REPORT: ASTHMA PREVALENCE, HIGH RELATED COSTS LIKELY TO WORSEN IN ILLINOIS IF CONGRESS BLOCKS CLEAN AIR ACT UPDATES

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1 EMBARGOED FOR RELEASE: NOON CDT ON APRIL 6, 2011 Contact: Ailis Aaron Wolf, (703) or REPORT: ASTHMA PREVALENCE, HIGH RELATED COSTS LIKELY TO WORSEN IN ILLINOIS IF CONGRESS BLOCKS CLEAN AIR ACT UPDATES New Analysis Shows Over $2 Billion in Asthma Costs, Over 1 Million Cases, Including 300,000 Children; Over 35,000 Annual Pediatric ER Visits and Hospital Visits Each Year in State. WASHINGTON, D.C. In a major first ever report analyzing detailed asthma incidence and cost data, Health Care Without Harm (HCWH), the Alliance of Nurses for Healthy Environments (ANHE) and the National Association of School Nurses (NASN) conclude that the already staggering human and financial toll of asthma in Illinois is likely to increase if Congress acts to stop important updates to the Clean Air Act. More than one million Illinois residents including 299,285 children suffer from asthma, with direct costs of treating Illinois worsening asthma epidemic already exceeding $2.1 billion, according to the report. The report also finds that several members of Illinois Congressional delegation Reps. Lipinski, Roskam, Walsh, Dold, Kinzinger, Costello, Biggert, Hultgren, Johnson, Manzullo, Schilling, Schock, and Shimkus have signed on as co sponsors or voted for legislation to block needed updates to the Clean Air Act. This week, the US House is scheduled to vote on Energy and Commerce Chairman Fred Upton s bill to block EPA from reducing carbon pollution and the Senate may vote on one or more amendments that would block or delay EPA s efforts. At the same time, Congress is negotiating with the White House to continue funding the federal government with a new spending measure, onto which some members of Congress hope to attach EPA blocking riders that would also prevent the agency from reducing pollution. The HCWH/ANHE/NASN report states: Science has established that air pollution from cars, factories, and power plants is among the major causes of asthma episodes. Air pollutants that can contribute to asthma include ground level ozone smog, sulfur dioxide, particle pollution, and nitrogen oxides. Carbon dioxide pollution can also worsen asthma in several ways, such as by driving climate change (rising temperatures increase ozone smog concentrations) and by increasing production of airborne allergens like ragweed pollen (which is another trigger for asthma episodes). Legislation that would greatly reduce the authority of the Environmental Protection Agency (EPA) to reduce these air pollutants under the Clean Air Act would prevent improvements in air quality stopping reductions in emissions of carbon dioxide, fine particles, soot, and other pollutants and would make it harder for children and adults with respiratory problems such as asthma to breathe. The report is based on asthma prevalence and cost data from the American Lung Association and the Centers for Disease Control and Prevention and relevant peer reviewed literature. Compiled by the consulting firm David Gardiner & Associates, the new report, titled The Economic Affliction of Asthma and Risks of Blocking Air Pollution Safeguards, outlines the cost of asthma for all 50 states. The report and related Illinois fact sheets are available online at How bad are things for people with asthma today in Illinois and how much worse could things get?

2 Number of Illinois adults with asthma: 762,045. Number of Illinois children with asthma: 299,285. The five Illinois counties with the most asthma cases today are: Cook, DuPage, Lake, Will and Kane. Pediatric emergency room visits in Illinois due to asthma: 29,629. Pediatric hospital stays in Illinois due to asthma: 4,789. Estimated direct cost of asthma in Illinois: $2.15 billion. Nationwide, the report shows: More than 688,000 children had to go to the emergency room because of asthma in Asthma episodes keep children out of school (accounting for about 10.5 million lost school days in 2008) and take adults out of the workplace (accounting for more than 14 million lost work days in 2008). Asthma was responsible for nearly 2 million emergency room visits in In severe cases, asthma episodes can be deadly; in 2007 alone, more than 3,400 people in the United States died as a result of asthma. The total estimated incremental direct cost of asthma in the United States is more than $53 billion a year. Who bears these costs? According to the U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, almost 15 percent of the costs are paid out of pocket by the patient. That is equivalent to just under $8 billion a year. Private insurance covers more than 38% of the costs, equivalent to more than $20 billion a year. That leaves almost half of the cost of the asthma epidemic to be paid by taxpayer funded federal programs such as Medicare and Medicaid. According to a recent EPA analysis, the Clean Air Act amendments of 1990 currently prevent 1.7 million cases of asthma exacerbation and by 2020 will prevent 2.4 million. By blocking the EPA from making additional needed updates today, federal lawmakers would be allowing increases in soot, smog, carbon, and other air pollution that would cause asthma incidence to increase. The cost of these additional cases would also increase the taxpayer bill, and could lead to an increase in private insurance costs as well as increased out of pocket expenses. Brenda Afzal, MS, RN, U.S. climate policy coordinator, Health Care Without Harm said: Congress is literally talking here about taking the breath away from millions of American children and adults. Because they have a disease that is very susceptible to pollution, Americans with asthma provide members of Congress with 24 million compelling reasons for the EPA to be allowed to proceed with needed updates to federal Clean Air Act standards. By siding with polluters and against their constituents with asthma, Congress is ignoring the public health and financial implications of

