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									Breathe                                               AmericAn


                                                      of California
                    ®                                 Fall 2002/Winter 2003

Lung cancer may strike
Women Harder
How carol Burnett is Helping
Also inside:
■ indoor Air Quality standards needed for Airlines
■ children’s Health motivates Woman with Asthma
■ researcher investigates mesothelioma cancer cells
■ Public Policy Priorities
■ news From Around the state
   Breathe easy                                                                                                                                                                                                                                                   Breathe easy

   Public Policy                     Budget Undercuts                                       identification.
                                                                                                “The tobacco industry is trying to make us
                                                                                                                                                 Bill Aims to Improve                                     taking a heavy toll. Nearly 100 Californians die
                                                                                                                                                                                                          every day from lung disease.                          Public Policy
      uPdate                         Anti-Smoking Program                                                                                        Indoor Air Quality
                                                                                            believe it can regulate itself, but we know that                                                                                                                       uPdate
                                     Governor Gray Davis’ 2002-03 state budget              is a deadly joke as revealed by internal tobacco     The American Lung Association of California              Bay Area Needs Smog Check II
                                     deals a severe blow to California’s anti-smoking       industry documents,” says Anne Kennedy, RRT,         sponsored a bill (Assembly Bill 1173, Keely, D-
                                                                                                                                                                                                          The San Francisco Bay Area was the only major
                                     campaign by cutting the landmark tobacco pre-          RCP, board chair for the American Lung Asso-         Boulder Creek) that would be an important first
  A Summary                          vention program (under Proposition 99) in half.                                                             step in assessing the indoor air quality problem.
                                                                                                                                                                                                          metropolitan area in the state that was not part     “The tobacco
                                                                                            ciation of California.                                                                                        of the Smog Check II program, an enhanced ve-
     of the                          It also sells off future tobacco industry payments,                                                         Indoor air pollution contributes to asthma and
                                                                                                                                                                                                          hicle inspection program designed to reduce auto       industry is
                                     which should be used for tobacco prevention and        Landmark Law                                         other lung diseases.
 American Lung                       healthcare programs, in order to gain $4.5 billion                                                             If signed by the Governor, AB 1173 would
                                                                                                                                                                                                          emissions. Assembly Bill 2637 (Cardoza, D-Mer-      trying to make
                                     for the 2002-03 state-spending plan.                   Regulates Auto Emissions                             require the California Air Resources Board to
                                                                                                                                                                                                          ced) requires the Bay Area to adopt Smog Check
                                                                                                                                                                                                                                                              us believe it can
  Association                            The budget failed to include two proposed          Governor Gray Davis signed landmark legisla-         provide an analysis of the most important sources
                                                                                                                                                                                                          II. The American Lung Association of California,
 of California’s                     tobacco tax increases – 63 cents per pack (As-         tion into law in July that makes California the      of air pollution in schools, workplaces, homes
                                                                                                                                                                                                          along with Lung Associations in the Bay Area,        regulate itself,
                                                                                                                                                                                                          Sacramento and San Joaquin Valley, worked
                                     sembly Bill 1666, Horton, D-Inglewood) and             first state in the nation to require automakers to   and other locations and recommend measures for                                                                 but we know
  Public Policy                      $2.13 per pack (Assembly Bill 1849, Wesson,            reduce greenhouse gases from motor vehicles,         reducing public exposures and negative health
                                                                                                                                                                                                          hard to support the bill because Smog Check II is
   Priorities                        D-Culver City). Increasing the state tobacco tax       including cars, trucks, minivans and sport-utility   impacts.
                                                                                                                                                                                                          a long overdue step toward improving air quality    that is a deadly
                                                                                                                                                                                                          in the Bay Area and surrounding regions.
                                     would have helped to reduce smoking in Cali-           vehicles. The American Lung Association sup-            Indoor air pollution sources can include                                                                       joke.”
                                                                                                                                                                                                              Motor vehicle exhaust accounts for nearly 60
                                     fornia, to prevent cuts to critical tobacco pre-       ported the groundbreaking law (Assembly Bill         particle board, plywood, carpets, furnishings
                                                                                                                                                                                                          percent of air pollution and studies show that
                                     vention and healthcare programs, and to close          1493, Pavley, D-Agoura Hills), which carries         and other materials used in new construction,                                                                    Anne Kennedy,
                                                                                                                                                                                                          air pollution created in the Bay Area is blown
                                     the state budget gap.                                  huge implications for the rest of the country be-    as well as stoves, ovens and consumer products                                                                     rrt, rcP
                                                                                                                                                                                                          east into other areas.
