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20 worst places to live if you have asthma, per major health organization

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20 worst places to live if you have asthma, per major health organization

Nearly 28 million people in the U.S. have asthma, or about one in 12 people — and depending on where you live, the condition may be more difficult to manage.

The Asthma and Allergy Foundation of America (AAFA) recently released its Asthma Capitals report, which ranks the 100 most populated U.S. states based on how challenging they are for people with the chronic respiratory disease.

“This is not a report about ‘bad’ cities for asthma — rather, it is a report that indicates the factors that can make living with asthma more challenging,” Kenneth Mendez, president and CEO of the AAFA in Virginia, told Fox News Digital via email.

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The report designates “asthma capitals” based on the prevalence of the disease, the number of asthma-related emergency room visits, and asthma-related deaths.

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Nearly 28 million people in the U.S. have asthma, or about one in 12 people. (iStock)

“The cities at the top of the report tend to score higher than average in at least two of these categories,” Mendez noted. 

“High rates of hospitalization or death due to asthma indicate a lower quality of life for people with asthma in these cities.”

This report also acknowledges that where people live can significantly impact their health, Mendez said. 

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“Social, economic and environmental disadvantages play a role in determining asthma outcomes,” he noted. 

“Many of the top asthma capitals are also facing major challenges and inequities that lead to health disparities.”

Man using inhaler

Asthma sufferers should have an action plan that includes medications, ways to recognize worsening symptoms, and steps to take in an emergency. (iStock)

Risk factors for asthma — including air quality, poverty, access to specialists, tobacco policies, use of medications and lack of health insurance — are also factored into the report.

Added Mendez, “We see the report as a way to highlight factors impacting asthma.”

Top 20 ‘asthma capitals’

The AAFA identified the following 20 cities as the top “asthma capitals.”

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1. Allentown, Pennsylvania

2. Rochester, New York

3. Detroit, Michigan

4. Springfield, Massachusetts

5. Philadelphia, Pennsylvania 

6. Cleveland, Ohio

7. Lakefield, Florida

8. Baltimore, Maryland

9. Charleston, South Carolina

10. Providence, Rhode Island

11. Fresno, California

12. Richmond, Virginia

13. Greenville, South Carolina

14. Harrisburg, Pennsylvania

15. Memphis, Tennessee

16. Spokane, Washington

17. St. Louis, Missouri

18. Poughkeepsie, New York

19. New York, New York

20. Columbus, Ohio

The full list of 100 top asthma capitals is listed in the report, which can be accessed from the AAFA’s website.

      

6 tips for those living in an ‘asthma capital’

For those with asthma who live in one of the more challenging locations, the AAFA recommends taking the following steps to make the condition more tolerable.

1. Follow an Asthma Action Plan

To keep asthma under control, this plan should include information about medications, ways to recognize worsening symptoms and steps to take in an emergency.

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2. Get recommended vaccines

Mendez noted that getting vaccines for respiratory infections such as the flu, COVID-19, respiratory syncytial virus (RSV) and pneumonia can help to manage asthma symptoms.

3. Take steps to manage allergies and indoor air quality

“We spend 90% of our time indoors, so it is important to take steps to improve indoor air quality,” Mendez told Fox News Digital. 

Woman breathing therapy

“Patients should speak with their health care team to determine what plan is best for them,” an expert said. (iStock)

“These can include using certified asthma- and allergy-friendly air cleaners, and ensuring that cleaning products reduce allergens and are free from airway irritants.”

4. Follow infection protection protocol

This may include wearing a mask in crowded places, washing hands properly and avoiding contact with sick people, according to Mendez.

“We spend 90% of our time indoors, so it is important to take steps to improve indoor air quality.”

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5. Adhere to a healthy lifestyle

Getting the optimal amount of rest, drinking plenty of water and eating healthy foods can help make asthma more tolerable, per the AAFA.

6. Maintain contact with an asthma specialist

For more Health articles, visit www.foxnews.com/health

“There are treatment options available that can help prevent the risk of an asthma attack, thus making it possible to live with this chronic lung disease,” Mendez said. 

“Patients should speak with their health care team to determine what plan is best for them.”

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In the Weight Loss War, Eating Bean & Veggie Soups May Be More Effective Than Keto

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In the Weight Loss War, Eating Bean & Veggie Soups May Be More Effective Than Keto


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Federal judge orders EPA further regulate fluoride in drinking water due to concerns over lowered IQ in kids

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Federal judge orders EPA further regulate fluoride in drinking water due to concerns over lowered IQ in kids

It has been added to municipal water for decades, but a federal judge in California has ordered the Environmental Protection Agency (EPA) to further regulate fluoride because high levels could pose “an unreasonable risk” to the intellectual development of children.

U.S. District Judge Edward Chen ruled Tuesday that the scientific evidence of fluoride’s health risks when ingested at current prescribed levels requires stricter regulation under the 2016 Toxic Substances Control Act (TSCA). The act provides a legal pathway for citizens to petition the EPA to consider whether an industrial chemical presents health risks.

