Hot Topics

Discover the latest insights on asthma, including innovative research, effective management strategies, and practical tips for controlling symptoms. Explore the hot topics below to help you navigate your journey toward improved asthma care and better health.

Asthma Peak Week: The Perfect Storm

What is Peak Week?

  • Every third week of September is considered as “Asthma Peak Week”1
  • Anyone with asthma should take extra precaution during the month of September1
  • The ED visit rates are significantly higher in September than in other months, and physician visits are also the highest in fall1

Why does it happen?

  • Cold and flu season beginning in early autumn2
  • Ragweed pollen is released in early fall3
  • Mold counts can increase with damper weather2
  • Kids going back to school (and thus more germ exposure due to close contact with their classmates)2

What can you do?

  • Be aware of Peak Week and monitor weather/pollen counts4
  • Know your triggers/symptoms 4
  • Review your asthma action plan4
  • Make sure your prescriptions are filled and inhalers are not expired4
  • Keep taking medications as prescribed4
  • Alert your emergency contacts4
  • Increase handwashing to stay healthy and reduce risk of infection4
  • Get your annual flu and COVID-19 vaccines4
  • Avoid exposure to triggers (such as outdoor smoke or pollution, fumes, etc)4

Black Americans Have Worse Asthma Outcomes Than White Americans

  • More frequently diagnosed1
  • ~2x likely to be hospitalized due to asthma2
  • ~5x likely to visit the emergency department due to asthma2
  • ~3x likely to die due to asthma, with the highest death rates in Black women1,3

Asthma Disparities Among American Indian/Alaska Native Individuals

  • Compared with the general population, American Indian/Alaska Natives are:
    • ~2x more likely to experience daily asthma symptoms4,*
    • More likely to wake up during the night due to asthma4,*
    • 41% more likely to die from asthma than White Americans5
    • American Indian/Alaska Native adults are ~66% more likely to have asthma than White adults3

Hispanic Individuals Have Worse Asthma Outcomes Than Non-Hispanic White Individuals

  • ​1.5x likely to visit the ER (older adults aged ≥ 65 years)6
  • More likely to have gaps in health insurance coverage (older adults aged ≥ 55 years)6
  • About 27% of Hispanic patients lack access to a regular healthcare source6
  • Puerto Ricans, a subset of the broader Hispanic population, are:
    • Most affected by asthma among all racial or ethnic groups in the US6
    • ~2x as likely to have asthma than White non-Hispanic patients (14.9% vs 7.6%)7
    • Over 20% of Puerto Rican children (aged 0–17 years) have had asthma at some point8

What Factors Cause Asthma Disparities?

  • Economic stability and education6
  • Racism and discrimination6
  • Bias and environmental injustice6
  • Distrust and treatment nonadherence6
  • Disproportionate exposure to smoke and air pollutants6
  • Genetic influence on asthma susceptibility and severity6-9

How Do We Help Reduce Asthma Disparities?

  • Expand health insurance coverage and reform policies on healthcare, education, and environment6
  • Increase representation in trials and address any stigmas and myths and include racially and ethnically diverse researchers6
  • Improve patient-provider communication and provide HCP education and support programs on asthma care6
  • Strengthen multistakeholder partnerships, patient-family engagement, and provider-community relationships6

What is National Influenza Vaccination Week?

  • National Influenza Vaccination Week occurs every year in December1
  • Annual influenza or “flu” vaccine can help protect against the flu1
  • The exact timing and duration of flu seasons vary, but flu activity in North America often begins to increase in October2
  • Most of the time, flu activity peaks between December and February, although significant activity can last as late as May2

Who’s at risk?

  • People with certain chronic conditions like asthma, diabetes, and heart disease are at higher risk of developing serious flu complications3
  • During most flu seasons, 90% of adults who are hospitalized with flu have an underlying medical condition4
  • Non-Hispanic Black, non-Hispanic American Indian or Alaska Native, and Hispanic or Latino persons are at increased risk of being hospitalized with flu because they are more likely to have an underlying medical condition(s)4

What can patients with asthma do?

  • Anyone with asthma is at higher risk for flu-related complications, such as pneumonia. Along with everyone else, if you have asthma, you should:3
    • Wash your hands often with soap and water, especially after coughing or sneezing
    • Cover your nose and mouth with a tissue when coughing or sneezing and throw the tissue away. If you do not have a tissue, cough or sneeze into your elbow or shoulder, not your bare hands
    • Avoid touching your eyes, nose, or mouth (germs are spread that way)
    • Stay home when you are sick, except to get medical care

There’s still time to get vaccinated against the flu!

The Airways as “One” – What’s the Connection?

  • The upper airways (nose and sinuses) and lower airways (lungs) are different parts of the body, but they work together as one system1-3
  • The same kinds of lining cells and immune cells are found throughout the airways1,2
  • Environmental triggers such as allergens, dust, smoke, and fumes interact with the airway epithelium (lining cells)
    • This can activate the immune cells for both upper and lower airways1,2,4,5
  • As the immune system reacts similarly in the upper and lower airways, problems in the nose and lungs may arise at the same time6,7
    • This may lead to symptoms felt throughout the whole breathing system

What is a Chronic Rhinosinusitis?

  • Inflammation of the inner lining of the nose and sinuses lasting more than 12 weeks and resulting in two or more nasal symptoms (eg, nasal congestion, runny nose, face pain or headache, loss of smell) that can affect your quality of life8
  • Affects 5%–12% of adults9
  • Chronic rhinosinusitis is classified into two main types based on whether nasal polyps are present or not9
    • Chronic rhinosinusitis with nasal polyps (CRSwNP)
    • Chronic rhinosinusitis without nasal polyps (CRSsNP)

Chronic Rhinosinusitis With Nasal Polyps and Asthma

  • Nasal polyps are soft and painless growths in the inner lining of the nose or sinuses9
    • These are noncancerous growths
    • Affect 20%–30% of patients with chronic rhinosinusitis
  • People with asthma have a greater chance of having nasal polyps5
  • About 67% of people with CRSwNP also have asthma, showing that the two conditions often occur together6

Asthma and Other Chronic Lower Respiratory Diseases

  • Chronic lower respiratory disease is the fifth leading cause of death in the United States11
  • The most common chronic lower respiratory diseases are asthma and COPD11
  • Asthma and COPD are different conditions, but they share many of the same symptoms, including shortness of breath, wheezing, coughing, and excess mucus, which can make it difficult to tell them apart12
    • About 15%–55% of people may have symptoms of both asthma and COPD13
    • Smokers are at an increased risk of having both asthma and COPD14