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Røykeforbud på holdeplasser

Det burde gå an å innføre forbud mot røyking på holdeplasser og terminaler med henvisning til røykeloven for offentlig transport.

“§ 12.Røykeforbud i lokaler og transportmidler
I lokaler og transportmidler hvor allmennheten har adgang skal lufta være røykfri.” Lovdata.no

Da jeg har 10 års erfaring med busskjøring har jeg også solid erfaring med røykeres beteende i forhold til røyk og buss. Det samme gjelder nok også for andre transportmidler da det samme publikum benytter seg av alle typer transportmidler.

Røykere røyker seg gjerne opp og drar kraftige trekk på sigaretten like før dem skal gjennom dørene til bussen, så kaster dem sneipen på marken og går inn gjennom dørene, det som da skjer er at all den røyken dem søg i seg den blåser dem ut inne i bussen, gjerne i ansiktet på sjåføren som har krav på en røykfri arbeidsplass, og de utsetter også andre i bussen for røyk. Passasjerer og noen sjåfører står rett utenfor og ved bussdørene og røyker slik at røyk siver inn i bussen. Dette er både et arbeidsmiljøproblem og et problem for reisende som blir utsatt for passiv røyk som siver inn i bussen.

Les lovteksten
“I transportmidler hvor allmennheten har adgang skal lufta være røykfri.”

Merk deg at det står

“skal lufta være røykfri.”

Det står ikke er det forbudt å røyke også om det innefatter røykeforbud, det står “skal lufta være røykfri”, ingen røyk altså, slik at per definisjon er det ulovlig å blåse ut røyk inne i bussen, og ulovlig å stå og røyke ved dørene slik at røyk siver inn i bussen. “Lufta i bussen SKAL være RØYKFRI.”

I dag er lufta ikke helt røykfri i offentlige transportmidler.

Slik som beskrevet herover skjer daglig uavhengig av transportør, oppdragsgiver og ruteområde.

Slik som arbeidstilsynet uttrykket det i et brev til meg

“Bussførerarbeidsplass når det røykes på holdeplass / i busskur. Holdeplass / busskur må regnes som inngangsparti som skal være røykfrie før bussdørrene åpnes. Kravet til røykfri luft gjelder for lokaler og transportmidler der allmennheten har adgang. Ifølge merknadene til forbudsbestemmelsen gjelder det også i inngangspartier, og det skilles ikke mellom inngangspartier for bygninger og transportmidler. Det skilles heller ikke mellom ansatte med ulike forutsetninger.” Arbeidstilsynet

I tillegg gjelder krav om universell utforming

“Universell utforming vil si å planlegge omgivelser, produkter, institusjoner og tjenester slik at de kan brukes av så mange mennesker som mulig. Hensikten er å oppnå like muligheter til samfunnsdeltakelse og motvirke diskriminering på grunnlag av nedsatt funksjonsevne.” snl.no
20-25% av Norges innbyggere har astma, både kunder og sjåfører, og i tillegg mange tusen fler med andre typer lungesjukdommer og sensitiviteter som reagerer med sjukdomsforverring da dem er i et ikke røykfritt miljø. Dette er veldig negativt for tilgjengeligheten til offentlige transportmidler da personer som må skygge unna røyk ikke kan bruke bussen. I tillegg blir alle utsatt før passiv røyk. De samme personene må bruke holdeplasser og terminaler og blir utsatte for passiv røyk. Og det er veldig negative alt sammen.

Lungesjukdommer som astma m.fl, allergi, og andre sensitiviteter er et handikap anerkjent av både LDO og FN. Hvordan det?  Defenisjonen på et handikap er

Ifølge norske offentlige utredninger,  

NOU 2005: 8 om likeverd og tilgjengelighet. Rettslig vern mot diskriminering på grunnlag av nedsatt funksjonsevne. Definert funksjonshemming som: “Funksjonshemming oppstår når det er et gap mellom individets evner og design eller funksjon i omgivelser / miljø / bygg.”

Merk deg at det ikke står angitt spesifikt hva som er handikap, det står for eksempel ikke bevegelseshemmet, blind, døv osv, det står kun angitt HVORDAN noe er et handikap.

Det er forbudt å blåse røyk ut inne i bussen og forbudt å røyke på holdeplass og i busskur da bussen står inne for å forhindre at røyk siver inn i bussen. Ifølge loven om vern mot tobakksskader og persontransport skal luften være røykfri. Personer som bryter mot loven kan avvises.

Personer som bryter mot forbudet kan avvises av sjåfør i henhold med loven.

“Person som på tross av advarsel fra eieren eller den som driver lokalet eller transportmidlet eller representant for denne, overtrer bestemmelse gitt i eller i medhold av paragrafen her kan bortvises fra lokalet eller transportmidlet.”

Dessverre er dette vanskelig da det vil gi sjåføren problemer pga sure og sinte kundeklager, og sjåføren risikerer repressalier fra kunder, og problemer med arbeidsgiver og oppdragsgiver.

Eneste måten å komme dette problemet til livs er å forby røyking på alle terminaler og holdeplasser.

Vennligst ta et krafttak for offentlige transportmidler, terminaler og holdeplasser slik at lufta er røykfri for alle, både for ansatte og kunder.

Annelie Molin
bussjåfør

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Nå har det skjedd igjen. Jeg måtte på doen, og jeg sprang inn på bensinstasjonen like ved, det var krise. Da jeg kommer inn på toalettet ser jeg denne duftmaskinen henger på veggen og med astma er dette en helsefare, man får tette lunger og vansker med å puste og får ikke luft, men jeg hadde å velge på dette og gjøre i buksen. Ingen vil gjøre på seg så jeg måtte gå, det forstår du også, men det er kjipt å måtte velge mellom å få gå på do og astmaanfall. Samme gjelder jo for øvrig også i andre lokaler, man skal ikke måtte unngå å gå steder, og på den måten bli utelukket fra å delta.

wp-image-1973377767jpg.jpg

Bildet er tatt under mitt astmaanfall, dette er ekte.

 

I flere timer etterpå hadde jeg vanskelig å puste og måtte bruke mye medisin.

Dette handler om tilgjengelighet, et toalett som er til for publikum skal alle kunne bruke, det skal ikke være slik at kun personer uten funksjonsnedsettelse kan bruke toalettet.

Dere som produserer, selger og bruker disse produktene støtter dere gjerne på at det er godkjent av IFRA, International Fragrance Association, som hevder dette er greit og ikke gir allergi og sjukdom. Det dere må forstå er at IFRA er en interesseorganisasjon for parfymeindustrien og de går industriens ærend, de er ikke interesseorganisasjon for oss med astma og andre lungesjukdommer, allergi, mcs, shr og andre sensitiviteter. Uansett hva de påstår så er ikke dette trygge produkter for oss. Jeg er et levende bevis for dette og jeg er bare en av veldig mange. WHO anslår at der er 300 millioner personer med astma i verdenen (tall fra 2011 slik at det er sikkert fler i dag) og i Europa er det anslått å være ca 30 millioner personer med astma (tall fra WHO og Ginasthma og The European Federation of Allergy and Airways Diseases Patients’ Associations (EFA), da er ikke alle andre lungesjukdommer og sensitiviteter medregnet i de tallene, ikke heller mcs og shr og øvrige sensitiviteter. I Norge teller man at ca 20-25% av befolkningen, ca 1 – 1,2 millioner mennesker har astma og allergi. I følge tall fra Norges Astma og Allergiforbund (NAAF) er 1,4 millioner personer i Norge sjuke av parfyme, og 0,5 % blir så sjuke av parfyme at de ikke kan deltake som alle andre gjør i samfunnet.

Jeg ga beskjed til stasjonsinnehaver om å ta den ned, alle skal kunne bruke toalettet. Ingen skal måtte velge mellom å bli sjuk og gå på toalettet, eller noen andre rom heller. For oss med astma er Ventoline en nødline og vi må dope oss med Ventolinne hele døgnet for å leve, mens andre ikke skjønner bæret og forurenser luften med parfymestoffer. I dag pga et dobesøk hos Circle K fikk jeg et kraftig astmaanfall fordi jeg måtte bruke toalettet på Circle K, det var først lite men etter 4 minutter slo det ut i full blomst og jeg hostet kraftig, trange luftrør, pipelyder da jeg FORSØKTE puste, det var ikke lett å få luft, øynene ble blodsprengte, jeg ble kraftløs og hadde oxygenbrist.  Det var problemer å få medisinen ned i nebulizern (inhalatoren du ser på bildet over) fordi jeg var i så dårlig stand, jeg var meget plaget. Da var jeg komt til kontoret og kollegene spurte masse, de visste vel ikke hva å gjøre. Etter hvert fikk jeg i meg medisinen likevel og etterpå kunne jeg snakke og forklare hvorfor det var så ille.  Skylden denne gangen var en duftmaskin på  veggen  på toalettet.

Nå vil jeg oppfordre deg som har slike på veggen i dine lokaler om å ta den ned uansett i hvilken bedrift eller sted, uansett hvor den sitter, om den er på toalettet eller annet lokale. Har produsenten fortalt deg at det ikke utløser allergi? Da er du blitt løyet til.  Den duften du sprer i rommet inneholder en masse stoffer som irriterer luftveiene i lungene og aktiviserer allergisk reaksjon, det gjør at dine kunder og besøkere blir sjuke av besøket og det henger i fra noen timer til flere dager avhengig av hvor sensitive personen er som ikke tåler det. Da man har fått et slik stort astmaanfall av et besøk hos deg da er man også mer sensitive for alt i flere dager etterpå.

Jeg vil gjøre det klinkende klart: Det har ikke betydning hvem som har satt det opp, eller hvem som leverer til hvem, det at det i hele tatt er produsert og tatt i bruk er det som er problemet. Vi er konstruert å puste luft, ikke kjemisk forurensning, det som er relevant her er at luften blir utjenlig å puste.

Jeg vil også opplyse om at det er et lovbrudd å utestenge dem som ikke tåler det i henhold til Likestillings og Diskrimineringsloven §9.

LHLorg-parfyme-diskriminering-§9-Skjermbilde

Skjermbilde av nettsiden til LHL Astma og Allergi:

“LHL mener at det må presiseres at kravet til universell utforming i diskriminerings- og tilgjengelighetsloven § 9 også omfatter tiltak for å forebygge eksponering av ulike irritanter, herunder parfymerte produkter.

LHL mener også at det bør settes av midler til forebyggende opplysningsvirksomhet slik at flere vil ta hensyn til at parfymerte produkter kan påføre andre helseskader.

LHL oppfordrer til at:

  • offentlige virksomheter innfører parfymefritt arbeidsmiljø av hensyn til brukere og de ansatte.
  • privat næringsliv og arbeidsgivere gjør det samme.
  • privatpersoner tar hensyn ved å unngå parfymerte produkter i situasjoner der man kommer tett på andre mennesker.

LHL Astma og allergi har laget en plakat som opplyser om parfymefri sone. Plakaten kan lastes ned og henges opp der det er behov for det.” LHL Astma og Allergi

FN har vedtatt tilgjengelighet og rettigheter for personer med funksjonsnedsettelse, blant annet:

“e) Recognizing that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others,
h) Recognizing also that discrimination against any person on the basis of disability is a violation of the inherent dignity and worth of the human person,
j) Recognizing the need to promote and protect the human rights of all persons with disabilities, including those who require more intensive support,
l) Recognizing the importance of international cooperation for improving the living conditions of persons with disabilities in every country,
n) Recognizing the importance for persons with disabilities of their individual autonomy and independence, including the freedom to make their own choices,” UN.org

Du finner informasjon om Tilgjengelighet og Universell utforming i FNs deklarasjoner om funksjonsnedsettelser her

Hva er en funksjonsnedsettelse?
Lungesjukdommer som astma m.fl, allergi, og andre sensitiviteter er en funksjonsnedsettelse,  et handikap. Hvordan det?  Definisjonen på et handikap er:

Ifølge norske offentlige utredninger,
NOU 2005: 8 om likeverd og tilgjengelighet. Rettslig vern mot diskriminering på grunnlag av nedsatt funksjonsevne. Definert funksjonsnedsettelse som:
“Funksjonshemming oppstår når det er et gap mellom individets evner og design eller funksjon i omgivelser / miljø / bygg.”

