time is spent on these groups when talking about Coronavirus.  There are countless people that fall into these categories - lung disease, heart disease, cancers, etc. It is hard not to panic or have anxiety with the 24/7 coverage.  So i wash my hands constantly and worry about someone coughing or sneezing around me- not much you can do to protect from that other than significant social distancing and isolation.

Yes they have said these people are at greater risk of complications. That really is just a foregone conclusion. What they are all, including all the coverage you see on tv is transmission. Just because you are of compromised health does not mean you are at greater risk of contracting the illness. The current focus is on preventing the spread of the virus. It’s important to weigh what you see in the coverage, very little study has been done on the severity due to the rapid spreading. The initial data points to more severity in the elderly only because the deaths are more prevalent there. But with age comes compromised health. This is rough data based how short of time the virus has been active. If you have health complications your mortality rate is going to be higher as with any illness. It’s to early to have a proper study. And personally prevention has already been lost. Next year or so if a vaccine has not been made I’m sure there will be more information. When a vaccine is made these studies will factor into who needs immunization as a priority. if you have respiratory complications a respiratory virus is going to affect you more. If you’re looking for percentages your wasting your time. 

I’m not looking for percentages.  I’m just expressing thoughts here.  Nothing more....

MikeD
MikeD posted:
Ronl posted:
MikeD posted:

I am struck by how “experts” keep reassuring the general public that there is no alarm if you’re healthy and then in passing mention the elderly and those with underlying issues are at higher risk -  like we don’t need reassurance.  Very little time is spent on these groups when talking about Coronavirus.  There are countless people that fall into these categories - lung disease, heart disease, cancers, etc. It is hard not to panic or have anxiety with the 24/7 coverage.  So i wash my hands constantly and worry about someone coughing or sneezing around me- not much you can do to protect from that other than significant social distancing and isolation.

Yes they have said these people are at greater risk of complications. That really is just a foregone conclusion. What they are all, including all the coverage you see on tv is transmission. Just because you are of compromised health does not mean you are at greater risk of contracting the illness. The current focus is on preventing the spread of the virus. It’s important to weigh what you see in the coverage, very little study has been done on the severity due to the rapid spreading. The initial data points to more severity in the elderly only because the deaths are more prevalent there. But with age comes compromised health. This is rough data based how short of time the virus has been active. If you have health complications your mortality rate is going to be higher as with any illness. It’s to early to have a proper study. And personally prevention has already been lost. Next year or so if a vaccine has not been made I’m sure there will be more information. When a vaccine is made these studies will factor into who needs immunization as a priority. if you have respiratory complications a respiratory virus is going to affect you more. If you’re looking for percentages your wasting your time. 

I’m not looking for percentages.  I’m just expressing thoughts here.  Nothing more....

The information on severity and who and how it affects is not in yet. Until they can say precisely I doubt they will. 

R
Kathy P posted:
Argos1w posted:

After reading your article it appears that people w asthma that’s controlled are no more at risk that general population - would it be the same for people that have a tendency to get bronchitis when they get sick?

@Argos1w - Because this is a new virus, researchers are still collecting data about the risk for people with asthma. Keeping your asthma under control reduces the risk of complications from any type of respiratory illness. 

It’s important to note this article is talking about transmission, not affect or severity. 

R
AG posted:
Ronl posted:
AG posted:

I have asthma but it is well controlled with medication. My 4 year old son also has mild asthma that is typically aggravated by colds. He is too young for control medications at least based on his pattern of symptoms. He uses a nebulizer when he is sick. We are traveling in a few weeks and I am very concerned about him. I am trying not to be paranoid but, it is hard when so little is known. He is 4 so handwashing is a constant battle. I feel like I should put a mask on him at least on the plane? I don’t know what to think or do at this point. 

How old is your child? Both of my children displayed symptoms of asthma around age 2. They were both put on preventative medication. This was not easy to accomplish as the newer standards require them to be older then 4. If they are around that age group I would suggest getting very involved with their pediatrician. Simple cases of bronchiolitis had my children staying in children’s hospital for days. (Each visit was to the tune of 24k, for them to supply oxygen) This was extremely frustrating since I was about 99% sure what was going on. Asthma goes back at least three generations on my side of the family. And every time they finally gave my children the steroid we got to go home ( this usually took 3 days or better before they would listen) after expressing these experience with older doctors and not students, as well as our children's pediatrician the proper medicines were finally prescribed. This has greatly improved things for my children. The usual small viruses are no longer emergency visits and several day stays at the hospital

He is 4.5. He has had bronchiolitis multiple times. He has never been hospitalized but each bout seems to get a little worse. It also seems to take him longer to recover. Often when I’ve taken him in to the doctor, although he has a lot of mucus, there’s no wheezing. I was rushed to the hospital multiple times as a child with blue lips. This is one of my biggest fears with him. Thankfully we have never experienced this. I’ve been on prednisone many times in the past with respiratory illnesses. I also lost my best friend to a severe asthma attack in 1996. The ptsd from those experiences and all the news on covid-19 has my anxiety through the roof. 

I wouldn’t worry too much he may be at risk but if he has not been hospitalized for it before it may not make thing much worse then if he had no history. I would invest in a pulse oximeter though, they are surprisingly inexpensive. They can make sure he is getting enough oxygen and cut down on unnecessary visits to the doctor. 

R

So I don’t use any asthma meds day to day as i haven’t needed them for years. Should I start using a preventer due to the covid-19 virus to protect myself or just keep a reliever just in case? 

