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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# study#to#learn#more# The%Impact%of% ET#for#this#year’s# about#families’# Penicillin%Allergy%&% virtual%USAsthma experiences#managing# What%We%Can%Do% Summit. their#child’s#asthma# About%It during#the#COVIDN19# Dr.#Allison#Ramsey pandemic. Register#on#our# 11/25/20 More#info#at#“News”# website#at#“Events”. on#our#website. 4:00#PM#ET Experts(Answer(YOUR(Questions(about( COVID:19,(Asthma,(Allergies(&(the(Flu Dr.$Jackie$Eghrari. Sabet Dr.$Purvi Parikh Tonya$Winders 1

10/27/20 Our$Speakers Dr.$Jackie$Eghrari.Sabet Dr.$Purvi Parikh Tonya$Winders President$&$CEO,$Allergy$&$Asthma$ Clinical$Assistant$Professor$of$ Clinical$Assistant$Professor$of$ Network Medicine,$George$Washington$ Medicine$NYU$Langone$School$of$ School$of$Medicine$&$Health$ Medicine &$Director,$Allergy$and$ President,$Global$Allergy$&$ Sciences Asthma$Association,$Murray$Hill Airways$Patient$Platform Medical$Director,$Telehealth,$ National$Spokesperson,$$$$$$$$$$ Allergy$&$Asthma$Network$ Allergy$&$Asthma$Network$ Outline ! Current*State*of*COVID*– 19 ! YOUR*Questions ! Asthma ! Allergies ! Flu ! More*&*more* questions! 2

10/27/20 Poll$Question • We’d%like%to%know%who%is%here%today. • Which%category%best%describes%you? Current'State'of'COVID019 Tonya&Winders 3

10/27/20 Cases#in#the#last#7#days US#Data#Report#– CDC# 4

10/27/20 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# outcomes,#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 5

10/27/20 COVID&19)Cases)in)US)by)Date)Reported New)Cases)by)Day 70000 60000 50000 40000 30000 20000 10000 0 March)6 April)3 April)10 April)17 April)24 May)1 May)8 June)1 June)8 June)15 June)22 June)29 July)1 3 July)2 0 July)2 7 February)28 March)13 March)20 March)27 May)15 May)22 May)29 July)6 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 Cases One$Aim$of$Today’s$webinar$3 We’ve%added%the%logos%of%where%the% information%that%we’re%sharing%came%from We$want$to$help$you$ to$look$for$ Be%aware%of%what’s%”on%the%internet”%or%“in% the%news”%8 just%because%it%looks%reliable% information$from$ doesn’t%mean%it’s%true trusted$sources$3 Look%for%evidence8based%information%from% expert%sources 6

10/27/20 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 7

10/27/20 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& ongoing&in&various&clinical&settings,&the&results&of&which&are& eagerly&awaited. 8

10/27/20 Is#budesonide#inhalation#protective#against# Covid519? At#the# 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.# present#time# in#this#COVID1 Patients#with#asthma#and#COPD#who#are#stable#while#using#ICS#should#continue#on#their# treatment.# 19#pandemic# clinicians# 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.# should#be# aware#that: 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. 9

10/27/20 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. 10

10/27/20 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.% 11

10/27/20 How$can$I$tell$if$I$have$COVID419$or$if$it’s$my$ allergies$acting$up? People&with&allergies& It’s&rare&to&find&fever&or&diarrhea&associated&with& do&not&have&a&fever&– seasonal&allergies. that’s&indicative&of&an& Allergy&season&has&made&this&difficult! illness&– the&flu,&any& number&of&things&– or& COVID@19. 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% We%do%know%that%older%adults%and% information%at%this%time%to%know% people%who%have%severe%underlying% whether%having%seasonal%allergies% medical%conditions%like%obesity,% puts%you%at%higher%risk%of% diabetes,%or%heart%or%lung%disease% contracting%COVID<19%or%having% are%at%higher%risk%for%developing% more%severe%symptoms%if%you%do% more%serious%complications%when% contract%COVID<19.% they%have%COVID<19. 12

10/27/20 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. 13