Merk deg at det ikke står angitt spesifikt hva som er handikap, det står for eksempel ikke bevegelseshemmet, blind, døv osv, det står kun angitt hvordan noe er en funksjonsnedsettelse, et handikap. Dette er samme definisjon som er vedtatt av FN, dok er FNs versjon noe mer utvidet og gjelder alle land.

Jeg har mottatt relevant informasjon om Tilgjengelighetsloven fra Regjeringen ved FRP som var en av de partiene som svarte på min henvendelse om retten til frisk luft.

sitat “«Diskriminerings- og tilgjengelighetsloven» fast følgende; § 9. Plikt til generell tilrettelegging (universell utforming) «Offentlig virksomhet skal arbeide aktivt og målrettet for å fremme universell utforming innenfor virksomheten. Tilsvarende gjelder for privat virksomhet rettet mot allmennheten» Gjennom diskriminerings- og tilgjengelighetsloven får mennesker med nedsatt funksjonsevne et diskrimineringsvern. Alle virksomheter rettet mot allmennheten blir pliktige til å arbeide for universell utforming og individuell tilrettelegging. Krav om universell utforming trekkes inn i stadig flere forskrifter og lovverk. Finnes også omtalt i «Plan – og bygningsloven. Brudd på plikten til å sikre universell utforming etter tredje ledd regnes som diskriminering.»” Regjeringen ved FRP. Sitat slutt

Den samme loven er også i Sverige, se nedenfor for mer informasjon om det.

Publikasjon av NAAF og Husbanken:

Universell-utforming-NAAF-Skjermbilde2

Husbanken publikasjon Skjermbilde

”Universell utforming er utforming av produkter og omgivelser på en slik måte at de kan brukes av alle mennesker, i så stor utstrekning som mulig, uten behov for tilpassing og en spesiell utforming.”
Krav om universell utforming trekkes inn i stadig flere forskrifter og lovverk. Gjennom diskriminerings- og tilgjengelighetsloven får mennesker med nedsatt funksjonsevne et diskrimineringsvern. Alle virksomheter rettet mot allmennheten blir pliktige til å arbeide for universell utforming og individuell tilrettelegging. ” Husbanken.no

Les Publikasjonen her:
http://biblioteket.husbanken.no/arkiv/dok/Komp/Uu_bygg.pdf

Jeg forstår at du kanskje ikke visste dette, derfor vil jeg fortelle deg det at parfymer og slike doftmaskiner gjør 1 av 4 sjuke. Du vil nok ikke dine kunder, besøkere, klienter, kolleger, elever eller venner noe vondt?

Skru opp ventilasjonen istedenfor og vask oftere med parfymefrie rengjøringsmidler, parfymefri oppvask, parfymefri håndsåpe og bruk ellers parfymefrie produkter, lufte ut og gi oss alle frisk luft å puste, da vil vi som er de 1 av 4 av dine kunder / besøkere kunne benytte dine tjenester og lokaler på likt med alle andre og uten å måtte gå der fra med tette lunger og pustevansker. I verste fall kan det bety at vi ender opp på sjukehuset, og at vi unngår å besøke dine lokaler eller å bruke bedriften din og andre lokaler, og bruker pengene og tiden vår et annet sted. Det er ingen hyggelig handel og besøk om man må bli sjuk av luften. Nå har jeg forklart deg det, og jeg håper og ber at du hører på og gjør som jeg ber om. Jeg er trøtt på å ikke kunne benytte meg av lokalene dine.

Oppdatering søndag 4. september 2016

Jeg måtte akutt til sjukehuset.

wp-image-1361109825jpg.jpg

Dag 3: Søndag nå  Jeg har hatt pustevansker siden fredag pga av den duftmaskinen som var aktiv på Circle K stasjonen, nå siden fredag har jeg hatt gjentatte pustevansker og svie helt fra øvre luftveiene og ned i lungene, min egen medisin har ikke gjort nytten så jeg måtte dra akutt til legevakta på sjukehuset hvor de har sterkere medisiner. CRP var under 5, ingen bakterieinfeksjon eller virus. Jeg må også på økt medisinering med Prednisolon nå 60 mg og mer astmamedisin for å få bort betennelsen som er blitt av den kjemiske påvirkning av parfymekjemikaliene i rommet fra duftmaskinen. Når er det at folk skal skjønne at parfyme ikke er en harmløs nusselig ting til glede for alle? Det finns ikke velvære med kjemisk forurenset luft.

Hvorfor skal jeg måtte lide for dine vaner? Hvorfor skal jeg måtte gå på et slik medisin regime og på sjukehuset fordi du parfymerer?

Ikke bare at jeg må ta medisiner, men det betyr stor lidelse i hverdagen, og for å være dønn ærlig man kan dø av astma, et alvorlig astmaanfall kveler.

“4.4 Advarsler og forsiktighetsregler
Dersom pasienten må øke forbruket av β2-agonister med kort virketid for å kontrollere astma-symptomene, tyder dette på en forverrelse av sykdommen.  Plutselig og tiltagende forverring av astma-symptomene er potensielt livstruende, ” Statens Legemiddelverk Slv.no

Les mer om det her Astma dreper og Astma er potensielt livstruende

Hva er astma?

Astma er en sjukdom i lungenes luftveier bronkiene og bronkiolene, det er en kronisk betennelse i disse,  det er styrt av sensitivitet eller allergi (immunologisk) og forverring kommer av å bli utsatt enten av allergener (stoffer man ikke tåler) eller irritanter  (stoffer som irriterer luftveiene), og da dette skjer tettes lungenes luftveier av slim samtidig som musklene rundt disse luftveiene kramper og gjør luftrøret meget trangt, disse begge tingene bidrar til liten passasje for luft å passere og man får problemer med å puste. Forskjellen ved astma og KOLS er at astmabesvær oppstår kun ved negative påvirkning av ting personen ikke tåler, mens KOLS betyr pustevansker 24/7 men med forverring av irritanter, det betyr at sjukdomstilstander og symptomer ved astma og andre lungesjukdommer kan unngås ved å verne den sjuke for disse emnene og situasjonene.

Parfyme er en av de tingene som provoserer og utløser astmaanfall – og også andre lungesjukdommer, allergi og sensitiviteter.

Dere må revurdere deres bruk av parfymer der offentligheten ferdes, enten det er parfymerte produkter, doftmaskiner, scent marketing, så kalte luftoppfriskere, parfyme på deg selv, i dine kle, håndsåper osv, eg. kjemisk luftforurensning.

Jeg er oppriktig drittlei av å måtte lide for andres dumskap. 😠

Besøk også LHL sin side og Renere uten kjemikalier og Parfyme – Luftforurensning

Oppdatering mandag 5. september 2016

Dag 4: Jeg hadde håpet det ville gi seg nå etter at jeg var  på sjukehuset i går, men ikke, slimdannelser i lungene og hoster opp slim, fullt uslag på allergisk rhinitt så nesen renner konstant, svært lettirriterte lunger, hoste, tungt å puste da jeg skal gå en lengre strekning, og har måttet ta 60 mg Prednisolon i dag, og 6-8 doser 2 mg/ml Ventoline inhalasjonsvæske for å roe lungene og jeg er ikke ferdig ennå. Flere timer til før dagen er omme. Alt pga en  doftmaskin som spruter ut parfyme i et rom. Skal til legen i morgen igjen så da skal jeg ta dette opp.

Oppdatering tirsdag 6. september 2016

Dag 5: I dag morges kl 0400 våknet jeg av å være tett i lungene og hostet meget kraftig og hostet opp sikkert en kopp med slim, alt fra lungene. Min allergiske Rhinitt lar nesen renne ustoppelig. Var til fastlegen, CRP var under 5 igjen så altså var der ingen bakterieinfeksjon eller virus. Etter at jeg kom fra legen i dag traff jeg naboen utenfor huset som spurte om jeg var sjuk? De hadde våknet av min hoste da jeg hostet opp slim som tettet bronkiolene og bronkiene i lungene for å rense luftveiene for å få pust. Ja sa jeg, og forklarte hva som hadde skjedd. Oppvåknet var før frokost, og frokost var full dose medisiner: 60 mg Prednisolon, 10 mg Singulair, 10 mg Ceterizin, 2 doser Symbicort Forte 320/9, og en ampull Ventoline 2 mg / ml inhalasjon. Så noe frukt. Jeg var til fastlegen og tok opp astman. Jeg har vært på 60 mg Prednisolon  i tre dager og legen sier jeg må ned på 40 mg i morgen fordi ellers vil binyrene kunne ta skade, man skal ikke gå på så høy dose Prednisolon i mange dager da det er farlig. Så må jeg sakte trappe ned over flere dager for å ikke ta skade av medisinen. Jeg må ta inhalasjon med 2,5 ml 2 mg / ml Ventoline inhalasjon så fort jeg kjenner at astman begynner å reise seg igjen for å holde luftveiene frie, det blir et kart om 10-15 kapsler per dag, ca en i timen eller oftere. Legen tok som sagt også CRP som ikke viste noe som helst, altså ingen luftveisinfeksjon av bakterier eller virus, dette er ren astma. Legen sa at om vi ikke får bukt med astman din nå da må vi legge deg inn på sjukehuset. All denne medisinen gjør også at jeg får bivirkninger i form av hjertebank, og skjelving på hendene. Nå er jeg sjukmeldt ut uken. Og alt dette fordi det parfymeres i lokaler der offentligheten ferdes.

Jeg har et spørsmål til Norges Astma og Allergiforbund NAAF. Dere sier dere vil aldri forby parfymering i det offentlige rom til tross for at dere vet at ca 20-25 % av befolkningen, dvs 1,4 millioner personer i Norge er sensitive for parfymer, og at 0,5 % personer av disse er så ille rammet at de ikke kan deltake i samfunnet. Der er mennesker som er på trygd fordi de ikke kan deltake i samfunnet fordi der er så mye parfymekjemikalier i luften. Og dere har satt en NAAF på lederplass i FKMI og de går på samme linje nå. Når er det at dere skal ta oss som er hart rammet på alvor? Nå har dere lest hva som er skjedd meg. Skal dere noen gang ta ansvaret og forbedre levekårene for oss som har astma og andre lungesjukdommer, allergi, mcs, shr, og annen sensitiviet, målgruppen dere er satt å jobbe for? Jeg bare spør?

Dette er ikke et enkelt tilfelle at jeg har blitt utsatt for slik som dette, slike maskiner finnes overalt i samfunnet, på toaletter, i foajeer, i entreer, på hotell, restauranter,  i kjøpesentra, i butikker, på kontorer, og mange andre steder. Når er det at vi skal få frisk luft å puste?

I frisk luft er jeg frisk, i forurenset luft er jeg sjuk, det er såre enkelt så hva har dere tenkt å gjøre med saken? Jeg er målgruppen deres!

Oppdatering onsdag 7. september 2016

Dag 6: Jeg ble altså sjukemeldt fra i går av. Jeg er av den sorten at jeg forsøker å  stå på og gjøre mitt beste i lengden men i går sa kroppen altså nei. Jeg hadde gjentakende pustevansker som jeg måtte dempe med sterke medisiner, hostet opp slim, var trøtt og slapp, følte meg svak og svettet, jeg måtte gi opp og la kroppe leges, det fungerer ikke å jobbe da.