I had asthma as a kid and was hospitalised, it went away a few years later.

I had an asthma attack 25 odd years later after a bad chest infection caused by smoking, again after a few months I didn’t need any inhalers etc. 

So now I’m 8-10 years on from that attack thinking if I should start taking a daily preventer? 

F
Fraser posted:

So I don’t use any asthma meds day to day as i haven’t needed them for years. Should I start using a preventer due to the covid-19 virus to protect myself or just keep a reliever just in case? 

I had asthma as a kid and was hospitalised, it went away a few years later.

I had an asthma attack 25 odd years later after a bad chest infection caused by smoking, again after a few months I didn’t need any inhalers etc. 

So now I’m 8-10 years on from that attack thinking if I should start taking a daily preventer? 

Hi! It's great that your asthma is so well controlled that you don't need to take a daily controller/preventative medication. A preventer medicine will not keep you from getting COVID-19. 

I recommend you talk to your health care provider about your concerns. Let them know as soon as possible if you have any asthma or flu-like symptoms. It is important to identify and treat any virus as quickly as possible. 

Lorene 

Lorene
WillFinnerty posted:

Can coronavirus mask itself in positive tests for FluA or FluB? If a person were to test positive for either of those influenza viruses are they clear of corona? 

The testing for COVID-19 is based on looking for specific gene sequences unique to that virus. Those are gene sequences that do not appear in other similar viruses.

How do the new coronavirus tests work?

PCR tests work by detecting specific genetic material within the virus.

These 100 nucleotides include two genes in the SARS-CoV-2 genome. A sample is considered positive if the test finds both genes, inconclusive if just one gene is found, and negative if neither gene is detected.

Updated to add: you theoretically could have both viruses in which case you will test positive for flu A/B.

Kathy P
Last edited by Kathy P

I too am desperately looking for hints on what to do in the Covid-19 situation as someone with Asthma.

From what I understand, I am not more likely to contract the virus, but it is likely that it will affect me more strongly once I do. Given the fact that at this point, we're mostly talking about "when" we will all be infected, rather than "if" - shouldn't it be the logical next step to quarantine everyone who's part of the higher risk demographic?

I have a job that I could potentially do from home, however my bosses are rather reluctant to allow it. As of now, every article and every website contains slightly different information - again, even though the common ground already seems to be that the absolute majority of people will in fact be infected. As long as there is not one unified opinion on this, or even an official statement recommending people that are at a higher risk to stay home, what do I tell my bosses? Or do I just continue to get on public transport and walk around the office, all while hoping for the best? I just can't believe there's no better way to deal with this.

Thanks in advance for your replies

E

Hi Ellie and welcome! The situation is continuously evolving and not all areas are impacted the same right now. Social distancing, including working from home, are coming from local health departments.

There are several topics on the forum discussing how to prepare - https://community.aafa.org/topic/566946312539943977

Kathy P
Lorene posted:
Shea posted:

I just think that N95 masks can be helpful. They found the size of the corona virus and those masks block that size particle and yes it needs a tight seal but that is perfectly possible to teach people what that is. It can help. And high-risk population should know this and have time to irder and waut fir one before it gets widespread. And its possible to make enough for everyone including healthcare workers. And it doesnt need to be mandated fir everyobe, it usnt 100 percent, but it can help...   I feel it is deceptive and inappropriate and lowers trust for the CDC and WHO and surgeon general to tell the public it wont help them. Yes you have to remove it correctly. Yes you have to get the right size and not have a beard probably. Just give us the real facts and information that yes it can be helpful:

"N95 masks fulfill the filtering efficiency criteria of the National Institute for Occupational Safety and Health (NIOSH) and are approved for protection against droplet and airborne transmission of 95% of particles greater than 0.3 microns in size. N95 masks, which must be fit tested, are believed to offer protection against the contact and droplet spread of the coronavirus."

https://www.apsf.org/news-upda...oronavirus-covid-19/

https://www.google.com/amp/s/w...QFKAGwASA%253D#ampf=

https://smartairfilters.com/en...s-n95-surgical-mask/

 

Hi @Shea N95 masks may provide a layer of protection, but they may be hard to breathe through when you have asthma or an infection. They can also be hot, and often masks lead to people touching their face more in an effort to make the mask most comfortable. Wearing a mask can't hurt, but hand washing and sanitizing are going to be our best bet for protection. Thank you for sharing your thoughts. 

Lorene 

Shea - I agree with you. I live in NYC and travel to work on the subway and wearing a n95 mask would greatly decrease my chances of contracting the virus where I am in close proximity to strangers. I do understand that the CDC and WHO are trying to quell the general population from buying/wearing masks when basic hygiene would be more helpful in the long term but they are not protecting those the with the 'underlying health conditions' that they continually mention. This is a situation where you must take your own health and well-being in your own hands. I have n95 masks and carry one in my bag daily and will not hesitate to use it when I feel unsafe.  The CDC's guidelines are too broad and general and do not speak to me, an asthmatic specifically and how can they when the response about specific conditions are - not enough data! 

M

That article that supposedly shows that people with asthma are at low risk had NO people with asthma in it!  They presume that since asthma rates in Wuhan are low, that people with asthma aren't at risk. How did that get past empirical review?

D
Ellie89 posted:

I too am desperately looking for hints on what to do in the Covid-19 situation as someone with Asthma.

From what I understand, I am not more likely to contract the virus, but it is likely that it will affect me more strongly once I do. Given the fact that at this point, we're mostly talking about "when" we will all be infected, rather than "if" - shouldn't it be the logical next step to quarantine everyone who's part of the higher risk demographic?

