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Asthma and where you live?

Question:
Are there places/cities within the US that are better for asthmatics than others? I live in Atlanta, and I know our air quality has to be among the poorest. My 15 month old daughter is showing signs of asthma, and I want to know if moving would help her. Any thoughts would be appreciated. I looked in the FAQ but did not see this issue addressed.


Answer:
Even though I know this is probably farther than you would want to go, but getting farther North you go, the better it gets. I am from Iowa and I find that as long as the humidit stays down, then it is not so much a problem. My advice would be find a place that has little humidity, and does not have drastic temp changes from morning to noon to night, and from season to season. Iowa is good, I have heard great things about Arizona, but if you want to stay in the GA area, find a smaller city that is accessiable to what you need in terms of commute, school, ect. Typically there is no such thing as a 'best' place for somebody with asthma. If you move you are likely to become allergic to something in that environment in a few years. That maybe true, but the Atlanta area has to be one of the WORST places for an asthmatic and/or and allergy sufferer to live. The polution level is very high, especially in the summer, and so are the pollen counts, which tend to range from very high to severe every spring. The native varieties of plants are that of the mountain type and typical south fair and also many "imported" (not of this ecosystem) plants all live in the Atlanta area. If any asthmatic is sensitive to any American grown plant, chances are very high that it is growing in the Atlanta area in sufficent numbers to cause problems. In fact, I knew of several people that moved to Atlanta discovered that they had allergies for the first time in their lives. My allergies and asthma moderated some once I moved to Memphis, but that's probably because I was allergic to so many plants in Atlanta that going to anyplace that had less variety of plant life would have benefited me the same. I would NOT suggest moving to Memphis since the pollution level and the pollen counts are still high here, just less than that of Atlanta. Also the humidity here is slightly higher than Atlanta's. Remember that Colin is right, many allergy suffers tend to "re-sensitize"
(sp?) to their new environment, to a degree, within two years so its possible that the gain in allergy control maybe mostly short term. Some places are better than others, but moving isn't always the answer. Which place is better depends on the triggers; cold air, hot air, smog & smoke, pollens of different types. Certainly high pollution areas like inland LA should be avoided; check the pollution readings in the weather report. Sometimes, along the west coast where fresh sea breezes are blowing inland is considered good. Higher elevations are sometimes considered good, dust mites don't grow there; but not too high where air is thin, or in a valley where pollution accumulates. My wife has late onset asthma that developed in her early 20's, not long before we were married. She was born and raised in the Detroit, MI area, which suffers from air pollution to much the same degree that Atlanta suffers. We knew for many years that her asthma was highly affected by 3 major factors, 1) air pollution, 2) allergies to dust/pollen and 3) large swings in temperature and humidity in short periods of time. These factors were identified over a period of time, some by doctors (allergy tests) and the others simply by traveling around the country and observing the effects on her breathing while staying in different places at different times of the year. A trip to Hawaii was just wonderful - no pollution and no pollen types to which she was sensitized. Weather was more truly climate with minimal temperature and humidity variations from one day (or even week) to the next. However, living expenses were perhaps 250% of what we experienced in Detroit. Trips to visit my family in Pennsylvania were also better, with respect to avoiding air pollution of the industrial sort. Pollen allergies were better, too, except for the fall when ragweed was in season. Last year we moved to Greer, SC, and her asthma has improved drastically since then. The temperature and humidity are much more constant and the air pollution is minimal. I am sure that she will probably become sensitized to some of the trees, grasses and flowers that grow in this area, as this is a common problem for anybody who has these types of allergies. However, the other negative factors in her asthma have been reduced or eliminated and her condition continues to improve. In your daughter's case, you will probably not find a *best* place to live. However, you can do everything possible to eliminate the factors that have the most negative impact on her condition. I would definitely get out of the big city and any place that is "down wind" of highly air polluting industries. Staying some place where the weather is less likely to have wide variations in temperature and humidity can help a lot. Minimizing other factors such as pet hair/dander, dust from dust mites, mold/mildew from wet basement conditions, etc... is a good idea, too.



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