I dag våknet jeg også veldig tidlig og hostet opp slim, jeg har fortsatt pusteproblemer og må ta medisin. Kroppen har roet seg noe da jeg kan være hjemme i mitt allergitrygge hjem og hvile meg. Ellers har jeg samme medisinregime som tidligere bortsett fra en noe senket dose Prednisolon til 40 mg som jeg skal trappe ned til 20 mg om tre dager. Jeg sovnet igjen etter 4 timer og sov lenge. Pusten min høres ut som en gammel sko som knarrer da jeg trekker været ut og in. Jeg har slim i de nedre luftveiene i lungene 0g slimet er seigt og det er vanskelig å hoste det opp. Å ha dårlig pust påvirker også tale og allmentilstand da man må ha god pust for å snakke, og god pust for å ha det bra. Jeg må altså være hjemme fra jobben.

Klokken er nå 19,30 på den 6. dagen med alvorlig astma og all hosting og pustevansker har gjort at jeg har meget vondt i torso, jeg har vondt i musklene i overkroppen i brystkassen. Kroppen er overanstrengt. Det er så vondt å hoste at jeg nesten ikke klarer det. Og også om jeg er hjemme nå så tar det lang tid å bryte ned den betennelsen som er bygget seg opp i lungene pga den kjemiske forurensningen.

Jeg er frisk i frisk ren luft og sjuk i forurenset luft.

Oppdatering torsdag 8. september 2016

Dag 7: Jeg våknet igjen ca kl 0600 av tette lunger og hostet opp slim, jeg er fortsatt låk i brystkassen pga all hosting så å hoste opp slimet er vanskelig. Jeg føler meg sliten, og kraftløs i brystet, og det er vondt. Medisinering var i dag morges som vanlig 40 mg Prednisolon, 10 mg Singulair, 10 mg Ceterizin, 2 doser Symbicort Forte 320/9 (også til kvelds alle dager), en ampull om 2,5 ml 2 mg/ml Ventoline. Jeg hoster litt mindre i dag men er fortsatt tett og har slimdannelse. Det er slitsomt.

Opplevde i dag igjen følelsen av å utmattet sovne på sofaen for å senere våkne av å ikke få pust, og da jeg forsøker å hoste opp slimet er muskulaturen i brystkassen for sliten til å klare jobben. Hoster i 20 minutter og tar inhalasjon for å få det til.

Ellers har dagen gått i roens tegn med film og surf, og medisin, hosting, slim osv hele dagen. Hostet så jeg holdt på å kaste opp. Ja, det var så galet.

Oppdatering fredag 9. september 2016

Dag 8: Det er fredag en uke etter at jeg var inne i det rommet med doftmaskinen. Jeg våknet kl 0600 av hoste igjen og har vært våken siden, hoster opp slim med jevne mellomrom. Jeg har tatt medisin 40 mg Prednisolon, 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9, Acetylcystein Sandoz 200 mg og en 2,5 ml 2 mg/ml Ventoline inhalasjon. Må ta alt dette før jeg engang får spist, kan ikke spise med sånn hoste og slim. Normalt sett tar jeg bare 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9 om morgenen (og 2 om kvelden), og jeg kan ta det etter frokost. Jeg har fæle bivirkninger av den sterke Ventolinen, jeg er skjelven til de grader på hendene, holder jeg hånden opp så rister fingrene som ved tremor.

Jeg var til butikken for å kjøpe mat i dag, det var første gangen jeg var ute blant folk siden onsdag den 7. september, jeg hadde preparert meg skikkelig med medisin før jeg for men etter 10 minutter i butikken fikk jeg forverring av astman igjen, tung pust, heshet, vanskelig tjukk slim og begynte å svette som en følge av det. Astma er anstrengende for kroppen og et stressmoment.

Jeg er sliten, jeg er drittlei, men det går heldigvis rett vei nå, ja bortsett fra forverringen i dag. Jeg er mye bedre enn jeg var sist lørdag, men nå er det tyngre å puste igjen, jeg er ikke helt frisk ennå og fortsatt mer sensitive enn ellers. En allerede irritert lunge reagerer mer og lettere på alt man ikke tåler.

Oppdatering lørdag 10. september 2016

Dag 9: Til sjukehuset akutt midt i natta

Låg i sengen og gråt, trøtt sliten, hoste, slim og tung pust. Ringte sjukehuset for å få hjelp. Var der klokken 0320. CRP var 5, ingen bakterieinfeksjon eller virus. Fikk inhalasjon. Syresetning bedre. Sjukesøster var fantastisk snill og omtenksom, jeg er så sliten at jeg begynte å strigråte på sjukehuset, og sjukesøsteren var så snill og strøk armen og skulderen min og trøstet mig.  Hjemme igjen klokken 0450. Har ikke sovet i natt.

Nå er det litt utover på dagen og jeg har litt svie i luftveiene, pustevansker er små, men jeg må fortsatt bruke den sterke Ventolinen 2,5 ml 2 mg/ml inhalasjonsvæske med nebuliseren for å ha det bra. Da medisinen avtar i virkning, da kommer hosten tilbake, og jeg hoster opp slim, og i tillegg kjenner jeg en brennende følelse i lungen, og det er vippepunktet for om det går galet eller ikke. Bare litt så tipper det over feil vei. Det er vanskelig å forklare for noen som ikke har opplevde det selv, men det føles omtrent som; tenk det at du har en ild du vil tenne, der er et lite glor, og det er enten så brenner gloret eller så dør det ut, og det er akkurat sånn det er nå at minste lille kan få astman å forverres eller så blir det ikke så ille, så jeg må ta medisin for å ikke rammes verre. Normalt sett klarer jeg meg en vanlig inhalator for å ta bort små problemer og har god pust med PEF 500, men altså ikke nå pga denne parfymeringen. Tung medisinering og sjukemeldt.

Oppdatering søndag 11. september 2016

Dag 10: Våknet i dag morges med meget tette lunger, for å forklare det hørtes ut som en bil med startproblemer, den der tette hese lyden som da bilen ikke får luft og følelsen er som om lungene var fylte med Glava. Jeg har fått forverring igjen. Medisinene jeg har gjør ikke nytten så jeg må til legen igjen i morgen.

Dere må forstå at astma er ikke som en lett hodepine du bare kan ta et piller for så går det over. Den betennelsen som blir i lungene av allergener og irritanter man ikke tåler det sitter i flere dager. Det er en betennelse i lungenes luftveier og som bekant så tar betennelser lang tid å gå bort. Så vær så snill og vis hensyn!

Oppdatering mandag 12. september 2016

Dag 11: Var til fastlegen og ble ordinert sterkere og mer medisin pluss lungerøntgen på sjukehuset. Så nå har jeg Atrovent 2,0 ml 0,25 mg / ml som skal blandes med min Ventoline 2,5 ml 2 mg / ml  og inhaleres – og lungene er røntget.

I tillegg ble jeg sjukemeldt ut uken.

Noe positive jeg så på sjukehuset var dette.

Oppslaget sier:

“Hallo!!
Tror du sneiper (du kaster) forsvinner av seg selv??!! RØYKFRITT!!!”

Flott med et sjukehus med bein i nesen. 👍👏👏👏👏👏👏

Oppdatering tirsdag 13. september 2016

Dag 12: I natt fikk jeg faktisk sove hele natten gjennom, endelig! Jeg tror det er den nye medisinen som hjelper. Jeg hoster fortsatt og hoster opp slim men jeg tror den nye medisinen er mye bedre. Den hjelper!

Dagens medisindoser er som følger: 20 mg Prednisolon, 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9, Acetylcystein Sandoz 200 mg, 2,5 ml 2 mg / ml Ventoline blandet med Atrovent 2,0 ml 0,25 mg / ml inhalasjon hver fjerde time og i tillegg Ventolinen igjen ved behov. Slik skal jeg ha framover.

Men pga pustevanskene så har jeg et seriøst problem å snakke. Det er helt vanlig at ha taleproblemer da man har astma og pusteproblemer fordi for å klare å snakke må du ha god pust, luften er med på å lage lyd i stemmebåndene. Og da jeg fortsatt har pustevansker og betennelse i lungene da påvirker det røsten. Denne videoen under ble tatt opp i dag. Om du vil ha teksting da trykker du på tekstkortet nede til høyre i videoen (på engelsk)  Lær om astma, pust og røsten her:

Oppdatering onsdag 14. september 2016

Dag 13: Jeg har kunnet trappe ned litt på Ventoline, jeg tror det er takket være den nye Atrovent som jeg har fått, den har lengre varighet enn kun Ventoline. Astman har roet seg litt, dok er jeg ikke frisk ennå (eg. symtomfri da astma er kronisk).

Jeg har ikke sovit godt i natt, den økte medisindosen har gitt meg bivirkninger med tørr munn, jeg har våknet flere ganger i natt og vært tør som en ørken i munnen og har måttet stå opp for å drikke og spise noe for å hjelpe på det hele.

Jeg må øke Symbicort Forte 320/9 til 3 x 2 doser for dag. Symbicort Forte er forebyggende medisin.

Stemmen er fortsatt ikke helt god da jeg fortsatt sliter, men jeg hoster ikke like mye og ille lengre, i hvert fall ikke så lenge som jeg tar medisinen. Jeg såg meg selv i speilet i dag, jeg er blå under øynene og blek, det har vært en vanskelig tid.

Kanskje det går riktig vei nå?

Oppdatering torsdag 15. september 2016

Dag 14: Jeg tar fortsatt de samme medisinene, men jeg tok en ekstra dose Atrovent + Ventoline i natt (altså totalt 5 doser istedenfor 4), og det virker som om det fungerer. I morges da jeg våknet hostet jeg bare lett, men var meget tør i munnen pga bivirkninger. Dok da medisinen avtar i styrke da får jeg en brennende opplevelse i lungene og tyngre pust, for å forklare hvordan den brennende følelsen kjennes ut så er det som om jeg har halsbrenne i lungene, det brennende følelsen minsker i styrke og blir nummen bort da jeg tar medisinen. Jeg får i mellom medisindosene tung pust, og da jeg var på butikken i dag var det ille, og røsten min bar ikke og det var vanskelig å prate. I kveld har jeg altså “halsbrenne” i lungene, hoster lite, og jeg har nettopp tatt mer medisin. Men det virker som om medisinen gjør jobben sin da jeg sakte blir bedre enn jeg var, så jeg skal ta en ekstra i dag også. 5 ganger for dag er egentlig mer enn legen sa jeg skal ta, men 4 er for lite kjenner jeg så for å hjelpe meg selv så tar jeg 5. Den ekstra dosen tar jeg på natten fordi ellers blir det for mange timer uten inhalasjon i løpet av natten. Jeg skal til legen i morgen igjen. Jeg er ikke bra ennå.

Oppdatering fredag 16. september 2016

Dag 15: I dag var jeg til legen, han lyttet til lungene, det ble gjort spirometri, og jeg bli remittert til en spesialist. Er fortsatt meget følsom på astman for minste lille. Pga at det er farlig å gå for lenge på Prednisolon er denne tatt ut. Jeg fortsetter som vanlig med de andre medisinene. Sjukemeldt til og med 26.9.

Oppdatering lørdag 17. september 2016

Dag 16: Jeg våknet kl 0600 og tok medisiner. La meg og sovnet igjen. Våknet med tung pust og måtte ta inhalasjon.

Før dette skjedde har jeg normalt kunnet bare ta litt Symbicort Forte 320/9 og astma- og allergipillene mine om morgenen, jeg hadde det bra. Nå må jeg starte morgenen med sterk akuttmedisin. Jeg har begynt å uroe meg over at jeg har fått en kronisk forverring av de kjemikaliestoffene som ble sprøytet ut i luften. Skal jeg måtte ha det slik i framtiden?

