Reducing Asthma related Deaths in the United States
Table of Contents
Abstract ……………………………………………………………………………………. 3
Conclusion ………………………………………………………………………………… 12
Recommendations ………………………………………………………………………… 14
The rate of asthma related deaths in minority groups in the United States has been on an upward trend and raised concerns of it being an epidemic. In minority such as the Latino and the African-American population, the rates of infection and deaths is three times that of the white community. The rates in children has been marked at 9.5% with adult rates reaching 12%. Healthcare remains one of the most controversial topic issues to deal with in the American public. This proposal seeks to highlight the national concern on the prevalence of Asthma in the American public. The proposal will begin by a brief background of asthma prevalence in the American public, the denture the same leaves on the national expenditure, the need to keep most Americans safe and have a better living environment. The proposal will feature a background study which will then be followed by a discussion of the effect the disease has had on the national budget. Closer home the proposal will look at the prevalence rates in California and the rates in children. With a budget of $100,000, it is important to limit the proposal to a particular area of California (properly identified) and offer solution to individual solutions to a number of people. A cost analysis will precede the implementation of the project. The sociological model calls for collection of information in different areas. The proposal will evaluate different literature on how different countries and communities have implemented their practices. The appeal is that you fund the project so as the journey to having an asthma free America is realized.
In the year 2015, almost over 2.5 million non-Hispanic blacks reported that they were living with asthma. The rate of asthma prevalence in African- American women was reported to be 20 percent more likely to be more than that of non-Hispanic whites. African Americans have been reported to be three times more likely to die from asthma related complications than whites in 2014. African American children were reported o be ten times more likely to die from asthma related complications in the United States in 2015 than white children and other non-black communities. Hospital admission rates for African American children are four times more than that of their non-black counterparts. There are many causes of asthma although the major reason is yet to be scientifically proven. However, studies have shown that children who were exposed to second hand tobacco had an increased risk of contamination. They were likely to contract diseases such as bronchitis owing the fact that they have lower respiratory tract infections. For children living below the poverty level, high levels of blood cotinine were identified and were a risk for their exposure to asthma.
Table 1: Rate of asthma prevalence
|Current asthma prevalence percentage, adults ages 18 and over, 2015|
|Non-Hispanic Black||Non-Hispanic White||Non-Hispanic Black/Non-Hispanic White Ratio|
Source: CDC 2017. National Health Interview Survey Data 2015.
There are staggering facts on the problem that asthma has brought into the United States. For black communities, the problem causes identified are sometimes so frivolous that the lives lost could have been saved were the officials to take steps to remedy the situation. For those living below the poverty line, it was understood that the risk factors were numerous. As such, steps need to be taken to remedy the problem for the betterment of community healthcare. The solution to the problem in children is strict adherence to asthma medication at the required periods of time. In African American communities, parents are usually compromised by their beliefs and will generally be reluctant in adhering to asthma medication instructions for their children. For adults, the same beliefs have been reported to be the reason behind the high asthma related deaths in the United States. Coupled with poor literacy, the problem has been advanced by individualized cultural sensitivities that communication on addressing the issue is not possible.
The use of long-term control medications is also key in ensuring that disparities between the races is effected. In such a way, the burden of asthma is reduced. Through the consistent use of long-term control medication and other asthma related medications helps in the reduction of emergency care issues and deaths in the United States. The burden of childhood asthma properly identifies the general way in which minorities are affected. It is therefor important to include asthma education programs to ensure that they poor communities have adequate information on the treatment and care for people living with the disease. Identifying other environmental triggers calls for different ways in which asthma is to be dealt with. This proposal seeks to bring the prayer that education programs are created to advance the education of black and Latino communities in the United States. The education programs will run through a period of six months whereupon there will be an evaluation of the different impacts of the different methodologies of dealing with the problem at hand. The education programs in California will be conducted through radio, television, the internet and live door to door education programs that will be run through the enabling power of the funds requested.