I have a job that I could potentially do from home, however my bosses are rather reluctant to allow it. As of now, every article and every website contains slightly different information - again, even though the common ground already seems to be that the absolute majority of people will in fact be infected. As long as there is not one unified opinion on this, or even an official statement recommending people that are at a higher risk to stay home, what do I tell my bosses? Or do I just continue to get on public transport and walk around the office, all while hoping for the best? I just can't believe there's no better way to deal with this.

Thanks in advance for your replies

My husband has adult-onset asthma and controls it with daily medication, however, I am still concerned what would happen to him if he contracted coronavirus, since I've seen him battle numerous sinus infections and suffer considerably. He is a college instructor and is exposed to many people on a daily basis. I do not have asthma, but also want to avoid becoming ill so I don't infect him, so we are both on a daily vitamin regimen of immune-boosting vitamins, including D3, C, fish oil, B2, B12, and a multivitamin that includes recommended daily doses of other immune-boosting vitamins. I have taken all of these vitamins regularly, but my husband hasn't until the past week. We also eat mostly plant-based foods and avoid processed foods and excess sugar. I also asked my husband to start exercising regularly. We exercise together for motivation. I know that 100% grape juice (3 8oz. glasses/day) also boosts immunity. I learned about it when researching how to increase immunity several years ago when I was also teaching. Taking the vitamins and grape juice and exercising at least 3 days/week enabled me to avoid becoming ill when I previously contracted an illness every quarter I taught. I have never heard anyone at the CDC or WHO recommend vitamins to boost immunity, recommend maintaining regular cardiovascular exercise, or recommend a healthy diet, but based on recommendations from our family physician and reading other physicians' advice, I feel that all of these are imporant to include into our regular regimen to avoid becoming ill in the first place. I want us to do everything in our power to stay healthy. BTW - I have not yet heard that the majority of people living in the U.S. will become infected, so I hope that is not an absolute. All the best!

C

My husband is 50 yrs old and has asthma. It is well controlled with Advair and with a few flare ups from time to time that His rescue inhaler will take care of. He hasn’t required a breathing treatment in many yrs. We are scheduled to go on a cruise in May. I am concerned considering he has asthma and I know there is so much still to be learned about this virus. Neither of us have any other underlying health conditions and are healthy otherwise.  He would still like to go but I am uncertain at this time. Any advice would be greatly appreciated. 

T
Candace posted:
Ellie89 posted:

I too am desperately looking for hints on what to do in the Covid-19 situation as someone with Asthma.

From what I understand, I am not more likely to contract the virus, but it is likely that it will affect me more strongly once I do. Given the fact that at this point, we're mostly talking about "when" we will all be infected, rather than "if" - shouldn't it be the logical next step to quarantine everyone who's part of the higher risk demographic?

I have a job that I could potentially do from home, however my bosses are rather reluctant to allow it. As of now, every article and every website contains slightly different information - again, even though the common ground already seems to be that the absolute majority of people will in fact be infected. As long as there is not one unified opinion on this, or even an official statement recommending people that are at a higher risk to stay home, what do I tell my bosses? Or do I just continue to get on public transport and walk around the office, all while hoping for the best? I just can't believe there's no better way to deal with this.

Thanks in advance for your replies

My husband has adult-onset asthma and controls it with daily medication, however, I am still concerned what would happen to him if he contracted coronavirus, since I've seen him battle numerous sinus infections and suffer considerably. He is a college instructor and is exposed to many people on a daily basis. I do not have asthma, but also want to avoid becoming ill so I don't infect him, so we are both on a daily vitamin regimen of immune-boosting vitamins, including D3, C, fish oil, B2, B12, and a multivitamin that includes recommended daily doses of other immune-boosting vitamins. I have taken all of these vitamins regularly, but my husband hasn't until the past week. We also eat mostly plant-based foods and avoid processed foods and excess sugar. I also asked my husband to start exercising regularly. We exercise together for motivation. I know that 100% grape juice (3 8oz. glasses/day) also boosts immunity. I learned about it when researching how to increase immunity several years ago when I was also teaching. Taking the vitamins and grape juice and exercising at least 3 days/week enabled me to avoid becoming ill when I previously contracted an illness every quarter I taught. I have never heard anyone at the CDC or WHO recommend vitamins to boost immunity, recommend maintaining regular cardiovascular exercise, or recommend a healthy diet, but based on recommendations from our family physician and reading other physicians' advice, I feel that all of these are imporant to include into our regular regimen to avoid becoming ill in the first place. I want us to do everything in our power to stay healthy. BTW - I have not yet heard that the majority of people living in the U.S. will become infected, so I hope that is not an absolute. All the best!

Hi Candace,

thanks for your comprehensive reply. I think it's a smart move to boost your immune system with supplements, fruits and veggies. Since my husband also has a history of illness (though related to the pancreas), he spent a lot of time researching supplements and we are well-equipped I believe.

Concerning the number of infections: I'm based in Germany and referring to the situation here. Indeed, chancellor Merkel herself admitted today that 60-70% of Germans will be infected: https://nypost.com/2020/03/11/...uld-get-coronavirus/

E

 Many thanks for the reply appreciate it. I may of confused people but what I was really trying to say was “should I start using my preventer now to reduce the possibility of asthma symptoms being triggered by covid19”?

F
Last edited by Melissa G
Fraser posted:

 Many thanks for the reply appreciate it. I may of confused people but what I was really trying to say was “should I start using my preventer now to reduce the possibility of asthma symptoms being triggered by covid19”?