                                         California fell behind 19 other states that        cause Californians buy 10 percent of all vehicles    such as household cleaning agents.
                                     raised their tobacco tax rates this year.              nationwide.
                                                                                                The new law requires the California Air          Tuberculosis Act                                         California Expands
                                     Association Launches Ad Campaign                       Resources Board to come up with feasible and         Needed to Reduce Cases                                   Renewable Energy                                           Join the
                                     to Promote Tobacco Licensing                           cost-effective new rules by January 1, 2005,
                                                                                                                                                 The number of tuberculosis (TB) cases in Califor-
                                                                                                                                                                                                          California needs to reduce its reliance on               e-advocacy
                                                                                            to reduce vehicle emissions. However, the new                                                                 power plants by increasing its renewable en-
                                     The American Lung Association of California
                                     launched a statewide ad campaign encouraging
                                                                                            rules will not take effect until the 2009 model      nia rose for the first time in eight years, increasing
                                                                                                                                                 the need for the Omnibus Tuberculosis Control
                                                                                                                                                                                                          ergy sources. The American Lung Association               network
                                                                                            year. Because California is such a huge market,                                                               of California supported Senate Bill 1078 (Sher,
                                     local policymakers to establish tobacco retailer       it could force manufacturers to make all U.S.        and Prevention Act (Senate Bill 843, Perata,                                                                     Are you con-
                                                                                                                                                                                                          D-Stanford), which will require 20 percent of
                                     licensing programs to reduce illegal tobacco sales     cars more fuel efficient in the coming decade.       D-Oakland) to reduce the impact of TB. The                                                                       cerned about
                                                                                                                                                                                                          California’s electricity needs to be met through
                                                                  to children. The as-                                                           American Lung Association of California sup-
                                                                  sociation ran print ads                                                        ported SB 843, which will authorize local health
                                                                                                                                                                                                          zero-pollution renewable energy sources such as          these issues?
                                                                                            Ballot Initiative Would Help                                                                                  wind, solar, and geothermal, by 2017.                  You can make a
                                                                  in major California                                                            officers to certify tuberculin skin test technicians
                                                                  newspapers portray-       Reduce Air Pollution                                 and require parole agents to be notified when an
                                                                                                                                                                                                             Increasing renewable resources will protect
                                                                                                                                                                                                                                                                 difference. Join
                                                                                                                                                                                                          public health by reducing dependence on con-
                                                                  ing the tobacco indus-    An initiative on the state ballot in November        inmate with TB is released from prison.                                                                          the American
                                                                                                                                                                                                          ventional power plants, which pollute the air,
                                                                  try as the fox guarding   would help reduce air pollution by earmarking           SB 843 will help maximize local public health                                                                 Lung Associa-
                                                                                                                                                                                                          and the need for diesel-power back up genera-
                                                                  the hen house.            30 percent of the state’s portion of the sales tax   resources by increasing the number of people
                                                                                            on new and used car sales to transportation and                                                               tors, which lack pollution controls and are a se-      tion of Califor-
                                                                     Illegal sales of                                                            who are qualified to give TB skin tests and by
                                                                  tobacco to children       air quality improvement programs. The Traffic        providing a treatment plan to local health offi-
                                                                                                                                                                                                          rious threat to public health, according to a new             nia’s
                                                                                                                                                                                                          report issued by Environmental Defense.                   e-Advocacy
                                                                  have increased for        Congestion Relief and Safe Schools Act, Propo-       cers where infected parolees intend to reside.
                                                                  the second year in a      sition 51, would dedicate an estimated $870                                                                                                                           network and
                                                                                            million toward these programs.                       Fund on Income Tax Form                                  Association Works to Reduce
                                                                  row, jumping nearly                                                                                                                                                                               make your
                                                                  13 percent over 2001          More than half of the funds raised by this       Supports Lung Disease Research                           Diesel Emissions                                         voice heard.