In the Unite States, the prevalence of asthma is not only triple for the minority groups but also comes with higher asthma associated morbidity and deaths in the black community than in other races. Numerous factors including lower socio-economic status, levels of education, genetics, health maintenance behavior, obesity and the quality of air are attributed to the increased deaths in the communities. The complexity of the risk factors is yet to be understood by most members of the public and it is in the same stance that increased deaths have been reported. According to the American statistics on the levels of asthma related deaths in the United States, most of the problems identified are ones that could be easily avoided.
Asthma Facts and Figures
Asthma is a disease that affects the airways where a blockage occurs and air from the nose or mouth will have difficulty reaching the lungs. As a result, the individual will have problems breathing and they will also have allergies. Irritating things will often affect the individual and they will need to adapt to new ways of dealing with the disease. In the United States, asthma classified among the costliest diseases. According to the Centers for Disease Control and Prevention (CDC) every one in thirteen people is infected with asthma (CDC, 2018). At the beginning of 2018, more that 25 million Americans are suffering from asthma. For adults, this translates into 8.3 with a similar margin for children. Since the early 1980s, asthma has been on the increase and affects virtually every racial group in the United States.
Some of the characteristic’s asthma has taken in THE United States today include;
- Asthma is reported to be more common in American women than men
- African Americans in the United today die at a higher rate than other races in cases related to asthma.
- In 2015, more that 11 million people admitted to have experienced asthma periods.
- In American children, asthma is the most chronic disease.
- Boys are more affected by asthma in the United States than girls.
- Asthma is more common in children than adults.
- Asthma is more common in boys than girls.
- More than 6 million children under the age of majority are suffering from asthma.
Asthma was also reported as the major reason why children did not attend school in 2015 than other health related issue in the United States. On a daily basis, close to 10 Americans die from asthma related complications. In 2015 alone, 3,615 people died from the disease. Form research and policy, it has been indicated that most of the deaths occasioned by asthma could have been prevented. Through proper care and treatment, most Americans could avoid the many risks that are brought about by asthma. The sad fact about the deaths caused by asthma is that different people will have different ways in which they respond t asthma. As a disease, asthma can be controlled. For the African American community, some areas have low to poor quality education and as such will not be in a position to tell when a child starts to show the symptoms of asthma. Importantly, it must be mentioned that there are different factors that affect different people living with asthma. For instance, a person living with asthma is required to have adequate measures to ensure that all things they carry out do not affect the lives they are leading. Most of the deaths occasioned by asthma may be due to the lack of information. If a family were to be aware of the medical condition of different people in the family, there would be better control and maintenance of the disease.
In African American communities, the cultural preferences do not allow for a child or family member to get medical attention once they notice a mishap with the body. It is important that education reaches the different areas of low socio-economic status for them to be a fast-responsive mechanism in cases of asthma attack periods. For instance, asthma attacks can be reduced through the education programs developed for the community in accordance to the way of life that these people choose to live. There have been reported cases an individual experience an asthma attack and du to the lack of available personnel to care for the individual, the attack leads to their death. Community health programs in this proposal argue that all Americans with cancer must have adequate ways of ensuring that they are around people who might help them in case any problem arises. In the present setting, most family members lack the knowledge and skills to take care of asthma patients. In the public media, there are rare occasions where asthma is identified as one of the leading causes of death for Americans.
The Costs of Asthma
From the year 2008 to the 2013, the US exchequer had spent close to 82 billion in asthma related expenditure. Medical costs and the loss of work and school have also been reported to be high in different areas in the United States. A continued loss of working time and loss of life is not healthy for the growth of the United States. At a glance, the United States has lost close to $3 billion in lost school and work days. In addition, $29 billion has been lost due to deaths caused by asthma. $3 billion in losses due to missed work and school days. $50.3 billion has been spent on the treatment of asthma and related diseases. Every individual in the United States has an increased medical cost by $3,266 annually. There are different reasons why asthma is a concern that requires heightened attention. An example is where 13.8 million children miss school due to complications brought about by asthma.