Oppdatering mandag 19. september 2016

Dag 18: Jeg sto over å oppdatere i går, det skjer ikke så mye. Jeg tar fortsatt Ventoline + Atrovent i tillegg til den vanlige dosen, fordi om jeg lar være så får jeg lett forverring. Så lenge som jeg tar medisinen så greier jeg meg. Dok er jeg fortsatt meget lett påvirket av irritanter og allergener i luften, mye mer enn før, så legen har bestemt at jeg skal være hjemme til det har stabilisert seg. Slik har jeg ikke hatt det før dette skjedde, jeg var veldig sensitive, men det er verre nå. Jeg ble jo også remittert av min lege til en lungespesialist i byen, de ringte fra lungespesialisten i dag, jeg har fått time på fredag.

Om jeg har fått varige men, hvem skal jeg melde og stemme? Jeg kan ikke la dette gå upåaktet hen. Sånn som dette får det ikke være i samfunnet, og hva om jeg får nedsatt arbeidsevne? Jeg tenker på dette.

Oppdatering fredag 23. september 2016

Dag 22: I dag var jeg til lungespesialisten som min fastlege remitterte meg til, og det var et givende møte på flere måter. For det første så fikk jeg gjøre flere pustetester, faktisk mer grundig enn det ble gjort på lungepoliklinikken da jeg var der for noen år siden, totalt gjorde det nye lungelegekontoret hele 3 forskjellige pustetester, Spirometri og to andre: en for vanlig rolig pust hvor jeg også skulle holde pusten i 7 sekunder,  og et annet test som simulerte gåing i trapper med tung pust og pustestopp (maskinen gjorde pustestoppet og meg måtte puste mot det). Deretter traff jeg legen som viste seg å være samme legen som remitterte meg til Arbeidsskadeavdelingen ved Trondheim Sjukehus ca 2008/2009, det det var gammel kjenning.

Det var mye prating om astma og det som skjedde meg den 2. september som var grunnen til at jeg ble sendt til ham. Siden jeg blogget sist mandag den 19. september  har pusten min bedret seg betraktelig og jeg har kunnet kutte ut inhalasjonen av den sterke Ventolinen og Atrovent på fast basis, nå er det bare en gang inn i mellom. Pusteprøvene jeg gjorde viste at jeg har fått tilbake pusteevnen. Den ligger på ca 95% av 100% nå, og det er bra, og jeg håper det blir enda bedre. Det skal nok gå om jeg holder meg unna alt, og det betyr alle situasjoner, som betyr kontakt med det jeg ikke tåler, det betyr også å unngå personer som bruker parfyme og parfymerte produkter. Nå tar jeg bare mine vanlige medisiner Symbicort Forte 320/9, Singulair, Ceterizin og en liten dash med den vanlige inhalatoren, slik som jeg gjorde før jeg ble sjuk den 2.september. Siden onsdag har jeg bare brukt de sterke medisinene 2-3 ganger, noe som er et stort framskritt.

Vi kom også i samtale legen og jeg om Symbicort Forte, han sa det innholder et langtidsvikende Ventoline som er en av virkestoffene i Symbicort Forte. Det var nytt for meg. Jeg leste også tidligere på Legemiddelverket om Ventoline at om man må ta for mye av Ventoline da kan kroppen venne seg til medisinen og da mister den effekt. Jeg fant ut at da jeg også tar en stor dose av Symbicort Forte som innholder langtidsvirkende Ventoline pluss måtte ta så store mengder av den sterke inhalasjonsaerosolen Ventoline, så måtte kroppen sikkert ha fått for mye og kuttet ut effekten av det, og det var derfor jeg måtte få Atrovent. Atrovent har hjelpt meg veldig. Takket være Atrovent har jeg fått orden på det, og jeg kunne kutte ned på mengden Ventoline. Nå sliter jeg ikke mer med bivirkninger. Astma og den medisinske verden er mer komplisertenn man tror. I dag har jeg bare tatt en dose Ventoline + Atrovent. Fortsetter det så bra som nå de neste dagene da skal jeg jobbe på tirsdag. :)

 Oppdatering fredag 7. oktober 2016

Nå har jeg jobbet siden 27. september. Den er ikke helt okej den astman, jeg må ta mer medisin i hverdagen enn jeg gjorde før jeg ble utsatt for den kjemikaliepumpen på doen den 2. september, men det går. Jeg må ta Ventoline inhalasjon på både inhalator og nebuliseren oftere, før 2. september klarte jeg med bare forebyggende medisin og inhalatoren av og til, så jeg er redd at jeg har tatt permanent skade av den forurensningen den luftparfymeringen. Slik gjør luften utjenlig å puste. 

Jeg ba jo stasjonsinnehaver om å ta pumpen ned. Jeg har fått gledelige nyheter.

Den ble tatt ned for ca 3 – 4 uker siden. Dette gleder meg veldig at eier av bensinstasjonen tar sine kunders helse seriøst. Jeg håper inderlig at alle andre bedrifter og andre som har lokaler der offentligheten ferdes at de tar etter hans eksempel og tar ned alle slike apparater og begynner å bruke parfymefrie rengjøringsmidler og håndsåper.

Tusen takk kjære deg før at du lytter! ❤❤❤❤

Hva er parfyme?

Lær av Professor Anne Steinemann ved Melbourne University (klikke på linken for mer info om henne). Det er lett å tro at reglene er bedre i Europa og Skandinavia, men faktum er at industrien er ikke pålagt å fortelle deg innholdet i det som skjuler seg i ordet parfyme. Det får du vite her:

Jeg ønsker et forbud

Jeg ønsker at det skal bli forbudt å parfymere inneluften, og at det skal bli forbudt å vaske med parfymerte rengjøringsmidler og å bruke sprayflaske ved rengjøring der offentligheten ferdes og oppholder seg. Viser til at et forbud vil kun styrke rettighetene til oss med astma og andre lungesjukdommer, allergi, mcs, shr og andre sensititeter. I henhold til universell utforming og Tilgjengelighetsloven §9, og FNs deklarasjon om Tilgjengelighet og Universell Utforming, er det jo i grunn allerede forbudt å bruke slik at et forbud i praksis mot parfymerte produkter vil kun styrke de lover som allerede er på plass. Det er et strev å måtte kjempe aleine og melde til LDO hver eneste gang parfymerte produkter er brukt eller brukt en slik doftmaskin, sånn skal vi ikke måtte ha det, det skal være tilgjengelighet også for oss og vi skal ikke måtte bli sjuke.  Les også:

” Kjent helserisiko – Det er allerede kjent at det er en kobling mellom bruk av rengjøringssprayer og økt risiko for astma.”
Til denne artikkelen kan jeg tilføye egne erfaringer:
Jeg brukte JIF produkter i jobben som renholder fra 2005 -2007 og det blir mye på 8 timer for dag på heltid, jeg var frisk da jeg begynte i den jobben, etter to år hadde jeg utviklet astma. Jeg leste så HMS Produktdatabladene for JIF som LiIleborg AS produserer og selger og der sto at det inneholder stoffer som kan utløse allergi, så Lilleborg AS lyger i artikkelen, de vet meget godt at det ikke er ufarlig. Der var annet som var aerosolt også som vi brukte og så var der folk som røykte også (jeg har aldri vært røyker det var passivrøyk). Det ble for mye for min helse. Så kjære dere som leser, tenkt på helsen, jeg kan signere på at om du blir sjuk i astma så er det noe som vedvarer hele livet ut, og du vil bli sensitive for veldig mye. Så kjære deg, ta dette på alvor.

Og jeg viser igjen til Husbankens informasjon som er utviklet i samarbeid med NAAF.

Og hvorfor deler jeg nå denne personlige informasjonen? Fordi jeg vil at du skal forstå alvoret.

I frisk luft er jeg frisk, og i forurenset luft er jeg syk, det er så såre enkelt.

Å tilsette parfyme til inneluften er et brudd på Tilgjengelighetsloven.

Annelie Molin

For den svenske loven les her:

Det finns en lag mot sådant som luftparfymering i Sverige också.

Bristande tillgänglighet är en form av diskriminering. Från och med 1 januari 2015 införs bristande tillgänglighet som en ny form av diskriminering i diskrimineringslagen. Bristande tillgänglighet innebär att en person med en funktionsnedsättning missgynnas genom att man inte har vidtagit skäliga åtgärder för tillgänglighet för att personen i fråga ska komma i en jämförbar situation med personer utan denna funktionsnedsättning.
Det finns vissa undantag från förbudet. I arbetslivet gäller förbudet inte den som gör en förfrågan om arbete. Att tillhandahålla bostäder är också undantaget från förbudet. När det gäller att erbjuda varor och tjänster gäller förbudet inte för privatpersoner eller för företag som vid det senaste kalenderårsskiftet sysselsatte färre än tio arbetstagare. I fråga om tillhandahållande av varor och tjänster gäller förbudet inte om det krävs åtgärder i fastigheter och byggnadsverk som går utöver de krav på tillgänglighet och användbarhet som har ställts i bygglov eller startbesked för den aktuella fastigheten eller byggnadsverket.
Ordet funktionshinder ersätts med funktionsnedsättning i diskrimineringslagen, lagen om Diskrimineringsombudsmannen, skollagen och lagen om uthyrning av arbetstagare.

(Prop. 2013/14:198)

Lag (2014:958) om ändring i diskrimineringslagen (2008:567)

Lag (2014:959) om ändring i lagen (2008:568) om Diskrimineringsombudsmannen

Lag (2014:960) om ändring i skollagen (2010:800)

Lag (2014:961) om ändring i lagen (2012:854) om uthyrning av arbetstagare

Källa: https://www.notisum.se/News.aspx?itemid=11999

Att inte montera en doftmaskin är inte något som påverkar

“…om det krävs åtgärder i fastigheter och byggnadsverk som går utöver de krav på tillgänglighet och användbarhet som har ställts i bygglov eller startbesked för den aktuella fastigheten eller byggnadsverket.” Notisum.se

Jag kan därför inte se at ett förbud mot eller krav om att inte sätta upp doftmaskiner kan vara undantaget från lagen.

Vad är universell utformning, tillgänglighet och skäliga åtgärder?

Sverige och EU har tillsammans med 160 andra stater ratificerat FN konventionen om rättigheter för personer med funktionsnedsättning. Åtagandet innebär att staterna ansvarar för att genomföra universell utformning, tillgänglighet och skäliga åtgärder.

Tillämpningen av universell utformning innebär att alla nya produkter, tjänster, miljöer och program utformas så att de kan användas av alla i största möjliga utsträckning utan behov av anpassning eller specialutformning. När man utvecklar nya varor, tjänster, miljöer och program är målgruppen alla människor.

Utgångspunkten är att vi som användare har olika funktionsförmåga och egenskaper. På så sätt skapar vi ett samhälle där alla kan delta jämlikt. Producenter, myndigheter och företag kan också nå långt fler. Tillgänglighet för personer med funktionsnedsättning som grupp är en rättighet. För att skapa fullständig tillgänglighet är det en ovillkorlig skyldighet för staterna att gradvis undanröja befintliga hinder i byggnader, transport, information och kommunikation, inklusive IT samt varor och tjänster som riktar sig till allmänheten. Kostnader får inte användas som argument mot detta, Staten har ansvar för att säkerställa diskrimineringsskyddet” HSO.se

Annelie Molin

In English

Visit with trouble

Open letter

Now it has happened again. I had to go to the toilet, there was crisis and I ran into at the gas station close by. When I come into the toilet I see this fragrance machine hangs on the wall and with asthma, this is a health hazard, one gets lung congestion and difficulty breathing and can not get enough air, but I had to choose at this and do in the pants. Nobody want to do in their pants so I had to go, it is easy to understand, but it sucks to have to choose between go to the bathroom and asthma attacks. Same actually goes for all localities, one should not have to avoid going there and in that sense be locked out.

wp-image-1973377767jpg.jpg

A scent machine on the wall, cause breathing difficulties all day, and more.

