+ asthma & your premature baby julie grutzmacher pubh-6165-2 environmental health dr. patrick...
DESCRIPTION
+ Goals of Presentation Increase awareness of Asthma and its triggers Empower you to modify or eliminate the Asthma triggers Reduce hospital admissions from Asthma attacksTRANSCRIPT
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Asthma & your premature babyJulie GrutzmacherPUBH-6165-2 Environmental HealthDr. Patrick TschidaWalden UniversityApril 22, 2012
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+Goals of Presentation
Increase awareness of Asthma and its triggers Empower you to modify or eliminate the Asthma
triggers Reduce hospital admissions from Asthma attacks
+What is Asthma?
Swelling and narrowing of the airways that carry air to and from the lungs
Caused by some environmental irritant Increase in the production of mucus which makes
breathing even harder
Centers for Disease Control and Prevention. (2012). Basic Information: What is Asthma? Retrieved April 10, 2012 from http://www.cdc.gov/asthma/faqs.htm
+Impact of Asthma
Nearly 7 million children affected Among infants and children, boys are more likely to have it Black and Hispanic children at higher risk (12.1% & 7.3%) Black children more likely to die from Asthma related
complications
National Heart Lung and Blood Institute. (2011). Who is at risk for Asthma? Retrieved April 10, 2012 from http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/atrisk.html
+Asthma in Illinois
In 2009, 9.2% of total population of children were found to have Asthma
Illinois has one of the nation’s highest child mortality rates from Asthma (the majority occur in Chicago & within Cook county)
Close to half of all children in Illinois (49.3%) were diagnosed with Asthma sometime between birth and 2 years of age
Illinois Department of Public Health. (2011). Asthma Burden Update. Who Has Asthma. Retrieved April 11, 2012 from http://www.idph.state.il.us/about/chronic/asthma.htm
+How do I know if my baby has Asthma? As your baby gets older, things to look out for are:
Coughing, Wheezing chest tightness shortness of breath
National Heart Lung and Blood Institute. (2011). What are the signs and symptoms of Asthma? Retrieved April 10, 2012 from http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/signs.html
+What provokes Asthma attacks?
Secondhand smoke Dust mites Molds Cockroaches and pests Pets Nitrogen dioxide Chemical irritantsEnvironmental Protection Agency (2011). Asthma Triggers: Gain Control. Retrieved April 10, 2010 from
http://www.epa.gov/asthma/triggers.html
+Asthma Triggers
Secondhand smoke
Dust mites
Molds
Environmental Protection Agency (2011). Asthma Triggers: Gain Control. Retrieved April 10, 2010 from http://www.epa.gov/asthma/triggers.html
+Asthma Triggers Cont’d
Cockroaches, pests Pets Nitrogen Dioxide Chemical Irritants
Environmental Protection Agency. (2012). Asthma Triggers: Gain Control. Retrieved April 12, 2012 from http://www.epa.gov/asthma/triggers.html
+Why is my baby at risk?
Biologically, a baby’s lungs are not mature until 35 or 36 weeks gestation
Surfactant, while present at 24 weeks gestation, is not fully present until 34 to 36 weeks gestation
Wechsler Linden, D., Trenti Paroli, E., Wechsler Doron, M. (2000). Preemies: The Essential Guide for Parents of Premature Babies. New York, NY: Pocket Books.
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+Prematurity and Asthma
Infants born 37 weeks or less are 7% more likely than full term babies to develop Asthma
Babies born between 23 and 27 weeks gestation are at increased risk of developing Asthma in young adulthood
Crump, C., Winkleby, M.A., Sundquist, J., Sundquist, K. (2011). Risk of Asthma in Young Adults Who Were Born Preterm: A Swedish National Cohort Study. Pediatrics. 127(4), e913-e920
McCormick, M.C., Litt, J.S., Smith, V.C., & Zupancic, J.A.F. (2010). Prematurity: An Overview and Public Health Implications. Annual Review of Public Health. 32, 15.1-15.13
+What can I do as the parent?
Stop smoking Develop an action plan with your Pediatrician and
ask for a referral for services Try to reduce/eliminate as many triggers as possible
Rauh, V.A., Horton, M.K., Miller, R.L., Whyatt, R.M., Perera, F. (2010). Neonatology and the Environment: Impact of Early Exposure to Airborne Environmental Toxicants on Infant and Child Neurodevelopment. Neoreviews. 11. 363-369.
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+ References
Centers for Disease Control and Prevention. (2012). Basic Information: What is Asthma? Retrieved April 10, 2012 from http://www.cdc.gov/asthma/faqs.htm
Crump, C., Winkleby, M.A., Sundquist, J., Sundquist, K. (2011). Risk of Asthma in Young Adults Who Were Born Preterm: A Swedish National Cohort Study. Pediatrics. 127(4), e913-e920
Environmental Protection Agency. (2012). Asthma Triggers: Gain Control. Retrieved April 12, 2012 from http://www.epa.gov/asthma/triggers.html
Illinois Department of Public Health. (2011). Asthma Burden Update. Who Has Asthma. Retrieved April 11, 2012 from http://www.idph.state.il.us/about/chronic/asthma.htm
+References Continued
Krieger, J. (2010). Home is Where the Triggers Are: Increasing Asthma Control by Improving the Home Environment. Pediatric Allergy, Immunology, and Pulmonology. 23(2), 139-145
McCormick, M.C., Litt, J.S., Smith, V.C., & Zupancic, J.A.F. (2010). Prematurity: An Overview and Public Health Implications. Annual Review of Public Health. 32, 15.1-15.13
National Heart Lung and Blood Institute. (2011). Who is at risk for Asthma? Retrieved April 10, 2012 from http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/atrisk.html
Rauh, V.A., Horton, M.K., Miller, R.L., Whyatt, R.M., Perera, F. (2010). Neonatology and the Environment: Impact of Early Exposure to Airborne Environmental Toxicants on Infant and Child Neurodevelopment. Neoreviews. 11. 363-369.
Wechsler Linden, D., Trenti Paroli, E., Wechsler Doron, M. (2000). Preemies: The Essential Guide for Parents of Premature Babies. New York, NY: Pocket Books.
+Additional Resources
American Lung Association. (2012). For Parents With Children Who Have Asthma. Retrieved April 18, 2012 from http://www.lung.org/lung-disease/asthma/living-with-asthma/parents-with-children.html
Centers for Disease Control and Prevention
Environmental Protection Agency
Illinois Department of Public Health
National Heart Lung and Blood Institute
Nemours. (2011). Asthma Basics. Retrieved April 16, 2012 from http://kidshealth.org/parent/medical/lungs/asthma_basics.html#
Wechsler Linden, D., Trenti Paroli, E., Wechsler Doron, M. (2000). Preemies: The Essential Guide for Parents of Premature Babies. New York, NY: Pocket Books