The real costs associated with the treatment of asthma are increasing by the year. In the 1980s, asthma was not much of a threat as it is today. An example of 13.8 million children missing school is alarming. There should be ways in which different individuals look at ways in which they can properly identify the problems caused and the manner in which they are solved. Children are the future of America. Most of their education is usually affected by different ways in which they live their lives. Because of environmental factors, some children have the high likelihood of being affected by asthma. The air quality in lower income areas for instance is a threat to the health of the child. Where a child lives within an environment where smoking is tolerated, the kid will be at a higher risk of being infected. In the first instance, the loss of class time will not be noted. However, their counterparts in upper socio-economic areas will have the adequate environment for them to live a risk-free lifestyle. As a result, they are bound to attend all school sessions which increases their likelihood of better performance and educational advancement.
On the other side, children from lower socio-economic background will miss school hours which will mean that thy are bound to fail in examinations owing to the fact that they did not properly cover the important topics in the school curriculum syllabus. It is important to ensure that different individuals find a way to ensure that the loss of hours is not translated. With enough funding to educate the public on how small events in a child’ life affects them, then the responsive mechanisms will stand in to show the different areas of engagement that the individual requires. A discussion about the initial cost compared to the long-term costs that asthma bring in to America. In future, the government has to spend billions of dollars in ensuring that different needs are met. Due to the many challenges that many economies have today, it is important to mention the different factors that different people have in a group or setting. A reduction f this risk will properly input more funds in the hands of many Americans which means that they will have the opportunity to identify with the needs of most part of the population.
Asthma frequency list and deaths- causes
- Poverty – most of the families where members are affected by asthma are poor. Due to poverty, these individuals are not able to properly access education on asthma, its prevention, characteristics and symptoms, and the way that different people are focusing on the subject. Most of these individuals do not understand the right channels to follow to ensure that their family members have been properly attended to. It is important to look at the different ways in which families have been affected by asthma. For parents with inadequate knowledge of the disease, the result will be death if no proper care is administered.
- City air quality – Most of the families affected by high rates and risk of asthma live in cities. Due to a lack of sufficient clean air for breathing, these individuals inhale toxic air on the daily which increases their risk of asthma. In the long run, the population being affected by asthma will increase.
- Education – education plays a pivotal role in the understanding of the risk asthma poses to the United States. Education guides the individual on how they can approach the issue and make sure that the issue is properly taken care of. Among patients, there appears to be a lack of proper education on how to use the breathing equipment given to patients. With lack of knowledge to use an apparatus that will save one’s lives; the rates of death will be increased.
- Poor health care – poor healthcare is a result of the incapacities in dieting and the choice of life. Most black populations are affected by drug problems. Individuals affected by drugs will often disregard their personal hygiene and feeding. Due to the lack of taking medicine at the required time, it is important to lay claim on the reality of findings mentioning the different ways of engagement with the disease.
- Puerto Ricans ae the most affected with asthma. The reasoning behind this reality s that most of them are not engaged in the day to day running of American affairs. For instance, their business and culture allow them to smoke and engage in unhealthy activities so that they are able to fend for themselves. The solution to this problem is in public education. Through allocating money for public education, community health programs will have the general insistence on treatment rather than the death by the disease. Learning how to take asthma medication and living with and infected individual will highly the care of the disease.
- African American children have the highest rates of asthma infection in the United States. The African American culture in the projects attracts asthma attacks. Most those who live in the project drop out of school to deal in drugs and that is the reason why most of them are affected by the disease. The genetic composition of the African American community will definitely have a bearing on their risk attacks.
Commitments to treat Asthma in the past
In the past, there have various concerted efforts in fighting asthma. The first case where asthma has been treated is through case management by data by parent or guardian of the individual affected by the disease. There should be different reports on the prevalence and the death rates associated by asthma. Importantly, there should be a way in which different people look at the manner in which the disease affects the African American population. Through hospital administration data, there should be ways in which government learns about the different character traits of those most affected by asthma. The CAI model was adopted in many different cities and states which makes every effort trackable. The proposal is to look at the solutions that have been preferred in the past and capitalize on their strengths and avoid weaknesses at all costs.
