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Published on: Jun 10, 2021
1 minute read
By: Dr Rachana Choudhary

How To Travel Safely During COVID Times.

As more people are vaccinated for COVID-19, many are looking forward to being able to travel again. While many restrictions have been lifted, COVID-19 has not gone away. So how safe is it to travel?

Vaccination- So what is the most important step to ensuring safe travel Without a doubt, the most important thing people can do to protect themselves is to get vaccinated for COVID-19. I recommend that all eligible people get vaccinated for COVID-19. That is going to dramatically decrease your risk of getting infected with SARS-CoV-2, the virus that causes COVID-19, and also dramatically decrease the risk that even if you were infected, you could transmit it to others.

Masks – The most important thing is to know if fully vaccinated travelers still required to wear a mask on an airplane. Yes, because we still have a considerable number of people in who are not vaccinated yet. And on airplanes, people are in close proximity for a longer period of time.

Beyond getting vaccinated for COVID-19 and wearing a mask in airports, and on planes, buses, and trains it's also still important to practice good hand hygiene and keep your area clean with disinfectant wipes.

Monitor Symptoms & Quarantine - What steps should we take when you return from travel? When people return from travel, some may wonder whether they should be tested for COVID-19. The need to test depends on where they're traveling from. There's no need to be tested and there's need to quarantine. Most importantly we should continue to monitor for symptoms.

If at any time during or after travel people start to develop symptoms that are consistent with COVID-19, such as, fever, shortness of breath, or loss of taste or smell, they should be evaluated by a provider and likely be tested for COVID-19.

What should people who are traveling with children do?

For families looking to plan a summer getaway with children who are not yet eligible to be vaccinated for COVID-19, they can still travel safely. It just takes a little bit of thought and planning. If you have children who are unvaccinated, that is probably not the time to bring them to areas where lots of people are congregating because we know they're still at risk of getting infected with COVID-19 if other people in that area are not vaccinated for COVID-19 and can transmit the virus. Even if your children are fastidious masking, there's still a risk.

If you have unvaccinated children, I think it's still safe to fly. But of course, they will always be masked. If you go to places that are more outdoors in more open space, where you're not congregated with lots of other people, I think it's very safe. You just have to think through the steps of what's going to happen on the vacation and position things so that you're not putting your unvaccinated children at risk."

Whether traveling or just attending events with large amounts of people, the bottom line is precautions still need to be taken.

We still do have people getting infected with COVID-19. We still have people being hospitalized. And, unfortunately, we still have people who are dying, as well. So, we're not completely done with this. We still have to be careful.

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Asthma Symptoms in Adults: Early Signs, Triggers, and When to Seek Care

Asthma is often perceived as a childhood condition, but a significant number of cases develop or persist into adulthood. In India, adult asthma is increasingly recognised due to rising air pollution, occupational exposure and lifestyle-related risk factors. Unfortunately, asthma symptoms in adults are frequently misdiagnosed as recurrent infections, allergies or age-related breathlessness, leading to delayed treatment.

Understanding adult asthma symptoms is critical for early diagnosis, effective control and prevention of severe attacks.

What Is Asthma?

Asthma is a chronic inflammatory disease of the airways. In asthma, the airways become:

inflamed
narrow
overly sensitive to triggers

This leads to difficulty in breathing, especially during exposure to specific stimuli.

Why Adult Asthma Is Often Missed

Adult asthma symptoms may:

appear gradually
vary in severity
mimic common respiratory conditions

According to Indian Council of Medical Research and WHO data, many adults remain undiagnosed for years, increasing the risk of complications.

Common Asthma Symptoms in Adults

Wheezing

A high-pitched whistling sound while breathing, especially during exhalation, is a classic asthma sign.

Shortness of Breath

Adults with asthma often feel:

breathless during routine activities
difficulty taking deep breaths

This may worsen at night or early morning.

Chest Tightness

Many describe a sensation of pressure or tightness in the chest, which can be mistaken for heart-related issues.