For several hours afterwards I had difficulty breathing and had to use a lot of medicine. This is about accessibility, a toilet to the public should all be able to use, it should not be such that only people without disabilities can use the toilet.

You who produce, sell and use these products you support happily that it has been approved by IFRA, the International Fragrance Association, which claims this is fine and not causing allergy or other illnesses. What you must understand is that IFRA is an organization for the perfume industry and they go industry errands, they are not any interest organization for us with asthma and other lung diseases, allergies, mcs, shr and other sensitivities. Whatever they say this is not safe products for us. I am living proof of this and I’m just one of very many. WHO estimates that there are 300 million people with asthma in the world (figures from 2011 so it is certainly many more today) and in Europe it is estimated to be approximately 30 million people with asthma (figures by WHO and Ginasthma and The European Federation of Allergy and Airways Diseases Patients’ Associations (EFA), then not all other lung diseases and sensitivities are included in the figures, nor mcs and shr and other sensitivities. in Norway counts that around 20-25% of the population, about 1 to 1.2 million people have asthma and allergies. For example stated by The Norwegian Asthma and Allergy Association (NAAF) is that about 1,4 million people in Norway get health issues from fragrance (regardless of source), and 0,5% can not participate in the society of that cause.

I notified the station owner to take it down, everyone should be able to use the toilet. No one should have to choose between being sick and going to the toilet, or any other rooms either for that matter. For us with asthma Ventoline is a necessary lifeline and we must medicate with Ventoline 24/7 the whole life, while others do not realize a thing and pollute the air with fragrance substances. Today because of a trip to the toilet at Circle K I got a really bad powerful asthma attack because I had to use the toilet at the Circle K, first it was only little but after 4 minutes it struck out in full bloom and I coughed powerfully, narrowed windpipe in the lungs, wheesing heavily when I TRIED breathing, it was not easy to get air, the eyes were bloodshot, I was out of strength because I had lack of oxygen. There were problems getting the medication into the nebulizer (inhaler in image above) because I was in such a bad shape, I was very sick. Then I had came into the office and colleagues asked lots, they surely did not know what to do, and why I was so ill. It was problem medicating. Eventually I got in me medicine anyway and afterwards I could talk and explain why it was so bad. Blame this time was a scent machine on the wall in the toilet.

Now I urge you who have such on the wall of your premises to take it down in whatever business or place, wherever it is located, if it is in the toilet or other facilities. If the manufacturer has told you that it does not trigger allergies? Then you have been lied to. The scent you spread in the room contains a lot of substances that irritate the airways in the lungs and activates allergic reactions, it makes your customers and visitors will be sick by the visit and it hangs in from a few hours to several days depending on how sensitive the person is being unable to tolerate the. When you have received such a large asthma attack by a visit with you then one is also more sensitive to everything for days afterwards.

I want to make it very clear: It’s not important who is using it, who has installed it, or who delivers to whom, what is the problem is that it is produced and put into use. We are designed to breathe air, not chemical pollution, what is relevant here is that the air becomes unfit to breathe when fragranced.

I would also like inform you that it is an offense to disclose those who do not tolerate it in accordance with the Norwegian Equality and Anti-Discrimination Act § 9.

LHL website screenshot, in English below:

LHLorg-parfyme-diskriminering-§9-Skjermbilde

“LHL say that it must be emphasized that the requirement for universal design in Discrimination and Accessibility Act § 9 also includes measures to prevent exposure to various allergens and irritants, including scented products. LHL also believe that it should be allocated for preventive educational activities so that more people will pay attention to that scented products can inflict injury. LHL urges that:
◾public enterprises and government services adopt perfume-free working environment in the interests of users and employees.
◾privat businesses and employers are doing the same.
◾private persons do take into account sensitive persons by avoiding scented products in situations where you get close to other people.

LHL Asthma and allergies have made a poster stating fragrance free zone. The poster can be downloaded and posted where it is needed. ” LHL Asthma and Allergy

The United Nations (UN) has adopted accessibility and rights for people with disabilities, including:

“e) Recognizing that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others,
h) Recognizing also that discrimination against any person on the basis of disability is a violation of the inherent dignity and worth of the human person,
j) Recognizing the need to promote and protect the human rights of all persons with disabilities, including those who require more intensive support,
l) Recognizing the importance of international cooperation for improving the living conditions of persons with disabilities in every country,
n) Recognizing the importance for persons with disabilities of their individual autonomy and independence, including the freedom to make their own choices,” UN.org

For information on Accessibility and Universal Design in the United Nations declarations on disabilities here.

What is a disability?
Lung diseases such as asthma and others, allergies and other sensitivities is a disability, a handicap. How? The definition of a disability is:

According to Norwegian public reports,
NOU 2005: 8 of equality and accessibility. Legal protection against discrimination on grounds of disability. Defined disability as:

“Disability arises when there is a gap between the individual’s capabilities and design or function in an environment / environmental / construction.” Norwegian public reports NOU 2005: 8 of equality and accessibility

Note that it is not stated specifically what is handicap, it says for example not mobility impaired, blind, deaf, etc., it is only indicated how something is a disability, a handicap. The same statement you find in the United Nation (UN) definition of the accessibility act, so it is demanded of all countries.

I have received relevant information about the Accessibility Act of The Norwegian Government at FRP which was one of the parties that responded to my inquiry about the right to fresh air.

Quote

” Discrimination and Accessibility Act “establish the following: § 9 Obligation to ensure general accommodation (universal design) “Public Sector shall work actively and purposefully to promote universal design within the undertaking. The same applies to private business to the general public “Through Discrimination and Accessibility Act give people with disabilities protection against discrimination. All businesses geared toward the general public are obliged to work for universal design and individual accommodation. Requirements for universal design is drawn into ever more regulations and laws. Also featured in “Plan – and Building Act. Breach of the obligation to ensure universal design pursuant to the public and workforce is regarded as discrimination. ” Norwegian Government FRP

Quote end

The same law is also in Sweden, see below for more information about this.

Publication of NAAF and Husbanken (Housing Bank), translation below:

Universell-utforming-NAAF-Skjermbilde2

” “Universal design is the design of products and environments in such a way that they can be used by all people, to the greatest extent possible, without the need for adaptation or specialized design.”
Requirements for universal design drawn into ever more regulations and laws. Through discrimination and accessibility law gives people with disabilities protection against discrimination. All businesses geared toward the general public are obliged to work for universal design and individual accommodation. “ Husbanken.no

Please read the publication here (in Norwegian):
biblioteket.husbanken.no/arkiv/dok/Komp/Uu_bygg.pdf

I understand that you might not know this, so I will tell you that fragrance products and such fragrance equipment makes 1 of 4 ill. You will probably not your customers, visitors, clients, colleagues, students or friends any harm?

Turn up the ventilation instead and wash frequently with fragrance-free detergents, fragrance free washing, fragrance free hand soap and use otherwise perfume free products, air out and give us fresh air to breathe, then we which are the one of 4 of your customers / attendants could use your services and premises on equally with all others and without having to go from there with lung congestion and difficulty breathing. At worst, it could mean that we end up at the hospital and that we avoid using your business or premises and spend our money and interests somewhere else. There is no pleasant shopping or visit to your localities if one must become sick from the experience inhaling the polluted air, no matter what source of the fragrance. Now I have told you that, and I hope and pray that you listen and do as I ask. I’m tired of not being able to avail myself of your premises.

Update Sunday 4 September 2016

I had to go acute to the hospital.

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3th day: Sunday now. I have had difficulty breathing since Friday because of the fragrance that was active at the Circle K station, now since Friday I’ve had repeated difficulty breathing and burning sensation from the upper respiratory tract and down into the lungs, my own medicine has not been enough so I had to take to the emergency room at the hospital. CRP was below 5, no bacterial infection or virus. I also have increased medication with Prednisolone now 60 mg and more asthma medicine to get rid of the inflammation that’s been caused on me by the chemical influence of perfume chemicals in the room. When is it that people will understand that perfume is not a harmless cozy thing for the benefit of all? There is no wellness in chemically polluted air.

Why should I have to suffer for your habits? Why should I have to go on such a medicine regime and at the hospital because you perfume?

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Not only that I have to take medication, but it does mean great suffering in everyday life, and to be totally honest one can die of asthma, a severe asthma attack suffocates the person having it.

“4.4 Special warnings and precautions
If the patient must increase the use of β2-agonists with short duration to control asthma symptoms, it indicates a worsening of the disease. Sudden and progressive deterioration of asthma symptoms are potentially life-threatening,” Norwegian Medicines Agency Slv.no

Read about  Asthma kills and Asthma potentially life threatening

What is asthma?

Asthma is a disease in the lung’s airways called bronchi and bronchioles, it is a chronic inflammation of these tiny airways, it is caused by sensitivity or allergy (immunological reactions) and aggravation comes from being exposed either to allergens (substances not tolerated) or irritants (substances irritating the airways), and when this happens the lung airways are constricted of mucus while the muscles surrounding these airways spasms and makes airways very cramped, these two things helps narrow and block the passage for air to pass and one gets trouble breathing. The difference in asthma and COPD is that asthma symptoms occur only at the negative impact of things the persons health can not tolerate, while COPD means difficulty breathing 24/7 and with worsening by irritants, it means that the disease conditions and symptoms of asthma can be avoided by protecting the sick from these substances and situations.

Perfume is one of those things that provoke and trigger asthma attacks – and other lung diseases, allergies and sensitivities. You have to rethink Your use of perfumes where the public go, whether scented products, scent machines, scent marketing, perfume on yourself, in your clothes, hair products, lotions, hand soaps etc.

I’m frankly sick of having to suffer for someone else’s stupidity. 😠

Also visit LHL site (in Norwegian) and Cleaner without chemicals (in Swedish) and Perfume – Air pollution

Update Monday, 5 September 2016

Day 4: I had hoped the asthma would get better now after I was in the hospital yesterday, but not, I have mucus build up in the lungs and I am coughing up mucus, full scale of allergic rhinitis as nose runs constantly, very easily irritated lungs, cough, heavy breath and hard to breathe when I walk a longer distance, and I have had to take 60 mg Prednisolone today, and 6-8 doses 2,5 ml 2 mg  / ml Ventoline inhaler to calm the lungs and I’m not done yet, it is several hours before the day is over. All because of one scent machine that spreads perfume in a room. Going to the doctor tomorrow again so I shall take this up with my doctor.

Update Tuesday, 6 September 2016

Day 5: This morning at 0400 I woke up by constriction of the lungs, coughing very powerful and coughed up surely a cup of mucus, coming from the lungs. My allergic Rhinitis lets nose drain unstoppable. I was at my doctor’s office, CRP was below 5 again so therefore there was no bacterial infection or virus. After I got from the doctor today, I met the neighbor outside the house who asked if I was sick? They were awakened by my cough when I coughed up mucus that clogged the bronchioles and bronchi of the lungs to clear the airways to get breath. This was before breakfast, and breakfast was full dose of medicines: 60 mg Prednisolone, 10 mg Singulair, 10 mg Ceterizin, 2 doses of Symbicort Forte 320/9, and a vial Ventoline 2,5 ml 2 mg / ml inhalation. So some fruit. I was to the family doctor and addressed the asthma. I’ve been on 60 mg Prednisolone for three days and the doctor says I have to reduce to 40 mg in the morning because otherwise the adrenal glands may be harmed, one should not go on such a high dose Prednisolone for many days as it is dangerous. Then I have to slowly decrease the dozage down over several days to not get damage by the medicine. I must take inhalation with 2.5 ml 2 mg / ml Ventoline inhaled as soon as I feel the asthma starts to rise again to keep airways free, there will be dosages about 10 to 15 capsules per day, about every hour or more often. The doctor took, as I said CRP that did not show anything, no respiratory infection by bacteria or viruses, this is pure asthma. The doctor said that if we do not prevail against the asthma of yours now then we need to admit you in to the hospital. All this medication also makes sure I get side effects in the form of racing heart beat and trembling of the hands. Now I’m on sick leave to the end of the week, and all this because of the perfumed premises where the public go.