                                                                  and more than 50          measure would go to public transit projects. The                                                              Advocating for the strongest possible regula-
                                                                                            initiative also directs funding to the Carl Moyer    The Asthma and Lung Disease Research Fund                                                                         Signing up is
                                                                  percent over 2000,                                                                                                                      tions to reduce the public’s exposure to toxic
                                                                  according to surveys      Air Quality Standards Attainment Program for         will be on the 2002 state income tax form to
                                                                                                                                                                                                          diesel soot, the American Lung Association of            easy at www.
                                                                                            upgrading and replacing older diesel vehicles        help fund much needed research on lung disease.                                                                   californialung.
                                                                  conducted by the Cal-                                                                                                                   California is monitoring the development of
                                                                                            and equipment with cleaner alternatives, as well     Legislation (Assembly Bill 2127, Matthews, D-                                                                           org.
                                                                  ifornia Department of                                                                                                                   new regulations by the California Air Resources
                                                                                            as to the Safe and Clean School Bus Account for      Tracy) creating the fund was sponsored by the
                                                                  Health Services.                                                                                                                        Board (CARB). The proposed measures would
                                                                                            the purchase of lower-emission school buses.         American Lung Association of California.
                                                                     While local com-                                                                                                                     reduce exposure of schoolchildren to idling die-
                                                                                                The measure is sponsored by the Planning            It will be one of 10 charitable funds on the
                                                                  munities across                                                                                                                         sel buses on school grounds, establish pollution
                                                                                            and Conservation League and supported by the         state income tax form and will benefit the Ameri-
                                                                  California have been                                                                                                                    limits for new and existing diesel back-up gen-
                                                                                            American Lung Association of California and          can Lung Association of California’s scientific,
                                                                  working to create                                                                                                                       erators (used for emergency energy production),
                                                                                            other environmental groups.                          peer-reviewed research program. Taxpayers can
                                     effective licensing programs that would hold                                                                                                                         and reduce emissions from diesel-fueled waste-
                                                                                                                                                 donate to the fund when they pay their 2002
                                     retailers accountable, the tobacco industry has                                                                                                                      haulers. The association will urge CARB mem-
                                                                                                                                                 state taxes by including it on line 61 of their in-
                                     been sabotaging those efforts by promoting its                                                                                                                       bers to adopt strong, health-protective controls
                                                                                                                                                 come tax form.
                                     self-regulatory campaign, which encourages re-                                                                                                                       when these measures come before the board for
                                                                                                                                                    Today there is no cure for lung diseases such
                                     tailers to ask all young tobacco purchasers for                                                                                                                      adoption.
                                                                                                                                                 as lung cancer, asthma and emphysema and it is                                                            
Breathe easy FALL 2002/Winter 2003                                                                                                                                                                                                                            Breathe easy FALL 2002/Winter 2003
   Breathe easy                                                                                                                                                                                                                                                     Breathe easy

           cover                     Lung cancer may strike Women Harder                                                                             indoor Air Quality standards                                                                                   air Quality
           story                                                                                                                                     needed for Airlines                                                                                               news

                                          ICTORIA COLGAN knew she was in                      be directly correlated to the increase in smoking

                                          trouble                                             among women in the 1940s, not long after to-
“We have clear-                           when she started coughing up blood in the           bacco companies began heavily marketing their
                                                                                                                                                          LYING ON A COMMERCIAL AIRPLANE                  on an airplane and the risk of that happening is          “The new
                                                                                                                                                          can sometimes leave you feeling lousy. Your     extremely small because it usually requires re-
 ly seen an epi-                     summer of 1997. Three months later she was di-           products to the female sex.                                 nose gets stuffed up and your throat feels      peated exposure to an infected person.                    standards
                                     agnosed with lung cancer.                                    In 1968, Virginia Slims cigarettes capitalized
  demic of lung                          When Colgan started smoking at age 13, she           on the changing role of women with its “You’ve
                                                                                                                                                     dry. But can it actually make you sick?                  “You are always at risk of catching some-               need to
                                                                                                                                                        Air quality inside commercial airliners is a      thing, especially on flights more than eight hours
 cancer among                        didn’t know the cards were stacked against her.          Come a Long Way, Baby” ad campaign, which              hot topic these days. To address the concerns of     long,” says Lee Reichman, MD, MPH, former               accommodate
                                     Like other teens, she thought she was invincible.        linked smoking with freedom and independence.