 Hi @Fraser - this is a really great question that many people have. All medicines have side effects, and taking additional medication when it is not needed is a decision to be made between you and your doctor. Additionally, being on a preventer medicine may not reduce asthma symptoms if you were to get an infection. My recommendation is to talk to your doctor about a plan to manage your asthma at the first sign of symptoms, and update your asthma action plan accordingly. Is that doable? ~ Lorene 

Lorene
Candace posted:
Ellie89 posted:

I too am desperately looking for hints on what to do in the Covid-19 situation as someone with Asthma.

From what I understand, I am not more likely to contract the virus, but it is likely that it will affect me more strongly once I do. Given the fact that at this point, we're mostly talking about "when" we will all be infected, rather than "if" - shouldn't it be the logical next step to quarantine everyone who's part of the higher risk demographic?

I have a job that I could potentially do from home, however my bosses are rather reluctant to allow it. As of now, every article and every website contains slightly different information - again, even though the common ground already seems to be that the absolute majority of people will in fact be infected. As long as there is not one unified opinion on this, or even an official statement recommending people that are at a higher risk to stay home, what do I tell my bosses? Or do I just continue to get on public transport and walk around the office, all while hoping for the best? I just can't believe there's no better way to deal with this.

Thanks in advance for your replies

My husband has adult-onset asthma and controls it with daily medication, however, I am still concerned what would happen to him if he contracted coronavirus, since I've seen him battle numerous sinus infections and suffer considerably. He is a college instructor and is exposed to many people on a daily basis. I do not have asthma, but also want to avoid becoming ill so I don't infect him, so we are both on a daily vitamin regimen of immune-boosting vitamins, including D3, C, fish oil, B2, B12, and a multivitamin that includes recommended daily doses of other immune-boosting vitamins. I have taken all of these vitamins regularly, but my husband hasn't until the past week. We also eat mostly plant-based foods and avoid processed foods and excess sugar. I also asked my husband to start exercising regularly. We exercise together for motivation. I know that 100% grape juice (3 8oz. glasses/day) also boosts immunity. I learned about it when researching how to increase immunity several years ago when I was also teaching. Taking the vitamins and grape juice and exercising at least 3 days/week enabled me to avoid becoming ill when I previously contracted an illness every quarter I taught. I have never heard anyone at the CDC or WHO recommend vitamins to boost immunity, recommend maintaining regular cardiovascular exercise, or recommend a healthy diet, but based on recommendations from our family physician and reading other physicians' advice, I feel that all of these are imporant to include into our regular regimen to avoid becoming ill in the first place. I want us to do everything in our power to stay healthy. BTW - I have not yet heard that the majority of people living in the U.S. will become infected, so I hope that is not an absolute. All the best!

Hi! thanks for sharing your tips on how your and husband stay healthy. Just a precaution, people should always check with their health care provider before starting any supplements or even vitamins to make sure they will not interfere with current medications. Eating a healthy diet and exercising are great strategies to staying healthy throughout the year. Again, talking to a health care provider to ensure diet and exercise are safe is recommended. Grape juice contains a lot of sugar, so anyone with diabetes or other conditions should OK this with their doctor. ~ Lorene 

Lorene

The Q&A states that data indicates no higher mortality risk for people that have asthma and contract COVID-19.  

worldometers web site provides statistics that suggest asthma suffers mortality rates as follows:

Condition:
 
Chronic respiratory disease
Death Rate 
Confirmed Cases:
8.0%
Death Rate
All Cases:
6.3%

There are two sources they use that provide age, sex, and morbidity statistics:

  • The Report of the WHO-China Joint Mission published on Feb. 28 by WHO, [2] which is based on 55,924 laboratory confirmed cases. The report notes that "The Joint Mission acknowledges the known challenges and biases of reporting crude CFR early in an epidemic" (see also our discussion on: How to calculate the mortality rate during an outbreak)
  • A paper by the Chinese CCDC released on Feb. 17, which is based on 72,314confirmed, suspected, and asymptomatic cases of COVID-19 in China as of Feb. 11, and was published in the Chinese Journal of Epidemiology [1]

 

Is this data invalid or can you clarify mortality rates for other respiratory diseases vs. asthma?

M

I am new to this so I am not sure how to go about this. I am a worried mama right now. My son who is asthmatic just had to go to the ER due to breathing problems. The said it was just his asthma due to no fever. But with it coming to close to comfort near me I am worried and want to know the true symptoms. I hear so many different things that it has me so worried. My daughter is asthmatic too but so far no breathing problems right now. Please can someone give me some possible reassurance that I am doing everything right? We have plenty of antibacterial soap and lots of sanitizer. What else should I do for them?

K
Karleeta posted:

I am new to this so I am not sure how to go about this. I am a worried mama right now. My son who is asthmatic just had to go to the ER due to breathing problems. The said it was just his asthma due to no fever. But with it coming to close to comfort near me I am worried and want to know the true symptoms. I hear so many different things that it has me so worried. My daughter is asthmatic too but so far no breathing problems right now. Please can someone give me some possible reassurance that I am doing everything right? We have plenty of antibacterial soap and lots of sanitizer. What else should I do for them?

Hi @Karleeta we completely understand your concern and fear. Fever and a dry cough are symptoms of a virus. If your son is not running a fever it very well could just be an asthma flare. I hope he is feeling better? 

