- Chronic Fatigue25:04Paper Chase #1 - Safety of Ibuprofen in Young Infants6:08AGE Part 117:21MOCA: Vertically Transmitted Infections - Part 121:29Paper Chase #2 - Antibiotic Use in Pharyngitis12:02MOCA Time: Petechiae and Bruising23:25WildfiresFree Chapter28:06Paper Chase #3 - Outcomes of Picky Eaters6:27MOCA: Vertically Transmitted Infections - Part 216:30Paper Chase #4 - Transcutaneous Bilirubin Accuracy5:53AGE Part 218:01Paper Chase #5 - Video Games to Treat ADHD?!9:20Mailbag4:24
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Lisa sits down with Katherine Gundling, a Professor Emerita in the Department of Medicine and former practice chief for the Allergy/Immunology faculty practice at UCSF, to discuss how climate change is affecting human health for people living on the West Coast.
- The Air Quality Index (AQI) is based on 5 air pollutants, including ground level ozone, particle pollution, carbon monoxide, sulfur dioxide and nitrogen dioxide
There are different tiers of safety
- Particle pollution: PM 2.5 (can get into lungs and vasculature) and PM 10 tells you the size of a particle in microns
Air pollution is a known killer in that it triggers excess of deaths and greatly exacerbates problems in patients with asthma, COPD and even cardiovascular illness.
- Wildfire smoke is similar to cigarette smoke in it’s burning a vegetative matter and natural wood products
Additional toxins are in the air depending on the structures burned; fortunately, many of those toxins do not travel miles and miles from the actual site of burning
- Wildfire smoke is composed predominantly of very small particles than easily enter the lungs
- Areas of research include: prolonged exposure to wildfires, especially for infants, children, pregnant women and then elderly
- While in the midst of wildfires, mitigation behaviors include: wearing a mask (N95 that has been properly fitted, if possible), restraining from strenuous exercise and staying indoors
Packing a “go bag” is also important if you are in an evacuation area
- Inside, if available, air conditioners can be placed on internal circulation and/or use HEPA (High Efficiency Particulate Air) filter which can take out some particulate matter
- Climate change must also be looked at through the lens of health equity and is now being recognized formally in many medical school curriculums
This must also be recognized in clinical care