Chronic Cough

A persistent cough, especially:

at night
early morning
after exercise

is a common but overlooked asthma symptom.

Symptoms That Worsen With Triggers

Asthma symptoms often intensify after exposure to specific triggers.

Air Pollution and Smoke

Urban pollution, vehicle emissions and indoor smoke significantly worsen asthma symptoms in adults.

Allergens

Dust mites, pollen, mould and pet dander are common triggers.

Respiratory Infections

Viral infections can trigger asthma flare-ups or reveal undiagnosed asthma.

Physical Activity

Exercise-induced asthma causes breathlessness and wheezing during or after physical exertion.

Weather Changes

Cold air, humidity and sudden temperature changes can aggravate symptoms.

Adult-Onset Asthma

Adult-onset asthma differs from childhood asthma.

Characteristics include:

onset after age 20–30
less association with childhood allergies
more persistent symptoms
higher likelihood of severe disease

Occupational exposure and hormonal changes contribute to adult-onset asthma.

Risk Factors for Asthma in Adults

Several factors increase asthma risk:

long-term exposure to pollution
smoking or passive smoking
occupational chemicals or dust
obesity
family history of asthma
chronic sinusitis or allergies

Women may experience asthma onset or worsening during hormonal changes.

When Asthma Symptoms Become Serious

Seek immediate medical attention if experiencing:

severe breathlessness
difficulty speaking in full sentences
bluish lips or fingertips
rapid worsening of symptoms
poor response to usual inhalers

These signs indicate a potentially life-threatening asthma attack.

How Adult Asthma Is Diagnosed

Diagnosis includes:

detailed symptom history
physical examination
lung function tests (spirometry)
response to bronchodilators

Early diagnosis improves long-term outcomes.

Impact of Untreated Asthma

Untreated asthma can lead to:

frequent attacks
reduced lung function
sleep disturbances
missed workdays
reduced quality of life

According to Lancet respiratory studies, uncontrolled asthma increases hospitalisation risk.

Managing Asthma Symptoms in Adults

Effective asthma management focuses on:

identifying and avoiding triggers
using prescribed inhalers correctly
monitoring symptoms regularly
maintaining follow-up care

Asthma action plans help patients recognise worsening symptoms early.

Role of Preventive Healthcare

Preventive healthcare helps:

detect asthma early
assess lung function
guide lifestyle modifications

Regular health checkups are especially important for individuals with respiratory symptoms or occupational exposure.

Lifestyle Measures That Support Asthma Control

Helpful practices include:

avoiding smoking
improving indoor air quality
wearing masks in polluted environments
maintaining healthy weight
regular, moderate exercise

Lifestyle support complements medical treatment.

Mental Health and Asthma

Stress and anxiety can worsen asthma symptoms.

Stress management:

reduces symptom frequency
improves medication response

Holistic care improves asthma outcomes.

Importance of Medication Adherence

Asthma medications work best when:

taken regularly as prescribed
inhaler technique is correct

Skipping treatment increases flare-up risk.

Long-Term Outlook for Adults With Asthma

With proper management:

symptoms are well controlled
severe attacks are preventable
normal activity levels are achievable

Most adults with asthma lead active, productive lives.

Conclusion

Asthma symptoms in adults are often subtle, variable and easily mistaken for common respiratory problems. Wheezing, breathlessness, chest tightness and chronic cough should not be ignored, especially when triggered by pollution, exercise or weather changes. Early diagnosis, trigger control and consistent treatment are essential to prevent severe attacks and preserve lung health. Recognising adult asthma early empowers individuals to manage symptoms effectively and maintain a good quality of life.

References

Indian Council of Medical Research (ICMR) – Respiratory Disease and Asthma Studies
World Health Organization (WHO) – Asthma Management and Prevention Guidelines
National Family Health Survey (NFHS-5) – Respiratory Health Indicators
Lancet Respiratory Medicine – Adult Asthma Outcomes and Management
NITI Aayog – Air Pollution and Respiratory Health Reports
Statista – Global Asthma Prevalence and Trends

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