Asthma in the US

Baltimore vs Atlanta
Prepared by
Bosede Adedire, Christina Ikome, Angela Long, &
Evangeline Okechukwu
Coppin State University
February 28, 2013

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Outline

Asthma Overview
Burden of asthma in the US as a
whole
Asthma mode of treatment
CDC data extract for asthma (2000-2010) for
Baltimore City & Atlanta
US Census data for Baltimore City &
Atlanta (2000-2010)
Calculation of morbidity rate per 100,000 for each

city
Graphical representation of result




Asthma Overview
 Asthma is one of the main health care problems seen in the western world that is increasing in prevalence.
 Asthma has been characterized as a complex interaction of airway obstruction, bronchial hyper responsiveness with
underlying inflammation.

 Signs and symptoms of an asthma attack could include expiratory wheezing, nonproductive coughing, shortness of breath
pain, chest tightness, prolonged expiration, tachycardia, dyspnea and tachypnea.
 Asthma affects all ages and about half of all cases are identified in early childhood and another 30% being identified
before 40 years old.
 

Burden of Asthma
on the US
 According to the U. S Census bureau, asthma affects more than 22
million people in the United States and has become a major global
health problem affecting more than 300 million people worldwide
 The burden of asthma on the economy is not far-fetched, from
monetary loss due to rising hospitalization to increase number of
asthma prevalence.
 Treatment and research has not been able to find a cure or means to
prevent asthma incidence.
 Asthma cost in the US grew from about $53billion in 2002 to about
$56 billion in 2007, about a 6% increase

Asthma mode of treatment
 The National Asthma Education and Prevention Program
(NAEPP) have developed classification systems intended
for use in directing asthma treatment
 Two categories for management and treatment of asthma:
control of factors contributing to asthma severity and
pharmacological treatment.
 Measures to control factors contributing to asthma severity
are aimed at prevention of exposure to irritants and factors
that increase asthma symptoms and precipitate asthma
exacerbation.

Asthma mode of treatment
Contd..

 Asthma pharmacological treatment includes the use of
medication for long-term management and short-term
relief.
 The short-term relief medication include: albuterol,
bitolterol, pirbuterol, terbuterline. which are administered
by inhalation.
 Long-term treatments of asthma are the use of antiinflammatory medications: these are long acting
bronchodilators and leukotriene modifiers.

CDC & US Census Extract
Graphical Representation: figure 1

Data source:
http://www.cdc.gov/asthma

 

CDC & US Census Extract
Graphical Representation: figure 2

Data source: http://www.cdc.gov/asthma

QUESTIONS

References
CDC’s national asthma control program. (2013). Retrieved from http://www.cdc.gov/asthma
McCance, K., Huether, S., Brashers, V., & Rote, N. (2010). Pathophysiology: The
Biologic Basis for Disease in Adults and Children (6th ed.). Missouri: Mosby Inc.
Moorman, J., Akinbami, L., & Bailey, C. (2012). National surveillance of asthma:
United States, 2001-2010. Retrieved from www.cdc.gov
National Asthma Education and Prevention Program. (2009). Asthma comprehensive treatment
Management. Retrieved from: http://www.naepp+ASTHMA+site:www.nhlbi.nih.gov
Porth, C. & Matfin, G. (2009). Pathophysiology: Concepts of altered health states
(8th ed.). Philadelphia: J.B. Lippincott-Raven.

Patrawalla, P., Kazeros, A., Rogers, L., Shao, Y., Liu, M., Fernandez-Beros, M., Reibman, J. (2012). Application of the as
algorithm from the severe asthma research program to an urban population.
PLOS One, 7(9), 1-7. doi.org/10.1371/journal.pone.0044540

Qamar, N., Pappalardo, A., Arora, V., & Press, V. (2011, March 6). Patient-centered care and its effect on outcomes in
of asthma. Patient Related Outcome Measures, 2(2), 81-109. doi.org/10.2147/PROM.S12634

Ruggeri, I., Bragato, D., Colombo, G., Valla, E., & Matteo, S. (2012). Cost and appropriateness of treating asthma wit
drugs in local health care units in Italy. Clinico economics and Outcomes Research, 4(4), 375-382.
doi.org/10.2147/CEOR.S36499
United States Census Bureau. (2012). Asthma prevalence and incidence nationwide
Retrieved from http://www.census.gov/dem/figures/asthma