I have a question to the Norwegian Asthma and Allergy Association NAAF. You say you will never forbid perfume to ring in public room despite knowing that about 20-25% of the population, ie 1.4 million people in Norway are sensitive to perfumes, and that 0.5% ie 5000 people are so bad hit that they can not participate in society. There are people who are on welfare because they can not participate in society because there is so much perfume chemicals in the air. And you put a NAAF editorialized in FKMI and they go on the same line now. When is it that you will take us that is hard hit by this seriously? Now you have read what has happened to me. Will you ever take responsibility and improve the living conditions of us who have asthma, and other lung diseases, allergies, mcs, shr, and other sensitivities, the group you are put to work for? I am just asking?

This is not an individual case that I have suffered like this, such machines are found everywhere in society, in restrooms, lobbies, entrance halls, hotels, restaurants, in shopping centers, in shops, offices and many other places. When is it that we should get fresh air to breathe?

In non-polluted air I am healthy, in polluted air I am sick, it is straightforward: so what do you plan to do about it? I am in your target group NAAF!

Update Wednesday, 7 September 2016

Day 6: I was set on sick leave by my doctor notified yesterday. I’m the kind of person that I try to carry on and do my best in length but yesterday my body said no. I had recurring breathing difficulties which I had to curb with strong medication, coughing up mucus, was tired and limp, felt weak and sweating. I had to give up and let my body heal, it does not work going to work like this.

Today I woke very early and coughed up mucus, I still have breathing problems and must take medicine. The body has calmed down somewhat when I could be at home in my allergy safe home and rest. Otherwise, I have the same medicine regime as previously except for a slightly lowered dose of Prednisolone to 40 mg which I shall step down to 20 mg after three days. I fell asleep again after 4 hours and slept long. To explain; my breath sounds kind of like an old shoe when walking when I breathe out and in. I have mucus in the lower airways of the lungs and mucus is sticky and difficult to cough up. Having difficulty breathing also affects speech and general condition then you have to have good breathing to talk. Because of asthma I must therefore be home from work.

The time is now 19.30 o’clock on the 6th day with severe asthma and all coughing and difficulty breathing have done that I have a very sore torso, I have pain in the upper body muscles in the chest. The body is overworked. It is so painful to cough that I can hardly do it.

I am healthy in the fresh clean air and sick in polluted air, simple as that. And even if I am at home an asthma attack like this takes time to curb since it is an active inflammation in the bronchi and bronchioles.

 Update Thursday, 8 September 2016

Day 7: I woke up again approximately at 0600 of lung congestion and coughing up mucus, I am still hurting in the chest because of all the coughing so to cough up mucus is difficult. I feel tired and weak in the chest, and it hurts. Medication was this morning as usual 40mg Prednisolone, 10 mg Singulair, 10 mg Ceterizin, 2 doses of Symbicort Forte 320/9 (also for evening every day), one vial of 2.5 ml 2 mg / ml Ventoline. I cough a little less today but remains tight in the lungs and mucus formation. It is tiresome.

Today I experienced falling asleep exhausted on the couch to later be waken up by not getting breath, and when I try to cough up mucus the muscles in the chest are too tired to do the job. I coughed for 20 minutes and took inhalation to finally achieve it.

Otherwise, the day passed in a calm character with film and surf, and medicine, coughing, phlegm, etc. throughout the day. Coughed so I kept on throwing up. Yes, it was that bad.

Update Friday, 9 September 2016

Day 8: It’s Friday, a week after that I was in that room with this fragrance machine. I woke up at 0600 by coughing again and have been awake since, coughing up mucus regularly. I have taken medicine 40 mg Prednisolone, 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9, Acetylcysteine Sandoz 200 mg and 2.5 mL 2 mg / ml Ventoline inhalation. I must take all of this before I even get to eat, I can not eat with this ongoing cough and phlegm. Normally I take only 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9 in the morning (and 2 in the evening), and I can take it after breakfast. Now I have ugly side effects of the strong Ventoline, I’m shaky to the point on my hands, when I hold my hand up fingers are shaking by tremor.

I was to the store to buy food today, it was the first time I was out in public since Wednesday, September 7th, I had prepared myself properly with medicine before I went but after 10 minutes in the store I got worsening of the asthma again, wheezing, hoarseness, hard thick mucus and began to sweat as a result of it. Fragrance is in the store too. Asthma is tiring for the body and a stress factor.

I’m tired, I’m fed up, but it is maybe hopefully on right path now, yes except for deterioration today. I’m much better than I was last Saturday, but now it’s harder to breathe again, I’m not fully recovered yet and still more sensitive than usual. An already irritated lungs react more and easier on everything my lungs can not tolerate (like for everyone else with this issue).

Update Saturday, 10th September 2016

Day 9: To the hospital emergency room in the middle of the night

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Lay in bed and crying, sleepy and tired, cough, phlegm, difficulty breathing and wheezing. Called the hospital for help. Was there at 0320 at night. CRP was 5, no bacterial infection or virus. Got inhalation. Oxygen level better. Nursing Sister was wonderfully kind and thoughtful, I am so tired and stressed by all this that I started to cry like a waterfall at the hospital, and nursing sister was so kind and stroked my arm and my shoulder and comforted me. Home again at 0450. Did not sleep this night.

Now it’s a little beyond the day and I have a little burning in the airways, breathing difficulties are right now small because of the medicine, but I still need to use the strong Ventoline 2.5 ml 2 mg / ml solution for inhalation with nebulizer to thrive. When medication decreases in effect, as will cough grow back, and I cough up phlegm, and besides that I feel a burning sensation in the lungs, and it is the tipping point for whether it goes wrong or not. Just a little needed to tipping it over the wrong way. It’s hard to explain to someone who has not experienced it themselves, but it feels much like; Imagine that you have a fire you will ignite, there is a little flare and it is either to burn or die out, and that’s just the way it is now that the smallest can make the asthma worsen, so I have to take medicine to not be hurt worse. Normally I manage myself using a regular inhaler to take away small problems and have good breath with PEF 500, but not now because of this perfume. And even cooking food can be a worsening problem since it gives away cookery fumes, but one have to eat. Heavy medication and sick leave.

Update Sunday, 11 September 2016

Day 10: Woke up this morning with very much lung congestion and constriction, to explain what it sounded like; almost like a car having starting problems, the dense raspy sound when the car does not get air and the feeling is as if the lungs were filled with insulating material. I have gotten worsening again. The drugs I have does not do the job good enough so I have to go to the doctor again tomorrow.

You have to understand that asthma is not like a light headache you can just take a pill for and everything will be over. The inflammation that are in the lungs of allergens and irritants caused by content ones health can not tolerate stick for several days. It is an inflammation of the lung airways and as known inflammation takes long time to go away. So please show consideration!

Update Monday, 12 September 2016

Day 11: I went to my doctor and was ordained stronger and more medicine plus lung x-ray at the hospital. I told my doctor that the medicine I get at the hospital works better so now I take Atrovent 2.0 ml 0.25 mg / ml to be mixed with my Ventoline 2.5 ml of 2 mg / ml and inhaled – and lungs are X-rayed.

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In addition he said, “-NO WORK THIS WEEK!” and put me on sick leave to the end of the week.

Something positive I spotted at the hospital was this:

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It is wonderful to find that ones hospital is tuff. Note says;

“Hello!!
Do you believe the cigarett butt (you throw away) removes itself???!!! SMOKE FREE!!!”

I can only applaud them. 👍👏👏👏👏👏👏

Update Tuesday, September 13 2016

Day 12: This night I have actually been able to sleep the whole night through, finally! I woke up at 0700. I believe it is the new medicine. I am still coughing and it is coming mucus when I cough but the new medicine helps a lot.

Today’s medicine doses: 20 mg Prednisolone, 10 mg Singulair, 10 mg Ceterizin, 2 x Symbicort Forte 320/9 (also in the evening), Acetylcystein Sandoz 200 mg, 2,5 ml 2 mg / ml Ventoline mixed with Atrovent 2,0 ml 0,25 mg / ml inhalation every 4th – 5th hour, and in addition the Ventoline when needed, and this I will have to take from now on, til I get symtom free.

Though I have a serious voice issue. One need air to be able to talk okay, and having an asthma attack one is also affected on the voice. Since I still have breathing issues even though I have new medicine, my voice is affected. This video was recorded today right before taking a new dose of medicine after 5 hours. The video is subtitled in English, if it does appear directly, please press the subtitle card at the lower right corner of the video. Learn more about asthma, constricted airways and the voice here:

Update Wednesday, 14 September 2016

Day 13: I have been able to scale down a bit on Ventoline, I think it is thanks to the new Atrovent that I have received, it got a longer duration. The asthma cools off but  I am not well yet (eg. Symtom free when asthma is chronic).

I have not slept well last night, the increased drug dosage has given me the side effects of dry mouth, I woke up several times a night and been dry as a desert in the mouth and have had to get up to eat and drink something to stop it.

I must increase Symbicort Forte 320/9 to 3 x 2 doses a day, it is the preventive medicine.

The voice is still not good, but I cough not as much and bad anymore, at least not as long as I take medicine. But man am I blue under my eyes, this has been a hart time.

Maybe it goes right way now?

Update Thursday, 15 September 2016

Day 14: I still takes the same medicines, but I took an extra dose of Atrovent + Ventoline last night (ie a total of 5 doses instead of 4), and it seems as if it works. This morning when I woke up coughing I only coughed more easy but I was very dry in the mouth because of the side effects of the medicine. Though, when medication decreases in strength after a few hours when I get a burning experience in the lungs and harder to breathe, to explain how the burning sensation feels like; it is as if I have throat burn in the lungs. The burning sensation decreases in strength when I take medicine. I get in between doses of medication heavy breathing, and when I was at the store today it was bad, and my voice bar not and it was difficult to talk. Tonight I have “throat burn” in the lungs, not so hard time to breathe, I have just taken more medicine. But it seems as if the medication is doing its job when I slowly being better than I was, so I’ll take a extra dose this night as well. 5 times a day is really more than the doctor said I should take, but 4 is too little, to help myself so I take 5. The extra dose I take at night because otherwise there will be too many hours without inhalation during the night. I’m going to the doctor tomorrow again. I am not well yet.

Update Friday, 16 September 2016

Day 15: Today I was at the doctor, he listened to the lungs, it was done spirometry, and I will be remitted to a specialist. I am still very sensitive in my asthma for slightest impact. Because of that it is dangerous to go too long on Prednisone it is now removed from my medicines. I continue as usual with the other medicines. I am on sick leave ’til 26.9.

Update Saturday, 17 September 2016

Day 16: I woke up at 0600 and took all pills and Symbicort Forte 320/9 medication, and then and fell asleep again.

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Woke with heavy breathing and had to take inhalation. Before this happened, I have normally been able to just take some Symbicort Forte 320/9 and my asthma and allergy pills in the morning, now I have to use heavy emergency medicine before breakfast. I’m starting to worry that I  maybe have gotten a chronic deterioration by the chemical substances were sprayed into the air, wilI I have to have it like this in the future?

