{"id":46940,"date":"2018-12-12T10:17:18","date_gmt":"2018-12-12T10:17:18","guid":{"rendered":"http:\/\/www.jomec.co.uk\/altcardiff\/?p=46940"},"modified":"2018-12-12T10:17:18","modified_gmt":"2018-12-12T10:17:18","slug":"inpoverty-wales-is-struggling-to-breathe-the-stark-reality-of-health-poverty","status":"publish","type":"post","link":"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2018\/12\/12\/inpoverty-wales-is-struggling-to-breathe-the-stark-reality-of-health-poverty\/","title":{"rendered":"#InPoverty: The stark reality of health poverty as Wales struggles to breathe"},"content":{"rendered":"<h2><span style=\"font-weight: 400\">Deprivation and rising levels of inequality are making the worse off unhealthier and in the fight for health Wales cannot catch its breath<\/span><\/h2>\n<div id=\"attachment_47050\" class=\"wp-caption alignnone\" style=\"width: 800px\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-47050 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler-.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler-.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p class=\"wp-caption-text\"><noscript><img decoding=\"async\" class=\"wp-image-47050 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler-.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler-.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/inhaler--100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript> More deprived areas are more likely to have to use not only a ventolin inhaler but a steroid preventer inhaler too<\/p><\/div>\n<p><span style=\"font-weight: 400\">Wales has the highest asthma mortality rate in Europe, five times higher than Sweden, Germany and Portugal. In 2015 respiratory illness accounted for 16% of all deaths in Wales.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Poverty is making Wales sick. Around three people die from asthma a day. Wales is the worst place in the UK to be an asthma sufferer, with more deaths per year than the rest of the UK. <\/span><\/p>\n<p><span style=\"font-weight: 400\">What is worse is that around half of all asthma deaths in Wales are avoidable.<\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400\">In a study by Asthma UK it was found that the more deprived asthma patients had 31% more A&amp;E visits and 123% more hospitalizations<\/span><\/p><\/blockquote>\n<p><b>So what are the connections between deprivation and poor health?<\/b><\/p>\n<p><span style=\"font-weight: 400\"><a href=\"https:\/\/www.asthma.org.uk\/cymru\" target=\"_blank\" rel=\"noopener noreferrer\">Asthma UK<\/a>, found that more deprived asthma patients had 31% more A&amp;E visits and 123% more hospitalizations. People who live in fuel poverty cannot afford to heat their homes and are more likely to get sick. Derelict housing can cause serious health problems. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Risk factors include, mould, damp, formaldehyde or indoor smoke.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Formaldehyde is a chemical found in household goods such as MDF furniture and carpet. <\/span><\/p>\n<p><b>What needs to be done?<\/b><\/p>\n<p><b>Progress in education<\/b><\/p>\n<p><span style=\"font-weight: 400\">Respiratory illnesses, such as asthma, require self management, and people who have a lower level of health literacy might underestimate the seriousness of such conditions. <\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400\">Understanding is very limited. People are unaware of how serious it can be<\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400\">NHS Professional Sam says education and health literacy are very important, as those from a working class background are less likely to be aware of how to appropriately manage asthma. <\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">Joseph Carter, the Welsh head of the <a href=\"https:\/\/www.blf.org.uk\" target=\"_blank\" rel=\"noopener noreferrer\">British Lung Foundation<\/a>&nbsp;<\/span><span style=\"font-weight: 400\">explained that more education is needed for those in deprivation, \u201cUnderstanding is very limited. People are unaware of how serious it can be.\u201d<\/span><\/p>\n<p><b>Stop smoking schemes<\/b><\/p>\n<div id=\"attachment_47051\" class=\"wp-caption alignnone\" style=\"width: 800px\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-47051 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p class=\"wp-caption-text\"><noscript><img decoding=\"async\" class=\"wp-image-47051 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/smoke-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript> Tobacco smoking is the leading cause of COPD. (Chronic obstructive pulmonary disease (COPD) includes emphysema, chronic bronchitis and non-reversible asthma.)