the impact of climatic and environmental factors for asthma er visits in nyc cindy law mary...
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The Impact of Climatic and Environmental Factors for Asthma ER Visits in NYC
Cindy Law Mary Lee-Wong, MD
What are Allergies? An abnormal
sensitivity to an allergen that is inhaled, eaten, or touched
Misidentification of a harmless substance as harmful
Common Types of Allergies
Allergic rhinitis Food Medication Insect stings Latex chemical
Allergies and the Immune System
B-lymphocytes &T-lymphocytes
Lymphocytes identifies a foreign invader
Foreign antigens cause production of antibodies
5 types of immunoglobulins
Allergy Cascade
Places and Symptoms of Reactions
The sensitized immune system produces antibodies against allergens which cause the release of histamines into bloodstream
What is Asthma? Chronic lung condition with
Inflammation of the airways Increased sensitivity of the airways Obstruction of airflow
Normal Bronchial Tubes
Airways
Symptoms of Asthma
Coughing Wheezing Chest tightness Shortness of breath Faster/ noisy breathing
What causes Asthma? Allergens Irritants Others
Levels of Asthma
Mild intermittent Mild persistent Moderate persistent Severe persistent
Spirometry Test Measures how
much and how fast air can move into your lungs
60%-79%; mild 40%- 59%;
moderate <40%; severe
Inhalers
Pollen Count Rotorod Sampler 0-14; low 15-89; moderate 90-1499; high <1500; very high
Pollen Grains
Objective Seasonal variables such as increased
temperatures, relative humidity, mold counts and pollen counts may contribute to increased ER visits for asthma and other upper respiratory symptoms.
Previous studies have reported increased ER visits for asthma due to increased air pollution at different times of the year.
Since pollen can cause asthma exacerbation, we investigated whether there is a strong correlation of asthma exacerbation when pollen counts are at their highest.
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Special Thanks to:
Harlem Children Society Dr. Sat Dr.Mary Lee-Wong Beth Israel Medical Center