The best thing you can do is to make sure both your children take their asthma medications as directed. Do they have asthma action plans? Keep them at home as much as possible, wipe down surfaces with disinfectant wipes, wash hands often and keep them from touching their faces. At the first sign of any symptom, call your doctor to ask for guidance. 

It sounds like you are doing everything you can do, including being a caring momma. Hugs to you!

Lorene 

Lorene

This is going to be the "unpopular" opinion, but it is one more should consider. You will not eliminate disease with a paper mask. You cannot prevent a future asthma attack by stockpiling medication. The virus takes about two weeks to become apparent and it will definitely have killed you within the month if it is going to be your cause of death. Do what you've always done, but do it better. Be clean. Be aware of your condition. Be considerate of those around you. Most of all, be rational. Don't risk the health of your friends, family, or community to have 2 months worth of supplies and leave them with none. More people being able to take precautions means less people spreading germs.

E
Last edited by Ender
Lorene posted:
Karleeta posted:

I am new to this so I am not sure how to go about this. I am a worried mama right now. My son who is asthmatic just had to go to the ER due to breathing problems. The said it was just his asthma due to no fever. But with it coming to close to comfort near me I am worried and want to know the true symptoms. I hear so many different things that it has me so worried. My daughter is asthmatic too but so far no breathing problems right now. Please can someone give me some possible reassurance that I am doing everything right? We have plenty of antibacterial soap and lots of sanitizer. What else should I do for them?

Hi @Karleeta we completely understand your concern and fear. Fever and a dry cough are symptoms of a virus. If your son is not running a fever it very well could just be an asthma flare. I hope he is feeling better? 

The best thing you can do is to make sure both your children take their asthma medications as directed. Do they have asthma action plans? Keep them at home as much as possible, wipe down surfaces with disinfectant wipes, wash hands often and keep them from touching their faces. At the first sign of any symptom, call your doctor to ask for guidance. 

It sounds like you are doing everything you can do, including being a caring momma. Hugs to you!

Lorene 

Lorene, Thank you for responding back to me. He is feeling a little better. Thank you for asking. They do have Asthma Action Plans. They are with grandparents for a couple days while we make sure our home is disinfectant really good. They are already on top with the washing of the hands and using hand sanitizer. We have been stressing that with them. I know their school just postponed it for another week. I know they will be staying home and not go no where. That is another reason why they are with grandparents so I can do all my shopping and not have to take them with me and all. Thank you again. 

Karleeta

K
Karleeta posted:
Lorene posted:
Karleeta posted:

I am new to this so I am not sure how to go about this. I am a worried mama right now. My son who is asthmatic just had to go to the ER due to breathing problems. The said it was just his asthma due to no fever. But with it coming to close to comfort near me I am worried and want to know the true symptoms. I hear so many different things that it has me so worried. My daughter is asthmatic too but so far no breathing problems right now. Please can someone give me some possible reassurance that I am doing everything right? We have plenty of antibacterial soap and lots of sanitizer. What else should I do for them?

Hi @Karleeta we completely understand your concern and fear. Fever and a dry cough are symptoms of a virus. If your son is not running a fever it very well could just be an asthma flare. I hope he is feeling better? 

The best thing you can do is to make sure both your children take their asthma medications as directed. Do they have asthma action plans? Keep them at home as much as possible, wipe down surfaces with disinfectant wipes, wash hands often and keep them from touching their faces. At the first sign of any symptom, call your doctor to ask for guidance. 

It sounds like you are doing everything you can do, including being a caring momma. Hugs to you!

Lorene 

Lorene, Thank you for responding back to me. He is feeling a little better. Thank you for asking. They do have Asthma Action Plans. They are with grandparents for a couple days while we make sure our home is disinfectant really good. They are already on top with the washing of the hands and using hand sanitizer. We have been stressing that with them. I know their school just postponed it for another week. I know they will be staying home and not go no where. That is another reason why they are with grandparents so I can do all my shopping and not have to take them with me and all. Thank you again. 

Karleeta

Hi there! I am so glad he is feeling a little better. It can take such a long time to recover from an asthma flare. Sending healing mojo your way! 

I have been carrying disinfectant wipes with me and literally have one in my hand all the time to open doors and hit elevator buttons. I'm also using my elbows and hips instead of my hands as much as possible. 

The virus can live on some surfaces for up to 3 days, so a good cleaning sounds like a good plan, and will probably give you some peace of mind, too. I hope they enjoy their time with their grandparents. 

Keep doing what you're doing and please keep us posted. 

Lorene 

Lorene

Hello, 

As someone who will be 60 yrs of age this year, has asthma and moderate obstructive disease, I am wondering if I should be staying home from work?  I just returned to work after having Type A flu and pneumonia (yes, I did get my flu vaccine :-)). This was my second time having the flu this winter!

I work in a pediatric practice; so children/families come in to be seen who are sick. The schools are all closed in my state, a national state of emergency has been declared in light of the current coronavirus pandemic.

Can you please advise?

Thank you!

 

CS

Welcome C St Ours - that's are complicated situation. It would be best to call or message your doctor to get their advice on ways you best protect yourself or if you should distance yourself from people who are potentially sick. Have you discussed options with your supervisor about possibly working in areas where you might have less exposure?

Kathy P

to echo @Lara, same for sore throat and chest tightness, particularly for those with both asthma and allergies. Postnasal drip causes a sore throat for me and I always have a tight chest around dust and ragweed. Those are the literal symptoms of COVID-19... I guess you can't please everyone and nothing is ever clear, ha. We have to do our best to pay close attention to our bodies, ask ourselves if what we are experiencing is unusual and act accordingly. 

