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Coronavirus (COVID-19): What People With Asthma Need to Know

 

Update – July 16, 2020

We added the following updates to this blog post:

  • Link to AAFA's COVID-19 and Asthma Toolkit for Schools
  • Link to COVID-19 guidelines for parents and schools on managing food allergies
  • Information on proper air ventilation to help reduce the spread of the new coronavirus
  • Updated symptoms
  • Updated list of who may be at risk for severe illness from COVID-19
  • New questions and answers on proton pump inhibitors and oral corticosteroid use

Other resources available include:

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.


What Is the New Coronavirus?

A coronavirus is a type of virus that often occurs in animals. Sometimes, it can spread to humans. This is rare.

In December 2019, a new illness called COVID-19 started spreading. COVID-19 is caused by the SARS-CoV-2 virus.

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
  • Diarrhea, nausea or vomiting

Other symptoms reported are:

  • Pinkeye
  • Painful blue or purple lesions (such as a sore or bruise) on toes (COVID toes)
  • Hives or rashes

If you have 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 or can’t wake up
  • Bluish tint on lips, face or fingernails

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 believes symptoms may appear two to 14 days after coming in contact with the virus. WHO has declared it a global pandemic (an outbreak of a new virus that spreads easily).

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. 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. Respiratory illnesses may worsen asthma, so it’s important to keep taking your asthma control 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 at home.

Confused by your symptoms? @AAFANational explains what the typical symptoms are for different respiratory conditions. Information for people with asthma - https://ctt.ec/c63zO+ #COVID19 #asthma

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Information is still changing. We will update this chart as new evidence comes out.

How Does the New Coronavirus That Causes COVID-19 Spread?

The virus is thought to mainly spread through talking, coughing or sneezing. The virus will be in droplets that are expelled from the mouth or nose out into the air. These are heavy droplets and they quickly fall to the ground/surface below.

People who are within 6 feet (2 meters) of someone who is ill with COVID-19 may be within the zone that droplets can reach. If someone who is sick coughs on or near your face, you may get infected. Studies now show that some people may have COVID-19 and not show symptoms. They may spread the virus without knowing it.

This is why the CDC now recommends everyone wear a cloth face covering in places where it's hard to keep a 6-foot distance from others to help stop the spread of illness. If you aren't wearing a face covering, cough/sneeze into your elbow or a tissue. If you use a tissue, throw it away. In either case, wash your hands after you cough or sneeze.

The new coronavirus may also live on surfaces that people have coughed on. If you touch a surface with the virus on it and then touch your mouth, nose or eyes, you may get sick.

Who Is at Risk From COVID-19?

Early information about COVID-19 advised that people with chronic lung disease, including asthma, may be at higher risk for COVID-19.1

The data to date (as of 7/16/20) show no increased risk of COVID-19 infection or severity of COVID-19 disease in people with asthma. The CDC does list moderate-to-severe asthma as a possible risk factor for severe COVID-19 disease, but there are no published data to support that at this time.1,2,3

Based on what we know at this time, the following people might be at the highest risk for severe illness from COVID-19:

  • People over age 65
  • People with chronic medical conditions, such as:
    • Chronic kidney disease
    • Chronic obstructive pulmonary disease (COPD)
    • Immunocompromised people (weakened immune system), from a solid organ transplant
    • Obesity (body mass index [BMI] of 30 or higher)
    • Serious heart conditions
    • Sickle cell disease
    • Type 2 diabetes
  • Children with congenital heart disease
  • Children with multiple medical conditions that are:
    • Neurologic
    • Genetic
    • Metabolic

Based on what we know at this time, the following people might be at a higher risk for severe illness from COVID-19:

  • People who are male sex
  • People who are Black, Hispanic/Latino or American Indian/Indigenous American
  • People who smoke
  • People with chronic medical conditions, such as:
    • Cerebrovascular disease (affects blood vessels and blood supply to the brain)
    • Cystic fibrosis
    • Hypertension or high blood pressure
    • Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of systemic corticosteroids or other medicines that weaken the immune system
    • Neurologic conditions, such as dementia
    • Liver disease
    • Pregnancy
    • Thalassemia (a type of blood disorder)
    • Type 1 diabetes
    • Possibly moderate-to-severe asthma (and other lung diseases), especially if not well-controlled

People with asthma should take precautions when any type of respiratory illness is spreading in their community.