Chen, in his 80-page ruling, wrote there is “little dispute” over whether fluoride is hazardous and ordered the EPA to take steps to lower that risk, but didn’t say what those measures should be.

“Indeed, EPA’s own expert agrees that fluoride is hazardous at some level of exposure,” the judge said. “And ample evidence establishes that a mother’s exposure to fluoride during pregnancy is associated with IQ decrements in her offspring.”

FLUORIDE IN WATER LINKED TO LOWER INTELLIGENCE

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A drop of water drips from a leaky faucet. (iStock)

“Between 1981 and 1984, fluoride’s association with adverse effects including osteosclerosis, enamel fluorosis, and psychological and behavioral problems was contested,” Chen said.

At the same time, he wrote that the court’s finding “does not conclude with certainty that fluoridated water is injurious to public health,” Chen said. “Rather, as required by the Amended TSCA, the Court finds there is an unreasonable risk of such injury, a risk sufficient to require the EPA to engage with a regulatory response.

“This order does not dictate precisely what that response must be. Amended TSCA leaves that decision in the first instance to the EPA. One thing the EPA cannot do, however, in the face of this Court’s finding, is to ignore that risk,” Chen added. 

“If the Court finds anew that the chemical at issue presents an unreasonable risk, it then orders the EPA to engage in rulemaking regarding the chemical,” the judge said. “The EPA is afforded in the first instance the authority to respond; regulatory actions can range from requiring a mere warning label to banning the chemical.”

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An EPA spokesperson, Jeff Landis, told The Associated Press that the agency was reviewing the decision but offered no further comment.

It’s the first time a federal judge has made a determination about the neurodevelopmental risks to children of the recommended U.S. water fluoride level, said Ashley Malin, a University of Florida researcher who has studied the effect of higher fluoride levels in pregnant women.

She called it “the most historic ruling in the U.S. fluoridation debate that we’ve ever seen.”

Currently, more than 200 million Americans, or about 75 percent of the population, drink fluoridated water.

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In 1950, federal officials endorsed water fluoridation to prevent tooth decay, and they continued to promote it even after fluoride toothpaste brands hit the market several years later. In 1945, Grand Rapids, Michigan became the first city in the world to fluoridate its water supply. 

Critics have long said that washing teeth with fluoride is not comparable to the risks posed by ingesting fluoride, with the latter potentially triggering harmful neurotoxic effects. 

Since 2015, federal health officials have recommended a fluoridation level of 0.7 milligrams per liter of water. For five decades before that, the recommended upper range was 1.2 “after evidence increasingly established fluoride’s connection to adverse effects, including severe enamel fluorosis, risk of bone fracture, and potential skeletal fluorosis,” the judge wrote. Skeletal fluorosis is a potentially crippling disorder which causes weaker bones, stiffness and pain.

The World Health Organization has set a safe limit for fluoride in drinking water of 1.5. Separately, the EPA has a longstanding requirement that water systems cannot have more than 4 milligrams of fluoride per liter of water. 

The case was brought by Food and Water Watch, an advocacy organization which petitioned the EPA to investigate lowered IQs in children allegedly caused by fluoride. The EPA denied the group’s 2016 petition calling for the agency to ban or limit the fluoridation of drinking water. 

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Food & Water Watch and several co-petitioners subsequently sued the EPA to compel action citing the mounting scientific evidence of toxicity when fluoride is ingested.

“Today’s ruling represents an important acknowledgment of a large and growing body of science indicating serious human health risks associated with fluoridated drinking water,” the group said in a statement.

water treatment fluoride

A water utility foreman at a plant where fluoride is added to the drinking water in Healdsburg, California. (Michael Macor/The San Francisco Chronicle via Getty Images)

“This court looked at the science and acted accordingly. Now the EPA must respond by implementing new regulations that adequately protect all Americans – especially our most vulnerable infants and children – from this known health threat.”

Tuesday’s ruling cited a review of 72 human epidemiological studies and available literature by the U.S. National Toxicology Program which concluded that fluoride is connected to reduced IQ in children.

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“Notwithstanding recognition by EPA’s expert that fluoride is hazardous, the EPA points to technicalities at various steps of the risk evaluation to conclude that fluoride does not present an unreasonable risk,” Chen said. “Primarily, the EPA argues the hazard level and the precise relationship between dosage and response at lower exposure levels are not entirely clear. These arguments are not persuasive.”

The Associated Press contributed to this report. 

READ THE RULING BELOW — APP USERS CLICK HERE

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Mom issues warning after health scare, plus 'therapy ponies' and a new COVID strain

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Mom issues warning after health scare, plus 'therapy ponies' and a new COVID strain

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XEC represents a shuffling of two descendants of last year’s JN.1 strain, according to an infectious diseases expert. (iStock)

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