Child with severe asthma: best and worst places?

What is the worst and best cities to live in for a child who has severe asthma? – submitted by Katelyn in Canada

Note from Lois (AllergyNurse): Katelyn, last month I published a report on the AAFA Fall Allergy Capitals for 2011, along with a link to our writeup of the Spring 2011 Asthma Capitals. In the Spring Asthma Capital report, I also talked about best places for asthma.

Hope this helps. Perhaps our readers will have further ideas to share.

2 thoughts on “Child with severe asthma: best and worst places?”

  1. You might try Don’t try living in the central valley of California where I live now.
    A simple search on Dr. McDougall’s site Juyl/Aug. ’98 turned up the following.: Hope that it copies over so you can read it.

    Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC by the International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee in the April 25, 1998 issue of the Lancet found asthma most common in UK, Australia, New Zealand, and Republic of Ireland; and least common in several European Eastern Countries, Indonesia, Greece, China, Taiwan, India, and Ethiopia (351:1225). The places of lowest prevalence for allergic rhinoconjunctivitis and eczema were similar to those of asthma.

    COMMENT: You might think respiratory diseases, like asthma and rhinitis (runny nose), and conjunctivitis (inflamed eyes), would be most common where pollution was worse. However, that’s not what the worldwide pattern shows. These allergic diseases are common in affluent nations where pollution levels are generally low.

    Based on what I know about their cause and the experiences I have had with treating these allergic problems, I would have predicted these findings, because, again, it’s the food. Dairy products have been linked to all of these allergic conditions, and removal of dairy from the diet has profound benefits for the patients. Other highly allergic foods, like eggs, probably play a role too. Rich foods also lead to acid indigestion and acid reflux. The refluxed acid travels to the back of the throat where it is inhaled, burning the bronchial tubes and causing the bronchospasm and mucus production, characteristics of asthma. That same stomach acid is breathed into the sinus passages causing rhinitis, and sinusitis.

    The solution to these problems is a starch-based diet. Removal of the dairy and egg products often stops these allergic reactions. A change in diet calms the stomach and usually stops the acid reflux. Raising the head of the bed will also help keep the acid out of the back of the throat. Finally, antacids may be needed to counteract the acid.

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