Experts(Answer(YOUR(Questions(about( - - PDF document

experts answer your questions about covid 19 asthma
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Experts(Answer(YOUR(Questions(about( - - PDF document

10/27/20 Allergy'&'Asthma'Network'News More#information#at#allergyasthmanetwork.org Join%us% on#Friday,# We%invite%you% to#take# Advances#in#Allergy#&# November#13#from# part#in#a#research# Asthma#Webinar#Series 12:00#p.m.#to#4:00#pm#


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10/27/20 1

Allergy'&'Asthma'Network'News

Join%us%on#Friday,# November#13#from# 12:00#p.m.#to#4:00#pm# ET#for#this#year’s# virtual%USAsthma Summit. Register#on#our# website#at#“Events”. We%invite%you%to#take# part#in#a#research# study#to#learn#more# about#families’# experiences#managing# their#child’s#asthma# during#the#COVIDN19# pandemic. More#info#at#“News”#

  • n#our#website.

Advances#in#Allergy#&# Asthma#Webinar#Series The%Impact%of% Penicillin%Allergy%&% What%We%Can%Do% About%It Dr.#Allison#Ramsey 11/25/20 4:00#PM#ET

More#information#at#allergyasthmanetwork.org

Experts(Answer(YOUR(Questions(about( COVID:19,(Asthma,(Allergies(&(the(Flu

Dr.$Jackie$Eghrari. Sabet Dr.$Purvi Parikh Tonya$Winders

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10/27/20 2

Our$Speakers

Dr.$Jackie$Eghrari.Sabet

Clinical$Assistant$Professor$of$ Medicine,$George$Washington$ School$of$Medicine$&$Health$ Sciences Medical$Director,$Telehealth,$ Allergy$&$Asthma$Network$

Dr.$Purvi Parikh

Clinical$Assistant$Professor$of$ Medicine$NYU$Langone$School$of$ Medicine &$Director,$Allergy$and$ Asthma$Association,$Murray$Hill National$Spokesperson,$$$$$$$$$$ Allergy$&$Asthma$Network$

Tonya$Winders

President$&$CEO,$Allergy$&$Asthma$ Network President,$Global$Allergy$&$ Airways$Patient$Platform

Outline

! Current*State*of*COVID*– 19 ! YOUR*Questions ! Asthma ! Allergies ! Flu ! More*&*more* questions!

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10/27/20 3

Poll$Question

  • We’d%like%to%know%who%is%here%today.
  • Which%category%best%describes%you?

Current'State'of'COVID019

Tonya&Winders

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10/27/20 4

US#Data#Report#– CDC#

Cases#in#the#last#7#days

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10/27/20 5

In#the#News

  • COVID.19#Cases#. “Rapid#Acceleration”
  • Daily#infections#exceed#60,000
  • 14#states#set#new#record#in#Covid.19#hospitalization#rates
  • Gilead's#Remdesivir First#Drug#to#Win#FDA#Approval#for#Coronavirus
  • The#Food#and#Drug#Administration#approved#the#antiviral#drug#remdesivir to#treat#

adults#who#are#hospitalized#with#COVID.19,#although#it#has#not#been#proven#to# reduce#deaths.

  • The#usual#course#of#treatment#with#remdesivir is#five#days,#during#which#time,#six#

vials#of#the#drug#are#administered.#At#the#moment,#it#can#only#be#taken# intravenously.#Gilead#is#currently#developing#an#inhaled#version.

In#the#News

  • Great#Barrington#Declaration
  • “Current#lockdown#policies#are#producing#devastating#

effects#on#short#and#long<term#public#health.#The# results#(to#name#a#few)#include#lower#childhood# vaccination#rates,#worsening#cardiovascular#disease#

  • utcomes,#fewer#cancer#screenings#and#deteriorating#

mental#health#– leading#to#greater#excess#mortality#in# years#to#come,#with#the#working#class#and#younger# members#of#society#carrying#the#heaviest#burden.# Keeping#students#out#of#school#is#a#grave#injustice.”

