Asthma is a chronic respiratory condition that affects millions globally, causing inflammation and narrowing of the airways, which can lead to breathing difficulties. While asthma symptoms can be triggered by various factors, certain times of the year pose a higher risk for flare-ups.
One of the most notorious periods is September, known as the “September Asthma Peak.”
This article explores why September is particularly challenging for asthma sufferers and what factors contribute to the increase in symptoms during this time.
What is the September Asthma Peak?
The September Asthma Peak, also known as the “September Asthma Epidemic,” refers to a noticeable increase in asthma exacerbations that typically occurs during the first few weeks of September.
This spike is often attributed to a combination of factors, including the start of the school year, increased exposure to respiratory infections, heightened allergen levels, and changes in weather. Children and adolescents are particularly affected, leading to a surge in emergency room visits and hospitalizations for asthma management.
Why is September Difficult for People With Asthma?
September is challenging for people with asthma due to a combination of factors. The start of the school year increases exposure to respiratory infections and common cold viruses, which can trigger asthma attacks.
Additionally, environmental changes like rising ragweed pollen levels and fluctuating temperatures can worsen symptoms. The combination of viral infections, allergens, and environmental changes often results in the “September Asthma Peak,” making it a high-risk time for asthma exacerbations.
Watch this video or keep reading to learn more about the factors that make September a difficult time for people with asthma.
Factors Contributing to the September Asthma Peak
Several factors converge in September, making it a particularly challenging month for individuals with asthma.
The primary contributors include:
- Return to School Exposure
- Peak Seasonal Allergies
- Shifts in Weather Patterns
- Inconsistent Medication Use
- Ragweed Pollen Season
- Elevated Mold Spore Counts
Together, these triggers create a perfect storm for asthma exacerbations, highlighting the need for extra vigilance and management strategies during this time.
1. Return to School Exposure
One of the key reasons behind the “September Asthma Peak” is the return to school for children. Schools often act as breeding grounds for viruses, especially the common cold and respiratory infections—both of which are known asthma triggers.
After a long summer break with limited exposure, children are suddenly in close contact with a larger group of peers, increasing their risk of contracting viral infections, which can lead to a spike in asthma exacerbations.
2. Peak Seasonal Allergies
September marks the peak of seasonal allergens, particularly in many regions where ragweed pollen levels are highest. Ragweed is a potent allergen that can travel hundreds of miles through the air, making it difficult to avoid.
For individuals sensitive to pollen, this heightened presence in September can significantly worsen asthma symptoms, leading to more frequent and severe flare-ups.
3. Shifts in Weather Patterns
The transition from summer to fall brings unpredictable changes in temperature and humidity, which can exacerbate asthma symptoms. The cooler air, increased wind, and sudden drops in temperature can cause airway constriction in some individuals, making breathing more difficult.
Additionally, wind patterns can stir up allergens like pollen and mold, making the air quality more challenging for asthma sufferers.
4. Inconsistent Medication Use
During the relaxed summer months, many children may not adhere strictly to their asthma medication regimen, especially if their symptoms are less apparent outside of school stressors and physical activities.
When they return to the routine of school—with increased exposure to exercise, stress, and environmental triggers—they may experience a sudden resurgence of asthma symptoms due to inconsistent medication use over the summer.
5. Ragweed Pollen Season
Ragweed, a notorious asthma and allergy trigger, begins to pollinate in late August and continues through September until the first frost. During this period, ragweed pollen becomes airborne and can be inhaled, leading to allergic reactions and asthma flare-ups.
For those with ragweed sensitivity, this season can be particularly challenging, making it a significant contributor to the September Asthma Peak.
6. Elevated Mold Spore Counts
Mold is another common asthma trigger, and its presence typically increases in September. Outdoors, mold can be found in damp areas and piles of fallen leaves—a common sight during the early fall.
Indoors, mold can thrive in spaces with high humidity or water damage. Inhalation of mold spores can trigger severe asthma symptoms, especially for those who are allergic or sensitive to mold.
7. Extreme Weather Conditions
The shift from summer to fall can also bring about extreme weather events such as thunderstorms, which can significantly impact asthma symptoms. Storms can stir up and concentrate allergens like pollen and mold spores, making them more likely to be inhaled. Additionally, sudden cold snaps can cause airway constriction, making it harder for individuals with asthma to breathe comfortably.