<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\"><a href=\"http:\/\/www.wales.nhs.uk\/sitesplus\/888\/news\/47279\" target=\"_blank\" rel=\"noopener noreferrer\">Public health Wales<\/a> in 2016 found that smoking among adults is 2.4 times higher in the most deprived fifth compared to the least deprived. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Wales has more smokers than England and younger smokers, some starting as early as 15. &nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400\">Joseph said stop smoking schemes need to target whole families and not just individuals.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The National Survey for Wales from 2016\/17, found that 19% of the population in Wales smoke and 59% are overweight or obese. These are both contributing factors to respiratory disease. <\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Poor air, poor health<\/b><\/p>\n<p><span style=\"font-weight: 400\">Another major contributor to respiratory illness is air <a href=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/uncategorized\/is-active-transport-the-answer\" target=\"_blank\" rel=\"noopener noreferrer\">pollution<\/a>. Environmental law firm <a href=\"https:\/\/www.clientearth.org\/?utm_expid=131429874-0.ly7NJ5uqSgm29unU1KpHNw.0&amp;utm_referrer=https%3A%2F%2Fwww.google.com%2F\" target=\"_blank\" rel=\"noopener noreferrer\">Client Earth<\/a> found that areas of Wales are <a href=\"https:\/\/www.clientearth.org\/welsh-government-draft-air-pollution-plans-lack-clarity\/\" target=\"_blank\" rel=\"noopener noreferrer\">breaching<\/a> the legal NO2 limit.<\/span><\/p>\n<div id=\"attachment_47052\" class=\"wp-caption alignnone\" style=\"width: 4136px\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-47052 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/pollution.jpg\" alt=\"\" width=\"4136\" height=\"3102\"><p class=\"wp-caption-text\"><noscript><img decoding=\"async\" class=\"wp-image-47052 size-full\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/pollution.jpg\" alt=\"\" width=\"4136\" height=\"3102\"><\/noscript> Poor air quality is estimated to kill 143 in Cardiff each year.<\/p><\/div>\n<p><span style=\"font-weight: 400\">People have been breathing illegal levels of pollution for years. Public Health Wales argue that the number of deaths from poor air quality per year has increased to over 225 across Cardiff and the Vale of Glamorgan.<\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400\">People have been breathing illegal levels of pollution for years<\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400\">Joseph says, \u201cPeople who are concerned with air pollution and respiratory illness are often those not affected by it. It should not be a simply middle class interest. We need to reach those who live in deprived areas and raise awareness,\u201d he said.<\/span><\/p>\n<p>The stark facts about health poverty in Wales<\/p>\n<p><iframe class=\"zeen-lazy-load-base zeen-lazy-load\" title=\"#InPoverty Health Poverty and respiratory illness\" width=\"1200\" height=\"675\" src=\"about:blank\" data-lazy-src=\"https:\/\/www.youtube.com\/embed\/HarkOItwNMo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><noscript><iframe title=\"#InPoverty Health Poverty and respiratory illness\" width=\"1200\" height=\"675\" src=\"https:\/\/www.youtube.com\/embed\/HarkOItwNMo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/noscript><\/p>\n<p><b>Case Study<\/b><\/p>\n<p><span style=\"font-weight: 400\">Elis Williams, 22, from Ystalyfera in Swansea developed a chest infection while at Cardiff university. <\/span><\/p>\n<p><span style=\"font-weight: 400\">With heating bills so expensive for students his student house was so cold it impacted his health. <\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cIt\u2019s quite shoddily built so the insulation is terrible especially in my bedroom, because it\u2019s part of an extension and it has 3 outside walls,\u201d he said. <\/span><\/p>\n<p><span style=\"font-weight: 400\">After attending hospital Elis was sent to his parents house on doctors orders and told not to go back to his cold student house. <\/span><\/p>\n<p><b>What is being done about it?