Tuesday, October 28, 2008

Cough variant asthma

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Nationwide, 11 million diesel engines need to be made cleaner, according to Brian Barnes of DHECs Bureau of Air Quality.
DHEC is seeking proposals to contract out the diesel project.
The federal Environmental Protection Agency lists the emissions as triggers to asthma and as causing cancer, Page said.
A 175-horsepower bulldozer emits as much fine particle pollution as 500 new cars, Page said. The federal money could help fund rebuilding older engines to reduce emissions, as well as other projects.
The state school bus fleet already is reducing diesel emissions and plans to improve more, according to Renee Shealy of DHECs Bureau of Air Quality.
But Barnes said the state is trying to hit a moving target as standards are revised every five years, usually tightened, and the area is experiencing rapid urbanization


But the uninsured are not the only patients feeling the economy s sting.
Shelley, the Ohio office manager, said that because of the worsening economy and rising co-payments under her health plan, she is putting her husband s medical needs first. He is a substitute teacher who has had kidney and pancreas transplants, is on a dozen medications and needs bloodwork every month.
'It s tough even when times are good,' she said. 'The out-of-pocket is still thousands a year.'
Dr. Ted Epperly, a family physician at a Boise, Idaho, clinic for the poor, said office visits were down 20 percent in August, mostly in prenatal visits by pregnant women and checkups for chronic conditions such as high blood pressure, asthma and diabetes.
'The longer it goes and the more skipped visits, the greater the opportunity there will be for bad outcomes,' Epperly said. 'It s not a matter of if. It s a matter of when.'
Walgreen Co. pharmacies have been calling customers, making emotional arguments for why they should be getting prescriptions refilled. 'For example, do they want to be around when their kids grow up, or their grandkids?' Jeff Rein, Walgreen s chief executive, told analysts last month



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