  women in the                       But that couldn’t have been farther from the             Within six years after the ads first appeared, the
                                                                                                                                                     airline cabin crew and passengers, the American      president of the American Lung Association and           people with
                                                                                                                                                     Society of Heating, Refrigerating and Air-Con-       a renowned expert on tuberculosis. “You can
 last 40 years.”                     truth.                                                   number of 12-year-old girls who smoked in-             ditioning Engineers (ASHRAE) is working on a         catch infectious diseases on airplanes because          lung diseases
                                         In fact, women who smoke may be twice as             creased 110 percent, according to research pub-
 Paul Brunetta, mD                   likely as men who smoke to develop lung cancer,          lished in the Journal of the American Medical
                                                                                                                                                     standard for air quality in commercial aircraft.     the air is being recirculated and because you are         and other
                                                                                                                                                        “We need to have health-based standards,”         in close proximity to others.”
                                     according to a study released last year. This has        Association.                                           says Fran Du Melle, senior vice president for            The biggest risk may be sitting close to other          chronic
                                     serious implications because smoking has not de-             Colgan says advertising definitely played a
                                     clined among women at the same rates it has for          role in her decision to smoke. That’s why she
                                                                                                                                                     program services at the American Lung Asso-          passengers who are sick. Viruses can survive for          illnesses.”
                                                                                                                                                     ciation’s office in Washington, DC. “Too often       short periods in the air and on surfaces like tray
                                     men and an alarming one-third of female high             volunteers for the American Lung Association                                                                                                                           Fran Du melle
                                                                                                                                                     these standards are comfort-based only, and we       tables, seat backs and arm rests of airliners, say
                                     school seniors smoke.                                    speaking out about tobacco advertising.                need to consider the health of all people, includ-   officials at the Centers for Disease Control and
                                         Jill Siegfried, Ph.D., a researcher at the Univer-       “My sister looked cool smoking because of          ing people with lung disease and allergies.”         Prevention (CDC).
                                     sity of Pittsburgh, suggests that women may be           advertising,” she says. “The ads all conveyed that        A first draft of Standard 161P, Air Quality           “It’s like any enclosed space,” says the CDC’s
                                     more susceptible to adverse effects from smoking         this was a glamorous adult activity.”                  Within Commercial Aircraft, could be ready           Barbara Reynolds. “The fact that you have
                                     due to their higher levels of the hormone oestro-
                                                                                              carol Burnett reaches out                              for public review by year-end. It is expected to     germs in close proximity with other people
                                     gen, which has been linked to other cancers.
                                                                                                 Unfortunately for impressionable girls and          address cabin pressure, air exchange rates, tem-     means there will be an exchange.”
                                     Lung cancer Kills more Women                             young women, they are bombarded by advertis-           perature, and humidity.                                  To reduce your risk of getting sick, wash your
                                        Lung cancer will kill about 68,000 women              ing and by images of beautiful young female                                                                 hands frequently with hot, soapy water while
                                                                                                                                                     Airlines use recycled Air                            flying. If possible, don’t sit next to passengers
                                     this year, more women than breast cancer and             stars who smoke. While it seems so many young             Airlines use recycled air in the passenger        who are coughing and sneezing.
                                     ovarian cancer combined. It is the leading cause         female celebrities from Kate Hudson to Winona          cabins. Older aircraft tend to filter air and mix
                                     of cancer deaths among both men and women,               Ryder are lighting up, others are trying to raise
                                     with a five-year survival rate of less than 15 per-
                                                                                                                                                     in fresh air before recirculating it in the cabin    safe Flying for People with Lung
                                                                                              awareness about the dangers of smoking and
                                                                                                                                                     while most newer aircraft use almost all re-         Disease
                                                                                              lung disease.                                          cycled air.                                             While even healthy people report discomfort
Victoria Colgan                         Yet the disease is almost as preventable as it is        Veteran comedian and entertainer Carol Bur-            The air is extremely low in humidity and can      when flying on commercial aircraft, people with
smoked for 33 years                  deadly because nearly 90 percent of lung cancer          nett knows all too well the pain smoking and           dry out the mucous membranes in the nose,            lung disease are at greater risk. Because oxygen
before being diagnosed               cases are smoking-related. The problem is, teens         lung cancer can cause. In January 2002 she lost        mouth, throat and bronchial tubes, which are         levels are lower, those who don’t require supple-
with lung cancer.                    begin smoking before they understand the health          her daughter Carrie, a longtime smoker, to lung        then less able to keep out viruses and bacteria.     mental oxygen on the ground may need it while
                                     risks and then they become addicted.                     cancer. Carrie Hamilton was only 38.                      Airline cabin air is also low in oxygen rela-     in flight.