Update Monday, 19 September 2016

Day 18: I did not update yesterday, it has not happened much. I’ll still take Ventoline + Atrovent in addition to the usual dose of asthma and allergy medicines, because if I do not then I get easily deterioration. As long as I take medicine so it works. Though, I’m still very easily affected by irritants and allergens in the air, much more than before, so the doctor has decided that I should stay home until it has stabilized. Like this I have not had it before this happened, I was very sensitive, but it’s worse now. I was  also remitted by my doctor to a lung specialist in town, they called from lung specialist today, I have gotten an appointment on Friday.

If I have gotten permanent injury, whom should I report and sue? I can not let this go unnoticed. It is not okay it being like this in society, and what if I have gotten an injury that lower my ability to work? I can not help thinking of this.

Update Friday, 23 September 2016

Day 22: Today I went to the lung specialist as my GP Remitted me and it was a rewarding meeting in several ways. Firstly I got to do more breathing tests than I have ever done before, in fact, more thoroughly than it was done by the lung clinic when I was there a few years ago. In total the new lung clinic did 3 different breathing tests, spirometry and two others: one for normal calm breathing where I also should hold my breath for 7 seconds and then breathe again, and another test that simulated stair climbing with heavy breathing and full constriction (machine simulated breathing stopped and me had to breathe against it). Then I met the doctor who turned out to be the same doctor who remitted me to The Occupational Injury Department at Trondheim Hospital about 2008/2009, fun he was know from before.

Much chatting about asthma and what happened to me on September 2, which was why I was sent to him. Since I blogged last Monday the 19th of September, my breathing improved considerably and I have been able to cut out the inhalation of the strong Ventoline and Atrovent on a regular basis, now it’s only once in between i use it. Breathing tests I did showed that I have regained breathability. It sits on about 95% of 100% now, and it’s good, and I hope it gets even better. It should probably work if I stay away from everything, and that means all situations which means contact with what my health can not tolerate, and that means even people using fragrance and fragrance products. Now I take only my regular medication Symbicort Forte 320/9, Singulair, Ceterizin and a small dash with the regular inhaler, as I did before I got sick the September 2nd. Since Friday, I have only used the strong medicines 2-3 times, which is a major advance.

We also came to talk the doctor and I about Symbicort Forte, he said it contains a long time preventive working kind of Ventoline which is one of the components of Symbicort Forte. This was news to me. I also read earlier at Medicines Agency about Ventoline that if you have to take too much of Ventoline when the body can get used to the medication and then lose the effect.  I found that when I also take a large dose of Symbicort Forte containing a kind of long-acting Ventoline plus had to take such large quantities of the strong inhalation aerosol Ventoline, so had the body certainly had been given too much and cut out the effect of it, and that’s why I had to get Atrovent. Atrovent has helped me a lot. Thanks to Atrovent I’ve got track of it, and I could cut down on the amount Ventoline. Now I struggle no more with side effects. Asthma and the medical profession is more complicated than you think. Today I have just taken one single dose of Ventoline + Atrovent. If it continue as good as now the next few days then I’ll work on Tuesday. :)

What is fragrance?

Learn from Professor Anne Steinemann at Melbourne University (click the link for more info about her). It is easy to believe that the rules are better in Europe and Scandinavia, but the fact is that the industry is not required to tell you the contents of the hidden word perfume. This you find here:

I want a prohibition

I want it to be prohibited perfuming indoor air, and that it should be forbidden to wash with perfumed cleaning products and the use of spray bottles to clean where the public have access and else go. I am aming at that a ban would only strengthen the rights of us with asthma and other lung diseases, allergies, mcs, shr and other sensitivities. According to Universal Design and Accessibility Act § 9, and the UN declaration of Accessibility and Universal Design, it is already forbidden to use so that a prohibition in practice on scented products will only strengthen the laws already in place. It’s a hassle having to fight alone and opt for equality and availability to the Equality and Availability ombudsman every time there is such hinder as fragrance polluted air, so that we will not have to fight a daily battle, it should be availability also for us and we should not have to become sick.

Also read:

“Known health risks – It is already known that there is a link between the use of cleaning sprays and increased risk of asthma.” (in Norwegian)
For this article I can add my own experience: I used JIF spray cleaning products in my work as a cleaner from 2005 -2007 and it adds up and become a lot in 8 hours full time use. I was healthy and had no asthma when I started in the job and after two years I had developed asthma. I read so the safety data sheets for JIF manufactured and sold by LiIleborg AS, and there stood that it contains substances that can trigger allergies, so Lilleborg AS is lying in the article, they know very well that it is not harmless. This information is not given in the store, you have to find it in the product safety data sheets, and this is most likely true for most products. There were other things that were aerosol also that we used and so were there people who smoked too (I’ve never been smoking it was passive smoke). It was too much for my health. So dear ones who read, do think and care about yours and others health, I can sign that when you become sick in asthma then it is something that persist for life, and you will be sensitive to very much. So dear, take this seriously. And I refer you again to Husbanken.no information developed in cooperation with NAAF (in Norwegian).

And why do I share now this personal information? Because I want you to understand the seriousness.

In fresh air, I am healthy, and in polluted air I am ill, it is so really simple.

Fragrancing of the air is a violation of the law.

Annelie Molin

There is a Swedish law act against discrimination on disability in Sweden too;

Lack of accessibility is a form of discrimination. As of January 1, 2015 introduced a lack of accessibility as a new form of discrimination in the Discrimination Act. Lack of accessibility means that a person with a disability is disadvantaged by not having taken reasonable measures for accessibility to the person in question will be in a comparable situation to people without such disabilities.
The word disability replaced with “decreased function ability” in the discrimination Act, the Equality Ombudsman, the Education Act and the Act on the employment and hiring of workers.

◾(Prop. 2013/14: 198)
◾Act (2014: 958) on the amendment to the Discrimination Act (2008: 567)
◾Act (2014: 959) amending the Act (2008: 568) concerning Discrimination Ombudsman
◾Act (2014: 960) amending the Education Act (2010: 800)
◾Act (2014: 961) amending the Act (2012: 854) regarding the employment and hiring of workers.
Source: notisum.se/News.aspx?itemid=11999

What is universal design, accessibility and reasonable measures?

Sweden and the EU, together with 160 other countries have ratified the UN Convention on the Rights of Persons with Disabilities. This commitment means that states are responsible for implementing universal design, accessibility and reasonable measures.

The application of universal design means that all new products, services, environments and applications designed to be used by all the greatest extent possible without the need for adaptation or specialized design. When developing new products, services, environments and programs target all people.

The point is that we as users have different functional capabilities and characteristics. In this way, we create a society where everyone can participate equally. Producers, authorities and companies can also achieve far more. Accessibility as a group is an entitlement. To create complete accessibility is an unconditional obligation of States to gradually remove existing obstacles in buildings, transportation, information and communications, including information technology and products and services aimed at the general public. Costs should not be an argument against this, the State has the responsibility to ensure protection against discrimination” HSO.se

#doftmaskin #duftmaskin #astma #allergi #astmaallergi #fragrancemarketing #scentmarketing #airfreshener #luftoppfrisker #parfyme #parfym #parfum #perfume #fragrance #duft #doft #luftforurensning #forurensning #luftförorening #förorening #airpollution #pollution

#scentmarketing #fragrancemarketing #airfreshener #luftoppfrisker #doft #parfyme #luftforurensning #forurensning #tilgjengelighet #TilgjengelighetslovenParagraf9 #lovbrudd #astma #allergi #astmaallergi #sensitivitet #CircleK med flere.


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Ban #ScentMarketing aka #FragranceMarketing #doftmarkedsføring #doftsattemiljøer #parfyme #doft #duftmarkedsføring #markedsføring @astmaallergi @helsedir @regjeringen @kronprinsparet @likestilling @mittombud

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Forby parfymering av innendørs miljø

Fra artikkelen:

“Parfymdofter är ett hinder för personer som är överkänsliga mot parfym.

Det medför svårigheter att vistas i olika offentliga inomhusmiljöer på grund av andras parfymdoft. Exempel på (icke att bli begränsat till) sådana miljöer är butiker, arbetsplatser, skolor, vården, i kulturlivet och i kollektivtrafiken.

Astma- och Allergiförbundet vill uppmärksamma doftöverkänslighet för att det är ett stort problem för så många.

Förbundet kräver nu att doftsättning i offentliga inomhusmiljöer förbjuds.

Det finns i dag företag som ägnar sig åt att ”doftsätta” butiker, köpcentrum och hotell – miljöer som där våra medlemmar inte kan vistas i.

Doftöverkänslighet, även kallat sensorisk hyperreaktivitet/SHR, är relativt vanligt bland vuxna – drygt sex procent uppfyller kriterierna för medicinsk diagnos.

Långt fler, omkring 33 procent anger själva att de har någon form av doftöverkänslighet.

Det finns inte någon medicinsk behandling som botar doftöverkänslighet utan de som är drabbade är hänvisade till att undvika dofter och är därför beroende av omgivningens hänsyn.

Doftöverkänslighet anses bero på en ”överretbarhet” i det sensoriska nervsystemet. Vanliga symtom är luftvägsbesvär (hosta, andnöd, heshet, slembildning), irritation i ögon, näsa eller hals eller mer allmänna symtom (huvudvärk, yrsel, trötthet, svettningar).

Symtomen kan påminna om astma eller allergi men har andra orsaker. Besvären kan hålla i sig i flera dagar och leda till sjukfrånvaro även om man bara utsätts för parfymdoft en kort stund.” svt.se

I grunn er det allerede forbudt da det bryter mot den Norske Diskriminerings- og Tilgjengelighetsloven.

E-post fra Likestillings og Diskrimineringsombudet LDO til Alena Jula (publisert med tillatelse av Alena Jula):

“Parfymeallergi og andre typer miljøhemminger regnes som en form for nedsatt funksjonsevne som er beskyttet av Diskriminerings- og Tilgjengelighetsloven.
Friheten til å fungere i samfunnet skal være lik for alle. Også tiltak for allergikere, herunder parfymefrie produkter, kan omfattes. Dette er særlig viktig ved offentlige og private virksomheter hvor personer av ulike grunner har behov for å oppholde seg. Med diskriminering menes direkte og indirekte forskjellsbehandling!” Likestillings- og Diskrimineringsombudet LDO, Norge

Forby parfymering / duftsetting av innendørs luft  i Norge, i Sverige, ja rentav i hele Europa.

Å reagere med sjukdom på parfymert og duftsatt inneluft det gjelder også astma og allergi, så da må man telle et høyere antall enn oppgitt i artikkelen. Jeg har astma og tåler ikke det som nevnt i artikkelen, det er ikke kun kjemisk intolerante som ikke tåler det. Det er ikke noe kjekt å måtte fly et toalett da man er i behov fordi det er montert en doftmaskin på veggen, eller å måtte gå ut av en butikk eller annet lokal fordi dem har parfymert inneluften. Vil dem ikke ha kunder?

“Astma og allergi kan være invalidiserende og kan forårsake tap av levetid.” Arbeidstilsynet 2009

Det er ikke bare disse og oss som sliter med det som styrker et forbud.

Astma og allergi kan være invalidiserende og kan forårsake tap av levetid pga nedsatt funksjonsevne i lungen og helse. Det er anerkjent som et handikap av både FN, WHO og Likestillings- og diskrimineringsombudet (LDO). Personer med astma og allergi som har hyperreaktive luftveier (skal ikke forveksles med hyperaktive) mot bl.a parfyme i omgivelsene blir ikke godt nok ivaretatt i samfunnet hva gjelder tilgjengelighet pga at mennekser har en s.k. påstått rett å bruke ting som gjør andre sjuke, dette er til tross for at mennesker med astma og allergi har et lovvern i Lov om forbud mot diskriminering på grunn av nedsatt funksjonsevne (diskriminerings- og tilgjengelighetsloven), lov om miljø og vern av ren luft osv: Forskrift om miljørettet helsevern, FNs konvensjon om rettighetene til mennesker med nedsatt funksjonsevne, og World Health Organization (WHO): Global surveillance, prevention and control of CHRONIC RESPIRATORY DISEASES.

