In
this Issue May 2004
Colds, 'Flu and Analgesics
Trends in Online Health Use
“Why Me? Asthma" DVD/VHS
Conference Diary 2004
Colds, 'Flu and Analgesics
Give some thought to prevention
Droplets of fluid from your nose or mouth spread cold and
influenza viruses to other people. To prevent this transfer:
-
keep your hands away from your eyes, nose, and mouth,
-
use paper tissues to blow your nose and throw them away
after use,
-
wash your hands thoroughly with soap after blowing your
nose, after covering your mouth for a cough or sneeze, and before preparing
or eating food,
-
do not share cups or cutlery with other people (especially
if they are showing cold or 'flu symptoms).
Managing colds and influenza requires plenty of rest to help
your body's immune system fight off the viruses. If you have a cold and also
have asthma, follow with your written Asthma Action Plan. (No written Asthma
Action Plan - please discuss this with your doctor next time you visit.)
It is also important to
-
drink plenty of fluids to replace fluids lost from your
body,
-
avoid smoking or exposure to cigarette smoke,
-
use medication to relieve aches and pains, and reduce fever,
-
inhale steam to clear blocked sinuses and ease chest
tightness in adults,
-
use saline nasal sprays to help clear mucus,
-
a decongestant, in the form of nasal spray, drops, tablets,
or mixture, may help dry a runny nose or relieve blocked sinuses,
-
suck ice or throat lozenges, or gargle warm, salty water to
help soothe a sore throat.
Relieving aches and pains, and reducing fever
Whether you have the common cold that mostly affects your nose
and your throat, or influenza, which is a more serious illness that can cause
the whole body to ache, you may require some analgesics.
One of the most commonly used medications for the relief of cold
and ‘flu symptoms is an analgesic such as aspirin, a non-steroidal
antiinflammatory drug (NSAID). For some people who have asthma, aspirin may
induce an asthma attack 30 minutes to three hours after ingestion. It is also
important to recognise that cross sensitivity may occur with other NSAIDs such
as ibuprofen, naproxen and diclofenac.
Paracetamol (acetaminophen), however, is seldom associated with
cross sensitivity in patients with aspirin induced asthma.
A recent article in the British Medical Journal, by Dr Christine
Jenkins and colleagues from Australia, noted that a significant proportion of
people with asthma are sensitive to aspirin but many may be unaware of their
sensitivity. Sensitivity rates reported vary widely but the reported systematic
review showed an aspirin-induced asthma rate of 21% for adults and 4% for
children.
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What is already known on this topic
-
Aspirin induced asthma is a distinct syndrome
that is potentially life threatening
-
The prevalence and cross reactivity to other
analgesics has been difficult to assess due to differences in
trial methods
-
Asthmatic patients sensitive to aspirin are
usually cross reactive to NSAIDs but seldom react to paracetamol
What this study adds
Adapted from
Reference 1 |
Generally for people with asthma, your doctor can assess the
severity of your illness, provide information about its expected duration, and
advise you on treatment to help you to better manage your asthma through the
illness.
It is especially important you consult your doctor if symptoms
are severe, if they persist, or you develop severe headache, difficulty in
waking up, a high fever, or if light hurts your eyes.
Reference
1. Jenkins C, Costello J, Hodge L. Systematic review of
prevalence of aspirin induced asthma and its implications for clinical practice.
BMJ. 2004 Feb 21;328(7437):434.
For more information see
Asthma
& Influenza - The Facts
Trends in Online Health Use
Anyone with access to the Internet has the ability to tap into
an ever-increasing wealth of health information. Some health professionals are
concerned that the complexity of the information may overwhelm patients at best
and at worst be misunderstood.
The third Australian eHealth survey undertaken by AC Nielsen
Consult1 highlights a degree of
discrimination amongst online health users concerning available information.
Through various search strategies 86% of health users seek to clarify
information and further 32% ask their doctor if they do not understand the
information gathered.
Why a Health Web Site is Important?
There are over 5 million regular Internet users in Australia and
almost one third are online health consumers over the age of 15.2
The online health consumer3,4
-
Savvy and Internet experienced.
-
A high percentage is female.
-
More than half of these consumers are basically
in good health with no major medical conditions.
-
A further 32% have one or more medical
conditions that requires daily management such as asthma or high
blood pressure but they are otherwise in good health.
-
Just over 10% of consumers have either been
recently diagnosed with a medical condition or describe
themselves as being in ‘average to poor health with several
conditions requiring medical attention’.
|
Importantly, nine out of ten consumers look to their
GPs for advice about health issues. The Internet is the
second
most used source of health information through various medical
sites where they can get information themselves.
|
Health information Online: compelling reasons for
success.
Access
Patient empowerment and information access are
inextricably linked. The Internet has allowed the ordinary person to
tap into a world of health and medical information previously
accessible only to professionals or the wealthy.
Availability
Information is available at the consumer’s
convenience.
Anonymity
Information can be obtained without having to talk
with anyone, particularly on sensitive topics.
Authority
The Internet provides validation and more
information about a specific illness or condition. |
The previous AC Neilsen's eHealth survey3
and the Pew Internet & American Life project4
show that more than 90% of people find information online that is useful to
them.
Information online leads half of these people to ask new
questions of their GP and one in five are more influenced to seek out their GP.
For people with asthma, access to online resources should serve
to enhance their understanding of how to gain a better quality of life.
References
1. The third annual Australian eHealth Study, Health Consumers,
Medical Practitioners and Pharmacists November 2003, ACNielsen.consult.
2. The Australian Bureau of Statistics (www.abs.gov.au)
3. The second annual Australian eHealth Study Impact of the
Internet on Health Consumers, Medical Practitioners and Pharmacists November
2002, ACNielsen.consult.
4. The Pew Internet & American Life project : Online life
report, Pew Internet & American Life, November 2000.
“Why Me? Asthma" DVD/VHS
The “Why Me? Asthma" DVD/VHS is an education program on asthma
and self-management, suitable for people who are newly diagnosed with asthma.
The 40 minute program explains what asthma is and what you need
to do to continue living a healthy, normal life.
Real life case studies give excellent examples and discuss the
latest treatments for asthma.
The production of "Why Me? - Asthma" by Business Essentials was
supported by the RACGP, Asthma Victoria and the National Asthma Council.
How to order
“Why Me? Asthma" is available for purchase.
The DVD/VHS retails at $24.95 per copy plus $5.50 postage
and handling for a single copy
$9.50, 2-5 copies; and
$15.00, 6 or more copies
Preview and
order “Why Me? Asthma" DVD/VHS now!
Conference
Diary 2004
Submit brief conference/meeting details to the National Asthma
Council for possible posting in our Conference Diary by email to
nac@NationalAsthma.org.au.
International Pediatric Respiratory, Allergy and
Immunology Congress. Hong Kong Convention and Exhibition Centre
10-13 July 2004.
IPRAIC Hong Kong
(www.ipriac.org) |
 |
National Medicines Symposium 2004 Quality Use of
Medicines - Time for total integration Brisbane Convention and
Exhibition Centre Brisbane, Australia
28-30 July, 2004
National
Medicines Symposium 2004
(www.nps.org.au/nms2004) |
 |
17th International Symposium on Epidemiology in
Occupational Health Carlton Crest Hotel Melbourne, Australia
13-16 October 2004
EPICOH 2004
(www.med.monash.edu.au/epicoh2004) |
 |
Created May 27, 2004. Updated
January 31, 2008
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