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Asthma and winter time

Cold weather can cause asthma to flare up more than usual, not to mention the extra threat of colds and flu, which can badly affect the respiratory system.

Around three quarters of asthmatics say that cold weather makes their breathing more difficult, according to Asthma UK. But there’s plenty you can do to keep the condition at bay this winter.

Why does winter make asthma worse?

There are several reasons why winter is a problem for asthmatics. The cold air itself is a common trigger of breathlessness and asthma attacks, plus winter brings with it an increase in colds and respiratory infections.

Being indoors can cause problems too as the air is often of poor quality during the winter because we crank up the drying central heating and prevent fresh air circulation by closing doors and windows against the chill.

Much of this is unavoidable so it’s important that you and those around you know your asthma plan in case you do have an attack.

Asthma under control

First and foremost, make sure that you and your medical team have done everything possible to ensure your asthma is well controlled. This may involve several visits to the asthma clinic or GP and a variety of inhalers, both preemptive and for when you’re short of breath.

Ideally you should rarely need your reliever so don’t forget to take your preemptive medication regularly.

Those with well-controlled asthma are much more likely to be able to take the winter in their stride. But if you know that cold air is a particular trigger for you, you can use your reliever preemptively before going outside in wintry weather.

And remember to keep it on you at all times.

Asthma

Asthma

Keep up good asthma-prevention practice at home

It’s even more important in the winter that you keep your home as asthma-friendly as possible. This means vacuuming with a HEPA-filter cleaner regularly, wiping dust off surfaces, investing in air filters and using anti-allergy bedding, as dust-mite allergies can often be an asthma trigger.


Avoid respiratory infections

This may be easier said than done but do everything possible to avoid catching a cold or the flu. Get the flu jab and avoid those who are suffering.

You may also find it helpful to wear a scarf over your nose and mouth when you go outside, which will also help warm the air you breathe in before it enters your lungs.

Winter, exercise and asthma

Exercise is important for asthmatics for all the same reasons as those who don’t have the condition. It also helps increase lung capacity, which is vital to control asthma.

In the winter and if you can, exercise indoors where the temperature is controlled. If you do decide to workout outdoors, try wearing a cold-weather mask to reduce the impact of the icy air on your lungs.

It’s also important to drink plenty of fluids so your airways don’t dry out and be sure to warm up and cool down before and after exercising.

The winter can be even more uncomfortable for asthmatics than everyone else, but with some care and attention, you can live a perfectly normal life whatever the weather.

Flu jab dangers

A RECORD number of people died last year after suffering possible side-effects of the flu jab, health service figures reveal.

In 2011 there were 10 deaths linked to the vaccine, compared with 18 from 2008 to 2010.

In total 458 cases were reported last year where the patient had a suspected adverse drug reaction to the flu jab, up fourfold on 108 cases in 2009. These include asthma attacks and chest infections.

Health officials stress the deaths and side-effects are “suspected”.

Regulations now demand any case where a jab could have had an adverse effect has to be reported.

The Medicines and Healthcare Products Regulatory Agency said the increase may be because more people are logging their concerns rather than an actual rise in adverse reactions.

A spokesman for the MHPRA said: “A causal association with the influenza vaccines has not been established for any of these cases.

Flu vaccination

Flu vaccination

“The vaccine is largely given to those at high background risk of morbidity regardless of vaccination and coincidental medical events are to be expected.”

The Department of Health said serious side-effects of the flu vaccine are rare but warns people may have a slight temperature and aching muscles for days after the jab.


The department said: “Vaccination remains the best way to protect against a number of life-threatening diseases, including flu.

“Last winter more than 10 million doses of flu vaccine were given out across the NHS in England.

“There were just 0.004 per cent reports of side-effects. Most side-effects from the flu vaccine are not serious.”

Jackie Fletcher, of support group JABS, said: “The figures released by the MHPRA on the number of suspected side-effects following flu vaccination is worrying, particularly as it is accepted by the Department of Health that doctors report less than 10 per cent of suspected vaccine adverse reactions.”