IA
I Am Curious posted:

to echo @Lara, same for sore throat and chest tightness, particularly for those with both asthma and allergies. Postnasal drip causes a sore throat for me and I always have a tight chest around dust and ragweed. Those are the literal symptoms of COVID-19... I guess you can't please everyone and nothing is ever clear, ha. We have to do our best to pay close attention to our bodies, ask ourselves if what we are experiencing is unusual and act accordingly. 

Hi - you and @Lara bring up good points! Do you find that you are more in tune with your body due to allergies and asthma? I think I am, although I still often ignore signs and symptoms :-) A fever may be the 1 symptom that notifies us something else may be going on. 

Lorene
Lorene posted:
I Am Curious posted:

to echo @Lara, same for sore throat and chest tightness, particularly for those with both asthma and allergies. Postnasal drip causes a sore throat for me and I always have a tight chest around dust and ragweed. Those are the literal symptoms of COVID-19... I guess you can't please everyone and nothing is ever clear, ha. We have to do our best to pay close attention to our bodies, ask ourselves if what we are experiencing is unusual and act accordingly. 

Hi - you and @Lara bring up good points! Do you find that you are more in tune with your body due to allergies and asthma? I think I am, although I still often ignore signs and symptoms :-) A fever may be the 1 symptom that notifies us something else may be going on. 

Sometimes.  Sometimes it is exhausting feeling ill the time, so I try to disengage from what is happening to my body.  I very seldom get a fever, even with pneumonia.

 

Lara

In a couple of years, I’ll turn 60...work in retail too. Though i feel strong and somewhat healthy for a person with asthma, i have to admit that i am worried and scared coz of covid. Am not sure that if i ask my company for a leave of absence if they’d accept, what should i do?

R

Hi Ruby and welcome. I understand your concern about being a high-risk category and being exposed to a lot of different people working in retail. What about talking to your supervisor about doing more things away from customers? Restocking or inventory maybe?

Kathy P

Thanks for the prompt reply. 

Unfortunately though, restocking and inventory is also being done outside, along the aisles. And with the store that am working with, they are 80% more concerned with customer satisfaction.  I have requested for a doctors appointment and I’ll check with him if he can give me a certification or something that i can give to our management.

Thanks much.

R

hello , i have excerice enducted asthma and i never get asthma atacks beside when i run or do a lot of sports , did not have any atacks since like 7 months im i still going to die if contact covid 19 ? or is it only for people that have uncontrolled asthma  , last time i did the flow test i scored 250 

karim

Why are we not advised to wear a mask to keep from getting the virus when people can spread the virus before they even know they have it? I understand that the mask can make you want to touch your face more, etc... But to me, it would make more sense to wear the mask to keep from getting it.

Sarah Marie
Lara posted:
Lorene posted:
I Am Curious posted:

to echo @Lara, same for sore throat and chest tightness, particularly for those with both asthma and allergies. Postnasal drip causes a sore throat for me and I always have a tight chest around dust and ragweed. Those are the literal symptoms of COVID-19... I guess you can't please everyone and nothing is ever clear, ha. We have to do our best to pay close attention to our bodies, ask ourselves if what we are experiencing is unusual and act accordingly. 

Hi - you and @Lara bring up good points! Do you find that you are more in tune with your body due to allergies and asthma? I think I am, although I still often ignore signs and symptoms :-) A fever may be the 1 symptom that notifies us something else may be going on. 

Sometimes.  Sometimes it is exhausting feeling ill the time, so I try to disengage from what is happening to my body.  I very seldom get a fever, even with pneumonia.

 

I understand completely. It can be exhausting to live with chronic conditions and we all need to find a way cope, which is challenging. All we can do is follow the guidelines to distance ourselves from people and places, and pay attention to our bodies for anything that feels different. Please keep us updated on how your are feeling - sending health vibes! 

Lorene 

Lorene
Sarah Marie posted:

Why are we not advised to wear a mask to keep from getting the virus when people can spread the virus before they even know they have it? I understand that the mask can make you want to touch your face more, etc... But to me, it would make more sense to wear the mask to keep from getting it.

Hi Sarah, 

Surgical masks will not protect us from incoming germs or the virus. Those masks only keep things from coming out of your mouth, which is why it is recommended to wear one if you are sick to help protect others. 

The only mask that may help is a N95 mask/respirator that fits well. The mask does not keep your hands from carrying the virus, or protect your eyes, etc. These masks are often hot and can be very hard or uncomfortable to breathe through, especially if you have asthma. 

The biggest concern is not enough masks to go around for front line medical staff. 

Having said all that, wearing an N95 mask will not hurt you, so if you already have one it's totally fine to wear! 

Lorene

I had a question regarding albuterol nebulizer treatments re: coronavirus. My son and I have asthma and both have the machines to give ourself treatments as needed. My mom recently saw something on TV where a doctor at a hospital said they'd stopped giving those treatments in hospital because it somehow made it easier for the virus to attack the lungs. This is secondhand from her, as I was not able to see the same report. What can you tell me with regard to folks who use these nebulizer treatments at home. Both my son and I are having what we call "crappy lungs" during this pollen season so we use the treatments once or twice a day, when needed. Should we stop at this time?