                                        “It’s an incredibly powerful addiction,” says            Burnett has decided to reach out to others          tive to fresh air on the ground. Healthy indi-          “The lack of humidity in the air can also be a
                                     Colgan, 54, who quit smoking two years before            who are addicted to cigarettes by helping the          viduals shouldn’t notice a difference, but people    real problem for people with lung disease,” Du
                                     she was diagnosed with lung cancer. “I had tried         American Lung Association raise awareness              with chronic lung diseases like asthma and em-       Melle says.
                                     to quit many times over the years.”                      about its Freedom From Smoking® Online quit-           physema might.                                          Another concern is ozone, which is some-
                                        The San Francisco resident started smoking            smoking program, which is available to every-             Most of the newer airplanes use system-wide       times present in airline cabins at elevated levels.
                                     because her older sister smoked. Both her par-           one at no cost. She has agreed to tape a public        HEPA filters that remove nearly all fine particles   Ozone irritates the lungs and can pose serious
                                     ents smoked as well.                                     service announcement promoting the program.            from the air, including airborne bacteria and        health risks for people with lung disease.
                                     ‘You’ve come A Long Way, Baby’                           more research needed                                   viruses. But many older models don’t.                   Safe Flying for People with Lung Disease,
                                        Fifty years ago, lung cancer in women was                Colgan says lung cancer is a difficult disease to                                                        published by the California Thoracic Society
                                                                                                                                                     communicable Diseases can spread                     and the American Lung Association of Califor-
                                     rare. Since then, lung cancer mortality rates for        have because there is often a “blame the victim”          Some frequent fliers insist flying makes them     nia, offers important information for people
                                     women have jumped 600 percent.                           mentality.                                             sick, and health experts agree infectious diseases   with lung disease. You can get a copy by call-
                                        “We have clearly seen an epidemic of lung                “One of the unintended consequences of the          can be spread on airplanes. For example, there       ing your American Lung Association at 1.800.
                                     cancer among women in the last 40 years,” says           campaign against smoking is we’ve completely           are documented cases of passengers testing           LUNG.USA or visiting
                                     California Thoracic Society member Paul Bru-             eliminated any sympathy for people who get lung        positive for tuberculosis (TB) after flying with     ca.html.
                                     netta, MD, who has worked with cancer patients           cancer because it is seen as self-inflicted,” she      infected passengers. However, according to the
                                     for the last four years at Mount Zion Cancer             says. “That may be why lung cancer is so under-        World Health Organization, there is no docu-
                                     Center.                                                  funded compared with other diseases.”                  mented case of anyone contracting active TB
                                        The rise in lung cancer among women can                                                                                                                                                                                                                                
Breathe easy FALL 2002/Winter 2003                                                                                                                                                                                                                              Breathe easy FALL 2002/Winter 2003
   Breathe easy                                                                                                                                                                                                                                                          Breathe easy

      Making a                       children’s Health motivates                                                                                    Santa Clara-San Benito Honored                           nate lung disease, as well as for its continued focus
                                                                                                                                                                                                             on lung disease prevention, children’s programs,
                                                                                                                                                                                                                                                                       associations in
      difference                                                                                                                                    for Diversity Efforts                                                                                                  action
                                     Woman with Asthma                                                                                              The American Lung Association of Santa Clara-
                                                                                                                                                                                                             tobacco control, asthma and clean air education
                                                                                                                                                                                                             and advocacy.