3 pollution related illness. That s why we were pleased to hear President Obama restate his opposition to these proposals and attempts to insert them into the budget debate. We think it is vitally important for Americans to understand what is at stake if these attempts to prevent the EPA from modernizing the Clean Air Act succeed. Susan Buchanan, MD, MPH, director, Great Lakes Center for Children s Environmental Health, said: The current proposals before the United States Congress if passed would significantly hamper efforts by the EPA to decrease asthma causing pollution. This will subject millions of Americans, including vulnerable children, to increase levels of pollutants that cause asthma and, for those who already suffer, potentially life threatening asthma exacerbation. Considering the costs, both in dollars and emotional distress, caused by asthma II am at a loss to understand how some in Congress could think it a good idea to restrict the EPA s efforts to clean up air pollution? A lot is at risk, both in our state and nationally, if these efforts to block the EPA succeed. According to Barbara Sattler, RN, DrPH, FAAN, the chair of the board of the Alliance of Nurses for Healthy Environments, Nurses work every day with Americans dealing with asthma, a chronic, sometimes debilitating condition that affects millions of children and adults. The extent of the asthma epidemic and its related costs outlined in this report are staggering. Nurses are profoundly distressed about congressional efforts that would prevent improvements in air quality that have a direct affect on both people with asthma and what they must pay for care. Students miss more than 10 million school days a year because of asthma, said Sandi Delack, RN, BSN, M ED, CSNT, president of the National Association of School Nurses. School attendance is strongly correlated with academic success and graduation, and so additional days lost will add to the toll asthma takes to not only its patients, but our society. With cleaner air, we could reduce the costs associated with asthma episodes funds that could be better used toward education and wellness programs, to make sure all children succeed academically. UNDERSTANDING THE SCIENCE: ASTHMA/AIR POLLUTION Science has established that air pollution from cars, factories, and power plants is a major cause of asthma attacks. A research study published in 2002 estimated that 30 percent of childhood asthma is due to environmental exposures. Studies also suggest that air pollution may contribute to the development of asthma in previously healthy people. Key air pollutants that trigger asthma include ground level ozone, sulfur dioxide, particulate matter, and nitrogen oxide. Carbon dioxide pollution can also worsen asthma. One of the best documented impacts of climate change is an increase in ground level ozone smog concentrations, in response to rising temperatures (the hotter the temperature and the more incident sunlight, the more ozone tends to form). In 2004 and 2007, a multi disciplinary team of experts showed that warming temperatures will cause more days with unsafe ozone levels. PENDING MEASURES IN CONGRESS Despite the negative impacts of air pollution on public health, there are several Congressional measures that would prevent improvements in air quality. During the week of April 4, several votes to block the EPA are in motion, and some members have been working to add EPA blocking language to a new budget deal that has to be worked out this week in order to prevent a government shut down.

4 The House is expected to vote on Energy and Commerce Chairman Fred Upton s bill that would block the EPA from reducing carbon pollution. The bill, HR 910, would also throw out the EPA s scientific finding that carbon is a health threatening pollutant. In the Senate, several proposals to block or slow down the EPA s plans to reduce carbon pollution are being offered as amendments to the unrelated small business bills the Senate is expected to debate this week. Senate Minority Leader Mitch McConnell is using Upton s HR 910 as an amendment. Like the original, it would permanently repeal the Clean Air Act s authority to set limits on GHG pollution, threatening the CAA s health benefits and increasing our dependence on foreign oil. Senator Jay Rockefeller has introduced an amendment that would delay implementation of EPA's GHG standards for stationary sources under the clean air act for at least 2 years. Blocking EPA from updating Clean Air Act safeguards with new standards to reduce emissions of life threatening pollution from power plants and other major sources whether initially just one year or two will be extended again and again. Senator Debbie Stabenow has introduced an amendment that would block enforcement of carbon pollution safeguards for two years, prevent accurate accounting of emissions from agricultural activities and allow large emission sources to be built or modified with no requirement to limit their carbon pollution. Senator Max Baucus Amendment: Would prevent accurate accounting of emissions from agricultural activities as well as allow large emission sources to be built or modified with no requirement to limit their carbon pollution. ABOUT THE GROUPS Health Care Without Harm is an international coalition of more than 430 organizations in 52 countries, working to transform the health care industry worldwide, without compromising patient safety or care, so that it is ecologically sustainable and no longer a source of harm to public health and the environment. For more information see The National Association of School Nurses is the expert voice for optimal student health and for professional development of school nurses. NASN believes every child should have access to a school nurse all day, every day. The National Association of School Nurses supports the health and educational success of children and youth by developing and providing leadership to advance school nursing practice by specialized registered nurses. For more information see The Alliance of Nurses for Healthy Environments, launched in 2008 by a group of national nurse leaders from several nursing sub specialties, works to promote healthy people and healthy environments by educating and leading the nursing profession, advancing research, incorporating evidence based practice, and influencing policy. For more information see

5 EDITOR S NOTE: A streaming audio replay of a related news event will be available on the Web at as of 5 p.m. CDT on April 6, 2011.