Childhood
Asthma Still Increasing
Asthma is a chronic
disease means it Last for a long period that affects
the bronchial tubes, which take air in and out
of the lungs. In asthma, these airways become
easily affected and as a result react more robustly
to allergens or irritants that are there in the
environment. Upon exposure to these triggers,
the airways turn out to be narrower and less air
flows from end to end to the lung tissues. This
causes typical asthma symptoms such as wheezing,
coughing, chest tightness, and difficulty breathing.
In the United
States in 1993 and 1994, atleast an average of
13.7 million people reported that they affected
by asthma-related conditions. Today that number
has enhanced to about 15 million, nearly 5 million
in that most are children. Asthma is now the third
leading cause of hospitalization among children
under 15 years old, and accounts for more than
14 million lost school days each year. The impact
of poor health and deaths due to asthma is disproportionately
higher among less income people, minorities, and
children who live in inner cities than in the
general population.
"It's turn
into a common problem," says William Gershan,
MD, Associate Professor of Pediatrics (Pediatric
Pulmonary) at the Medical College of Wisconsin.
Dr. Gershan, who practices at Children's Hospital
of Wisconsin, Says that researchers cannot yet
point to one exact reason for the increase, but
says there are most likely a lot of factors involved:
"The rise could be attributed due to an increase
in environmental factors, or it could be that
people are just more in step to asthma than they
used to be."
Causes
Dr. Gershan says that asthma
is most generally part of an allergic reaction
to seasonal factors similar to ragweed, tree pollen,
or grass pollen; or to environmental factors such
dust, as cigarette smoke, cockroaches, or animal
dander.
But, he says,
asthma is not at all times allergic in nature.
"A viral infection can fetch on asthma, as
can definite smells, like a particular perfume,"
says Dr. Gershan. Exercise-induced asthma is quite
common, and is usually triggered by strenuous
activity. Genetic predisposition as well plays
a part in childhood asthma: "If father or
mother have asthma, children are much more probable
to have it as well," he explains. Children
who are often ill with breathing problems at an
early age are also reason to develop asthma, as
are those born or ahead of time or those who have
been on ventilators for prolonged periods.
Another
condition associated to childhood asthma is Respiratory
Syncytial Virus, or RSV. RSV is most frequent
in infants, and although most babies fully get
well from an RSV infection, some go on to develop
lasting asthma. "It's a chicken-or-egg scenario,"
says Dr. Gershan. "Are children who in the
risk of getting asthma more prone to RSV, or does
RSV bring on asthma?" |