  • Approving#a#vaccine#may#be#manageable#– delivering#it#

may#not#be#as#manageable

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10/27/20 6

COVID&19)Cases)in)US)by)Date)Reported

10000 20000 30000 40000 50000 60000 70000 February)28 March)6 March)13 March)20 March)27 April)3 April)10 April)17 April)24 May)1 May)8 May)15 May)22 May)29 June)1 June)8 June)15 June)22 June)29 July)6 July)1 3 July)2 0 July)2 7 August)3 August)10 August)17 August)24 August)31 September)7 September)14 September)21 Sepember)28 October)5 October)12 October)19 October)25

New)Cases)by)Day

Cases

One$Aim$of$Today’s$webinar$3

We’ve%added%the%logos%of%where%the% information%that%we’re%sharing%came%from Be%aware%of%what’s%”on%the%internet”%or%“in% the%news”%8 just%because%it%looks%reliable% doesn’t%mean%it’s%true Look%for%evidence8based%information%from% expert%sources

We$want$to$help$you$ to$look$for$ information$from$ trusted$sources$3

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10/27/20 7

Poll$Question

  • Which%sources%of%health%information%are%

you%most%likely%to%trust?

YOUR%Questions%about%COVID419,%Asthma,% Allergies%&%the%Flu

Dr.$Jackie$Eghrari. Sabet Dr.$Purvi$Parikh Tonya$Winders

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10/27/20 8

Questions)About)Asthma Are$Inhaled$Corticosteroids$protective$with$ COVID719?

Whether&use&of&ICS&protects&against&COVID719&is&still& unknown,&but&to&dismiss&this&hypothesis&as&nonsense&is& premature. ICS&as&a&therapeutic&intervention&still&need&to&studied&and& clinical&trials&assessing&their&efficacy&in&COVID719&are&

  • ngoing&in&various&clinical&settings,&the&results&of&which&are&

eagerly&awaited.

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10/27/20 9

Is#budesonide#inhalation#protective#against# Covid519?

At#the# present#time# in#this#COVID1 19#pandemic# clinicians# should#be# aware#that:

There#is#no#evidence#to#support#the#withdrawal#of#ICS#in#patients#treated#with#these#drugs,# and#to#do#so#is#likely#to#be#harmful.# Patients#with#asthma#and#COPD#who#are#stable#while#using#ICS#should#continue#on#their# treatment.# If#there#is#uncertainty#about#the#diagnosis,#physicians#should#be#more#careful#about#initiating# ICS#or#ICS/long1acting#β1agonist#in#patients#without#clear#objective#evidence#of#asthma.# Similarly,#there#is#no#evidence#to#suggest#a#change#in#the#advice#for#asthma#patients#to# increase#the#dose#of#ICS#at#the#onset#of#an#exacerbation.

I"have"severe"asthma"and"my"job"takes"me"into"schools" &"homes"– how"risky"is"this"during"COVID?

People&with&moderate&to&severe&asthma&may&be&at& higher&risk&of&getting&very&sick&from&COVID=19. COVID=19&can&affect&your&nose,&throat,&lungs& (respiratory&tract);&cause&an&asthma&attack;&and& possibly&lead&to&pneumonia&and&acute&respiratory& disease. Consult&your&doctor&who&will&know&YOUR&situation& the&best.

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Is#the#use#of#rescue#inhalers#by#young#children#in# school#higher#risk#with#COVID:19?

Due$to$limited$availability$of$data,$it$is$uncertain$ whether$aerosols$generated$by$nebulizers$are$ potentially$infectious. During$the$COVID?19$pandemic,$nebulizer$ treatments$at$school$should$be$reserved$for$children$ who$cannot$use$or$do$not$have$access$to$an$inhaler.

Have%we%found%that%asthmatics%wearing%a%mask% causes%breathing%issues?%%Children%with%asthma?

Many%people%with%asthma%have%questioned%if%it%is% safe%for%them%to%wear%a%mask. According%to%the%American%College%of%Allergy,% Asthma%&%Immunology,%there%is%no%evidence%that% wearing%a%face%mask%can%worsen%your%asthma.

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Questions)About)Allergies Will$I$be$protected$from$seasonal$allergies$if$I$ wear$a$mask?

Masks%also%offer%some%protection%against%seasonal%allergies% because%they%can%prevent%some%larger%particles%from%being% inhaled.%

  • However,%if%you%have%seasonal%allergies,%masks%should%not%be%your%only%

protection%against%pollen%exposure%because%smaller%particles%can%still%get% through%the%covering%and%be%inhaled.

Wash%your%masks%after%each%use,%particularly%if%you%suffer% from%seasonal%allergies,%because%the%covering%may%carry% particles%such%as%pollen.%

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10/27/20 12

How$can$I$tell$if$I$have$COVID419$or$if$it’s$my$ allergies$acting$up?

People&with&allergies& do&not&have&a&fever&– that’s&indicative&of&an& illness&– the&flu,&any& number&of&things&– or& COVID@19.