JD

Jeni D - what we have heard about nebulizer use is that hospitals are switching from nebulizer to inhaler because if the risk of the virus becoming airborne when treating a patient sick with COVID-19. You can read the statement here - https://community.aafa.org/blo...t-people-with-asthma

It's important to keep your child's asthma as well controlled as you can. If you have concerns, please contact their doctor. The current recommendation in general is to not stop taking any of your asthma medicine - https://community.aafa.org/blo...coronavirus-covid-19

Kathy P

Im a nurse aid and i bought N95 masks in January.  I get that there is short supply, but for people who already have their own bbn personal ones to protect themselves for times like this... why are we being penalized for wanting to save ourselves?  I cant save others if im infecting myself.  It is unfair to work in hazardous and deadly situations and not be allowed to protect yourself on the job?  Why is everyine saying not to wear them?  I dont want this disease.  So ill die a hero?  Well i can still be a hero and live.

J
JillianW posted:

Im a nurse aid and i bought N95 masks in January.  I get that there is short supply, but for people who already have their own bbn personal ones to protect themselves for times like this... why are we being penalized for wanting to save ourselves?  I cant save others if im infecting myself.  It is unfair to work in hazardous and deadly situations and not be allowed to protect yourself on the job?  Why is everyine saying not to wear them?  I dont want this disease.  So ill die a hero?  Well i can still be a hero and live.

Hi @JillianW

I understand your concern and frustration. There seems to be mixed messages around who should wear a mask. As a nurse aid, you are a healthcare provider and should follow the CDC guidelines for healthcare professionals: https://www.cdc.gov/coronaviru...-nCoV/hcp/index.html

It is important to protect yourself and your family. Please take care of yourself! 

Lorene 

Lorene

Albuterol inhalers, nebulizers and other asthma treatments may significantly strengthen the lungs and help symptoms of Coronavirus and fight off the infection faster. Even people without asthma could use asthma treatments to fight corona virus.

CS

Hi @Collin S Magnuson, asthma medicines reduce swelling inside the airways, relax muscles that tighten around the airway and reduce excess mucus that clogs the airways. They actually reduce or stop these changes in your airway from happening, but unfortunately do not strengthen them. 

Taking your medications as prescribed is key to helping your asthma stay under control even when you get an infection or virus. When people without lung disease get a respiratory infection, asthma treatments are often prescribed to open the airways. 

Lorene 

Lorene

My husband is 59 and has asthma.  He works for a large trucking company (very popular prefer not to say which one) He is taking his own precautions, but I am very concerned that he is in the warehouse, building etc.  His doctor (hes new to us) is saying he doesn't have to stay away from work (he leaves at 6:30 am comes home at 9 ish PM) He is around this the majority of his day.  What are his rights with this company?  I am VERY concerned he is there so much he will catch this and then it will be worse for him!

S

Hi @SuzanneLV,

It is totally understandable that you are worried about your husband. First of all, a big thank you goes out to him and all he is doing to keep the country running during the shutdowns. 

According to OSHA regulations, employers are required to provide personal protection equipment (PPE) to all employees who are exposed to a hazard. The question is, will his employer consider the virus a hazard (they should). You can find the requirements here: https://www.osha.gov/laws-regs...number/1910/1910.132 

I am a little surprised your doctor did suggest your husband stay at home. What about your city/state - any requirements to stay at home or shelter in place? 

Our forums are a helpful place to ask questions or share concerns and tips on how to manage asthma, allergies and COVID-19. It's a great place for support. Click on  https://community.aafa.org/ to find the topic or start your own! 

Lorene 

Lorene

My daughter (11 yrs old and homeschooled since last year due to illness) is scheduled to have her Xolair shots tomorrow. She takes two shots every two weeks. She has sever asthma and allergy. Today they called to make sure anyone in the family is not having any kind of symptoms related to coronavirus. I'm scared to take her. What happens IF she doesn't take her shots until after the Apex/curve is flatten? Help. Mom in need.

B

Hi PJ55 and BbL, welcome to the AAFA forums! 

PJ55, have you spoken with your dr about your concerns? 

BbL, did you express your concerns when the office called today?

I know locally some dr's offices are having you "check-in" from your car and you are taken right back to an exam room once you enter the office. You can always inquire about what their current procedures are. 

Melissa G

My MD said I should get them every 2 weeks, but they were not wearing masks last week when I went.  They are allowing for waiting in the car, however.

i am trying to decide if I should keep my appointment next week, and was wondering what this organization position on the subject.

P
my daughters office took careful measures the last time. They informed me they will be doing the same thing. Still, I'm concerned. I guess, I'm wondering more what would happen is she stops Xolair for a few months? I know she won't improve. Will she get worse? Can she start up were she left of? Or, pick up were she left of? Am I taking a bigger chance by exposing her? Can she have a successful pause from Xolair?
B
BbL posted:

My daughter (11 yrs old and homeschooled since last year due to illness) is scheduled to have her Xolair shots tomorrow. She takes two shots every two weeks. She has sever asthma and allergy. Today they called to make sure anyone in the family is not having any kind of symptoms related to coronavirus. I'm scared to take her. What happens IF she doesn't take her shots until after the Apex/curve is flatten? Help. Mom in need.

Hi @BbL - we totally understand the concern you are feeling. Below are few things to consider that I hope will help:

A recent journal article: COVID-19: Pandemic Contingency Planning for the Allergy and Immunology Clinic states that most asthma and allergy visits can be delayed or conducted by telehealth until the pandemic is over, except for patients with primary immunodeficiency, severe asthma, or are on venom immunotherapy. Feel free to share the article with your daughter's healthcare team. 

My recommendation is to talk to your daughter's doctor and ask what are the risks of skipping a dose and waiting 2+ weeks versus the chances of contracting COVID-19 in the office. Even missing 1 dose of Xolair may lead to poor asthma control, and it is really important to keep her asthma well controlled right now.