<\/b><\/p>\n<p><span style=\"font-weight: 400\">The Welsh Government <a href=\"https:\/\/gov.wales\/topics\/environmentcountryside\/energy\/efficiency\/warm-homes\/?lang=en\" target=\"_blank\" rel=\"noopener noreferrer\">Warm Homes Programme<\/a> from 2012 pays the energy bills, adds housing insulation and replaces boilers. <\/span><\/p>\n<p><span style=\"font-weight: 400\">So far the programme has invested \u00a3150 million and affordably heated 27,000 homes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">4% of recipients saw a decrease of respiratory illness compared to the previous year and 6.5% of asthma sufferers experienced a decrease in symptoms. <\/span><\/p>\n<p><span style=\"font-weight: 400\">This is important because <\/span><a href=\"http:\/\/www2.nphs.wales.nhs.uk:8080\/PubHObservatoryProjDocs.nsf\/85c50756737f79ac80256f2700534ea3\/99a9490d2e6d05268025820b005851de\/$FILE\/Health&amp;determinantsinWales_Report_Eng.pdf\" class=\"broken_link\"><span style=\"font-weight: 400\">Public Health Wales<\/span><\/a><span style=\"font-weight: 400\"> found in 2016 that 40% of adults aged 16-44 were unable to keep up with household bills. <\/span><\/p>\n<p><b>Professional Perspective<\/b><\/p>\n<p><span style=\"font-weight: 400\">NHS professional, Samantha Metcalfe, says the link between deprivation and illness is situational as poor quality housing and manual labour can lead to poor health. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Occupation plays a role, as manual jobs may include exposure to dust, asbestos, building rubble and chemicals, which may exacerbate any respiratory illness. <\/span><\/p>\n<p><b>What is the impact?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Respiratory diseases are the third most common illness in the UK and Wales has the highest childhood prevalence rates in the world. <\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400\">Around half of all asthma deaths in Wales are avoidable<\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400\">The Royal College of Paediatrics said poverty is the biggest threat to children&#8217;s health in Wales.<\/span><\/p>\n<div id=\"attachment_47053\" class=\"wp-caption alignnone\" style=\"width: 800px\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-47053\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p class=\"wp-caption-text\"><noscript><img decoding=\"async\" class=\"size-full wp-image-47053\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2018\/12\/lungs-feature-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript> In 2015 COPD accounted for 16% of all deaths in Wales<\/p><\/div>\n<p><span style=\"font-weight: 400\">The NHS, spend upwards of \u00a31 billion a year treating people with asthma. In Wales the cost is estimated at just over \u00a3211 million, with over \u00a340 million on prescriptions.<\/span><\/p>\n<p><span style=\"font-weight: 400\">With the highest asthma mortality rate in all of Europe, the problem of respiratory illness in Wales needs to be addressed. <\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400\">Wales has a higher death rate for Asthma sufferers than anywhere else in the UK <\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400\">The Welsh government aim to tackle nitrogen dioxide levels in Wales in a new report in November 2018, with this and the respiratory health action plan, Wales is moving in the right direction. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Deprivation induced illness is easily avoidable and with more investment in stop smoking schemes, the warm homes programme and improved understanding, the unnecessary deaths can stop. <\/span><\/p>\n<p><a href=\"https:\/\/spark.adobe.com\/page\/FAC0dE10OsPHI\/\" target=\"_blank\" rel=\"noopener noreferrer\">Take a look at this!<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Deprivation and rising levels of inequality are making the worse off unhealthier and in the fight for health, Wales cannot catch its breath<\/p>\n","protected":false},"author":338,"featured_media":47050,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[431],"tags":[6586,6587,14,6588,6134,119,6589,6477],"coauthors":[],"class_list":["post-46940","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-poverty","tag-asthma","tag-deprivation","tag-health","tag-lungs","tag-pollution","tag-poverty","tag-respiratory","tag-smoking"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>#InPoverty: The stark reality of health poverty as Wales struggles to breathe - alt.cardiff<\/title>\n<meta name=\"description\" content=\"Deprivation is causing more people to become ill, particularly with respiratory illness. 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