The four seasons of asthma

The changing of the leaves from green to brown and the shortening of days indicate that Winter is well on its way. Winter brings cold weather and keeps us inside, where indoor triggers such as dust mites, pet allergens, smoke and viruses can worsen asthma

"There are a number of these triggers which, if avoided, can reduce the risk of developing an asthma attack. It is important that members with asthma are aware of these, many of which are seasonal, and should try and avoid these triggers where possible. Medication compliance is also critical as is implementing healthier lifestyle choices such as opting to stop smoking," says Peter Jordan, Principal Officer of Fedhealth.

A total of 2.3% of Fedhealth's members, diagnosed with Asthma are registered with the Chronic Medicine Programme, with the total annualised chronic medication costs for this disease category accounting for 8.2% of the schemes annual authorised cost.

Common asthma triggers include animals, dust, changes in weather, chemicals in the air or food, exercise, mould, pollen, respiratory infections such as the common cold, strong emotions, and tobacco smoke. Aspirin and other non-steroidal anti-inflammatory drugs can also provoke asthma in some patients.

"The prevalence of these triggers may increase or decrease seasonally and although it is not possible to completely avoid these environmental triggers, there are ways to minimise exposure in the home, school, work, recreation and travel environments," comments Jordan. Jordan says the upcoming winter months are particularly hazardous for asthma sufferers due to the cold temperatures. "Winter is also the season for the common cold and flu. Viral infections trigger asthmatic attacks and therefore it is beneficial for asthmatics to make use of Fedhealth's screening benefit that provides for a flu vaccination per beneficiary per year."

Early warning signs that may occur just before or at the very beginning of an asthma attack include frequent coughing, especially at night; shortness of breath; feeling fatigued and irritable; feeling tired or weak when exercising; wheezing or coughing after exercise; decreases in lung function as measured on a peak flow metre; signs of a cold or allergies; and trouble sleeping. "In general, these signs are not severe enough to stop you from going about your daily activities, but through recognising the signs, asthmatics can prevent an attack or prevent one from getting worse," adds Jordan.

Not every person with asthma has the same symptoms and while some asthmatics may go for extended periods without having any symptoms, others my have asthma symptoms everyday. Vitally important is the correct diagnosis, treatment options and monitoring which can dramatically improve quality of life.

"Asthma is a serious condition and the sooner members can get onto a treatment programme with regular check-ups from their medical doctor, the more fulfilling their lives will be," concludes Jordan.