It's reassuring that they are asking about symptoms, but we do know that the virus is being spread by those who have yet to experience symptoms. 

It is very possible that the doctor's office has put protocols into place to ensure social distancing, staff using PPE (if available), extra disinfecting, etc. Ask your doctor's office how the visit will be handled to ensure you and your daughter are as safe as possible. This will help you make an informed decision. 

Let us know what you decide! 

Lorene 

Lorene
PJ_55 posted:

My MD said I should get them every 2 weeks, but they were not wearing masks last week when I went.  They are allowing for waiting in the car, however.

i am trying to decide if I should keep my appointment next week, and was wondering what this organization position on the subject.

Hi @PJ_55 - thanks for your comment. 

As I shared with BbL, it is best to ask your doctor if skipping a dose is OK, or is there a chance your asthma may become uncontrolled. Right now, we all want to make sure our asthma is as well controlled as possible in case we do get sick. Asking if they have increased their protocols to protect staff and patients since your last visit may help you decide if you should go or skip this week. 

Please check out my response to BbL that links to a journal article on if/when you should keep your appointments. 

Keep us posted!

Lorene 

Lorene

i’m 16 years old working as a cashier. I have mild asthma which is well controlled and have never been in icu or anything serious. there’s about 1,200 cases in my province and i live in the main city area. should i continue to go to work? they have put up plexiglass and provided masks and gloves but i feel it is not enough. i’ve only worked around 400 hours so i don’t qualify for EI and i don’t want to lose my job. i’m not sure if i qualify to take a leave of absence for 6 months and i’m not sure what to do. i also take public transit to work but it is not too crowded. i feel the customers don’t respect my space enough and come too close/go around the plexiglass. my parents are encouraging me to not go anymore. what are my options?? please help!

M

okay just a question but how do you all figure that people with asthma do not get shortness of breath? I know tons of people with it ,including myself and we all get shortness of breath! this is not a correct statement to say people with asthma seasonal allergies etc do not get short of breath , because we in fact do. honestly the symptoms of Covid-19 are so vague it is scary for people with lung issues because we have those symptoms often except for fever, and for me with lupus etc (and other diseases) I get a fever sometimes , at least once a week and I cough all the timefrom COPD and asthma , this chart is not very helpful for someone like me.

T
Lara posted:

It really bothers me that these tables always say there are no aches and pains for allergy sufferers.  There are for some of us!

what bothers me also is that and that this chart said that we do not get shortness of breath with seasonal allergies and that is just not truth! I have been in an asthma group for ten years and I know several of the people and they all get shortness of breathe like I do with seasonal allergies.

 

T

More testing and measurements is needed as soon as possible. Some of us have severe "shortness of breath" inside public facilities like urgent care and Costco if we touch Clorox disinfecting wipes without gloves.

Who is measuring VOC levels in NY VS CA. Look at COVID-19 Deaths in CA Vs NYC? 

#Cleanairmatters

#MeasureVOCS/QACS

Tom Martin III
Collin S Magnuson posted:

Albuterol inhalers, nebulizers and other asthma treatments may significantly strengthen the lungs and help symptoms of Coronavirus and fight off the infection faster. Even people without asthma could use asthma treatments to fight corona virus.

You are going to get people killed! Do not use a nebulizer. The only time you should use it is if you have asthma and you live alone. 1. It does not "fight it off" 2. A nebulizer makes the virus into an aerosol that now has extraordinarily bigger infecton radius. If you are not a pulmonologist do not give advice you will hurt people

Z

Hi Zachary and welcome.

Thank you for reiterating that asthma medicines are not protective in any way against the novel coronavirus that causes COVD-19. It is important for anyone with asthma to continue to take their medicine as directed to keep their asthma well controlled.

We do recommend that inhalers be used at this time if possible, but some people may need to use a nebulizer for their medicine. We asked this question of our medical advisor and it is included in the blog:

If I use a nebulizer at home, could it spread the coronavirus through the air (even if I don't know if I have it)? (New)

If you need to take quick-relief medicine (such as albuterol) for an asthma episode, use an inhaler if possible. Using a nebulizer can increase the risk of sending virus particles in the air if you are sick. But if you have a nebulizer and solution, it is OK to use it to treat an asthma episode. When using a nebulizer, limit the number of people in the room or use it in a room by yourself.

The biggest risk to people with asthma is not treating asthma symptoms when needed at home. This can lead to visits to overcrowded emergency rooms with no hospital beds. Uncontrolled asthma is a much higher risk to your health than COVID-19.
Kathy P
Zachary posted:
Collin S Magnuson posted:

Albuterol inhalers, nebulizers and other asthma treatments may significantly strengthen the lungs and help symptoms of Coronavirus and fight off the infection faster. Even people without asthma could use asthma treatments to fight corona virus.

You are going to get people killed! Do not use a nebulizer. The only time you should use it is if you have asthma and you live alone. 1. It does not "fight it off" 2. A nebulizer makes the virus into an aerosol that now has extraordinarily bigger infecton radius. If you are not a pulmonologist do not give advice you will hurt people

actually they do give nebulizers to other people besides those who have asthma , people with COPD and Bronchitis often get them too. And you do not need to live alone to use one. he is not getting people killed. you are grossly over reacting. sometimes if people do not use one they will die of either a COPD flare or an asthma attack. You can use one at home as stated from a professional above as long as you are in your own space in the house alone or where there is a huge space that is well ventilated but preferably alone at this time. wow 

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