                                                                                                                                                    San Benito Counties was recognized for its use of

 “It helps know-                          UCY CHAIDEZ has such severe asthma she           in her twenties. But in 1990, she moved to Sacra-
                                                                                                                                                    diversity outreach strategies as a tool in the fight     Santa Barbara and Ventura                                    News From
                                                                                                                                                    against lung disease when it received the Bernard
                                          can only work part-time. But the time she        mento and since then her asthma has been severe.                                                                  Counties Educates Leaders
 ing I’m helping                          does spend working at the Emergency Medi-           “The last 12 years have not been easy,” she
                                                                                                                                                    Gregory Award for Cultural Diversity at the na-
                                                                                                                                                                                                             The American Lung Association of Santa Barbara
                                                                                                                                                                                                                                                                          Around the
                                                                                                                                                    tionwide American Lung Association’s 2002 An-
   others who                        cal Services Authority (EMSA) keeps her going         says. “I can’t do all the things I used to do.”          nual Conference in Atlanta recently.                     and Ventura Counties is involved in an important                State
                                     because she knows she’s helping children with                                                                                                                           project to educate key community leaders and
 suffer the same                     asthma get the care they need.                        education Helps children with                               The association was awarded for its extensive
                                                                                                                                                                                                             elected officials about tobacco policy issues. The
                                                                                           Asthma                                                   work in the African American, Asian, and Hispanic
  way I suffer.”                         “Sometimes when I’m really struggling with
                                                                                                                                                    communities. Its Project Unity offers a variety of       association plans to issue a Report Card on cur-
                                     my asthma, it helps knowing I’m helping others           Chaidez believes children with asthma today
                                                                                                                                                    programs in conjunction with the African Ameri-          rent tobacco control policies in Ventura County.
      Lucy chaidez                   who suffer the same way I suffer every day,”          are better off than she was as a child because
                                                                                                                                                    can Community Service Agency and other African              The project provides policymakers with the
                                     Chaidez says.                                         there is more public awareness about the lung
                                                                                                                                                    American organizations. The association is work-         technical support to draft new ordinances for
                                         EMSA is the state agency responsible for          disease. Making life easier for children with
                                                                                                                                                    ing closely with the Asian Consortium on several         their communities. With help from the Tobacco
                                     ensuring that childcare workers are properly          asthma is what drives her.
                                                                                              EMSA will soon release a video that will              projects, including a recent grant, multicultural        Assistance Legal Center (TALC) and the Ameri-              As a volunteer,
                                     trained in first aid and CPR. Ever since legisla-                                                                                                                       can Lung Association of California’s Center for
                                     tion (SB 1663) was passed in 1998 mandating           be used in conjunction with the nebulizer and            events, physician trainings and asthma screenings.                                                                   donor or staff
                                                                                                                                                    The association also translated the American Lung        Tobacco Policy and Organizing, the association
                                     it, that training includes a section on nebulizers    inhaler curriculum. It will actually demonstrate                                                                                                                              member, you
                                                                                                                                                    Association’s Freedom From Smoking® program              is working to provide updated information to
                                             and inhalers, which are used to admin-        how to use the equipment, which should help                                                                       local government officials.                                  can receive a
                                                                                           childcare workers become even better prepared            into Spanish.
                                             ister asthma medications. SB 1663 was                                                                                                                                                                                      discount when
                                                                                           to care for children with asthma.
                                             sponsored by the American Lung Asso-
                                                                                                                                                    Central California Works to Reduce                       Former Smokers Support                                    you rent or pur-
                                             ciation of California and its medical sec-
                                             tion, the California Thoracic Society.                                                                 Air Pollution                                            San Francisco Bike Ride                                   chase a cleaner-
                                                 EMSA approves the training curricula                                                               The American Lung Association of Central Califor-        The American Lung Association of San Fran-                  fueled vehicle
                                             for the 40 agencies statewide that train                                                               nia has launched a number of initiatives to help re-     cisco & San Mateo Counties held their 11th                 from EV Rental
                                             childcare workers. After the legislation        Woman credits Lung Association                         duce air pollution in the San Joaquin Valley and will    annual Bike for Breath ride on July 13, netting                  Cars.