It’s&rare&to&find&fever&or&diarrhea&associated&with& seasonal&allergies. Allergy&season&has&made&this&difficult! Itchy&eyes&usually&don’t&happen&with&a&cold&@ but&with& allergies

Does%having%seasonal%allergies%increase%my%risk%of% getting%COVID819?

There%is%not%enough%scientific% information%at%this%time%to%know% whether%having%seasonal%allergies% puts%you%at%higher%risk%of% contracting%COVID<19%or%having% more%severe%symptoms%if%you%do% contract%COVID<19.% We%do%know%that%older%adults%and% people%who%have%severe%underlying% medical%conditions%like%obesity,% diabetes,%or%heart%or%lung%disease% are%at%higher%risk%for%developing% more%serious%complications%when% they%have%COVID<19.

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Questions)About)the)Flu Should'my'son'get'the'flu'shot'if'he'has'a'severe' egg'allergy?

People&with&a&history&of&egg&allergy&of&any&severity& should&receive&any&licensed,&recommended,&and& age8appropriate&influenza&vaccine.

  • No&longer&need&to&be&observed&for&an&allergic&reaction&for&30&

minutes&after&receiving&a&flu&vaccine.

  • Those&who&have&a&history&of&severe&allergic&reaction&to&egg&(i.e.,&

any&symptom&other&than&hives)&should&be&vaccinated&in&an& inpatient&or&outpatient&medical&under&the&supervision&of&a&health& care&provider&who&is&able&to&recognize&and&manage&severe&allergic& conditions.

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10/27/20 14

People&say&the&hot,&hot&weather&kills&flu&and& COVID&die&in&AZ&– do&they?

There%is%no%definite% answer%because% individuals%can%react% different%to%different% weather%conditions It%is%important%to% recognize%your%triggers% and%what%certain% weather%those%may%

  • ccur%in

Do#you#recommend#schools#use#humidifiers#to# help#diminish#the#spread#of#the#Flu?#Asthma?

A#recent#study#carried#out#by#the#US#National#Institute#for#Occupational#Safety#&#Health#(NIOSH)# has#shown#that#the#airborne#transmission#of#the#influenza#virus#is#significantly#reduced#by# maintaining#an#atmosphere#of#40%#relative#humidity#(RH)#and#above.#Airborne#viruses#cannot# survive#in#these#environments. Dust#mites#and#mold#both#love#humid#environments.#Anyone#with#allergies#to#either#should#not# use#humidifiers#as#this#can#promote#growth#and#worsen#allergy#or#asthma#symptoms.

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With%Flu%season%and%COVID419,%should%we%gather% for%holiday%celebrations?

  • Dr Fauci:)Immediate)family,)wear)masks,)no)large)crowds
  • The)lowest)risk)for)contracting)the)highly)infectious)virus)or)

spreading)it)is)simply)celebrating)Thanksgiving in)your)own) home with)members)of)your)household)and/or)virtually)with) extended)family

  • "Understanding)that)everyone)has)this)traditional,)emotional,)

understandable,)warm)feeling)about)the)holidays)BB and)bringing)a) group)of)people,)friends)and)family)together)in)their)house,)indoors)B B that's)understandable,")Fauci,)a)member)of)the)White)House) Coronavirus)Task)Force,)told)ABC)News)during)an)interview)Thursday.) "But)we)really)have)to)be)careful)this)time,)and)each)individual) family)evaluate)the)risk/benefit)of)doing)that."

Questions)and)More)Questions!

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Have%you%seen%pediatric%patients%taking%as%long%to% recover%from%COVID%as%we%have%seen%in%adults?

Hospitalization+rates+in+children+ are+significantly+lower+than+ hospitalization+rates+in+adults+ with+COVID;19,+suggesting+that+ children+may+have+less+severe+ illness+from+COVID;19+compared+ to+adults Recovery+rate+for+children+is+ significantly+higher+than+adults

When%washing%your%hands%or%cloth%masks,%does% the%temperature%of%the%water%matter?

CDC#says# temperature#of#water# does#not#matter#for# microbe#removal.

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10/27/20 17

What%kind%of%general%household%cleaning%should% be%done%during%COVID919?

  • Cleaning refers+to+the+removal+of+germs,+dirt,+and+impurities+from+

surfaces.+It+does+not+kill+germs,+but+by+removing+them,+it+lowers+ their+numbers+and+the+risk+of+spreading+infection.

