Third Vaccine For Immunosuppressed
A third primary dose is available to anyone aged 12 and over who was severely immunosuppressed around the time of their first or second COVID-19 vaccine.
This includes people with asthma who were taking:
- high dose corticosteroids for more than 10 days in the month before vaccination
- high dose steroids for any reason in the month before vaccination
- long term moderate dose corticosteroids in the three months before vaccination.
The third primary dose should be given at least eight weeks after the second dose, but timings may be affected if you’re on any immunosuppressive therapies. Your specialist will tell you if youre eligible for a third primary dose.
If you have not yet had your third primary dose, book it now. Youll then be able to book a booster vaccine three months after your third dose.
Can I Get An Asthma Review
Some routine appointments may have been postponed, such as annual reviews. This is to help GP practices prioritise those people who need to be seen more urgently, and support the coronavirus vaccination programme.
But if youre having asthma symptoms, you should have a review. This may be over the phone, by video call, or in person.
If youre having an asthma review remotely you should still expect to:
Routine asthma reviews are an important part of asthma care. So do go for your routine review as soon as youre invited, even if you feel well with your asthma.
Ask for an urgent appointment
If youre getting asthma symptoms, or need to use your reliever inhaler three or more times a week.
Q: Is It Safe For My Child With Asthma To Return To In
This is a decision that should be made in consultation with your childs healthcare provider. The Back to School season for children with asthma often results in more frequent symptoms and asthma flare-ups. Children with moderate to severe asthma may be at higher risk of getting more serious symptoms if they are infected with COVID-19, but the disease is still so new that experts are still doing research on this topic.
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Rutgers Researchers Say Further Study Is Needed But Those With The Chronic Respiratory Disease Dont Appear To Be At A Higher Risk Of Getting Extremely Ill Or Dying From Coronavirus
Asthma does not appear to increase the risk for a person contracting COVID-19 or influence its severity, according to a team of Rutgers researchers.
Older age and conditions such as heart disease, high blood pressure, chronic obstructive pulmonary disease, diabetes and obesity are reported risk factors for the development and progression of COVID-19, said Reynold A. Panettieri Jr., a pulmonary critical care physician and director of the Rutgers Institute for Translational Medicine and Science and co-author of a paper published in the Journal of Allergy and Clinical Immunology. However, people with asthma even those with diminished lung function who are being treated to manage asthmatic inflammation seem to be no worse affected by SARS-CoV-2 than a non-asthmatic person. There is limited data as to why this is the case if it is physiological or a result of the treatment to manage the inflammation.
Panettieri discusses what we know about asthma and inflammation and the important questions that still need to be answered.
In what way does age play a role in how asthma patients react to exposure to the virus? A persons susceptibility to and severity of COVID-19 infection increases with age. However, since asthma sufferers tend to be younger than those with reported high-risk conditions, age-adjusted studies could help us better understand if age is a factor in explaining why asthma patients may not be at greater risk for infection.
Key Findings From One Large Cross
Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020âMarch 2021
This study used data from the Premier Healthcare Database, which represents approximately 20% of all inpatient admissions in the United States since 2000. This cross-sectional study of 540,667 adults hospitalized with COVID-19 included both inpatients and hospital-based outpatients with laboratory-diagnosed COVID-19 from March 1, 2020, through March 31, 2021. The database included reports from 592 acute care hospitals in the United States. The study was designed to examine risk factors associated with severe outcomes of COVID-19 including admission to an ICU or stepdown unit, invasive mechanical ventilation, and death.
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Should People With Asthma Get The Covid
While practices like washing your hands and wearing a mask in public can cut down infection risk, at this point, it’s clear that increased vaccination rates are tied to a decreased risk of infections and hospitalizations and that it’s the best way to beat this thing and eventually return to more of a sense of normalcy.
IInitially, it was not well known whether asthma was a strong risk factor for COVID-19 complications and experts maintained that patients with moderate to severe uncontrolled asthma have respiratory symptoms that may have been worsened by COVID-19. This was one of the reasons why they were made a priority for receiving the COVID-19 vaccine, Dr. Mandal says. While they may not necessarily have needed priority over the general public, asthma patients definitely should not be passing altogether on getting vaccinated, given the risk of increased and exacerbated asthma symptoms after COVID-19 recovery, Dr. Gurevich adds.
“While we now know that having asthma does not necessarily increase risk of COVID-19 complications, it was still a good decision to prioritize these patients until further research was conducted,” Dr. Mandal says. “Unless you are allergic to one of the components of the vaccines, or you have had an actual allergic reaction to the vaccine itself, everyone should be receiving the COVID-19 vaccine at this point.”
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What We’ve Learned About Asthma And Covid
We’re still learning exactly what happens in a person’s body during COVID-19, but we do know quite a bit about how coronavirus affects a person’s lungs during infection.
Interestingly, while serious illness can develop in people with moderate-to-severe asthma, it’s not as prevalent as originally anticipated.