An understanding of the different ways in which patient risks are responded to is important. For instance, it is possible that through public education, there will be different ways in which many of the communities will learn how to care about patient and administer treatment at home. In this way, the risk of constantly having to worry will be reduced. There have been multi-level efforts to deal with different stages of asthma and the risks that are associated with the disease. For instance, it is important to mention that there are different risks that are associated with treating a disease without the requisite personnel. The proposal argues for a training model where members of the public are educated on the various ways in which they can identify their issues and attend to them. In so doing, the community will be in a better place to understand the various ways of dealing with asthma.
Asthma is a chronic disease to children and affects all racial groups in the United States. However, the African American population is at a higher risk of having asthma than any other race in the country. The Latino community is also highly affected by the asthma problem. On a national average, asthma affects close to 10 percent of the population. As discussed in the paper, there are different causes of asthma. The genetics of an individual may be the cause of that person suffering from asthma. Another reason is the manner in which the person carries their life. Education and air quality have also been discussed as some of the main causes of asthma. As discussed, most of the black and Latino community are affected by the disease and it is due to the above that concerns have been raised on how to remedy the situation. Importantly, the paper has dealt with public education as one way to ensure that the high death rates of asthma are controlled. In industry practice and according to the available data on the different subjects to be discussed concerning asthma, the important consideration has been the purification of the education system, cultural beliefs and the manner in which different communities are concerned.
The major recommendation that will help fight asthma prevalence and death is related to economic empowerment and the manner in which different individuals look at ways to g around the problem. The first solution is to lobby the government to provide more funding to areas that affected by asthma. Through funding, there will be an opportunity to conduct public education in local communities insisting on the value of adequate information while dealing and caring for a person affected by asthma.
CDC 2017. National Health Interview Survey Data 2015.
CDC.gov. (2018). CDC – Asthma. [online] Available at: https://www.cdc.gov/asthma/default.htm [Accessed 10 Nov. 2018].
CDC.gov. (2018). CDC – Asthma – Data and Surveillance – Asthma Surveillance Data. [online] Available at:http://www.cdc.gov/asthma/asthmadata.htm [Accessed 10 Nov. 2018].
National Health Interview Survey. (2018). [ebook] Centers for Disease Control and Prevention, National Center for Health Statistics. Available at:https://ftp.cdc.gov/pub/Health_Statistics/NCHS/NHIS/SHS/2015_SHS_Table_A-2.pdf [Accessed 10 Nov. 2018].
CDC.gov. (2018). CDC – Asthma – Most Recent Asthma Data. [online] Available at: https://www.cdc.gov/asthma/most_recent_data.htm [Accessed 10 Nov. 2018].
CDC.gov. (2018). Asthma | Healthy Schools | CDC. [online] Available at: https://www.cdc.gov/healthyschools/asthma [Accessed 10 Nov. 2018].
Zahran, H., Bailey, C., Damon, S., Garbe, P. and Breysse, P. (2018). Vital Signs: Asthma in Children — United States, 2001–2016. DOI:http://dx.doi.org/10.15585/mmwr.mm6705e1. [Accessed 10 Nov. 2018]
CDC.gov. (2018). CDC Vital Signs. [online] Available at: https://www.cdc.gov/vitalsigns (Retrieved 10 Nov, 2018).
Centers for Disease Control and Prevention. (2018). Asthma in Children. [online] Available at: https://www.cdc.gov/vitalsigns/childhood-asthma/index.html [Accessed 10 Nov. 2018].
United States Environmental Protection Agency. Asthma Facts. May 2016 https://www.epa.gov/sites/production/files/2016-05/documents/asthma_fact_sheet_english_05_2016.pdf [Accessed 10 Nov. 2018].
Atsjournals.org. (2018). The Economic Burden of Asthma in the United States, 2008 – 2013 | Annals of the American Thoracic Society | Articles in Press. [online] Available at: https://www.atsjournals.org/doi/abs/10.1513/AnnalsATS.201703-259OC [Accessed 10 Nov. 2018].