                                             passed, it became Chaidez’ job to make              for saving Her Life                                continue to urge its local Air District and Environ-     more than $40,000 and providing an opportu-
                                             sure those agencies use good curricula for      When Gladys B. Legendre moved to California nearly     mental Protection Agency to speed up the timetable       nity for 900 riders to show their support. Mike
                                             the inhaler and nebulizer portion of the        19 years ago, she was in a wheelchair and required     for bringing the valley into clean air compliance.       Doyle, riding in honor of his wife’s grandmother
                                             trainings.                                      continuous oxygen. Today the 87-year-old walks on         Under the American Lung Association of Cali-          who died from emphysema, raised $2,000, half
                                                                                             her own and uses oxygen                                                                                         of that from his patients in the Pulmonary Reha-
                                                 Chaidez worked closely with the Cali-       only at night. She credits                             fornia’s Clean Fleets grant, Clovis joined the grow-
Lucy Chaidez must                    fornia Thoracic Society to develop the curricu-                                                                ing list of valley cities that passed a zero-emission    bilitation Department at a local hospital. Many
                                                                                             the incredible improve-
take nebulizer treat-                lum. It includes information about following a          ment in her health to the                              resolution or ordinance. Other cities have been con-     of the patients are former smokers who felt it
ments and other                      respiratory care plan, what to do when a child          American Lung Associa-                                 tacted to join the list.                                 was a way for them to give back to the Ameri-               Mention the
medications every day                has an asthma attack, asthma medications and            tion and her faith.                                       Mayors of valley cities recently passed a reso-       can Lung Association.                                     American Lung
to control her asthma.                                                                           “I know I did it myself.                                                                                       “If they give their money to only one charity,
                                     their side effects, and the proper use, care and        I realize that,” Legendre                              lution committing their cities to adopting clean                                                                    Association of
                                     cleaning of nebulizers and inhalers.                                                                           air practices at their annual mayor’s conference         they want it to make a difference,” Doyle says.            California, and
                                                                                             says. “But it was the
                                                                                             American Lung Associa-                                 in Fresno.                                                                                                          EV Rental Cars
                                     Asthma interferes with Her Life                         tion that got me going.”                                                                                        DEY Raises $50,000
                                                                                                                                                                                                                                                                       will also make a
                                         Chaidez, 43, says asthma interferes with her            She and her companion, Marge Patch, were so        Sacramento-Emigrant Trails                               for Redwood Empire
                                     life on a daily basis. She must take asthma medi-       grateful for Legendre’s turnaround, they decided                                                                                                                          donation to the
                                     cations daily, including nebulizer treatments,          to give back to the American Lung Association          Wins Local Awards                                        DEY, L.P., a Napa-based manufacturer of respira-
                                                                                             by investing in gift annuities that benefit the as-    The American Lung Association of Sacramento-             tory medications, pulled out the stops in raising
                                     and can barely walk around the block without            sociation.
                                                                                                                                                    Emigrant Trails was recently honored at A Night          money and awareness for the inaugural Blow the              to receive your
                                     becoming breathless. In February, her in-laws               In 1984, Legendre had become so debilitated by
                                                                                                                                                    of Champions, the State Sponsored Programs               Whistle on Asthma Walk of the American Lung               discount code, visit
                                     are paying for the entire family to take a cruise,      her pulmonary fibrosis that doctors told her to move
                                                                                             out of her hot, humid hometown of New Orleans.         Community Appreciation Evening sponsored by              Association of California—Redwood Empire       ,
                                     but she won’t be joining them because she is
                                                                                             So she and Patch headed west to Oceanside, where       Blue Cross of California. As recipients of the 2001      Branch. The company donated $10,000 as Pre-                 or mention the
                                     concerned about the emergency medical services                                                                                                                                                                                      American Lung
                                                                                             they bought a house.                                   Community Support Grant, the association created         senting Sponsor. In addition, as of press time, 18
                                     onboard.                                                    Once she was settled in her new home, Legendre                                                                                                                           Association of
                                                                                                                                                    a pilot project for the Asthma Tool Kit, consisting      team captains within the 1,000-employee com-
                                         “My asthma has been real bad lately,” she           contacted the American Lung Association of San                                                                                                                           California when you
                                                                                                                                                    of “Your Asthma Book” and “Asthma Self-Care              pany had raised $18,000 with three weeks to go.
                                     says. “I hope someday they can come up with a           Diego and Imperial Counties. She attended the                                                                                                                                     call
                                                                                             association’s four-week Breathe Easier breathing       Plan.” The booklets have become a success and            If the teams raised $15,000, DEY promised an
                                     cure so I can breathe easier.”
                                                                                             improvement course and joined the Better Breath-       continue to be widely used and requested through-        additional $5,000. DEY is also doing a company
                                         After years of chronic illness, Chaidez was fi-
                                                                                             ers Club, an educational support group for people      out the state.                                           match of any employee contributions.
                                     nally diagnosed with asthma at age 15. She had          with lung disease. And that’s when her life turned
                                                                                                                                                       The Sacramento County Board of Supervisors                DEY employees helped get the message out
                                     to be hospitalized after nearly dying and finally       around, she says.
                                                                                                                                                    also recognized the association during Public Health     about the asthma epidemic to their families, neigh-
                                     a doctor there recognized her symptoms.
