Archive for asthma
Addressing inequities in asthma by focusing on children’s environments
Asthma strikes children in low-income urban areas especially hard, more often sending them to the hospital. For more than 20 years, Dr. Wanda Phipatanakul at Boston Children’s Hospital has been investigating why — and seeking ways to level the playing field. “Children in low-income areas and children of color often aren’t diagnosed early enough with ... Read More
Trial for severe asthma targets a mutation common in children of color
Children and adults of color have higher rates of asthma than white people, as well as more hospitalizations and deaths. There are many reasons for this disparity, including more exposure to allergens and pollutants and differences in asthma care. One difference, however, is genetic. A mutation that causes severe, hard-to-treat asthma, in the gene ILR4, ... Read More
SMART: A new approach to asthma management
Until recently, the typical approach to asthma involved two inhalers. In its first update since 2007, the National Asthma Education and Prevention Program now recommends the use of Single Maintenance and Reliever Therapy (SMART) for selected patients. Rather than an inhaled corticosteroid for daily maintenance and an inhaled bronchodilator for exacerbations, SMART uses the same ... Read More
Celebrating remarkable Asian Americans and Pacific Islanders
Boston Children’s Hospital thrives, thanks in part to the contributions of its Asian American and Pacific Islander staff and clinicians. Whether developing innovative treatments for chronic disease, treating children with complex conditions, or organizing online events to bring remote teams together during the pandemic, our Asian American and Pacific Islander team members are central to ... Read More
How do patients with cystic fibrosis respond to COVID-19? An ‘airway in a dish’ may give answers
So far, based on clinical data, patients with cystic fibrosis (CF) don’t appear to be especially susceptible to COVID-19. And when they do get infected, they don’t seem to get sicker. But Ruobing (Ruby) Wang, MD, who cares for patients with CF in the Division of Pulmonary Medicine at Boston Children’s Hospital, thinks there is ... Read More
Asthma, softball, and COVID-19: Gwen’s story
Gwendolyn Castro has a competitive streak. Whether playing softball or debating topics like universal health care, the 15-year-old wants to be the best at whatever she does. Her mom, Alicia Cacho, doesn’t want Gwen’s asthma to hold her back in any way. Over the years, both have learned that the best way to keep asthma ... Read More
Racism and children’s health: What providers need to know
It’s easy to feel outdone by racism, especially as the country cycles through stages of tragedy, awareness, and inertia. But with renewed attention to violence against Black people in recent weeks, many health care providers are asking themselves hard questions: Can we create a better world for the next generation?Can the call for racial justice lead ... Read More
Racism is a health issue: How it affects kids, what parents can do
Racism has once again gained national attention. Following the deaths of George Floyd, Ahmaud Arbery, and Breonna Taylor, people around the world are taking a stand against race-based inequality and violence. But even after it fades from the news cycle, racism will remain present in the lives of children. How children experience racism Racism can ... Read More
Asthma and COVID: Four things families need to know now
It’s an ongoing message from the media: People with underlying health conditions appear to be at higher risk for developing complications of COVID-19. So it’s no wonder that kids with asthma and their parents are worried. “Almost every family I speak with has questions about COVID-19,” says Elizabeth Klements, a pediatric nurse practitioner at Bridgewater ... Read More
Racial differences in response to asthma therapies, and other AsthmaNet lessons
African Americans have higher rates of serious asthma attacks, hospitalizations, and asthma-related deaths than whites. Now, a large multicenter study of African Americans with poorly controlled asthma finds that one size doesn’t fit all when it comes to common asthma treatments. Results appear in The New England Journal of Medicine (NEJM). The randomized study had ... Read More