“Early on, we assumed that people with pre-existing lung issues, including asthma, would be disproportionately impacted by the virus,” says Dr. Connolly. “But what we’re actually seeing, however, is that COVID-19 appears to be targeting other high-risk groups more consistently particularly people who are obese, diabetic or have vascular disease such as hypertension.”
As to the reasoning behind this phenomenon, Dr. Connolly adds that it’s still unclear.
“We don’t fully understand why people with pre-existing lung conditions don’t make up a larger majority of current COVID-19 cases as initially anticipated. Preliminary data suggests that people with asthma may make less of the receptor that the virus uses to invade the body, called ACE2 making it more difficult for the virus to gain entry into the host. In addition, ongoing maintenance therapy with inhaled steroids, such as budesonide, may also confer an advantage for people with chronic lung conditions,” explains Dr. Connolly.
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What Treatments And Therapies Are Available
There are two main types of treatments available for people at risk who are not in the hospital: oral antivirals and mAbs . The U.S. Food and Drug Administration has granted each of these treatments Emergency Use Authorization during the COVID-19 pandemic.
PrEP treatment for people who are not exposed: The mAb Evusheld is available for adults and children 12 years or older who:
- Weigh at least 88 pounds
- Do not have a current COVID-19 infection
- Have not been recently exposed to someone who has COVID-19
This prescription treatment is given as a series of shots for people who may be at high risk for serious symptoms of COVID-19. Evusheld is not a substitute for vaccination against COVID-19 and is intended for people who may not have developed a response to the vaccine because of their immune system.
For mild to moderate COVID-19: Treatments for people who are not staying in the hospital include two oral antivirals , mAbs , and other medications . These treatments could help your immune system respond more effectively to SARS-CoV-2 , reducing the chances that your symptoms will get worse.
The oral antivirals must be taken within the first 5 days COVID-19 symptoms appear. Molnupiravir is for people ages 18 and older. Paxlovid is for people ages 12 and older who weigh at least 88 pounds. Remdesivir should be taken within the first 7 days COVID-19 symptoms appear. The mAb treatment should be taken within the first 7 days of when COVID-19 symptoms first appear.
General Precautions For People With Respiratory Conditions
General tips for those with chronic respiratory illnesses such as asthma, chronic obstructive pulmonary disease , idiopathic pulmonary fibrosis, and cystic fibrosis include the following:
Take your medication as prescribed and manage your symptoms as well as you can.
Get the flu shot. If you have flu symptoms call your doctor. There are treatments for the flu. However, a flu shot will not protect you against COVID-19.
Get the pneumococcal vaccine if recommended by your provider. This will also not protect you against COVID-19, though.
If you smoke, theres never been a better time to stop. Smoking will increase your risk of severe illness and death from COVID-19.
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How To Use This Tool
Use this tool to identify different strategies that may help to lower the risk of COVID-19 spread in your setting. As you work through each section, place a checkmark beside the measures that make sense in your setting. At the end of the tool, you’ll be able to print a list of these items for reference.
This tool has 4 sections:
Each section in this tool will:
- explain the purpose of the section related to how COVID-19 may spread
- provide questions about COVID-19 risk for you to consider
- list some public health measures that may be useful
This tool doesn’t list every possible public health measure that might be useful in a specific setting. We encourage you to find ways to lower the risk of COVID-19 spreading in your setting that align with the local situation and public health advice.
Consider how measures may impact emergency preparedness plans like building evacuation and medical emergencies unrelated to COVID-19. Make sure the measures don’t introduce new hazards into the setting either .
Some measures may only make sense in indoor spaces or supervised outdoor spaces. Others may not be possible in unstructured or unsupervised settings.
Special Precautions At Home
Sheltering in place and self-quarantining at home can pose particular challenges for people with asthma, said Judith E. Quaranta, RN, PhD, CPN, AE-C, an assistant professor of nursing and asthma educator at Binghamton University Nursing in New York.
Staying indoors may increase exposure to certain asthma triggers, Quaranta told Healthline. If possible, a room in your home should be maintained as trigger-free as possible. Depending on your triggers, keep all pets out of your room. Try to maintain a dust-free environment. If possible, have someone other than the person with asthma clean with a HEPA-filtered vacuum and dust frequently. Maintain low humidity to reduce mold and dust mites.
As pollen counts rise in spring, windows also should be kept closed to reduce exposure, said Quaranta, who also advised avoiding any type of smoke.
Also, be careful with household cleaners trying to keep your home sterile, as the fumes may irritate your lungs, Dawson said.
People with asthma whove been diagnosed with COVID-19 or suspect they have the illness and are using an inhaler at home need to do so in a location that minimizes exposure to other family members, since the coronavirus spreads via exhaled droplets of water.
Choose a location for your treatment where air is not recirculated into the home places like a porch or patio, or in a garage areas where surfaces can be cleaned more easily or may not need cleaning, the ACAAI advised.