                                                                                                                                                    Week for its efforts to improve air quality and elimi-   bors and friends.            Her asthma symptoms subsided when she was                                                                                                                                                                                
Breathe easy FALL 2002/Winter 2003                                                                                                                                                                                                                                   Breathe easy FALL 2002/Winter 2003
   Breathe easy

       research                      researcher investigates
       Matters                       mesothelioma cancer cells
    “We have to
                                     M                                                     Asbestos Fibers cause Lung Disease
                                           ESOTHELIOMA is an incurable form of
                                           cancer that strikes the lung lining. It’s so       Mesothelioma strikes about 3,000 people a
   find a way to                           deadly because the tumors don’t respond         year and is mainly caused by asbestos, a fibrous
   kill these tu-                    to current cancer treatments and Claire Vivo,         material mined from serpentine rock that was
                                     Ph.D., wants to know why.                             used in building materials, car brakes, and other
     mor cells.”                         “It is important to un-                           products up until the mid-1970s. Although as-
                                     derstand the mechanism of                             bestos is no longer widely used, old buildings
  claire Vivo, Ph.D.
                                     death in malignant cells,”                            and products containing asbestos are still in use.
                                     says Dr. Vivo, who is work-                              Another source of asbestos is naturally occur-
                                     ing on a research project                             ring asbestos, which covers about 1.2 percent
                                     funded by the American                                of California’s landmass. All types of naturally
                                     Lung Association of Cali-                             occurring asbestos are potentially dangerous
  When You Can’t Breathe,            fornia to find out how these                          when they become airborne due to construction
   Nothing Else Matters®             cells work.                                           or activity. However, one type of asbestos called
                                         This type of cancer                               tremolite is more likely to cause mesothelioma.
  Breathe easy® is a pub-
  lication of the American           attacks the mesothelial cells, which form a              Tremolite is present in the Sierra foothills
  Lung Associations and its          protective lining around the lungs, heart and         where it is being disturbed by development,
  15 local associations, which
  are dedicated to the preven-       abdominal organs. The most common type of             which is causing concern among many residents
  tion of lung disease and the       mesothelioma is found in the thin membrane            there. Last year, the American Lung Association
  promotion of lung health.
  For program information in         between the lung and the chest cavity called the      of California and its medical section, the Cali-
  your area, contact your local      pleura.                                               fornia Thoracic Society, urged the California Air
  American Lung Association
  at 1-800-LUNG-USA or                   All cells are programmed to die eventually.       Resources Board to adopt stringent air monitor-
  find us at www.califor-            Cancerous tumors may be the result of cells that      ing standards at construction sites and mining
                                     have lost their ability to die. Chemotherapy,         operations where naturally occurring asbestos is
  We encourage duplica-
  tion of articles printed in        radiation and other cancer treatments are often       present.
  Breathe easy®. Please              successful at triggering cell death, but not in me-
  include appropriate at-
  tribution.                         sothelial cells.                                      cases are expected to rise
        Board Chair                      Researchers have found that the cells will die        Experts predict mesothelioma will strike even
  Anne Kennedy, RRT, RCP             when a certain molecule that induces death is ap-     more people in the years to come. The Mesothe-
       President and CEO             plied in conjunction with chemotherapy drugs, but     lioma Legal Center estimates that by 2030, there
       Ben Abate, Ph.D.
                                     they don’t know why. Dr. Vivo is trying to under-     could be 300,000 new cases each year because
        Vice President,
      Communications                 stand the mechanism so that someday better treat-     it can take anywhere from 15 to 50 years to de-
     Andrew M. Weisser               ments can be developed, and possibly even a cure.     velop after exposure to asbestos. That means all
          Caitlin Kerk
            Layout                                                                                                             Non-Profit Org.
          John Jensen                                                                                                           U.S. Postage
       Editorial Board               424 Pendleton Way • Oakland, CA 94621                                                         PAID
         Jenny Bard                                                                                                            American Lung
                                     (510) 638-LUNG •
         David Dias                                                                                                             Association®
        Paul Fletcher
         Stacey Long
     Donna Pearson-Beal
     Charles Sant’Agata
    Gabriella Tagliacozzo
    Rajeev Venkayya, MD
        Linda Weiner
     Andrew M. Weisser
         Cover photo by
          Firooz Zahedi

   Printed on recycled Paper

Breathe easy FALL 2002/Winter 2003

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