It’s important for people with #asthma to know how to protect themselves from #coronavirus. @AAFANational provides answers - https://ctt.ec/f4ZE5+

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Disparities Among Black, Latinx/Hispanic and Indigenous American Communities

Communities of color are experiencing a major impact from COVID-19. Recent data collected in the United States and in the United Kingdom shows that Black, Latinx/Hispanic and Indigenous (American Indian/Alaska Native) patients along with lower-income groups are disproportionately dying from COVID-19. This is likely due to long term disparities in care. Counties in the U.S. with a Black majority have six times the rates of deaths from COVID-19.4

Physical (Social) Distancing Guidelines for People at High Risk

The CDC has released guidelines for people who may be at high risk (including people with asthma):

  • Stock up on supplies (a 14- to 30-day supply)
  • Try to find ways to have food and supplies delivered to your home
  • Limit interactions with people, and stay home as much as possible
  • Wear face masks or coverings outside the home
  • Keep a distance from others (social distancing, about 6 feet)
  • Avoid people who are sick, limit close contact and wash your hands often
  • Avoid crowds as much as possible
  • Avoid non-essential travel
  • Clean and disinfect your home and car regularly, especially items you touch often like doorknobs, light switches, cell phones, car door handles and steering wheels, etc.

Air Pollution

A Harvard study shows that people who live in areas in the U.S. with high air pollution may be more likely to die from COVID-19.5 If you live in a high-pollution area, try to reduce how much you are exposed to outdoor air pollution. Stay home as much as possible to avoid traffic. Keep your windows closed and use central air conditioning if you have it. Change or clean your air filters properly according to the manufacturer’s instructions, as well. Watch air quality reports and stay inside on days when air quality is worse.

How Can I Avoid Getting COVID-19 and Other Respiratory Infections?

The steps you take to avoid the flu and other respiratory infections will also help protect you from COVID-19:

  • Wash your hands often with soap and warm water for 20 to 30 seconds, and always after coughing or sneezing. If you don’t have access to running water, use an alcohol-based hand cleanser that is at least 60% ethyl alcohol (ethanol) or 70% isopropyl alcohol (isopropanol).
  • Don’t touch your eyes, nose or mouth.
  • Stay away from people who are sick or have been in contact with someone who is sick.
  • Don’t share makeup, food, dishes or eating utensils.
  • Wear a cloth face cover per new CDC guidelines.
  • Take your daily asthma medicines to keep your asthma under control.

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.

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

If you do get sick, call your doctor and follow your Asthma Action Plan.

If you plan to travel, check CDC travel precautions.

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

If you start having symptoms of COVID-19, call your doctor or your local department of health within 24 hours. Many states have various testing options, and your doctor or department of health can tell you what to do.

Many doctors have been offering telehealth (video or virtual appointments) – although doctors may reduce telehealth appointments as practices open back up. If that is an option, ask your insurance company if telehealth is covered under your plan. And if you have Medicare, you might be able to have a virtual visit with your doctor. The government has expanded the coverage of telehealth services during the COVID-19 crisis.

Should I Wear a Face Mask or Face Covering to Prevent Spreading the New Coronavirus?

Most people with asthma can wear a face mask or cloth face covering safely. It is important to find an option that is comfortable and breathable.

Evidence shows that as many as 25 to 50% of people with COVID-19 may not show symptoms, which means you can spread the virus before you know you have it.

The CDC recommends that Americans wear cloth face masks or coverings when you leave home to keep you from accidentally spreading the virus. The WHO also recommends face coverings. A face covering can catch droplets from your mouth and nose so you don't spread them to people nearby. You can use a scarf, a bandanna or a homemade fabric mask. Use material that you can machine wash and dry without damage.