  • Disinfecting refers+to+using+chemicals,+for+example,+EPAAregistered+

disinfectants,+to+kill+germs+on+surfaces.+This+process+does+not+ necessarily+clean+dirty+surfaces+or+remove+germs,+but+by+killing+ germs+on+a+surface after cleaning,+it+can+further+lower+the+risk+of+ spreading+infection.

What%kind%of%cleaning%should%be%done%if%someone% in%the%household%has%COVID919?

  • Clean%and%disinfect%high9touch%surfaces%daily%in%household%common%areas%

(e.g. tables,%hard9backed%chairs,%doorknobs,%light%switches,%phones,% tablets,%touch%screens,%remote%controls,%keyboards,%handles,%desks,%toilets,% sinks)

  • In#the#bedroom/bathroom#dedicated#for#an#ill#person:#consider#reducing#cleaning#

frequency#to as9needed (e.g.,#soiled#items#and#surfaces)#to#avoid#unnecessary# contact#with#the#ill#person.

  • As#much#as#possible,#an#ill#person#should#stay#in#a#specific#room#and#away#

from#other#people#in#their#home,#following home#care#guidance.

  • The#caregiver#can#provide#personal#cleaning#supplies#for#an#ill#person’s#room#

and#bathroom,#unless#the#room#is#occupied#by#child#or#another#person#for# whom#such#supplies#would#not#be#appropriate.#These#supplies#include# tissues,#paper#towels,#cleaners#and#EPADregistered#disinfectants.

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10/27/20 18

How$can$we$stay$active$during$COVID719$if$gyms$ are$closed$&$weather$doesn’t$always$cooperate?

Utilize'Home'Fitness'Apps Get'Creative'at'Home Don’t'Over'Exercise Maintain'Physical'Distance'while' Outdoors Set'a'Routine Contact'Your'Healthcare' Provider Avoid'Overeating Have'Fun

What%is%the%difference%between%COVID519%tests?

PCR test

  • Detects'genetic'material'of'the'virus'using'a'lab'technique'called'polymerase'chain'reaction'

(PCR).'

  • Also'called'a'molecular'test@ collects'fluid'from'a'nasal'or'throat'swab'or'from'saliva.
  • Results'may'be'available'in'minutes'
  • PCR tests'are'very'accurate'when'properly'performed'by'a'health'care'professional,'but'the'

rapid'test'can'miss'some'cases.

Antigen%test

  • Detects'certain'proteins'in'the'virus.'
  • Using'a'nasal'or'throat'swab'to'get'a'fluid'sample,'antigen'tests'can'produce'results'in'

minutes.'

  • A'positive'antigen'test'result'is'considered'very'accurate,'but'there's'an'increased'chance'
  • f'false@negative'results
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10/27/20 19

In#what#order#are#the#following#”masks”# protective?#(Most#to#least#protective)

1

N95%mask

2

Surgical%mask

3

Cotton%mask

4

Bandana

5

Neck%gaiter

What%should%parents%screen% for%at%home%before%sending% their%kids%to%school?

CDC#has#a# downloadable# document#for#parents.

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10/27/20 20

How$about$the$vaccine$in$pediatric$patients$3 is$it$ being$tested$in$kids?$

As#with#most#vaccines,#studies#will#need#to#be#conducted#in#children# and#in#pregnant#women,#but#these#studies#are#often#done#after#the# vaccine#has#been#shown#to#work#and#be#safe#in#healthy#adults.# Given#the#current#circumstances,#the#Food#and#Drug#Administration# (FDA)#has#encouraged#vaccine#manufacturers#to#consider#including# pregnant#women#in#the#current#studies.# Children#will#most#likely#be#studied#after#one#or#more#vaccines#are# approved.

Poll$Question

  • Are$some$of$your$questions$being$

answered$today?

  • (you$can$ask$more$in$just$a$minute!)
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10/27/20 21

Questions?

Please&record&your&questions&in&the&Question&box&on&your& webinar&control&panel We&will&address&as&many&questions&as&we&can

Vaccines,)Social)Guidance)&)Asthma: A)Global)Glance)at)COVID;19

Join%us%on%November%12th at%3:00%PM%ET%for%the%16th webinar%in%our%COVIDB19%Webinar%Series%B

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10/27/20 22

Experts(Answer(YOUR(Questions(about( COVID:19,(Asthma,(Allergies(&(the(Flu

Thank&you&for&listening! Get&guidelines5based&information&at& allergyasthmanetwork.org