Health
Ella Kissi-Debrah “Live on the Knife Edge” Before You Die
A nine-year-old girl suffering from chronic asthma “lived with a knife blade” months before her death, medical experts said.
Ella Kissi-Debrah died in February 2013 after having had multiple seizures in the last three years and having nearly 30 visits to the hospital with respiratory disabilities.
An inquest at the Southwark Coroners Court is investigating the dangerous levels of air pollution in London borough. RyushamThe place where Ella lived with her family may have contributed to her death.
Professor Stephen Holgate, a professor of immunopharmacology at the University of Southampton, told the inquest that Ella’s “very rare” condition, combined with her surroundings, put her at “exquisite” risk.
“I used the term” Ella lived on the blade of a knife. ” What that really means is … very small changes can lead to dramatic events, “he said.
Sir Stephen said Ella’s lung mucus “hypersecretion” caused a long-term coughing attack that worsened in the winter months of 2012.
“When air pollution was getting worse in her neighborhood during these winters … this is when she would experience her worse exposure,” he said.
“I think that’s why (Ella’s condition) was most emphasized at that time, but her airways can reassemble during the summer when air pollution levels fall overall.
“Obviously, she had a strong genetic susceptibility that was second to none.”
According to a 2018 report written by Sir Stephen, pollution levels at the Catford Surveillance Station, a mile away from Ella’s home, “consistently” exceeded EU legal limits for the three years before her death. Was there.
Sir Stephen said it was “almost certain” that Ella’s asthma was “substantially less serious” if the pollution levels in the area were within limits.
“Based on my assessment, I suggest she would have improved if she had been moved from that area to a much less polluted area,” he said.
Sir Stephen added that air pollution has been known as an exacerbating factor for asthma patients, including children, “for at least 40 years, if not more.”
Paul Wilkinson, a professor of environmental epidemiology at the London School of Tropical Diseases, said Ella was likely exposed to above-average pollution “even in London” due to her proximity to the busy South Ring Road. Stated.
Inquests have heard that 28,000 to 36,000 deaths in the UK are believed to have been caused by air pollution each year.
Sir Stephen said the issue of air pollution should be an “agenda” and that the general public should be empowered to measure their own levels.
“I think the information about the air quality of the area that empowers the individual is very helpful,” he said.
Sir Stephen paid tribute to Ella as an “extraordinary girl” and praised her “amazing” mother Rosamund Kiss Debra for her resilience after the tragedy.
Dr. Andy Whittamore, clinical leader and GP practitioner of Asthma UK and the British Lung Foundation, said it was “important” to take precautions to avoid similar deaths in the future.
“Clinicians and local governments must work together to warn the public of the dangers of air pollution by emphasizing places and times of poor air quality, and they will call themselves. You can take action to protect it, “he said.
“Air pollution may not be visible, but it continuously irritates the airways, which means that people show more symptoms, need stronger dosages to stay healthy, and have asthma attacks. It is more likely to cause a relapse of symptoms and symptoms. This is fatal. ”
The inquest is scheduled to end on Friday.
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