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Saturday, November 6, 1999

No happy Diwali for asthma patients

Rajiv Sharma  
November 5: It's festival time for most Mumbaiites and an annual nightmare for asthma patients: as the crackers start to go off and the air soaks up the pungent smoke, they begin to breathe uneasy and lunge for their inhalers.

Right from Dusshera till the last shout of `Happy New Year' fades out, asthma patients have a tougher time than the rest coping with the rise in polluting smoke in the atmosphere. N U Belande, a Bandra resident who has been an asthma patient for several years, says her attacks increase during Diwali due to the smoke generated by the bursting of fire crackers. She is generally forced to head out to her other house in Panvel, though she would like to celebrate her Diwali in Mumbai itself. ``It's a pity that some people take pride in blowing up thousands of rupees in lighting fire crackers that go out in minutes,'' she remarked.

``They simply do not stop to think of the amount of pollution that they generate and the severe asthma attacks that they trigger off in patients in thevicinity.''

Dr Pramod Niphadkar, asthma consultant, said fire crackers when burnt release pollutants like sulphur dioxide, carbon dioxide, carbon monoxide, managanese and even cadmium, which damage the respiratory tract. For asthma patients, who already have hyperactive airways, these pollutants further irritate the bronchial mucosa and swell up the inner linings of the respiratory tract. This causes spasms in the patients, triggering off asthma attacks, informed Dr Niphadkar. In some cases, when the air becomes thick with smoke, patients are unable to breathe on their own and may even have to be hospitalised, he added.

Asthma patients staying in congested localities are more likely to suffer as the smoke generated by fire crackers does not disperse easily. The Asthma and Bronchitis Association of India has been trying to create awareness that one person's idea of fun could well be an asthma patient's nightmare. Dr Niphadkar suggested that people light firecrackers only in open spaces like playgrounds,terraces or beaches. ``Asthma patients have as much right to stick around and enjoy Diwali. Our actions should not force them to flee the city,'' he said.

Play it, but safe

  • Don't light crackers inside the house, or light candles or oil lamps near curtains or any other combustible material.
  • Use open grounds to light fireworks - never light them in balconies or near buildings.
  • Flying fireworks - rockets, missiles, etc. - should always be lighted in open grounds pointing straight up.
  • Firecrackers, `bombs', anars (flower pot) should not be lighted holding them, but from the side without bending over them and quickly moving away, before they burst.
  • Hold lighted sparklers away from the body.
  • Don't allow children to keep fireworks in their pockets. Store them away from fire or any other heat source.
  • Never light fireworks near pets.
  • Buy fireworks that are legally manufactured, and follow the directions on the warning label indicating the methodof firing, and precautions to be taken.
  • Wear close-fitting clothes of thick material instead of loose or flowing garments.
  • Water should be used as first aid for burns till the pain subsides. Don't apply ointment, butter or any oily substance on a burn.
  • Show concern for infants, the aged and the sick.

    Copyright © 1999 Indian Express Newspapers (Bombay) Ltd.


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