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Follow Public Health Measures
COVID-19 spreads from an infected person to others through respiratory droplets and aerosols created when an infected person:
COVID-19 can also spread by touching something that has the virus on it, then touching your mouth, nose or eyes with unwashed hands. You can transmit COVID-19 before you start showing symptoms or without ever developing symptoms.
To prevent the spread of COVID-19, follow core public health measures:
- Get vaccinated
- Stay home if you are sick
- Clean your hands often
- Try not to touch your eyes, nose and mouth
- Cover your cough and sneeze
- Practice physical distancing:
- limit activities outside of the home
- When outside of the home, stay at least 2 meters away from other people whenever possible
- avoid closed and crowded spaces
- Wear a mask that completely covers your nose and mouth
- Clean and disinfect frequently touched surfaces
- Avoid close contact with someone who is sick
- Stay informed and follow public health advice
The Government of Canada recommends the use of multiple personal preventive practices at once, regardless of your vaccination status. This is called a layered approach and it helps protect yourself and others.
Follow local public health advice on when you should wear a mask. Masks may be required or recommended in public settings, such as:
- public transit
Be sure to check your provincial or territorial authority for up-to-date guidance.
Q Will My Child With Asthma Be Allowed To Use Their Quick
Yes. The use of a quick-relief inhaler, with a spacer or valved holding chamber, should not spread viral particles because, when used correctly, the medicine is inhaled into the lungs and not expelled. Coughing is a common asthma symptom and using an inhaler could also cause a child to cough. Children should maintain a physical distance of at least 6 feet and cover their mouth if their asthma or the use of an inhaler makes them cough. Its important to communicate with the school health office to inform them that your child has asthma and to complete any paperwork that may be required by the school to allow your child to self-carry and self-administer their asthma medicine during the school day. If your child forgets their medicine or is not able to self-carry, discuss treatment options with the school health staff.
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Risk Of Severe Covid May Depend On Your Type Of Asthma Experts Say
Everyone agrees about the good newsfolks whose asthma is spurred on by allergies don’t appear to have an increased risk of life-threatening illness if they contract COVID-19.
“Asthma has not risen as one of the top comorbid diseases for worse COVID-19 outcomes,” said Dr. Sandhya Khurana, director of the Mary Parkes Center for Asthma, Allergy and Pulmonary Care at the University of Rochester Medical Center. “We always worry with asthma and viral infections, because they seem to trigger asthma exacerbation unreasonably. But what we’ve seen so far is reassuring.”
But debate continues to swirl regarding the potential severity of COVID infection in people with non-allergic asthma.
Some studies have suggested that people who have asthma caused by something other than allergiesexercise, stress, air pollution, weather conditionsmight have an increased risk of severe COVID-19.
For example, Harvard researchers found that having non-allergic asthma increased the risk of severe COVID-19 by as much as 48%. That conclusion was based on data from 65,000 asthma sufferers presented in the June issue of the Journal of Allergy and Clinical Immunology.
“For those people, I think being more cautious would be good for them,” said senior researcher Liming Liang, an associate professor of statistical genetics at the Harvard T.H. Chan School of Public Health in Boston. “I think the next wave is coming. We’ve got to be more cautious.”
Are People With Asthma Less Likely To Be Affected By Covid
What we showed and what others have shown is that asthma alone really isnt a risk factor for severe outcomes from COVID-19, and that is great news for asthma patients, Dr. Robinson told MedPage Today.
However, researchers acknowledge that more work is needed to understand the risks that asthmatic patients may or may not face with COVID, including the impact of asthma-related inflammation and the use of inhaled corticosteroids.
As we continue to learn more about the coronavirus and its impact on asthma patients, people with asthma should continue to practice recommended precautions, such as getting the vaccine, wearing a face mask, and social distancing, and follow their asthma action plans.
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What Doctors Are Saying
Wechsler said this information doesnt change his recommendations to people with or without asthma.
I am telling them what Im telling everyone else: masking, handwashing, social distancing, getting vaccinated. Those are all really, really important factors associated with preventing getting COVID-19, he said.
I also tell them that they should take their medications as prescribed because if they get COVID-19, then we want them to be as well controlled as possible so that asthma does not get worse, Wechsler said. So, they need to continue on their inhaled steroids or whatever other controllers theyre taking.
Always talk with your doctor about your medications, such as inhaled corticosteroids, which are often prescribed for asthma.
Theres the suggestion, Wechsler said, that the steroid component of this medication may reduce viral replication of the coronavirus.
So, if your airways are less compromised because youre taking your medication as prescribed, then youre less likely to develop a complication if you get COVID-19.
Dr. Joe Zein, a pulmonary medicine specialist at the Cleveland Clinic in Ohio, told Healthline that he assures his patients that asthma may not necessarily be a bad thing, and your risk is probably not higher than someone who doesnt have asthma.
Zein urges people with asthma to continue taking their prescribed medications and following all the recommended COVID-19 precautions.
Theres still much to learn in this area, Sunjaya said.