Note: Understanding these factors can help individuals with asthma take appropriate precautions during September.
Mitigating the September Asthma Peak
Although September can be a particularly tough month for those with asthma, there are several strategies that can help manage and reduce symptoms effectively:
1. Adhere to a Consistent Medication Regimen
Maintaining regular use of prescribed asthma medications is essential for keeping symptoms under control. This includes both daily control medications that reduce airway inflammation and quick-relief inhalers for managing sudden symptoms.
Children, in particular, should resume their medication regimen well before the start of the school year to avoid flare-ups when exposed to new triggers.
2. Prioritize Allergen Avoidance
Minimizing exposure to known allergens can make a significant difference. For example, if ragweed pollen is a trigger:
- Keep windows and doors closed.
- Use air conditioning to filter indoor air.
- Monitor local pollen forecasts and limit outdoor activities when counts are high.
- Shower and change clothes after spending time outdoors to remove pollen from skin and hair.
3. Get the Annual Flu Vaccination
Since viral infections like the flu can worsen asthma symptoms, getting vaccinated is a proactive way to reduce risk. The Centers for Disease Control and Prevention (CDC) recommends that everyone six months and older receive an annual flu shot.
This is especially important as the flu season typically begins in the fall, coinciding with the September Asthma Peak.
4. Schedule Regular Check-Ups
Routine check-ups with a healthcare provider help ensure that asthma management plans are up-to-date and tailored to current needs. These visits provide an opportunity to review medications, adjust dosages, and address any new triggers that might arise with seasonal changes.
Living with asthma during the September Asthma Peak can be challenging, but with proper preparation and proactive management, these difficulties can be minimized.
Staying consistent with medication, avoiding allergens, getting vaccinated, and maintaining regular healthcare appointments are essential strategies for managing asthma effectively during this period.
Note: For personalized advice and a tailored treatment plan, always consult with a healthcare provider.
What is Asthma Peak Week?
Asthma Peak Week is a specific period in September, typically around the third week of the month, marked by a sharp increase in asthma exacerbations that often result in a surge of hospitalizations and emergency room visits.
During this week, asthma-related incidents tend to spike due to a combination of environmental and seasonal factors. It’s crucial for individuals with asthma and their caregivers to be extra vigilant.
Key strategies include:
- Consistent Medication Use: Stick to prescribed medication regimens, including daily control medications and carrying quick-relief inhalers at all times.
- Avoidance of Known Triggers: Limit exposure to allergens and irritants, monitor local pollen and mold counts, and take proactive steps to minimize risks.
To combat the challenges of Asthma Peak Week, healthcare providers, schools, and community organizations often ramp up asthma education initiatives. They focus on raising awareness, providing resources, and offering guidance on effective asthma management.
By staying informed and prepared, individuals can navigate Asthma Peak Week with fewer complications and a stronger plan for long-term asthma control.
Related: Top Cities With the Most Asthma-Related Emergency Department Visits
Final Thoughts
September brings unique challenges for individuals living with asthma, highlighted by the well-known “September Asthma Peak” and the particularly intense “Asthma Peak Week.”
Factors such as returning to school, peak ragweed pollen season, elevated mold counts, and unpredictable weather changes all contribute to the increased prevalence of asthma symptoms and flare-ups during this month.
However, these challenges can be effectively managed with the right strategies. Key steps include adhering to regular medication schedules, updating your Asthma Action Plan, avoiding known allergens, getting the annual flu vaccination, scheduling routine check-ups, and prioritizing effective communication and education.
It’s essential to stay proactive and prepared. For personalized advice, always consult with a healthcare provider to ensure your asthma management plan is tailored to your specific needs.
Written by:
John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.
References
- Asthma and Allergy Foundation of America | AAFA | Home. Asthma & Allergy Foundation of America. 2023.
- Hashmi MF, Tariq M, Cataletto ME. Asthma. [Updated 2023 Feb 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
- AAFA Community Services. (n.d.). Brace Yourselves: The Biggest Week for Asthma Attacks Is Coming. Asthma and Allergy Foundation of America. 2023.
- Ragweed Pollen Allergy | AAFA.org. Asthma & Allergy Foundation of America. 2023.
- Castillo JR, Peters SP, Busse WW. Asthma Exacerbations: Pathogenesis, Prevention, and Treatment. J Allergy Clin Immunol Pract. 2017.