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<title>The effect of pesticide spraying on the rate and severity of ED asthma - The American Journal of Emergency Medicine</title>
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                        </a></div><h1 class="articleTitle"><h1 class="articleTitle">The effect of pesticide spraying on the rate and severity of ED asthma</h1></h1><div class="authorGroup"><div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Bonnie Chin-Yet O'Sullivan</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Bonnie Chin-Yet O'Sullivan</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">John Lafleur</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">John Lafleur</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Kirsa Fridal</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Kirsa Fridal</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Stephen Hormozdi</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Stephen Hormozdi</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Steve Schwartz</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Steve Schwartz</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, North Shore Medical Center, Long Island, NY 11030, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Mark Belt</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Mark Belt</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA</li></ul></div></div>, MD</div>,<div class="author"> <a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);">Madelon Finkel</a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Madelon Finkel</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Public Health, Weill Medical College, Cornell University, New York, NY 10021, USA</li></ul><h4>Correspondence</h4><ul class="correspondence"><li>Corresponding author. Tel.: +1 212 746 1257; fax: +1 212 746 8544.</li></ul></div></div>, PhD<a class="openAuthorLayer layerTrigger" id="openAuthor_" href="javascript:void(0);"><img src="../../templates/jsp/_style2/_marlin/images/article_notepad.gif" alt="correspondence"></img></a><div class="authorLayer hoverLayer notCollab" role="alertdialog" aria-describedby="_compliance" tabindex="-1" data-target=""><span class="closeBtn" role="button" tabindex="0" aria-label="close window">x</span><div class="header" id="_compliance">Madelon Finkel</div><div><a href="/">Search for articles by this author</a><h4>Affiliations</h4><ul class="affiliations"><li>Department of Public Health, Weill Medical College, Cornell University, New York, NY 10021, USA</li></ul><h4>Correspondence</h4><ul class="correspondence"><li>Corresponding author. 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                    </div><section class="widget widget-regular abstractImages"><header class="widget-header header-regular">Figures</header><div class="widget-body body body-regular"><div class="image"><div><img src="../../cms/attachment/2005046740/2021485732/gr1.sml.jpg"></img></div><div class="caption"><p class="caption-title"><span class="label">Fig. 1</span></p><p>Emergency department asthma visits (adult and pediatric).</p></div></div><div class="image"><div><img src="../../cms/attachment/2005046740/2021485730/gr2.sml.jpg"></img></div><div class="caption"><p class="caption-title"><span class="label">Fig. 2</span></p><p>Comparison of daily visits and admission for spraying vs nonspraying days.</p></div></div><div class="image"><div><img src="../../cms/attachment/2005046740/2021485733/gr3.sml.jpg"></img></div><div class="caption"><p class="caption-title"><span class="label">Fig. 3</span></p><p>Adult asthma visits (3-day running average).</p></div></div><div class="image"><div><img src="../../cms/attachment/2005046740/2021485731/gr4.sml.jpg"></img></div><div class="caption"><p class="caption-title"><span class="label">Fig. 4</span></p><p>Pediatric asthma visits (3-day running average).</p></div></div></div></section><div class="abstract"><h2 class="sectionTitle">Abstract</h2><p>We report on the incidence of emergency department (ED) asthma presentations and admissions to the Lincoln Hospital, located in the South Bronx of New York City, during the 1999 eradication program of the mosquito vector for West Nile virus. Spraying of Malathion and Resmethrin occurred in the hospital's geographic area over 4 days in September 1999. During that time, 1318 pediatric and adult patients were seen in the ED for asthma-related symptoms. Of these, 222 (16.8%) were hospitalized. Emergency department visits, during days when spraying occurred, were compared with visits during days when no spraying occurred. Comparisons were made with previous years as a reference point. Findings showed that the spraying of insecticides did not increase the rate or severity of asthma presentations as measured by the Lincoln Hospital's ED asthma census or hospital admissions for asthma.</p></div><div class="content"></div><div class="denialInfo">
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