To tell if a homemade face covering will be sufficient, shine a light through it. If the light shines easily through it, you may need to add more layers or use a different fabric. The WHO recommends face coverings made with three layers. Make sure your face covering blocks the light but still allows you to breathe through it.

Because of the limited supply, the CDC urges you NOT to purchase N95 masks. We need to save the supply for health care workers who already don’t have enough supplies.

You must still continue to practice physical distancing even if you wear a face covering. A face covering will not give you 100% protection from spreading or catching the new coronavirus. But it will help you and others greatly reduce the chance of spreading it, especially if you aren’t showing symptoms.

Masks may not be appropriate for children age 2 and younger. It’s best to keep kids at home where they do not need to wear a mask.

It is important to follow proper steps when using a face covering or mask. Follow these steps when using a face covering or mask:

  1. Wash your hands before putting on a face covering or mask.
  2. Fully cover your mouth, nose and beard. Make sure there are no gaps between the face covering or mask and your skin.
  3. Avoid touching the face covering or mask while using it.
  4. If your face covering or mask gets damp, replace with a clean one and wash if reusable. If it's disposable, throw it away and replace with a new one.
  5. Remove the mask from behind, trying to not touch the front. Wash washable face coverings right away. Throw away disposable masks into a closed bag or trash can.
  6. Wash your hands with hot water and soap for 20 to 30 seconds.

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What Role Does Air Ventilation Play in the Spread of the New Coronavirus?

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 new coronavirus. It may also affect the risk of transmission (how fast it spreads). To help reduce the spread of the virus that causes COVID-19 in your home or business, consider these steps:

  • 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.

Should I Keep Appointments With My Allergist During the COVID-19 Pandemic?

Many health care providers are beginning to see patients in their offices again. As they open up, procedures may change. They may reduce the number of people in the waiting room. They may also take your temperature and ask you about symptoms. You may also be asked to wear a mask.

Your doctor may also ask you to track your peak flow readings at home instead of doing lung function tests in the office to reduce the chance of spreading the virus.

With pollen high in many parts of the U.S., regular allergy shots are an effective way to help you manage your allergy and allergic asthma symptoms. Check with your allergist's office to find out what changes they have made to how they are giving allergy shots. Continue with your allergy shot schedule unless your allergist tells you differently, practicing proper physical distancing.

How Can I Deal With Stress During the COVID-19 Pandemic?

Nearly everyone is experiencing stress because of the COVID-19 pandemic. Stress can affect your well-being and quality of life. It can be an asthma trigger. So it’s important that you take care of yourself during this time.

Find some self-care practices that work for you. Some examples are:

  • Try a hobby
  • Take breaks from the news and social media
  • Take care of your body through exercise, healthy eating and getting enough sleep
  • Practice deep breathing and stretching
  • Keep in touch with friends and family

The CDC also offers more information on coping with stress.

When you have a chronic disease like asthma, taking part in a support group can have many benefits. AAFA has free online support groups for people with asthma and allergies. For support and encouragement through the COVID-19 pandemic, join the AAFA community.

What Do People With Asthma Need to Know About the New Coronavirus? Frequently Asked Questions Answered by Dr. Mitchell Grayson



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.2020.05.575
4. Thebault, R., Tran, A. B., & Williams, V. (2020, April 7). The coronavirus is infecting and killing black Americans at an alarmingly high rate. Retrieved from https://www.washingtonpost.com...post-analysis-shows/
5. Air pollution linked with higher COVID-19 death rates. (2020, April 7). Retrieved from https://www.washingtonpost.com...post-analysis-shows/
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/
7. 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

How do you stay healthy and avoid asthma symptoms during cold and flu season? Join our community to learn more about protecting yourself from the flu and COVID-19.

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Comments (129)

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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!

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?

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! 

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

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

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.

Last edited by Kathy P
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 

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? 

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. 

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. 

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. 

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 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 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.

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. 

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. 

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. 

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. 

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.

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?

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 

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  

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 

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

Last edited by I Am Curious