Man bryter loven med påskudd om mote, økt salg, å få kunder å bli lengre i butikker osv, og på samme tid så stenger man ute tusentalls av personer hvert år fra å delta og bruke tilbudet. Det gir også økt sjukdom, økt sjukefravær, økte kostnader for både samfunnet og privatpersonen det gjelder, det gir personlig lidende, der er til og med personer som er uføretrygdet fordi dem ikke kan være i samfunnet, arbeide og gjøre alle de tingene som andre kan da luften er forurenset med parfymestoffer. Her er det mye å spare for alle, både for den enkelte og samfunnet. Ved å forby tilsetning av parfymer og sk duft, les parfymestoffer, i inneluften blir folk friskere, og samfunnet sparer store summer med penger da fler kan bevege seg i samfunnet, fler kan arbeide, og det blir færre sjukemeldinger.

Hvorfor fortsette å godkjenne bruk av produkter som skader og som koster samfunnet penger? Hva er viktigst tilgjengelighet, helse og miljø eller retten til overfladisk jåleri?

Les også: https://anneliemolin.wordpress.com/2013/02/25/perfume-and-air-pollution-or-second-hand-fragrance/

 

In English

Ban indoors scenting of air

From the article:

“Fragrances are an obstacle for people who are allergic / sensitive to perfume.

It causes difficulty staying in various public indoor environments because of other people’s perfume / fragrance. Examples (not to be limited to) of such environments, shops, workplaces, schools, health care, cultural life and in public transport.

Swedish Asthma and Allergy Association want to pay attention to scent hypersensitivity it is a big problem for so many.

The union now requires scenting in indoor public areas is prohibited.

Today there are companies dedicated to the scenting stores, shopping centers and hotels – environments where our members can not enter and therefore not be allowed in.

Fragrance hypersensitivity, also called sensory hyperreactivity / SHR (or in English MCS), is relatively common among adults – slightly more than six percent meet the criteria for medical diagnosis.

Far more, about 33 percent say themselves that they have some kind of odor hypersensitivity, read reaction to for example fragrance chemicals off gassing to the air.

There is no medical treatment that cures odor hypersensitivity, but those affected are obliged to avoid smells and are therefore dependent on ambient considerations.

Fragrance Hypersensitivity be due to a “over stimulation” in the sensory nervous system. Common symptoms include respiratory problems (coughing, shortness of breath, hoarseness, phlegm), irritation of the eyes, nose, or throat or more general symptoms (headache, dizziness, fatigue, sweating).

Symptoms may remind you of asthma or allergy, but has other causes. Symptoms may persist for several days and lead to sick leave even if you are only exposed to perfume a short while. ” svt.se

Basically it’s already prohibited in Norway when it violate against The Discrimination and Accessibility Act.

E-mail from the Equality and Discrimination Ombudsman LDO to Alena Jula (published with permission by Alena Jula):

“Perfume Allergy and other types environmental inhibitions are regarded as a form of disability protected Discrimination and Accessibility Act.
The freedom to function in society should be equal for all. Also measures for preventing allergies, including perfume-free products is covered by the act. This is particularly important in public and private enterprises where people of different reasons need to go and be there / reside. With discrimination is meant direct and indirect discrimination.” The Equality and Anti-discrimination ombudsman LDO, Norway

Prohibit perfuming / fragrance setting of indoor air in Norway, Sweden, yes throughout Europe.

Reacting with illness in scented and fragrance added indoor air it also applies to asthma and allergies, so then you have to count higher numbers than stated in the article. I have asthma and can not tolerate fragrancing of indoor air like mentioned in the article, it is not only chemically intolerant who can not tolerate it. It is no fun having to flee a toilet when one are in need because it is mounted a scent machine on the wall, or having to go out of a store or other locality because them have scented indoor air. Do they not want customers?

“Asthma and allergies can be debilitating and can cause loss of life.” Norwegian Labour Inspectorate 2009

It is not just these and us struggling with it who supports a ban.

Asthma and allergies can be debilitating and can cause loss of life span due to disability in lung health. It is recognized as a disability by the UN, WHO and Equality and Anti-Discrimination Ombud (LDO). People with asthma and allergies that have hyperreactive airways (not to be confused with hyperactive) agains fragrance / scent / perfume in the environment are not adequately safeguarded in society as regards availability because that human lives has a so called alleged right to use things that make others sick, this is despite the fact that people with asthma and allergies have a legal protection of the Act prohibiting discrimination on grounds of disability (Discrimination and Accessibility Act), the law on the environment and the protection of clean air etcetera: Regulations on environmental health, the UN Convention on the Rights of Persons with Disabilities and the World Health Organization (WHO) Global surveillance, prevention and control of chronic RESPIRATORY DISEASE.

People violates the law on the wanting for fashion, increasing sales, getting customers to stay longer in stores, etc., and at the same time so do one exclude thousands of people each year from participating and use the same places. It provides increased illness, increased sick absence, increased costs for both society and the private individual concerned, it gives personal suffering, there are even people who are receiving disability benefits because those can not be in society, work, and do all the things that others may when the air is polluted with fragrances. Here there is much to save for all, both for the individual and society. By prohibiting the addition of perfumes and fragrance so called fragrance marketing and else fragrancing of air, read perfume substances in indoor air are people healthier, and community saving large sums of money when those sensitive can move in society, can work, and there are fewer sick leaves, and less on disabilitiy benefits.

Why continue to authorize the use and selling of products that damage health and costing society money? What is most important accessibility, health and the environment or the right superficial glamour?

Also read: https://anneliemolin.wordpress.com/2013/02/25/perfume-and-air-pollution-or-second-hand-fragrance/

/ Annelie


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Allergy and bodily harm ruling

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Kjøkkenmester dømt for legemsbeskadigelse

Å ikke ta hensyn til allergikere er legemsbeskadigelse angitt i en dom i Sverige. Vet du om at en person har allergi og du ikke tar hensyn til det da kan du bli idømt bøter for legemsbeskadigelse.

Kjøkkensjefen er dømt i svenskt rettsvesen og idømt en bot om 30000 SEK.

Neste gang du som er utsatt for at folk ikke tar allergien din seriøst, eller det er du som ikke tar den allergiskes sjukdom alvorlig, husk at det er legemsbeskadigelse om personen blir sjuk pga av deg, og det er straffbart.

http://m.gp.se/nyheter/vastsverige/1.2930046-serverade-livsfarlig-kaka-doms-till-boter?utm_source=m.facebook.com&utm_medium=referral&utm_campaign=redirect

 

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In English

Chef fined for bodily harm

A restaurant in Sweden did not take a teenagers allergy seriously and served him food he is allergic to. A head chef in Sweden is now sentenced to pay a fine of 30000 SEK. Swedish legal system rule it is bodily harm.

Next time you are either not taken in account or you are the one who just do not care about those allergic, know it is bodily harm, and it is punishable.

http://m.gp.se/nyheter/vastsverige/1.2930046-serverade-livsfarlig-kaka-doms-till-boter?utm_source=m.facebook.com&utm_medium=referral&utm_campaign=redirect

/ Annelie


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#Norway Sentence for ignoring and exposing the population to harmful pollution levels @astmaalleri #astmaallergi #tryggluft #NAAF

Norge er dømt i Luxembourg for å ignorere luftkvalitet

Luxembourg – Norge: “Domstolen i Luxembourg setter nå et endelig punktum for luftkvalitetssaken NAAF har kjempet i nesten ti år. Norske myndigheter er dømt for i en årrekke å ha utsatt befolkningen i byene våre for helseskadelige nivåer luftforurensning. NO2 (Nox) og svevestøv, og i noen grad også SO2, har lenge forurenset mange byer i Norge. I flere år har luftforurensningsverdiene, særlig om vinteren, vært så høye at det var både helseskadelig og ulovlig. Norges Astma- og Allergiforbund (NAAF) har advart mot denne utviklingen i snart ti år. Da man ikke ble hørt, heller ikke i forhold til den skjebnesvangre dieselfavoriseringen i 2007, klaget forbundet i 2011 norske myndigheter inn for EFTA. Vi så rett og slett ingen annen utvei for å få slutt på eksponeringen man utsatte befolkningen for.

Siden den gang har ESA, EFTAS overvåkningsorgan, konkludert med at NAAF har helt rett, dette er både helseskadelig og ulovlig. ESA sendte da et offisielt brev til norske myndigheter der de redegjorde for saken og krevde forbedringer.

Heller ikke den nye regjeringen evnet dessverre tilfredsstillende å rydde opp i situasjonen og ble således trukket for retten i Luxembourg. Det er denne retten som nå har avsagt dom: Norge overholder ikke det europeiske luftforurensningsdirektiv.” naaf.no

Norge er nå dømt i retten i Luxembourg for å unnlate å verne befolkningen mot luftforurensninger. Jeg vil gratulere NAAF for godt utført arbeid.

Det er kanskje dette som må til for å få slutt på den unødvendige forurensningen av parfyme i samfunnet som så mange blir sjuke av?

Les hele artikkelen på naaf.no:
http://www.naaf.no/no/aktuelt/Nyhetsarkiv/Norge-domt-for-helseskadelig-luftkvalitet/

Norway scentenced for ignoring air quality

Luxembourg – Norway: “The Court in Luxembourg is now putting a final end to the air quality issue NAAF has fought for almost a decade. Norwegian authorities are sentenced for during a number of years to have exposed the population of Norwegian cities to harmful levels of air pollution. NO2 (NOx) and particulate matter, and to some extent also SO2, has long polluted many cities in Norway. For several years, air pollution values, especially in winter, been so high that it was both harmful and illegal. The Norwegian Asthma and Allergy Association (NAAF) have warned against this trend in almost ten years. Warning were not heard, nor in relation to the devestating diesel favoritism in 2007, NAAF complained in 2011 Norwegian authorities in EFTA. NAAF saw simply no other way to end the exposure seen vulnerable population.

Since then, the ESA, the EFTA Surveillance Authority, concluded that NAAF absolutely right, this is both harmful and illegal. ESA, sent an official letter to the Norwegian authorities in which they explained the matter and demanded improvements.

Neither the new government succeeded  satisfactory to clean up the situation and was thus brought to court in Luxembourg. It is this right which has now ruled: Norway does not comply with the European pollution directive. ” naaf.no

Norway has been sentenced in court in Luxembourg for failing to protect the population against air pollution. I want to congratulate NAAF for work well done.

Maybe this is what is needed to also  get the air free from the uneccessary pollution by fragrance that make so many ill?

Read the full article at naaf.no (in Norwegian):
http://www.naaf.no/no/aktuelt/Nyhetsarkiv/Norge-domt-for-helseskadelig-luftkvalitet/


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#Røykeloven og #kollektivtransport #tryggluft og #røykeforbud ved #bussholdeplass, #busskur, #bussterminaler, #perronger, #busser og øvrig #kollektivtrafikk

Vedrørende røyking på arbeidsplass i busser, på bussholdeplasser, busskur og perronger

“§ 12.Røykeforbud i lokaler og transportmidler
I lokaler og transportmidler hvor allmennheten har adgang skal lufta være røykfri. Det samme gjelder i møterom, arbeidslokaler og institusjoner hvor to eller flere personer er samlet. Person som på tross av advarsel fra eieren eller den som driver lokalet eller transportmidlet eller representant for denne, overtrer bestemmelse gitt i eller i medhold av paragrafen her kan bortvises fra lokalet eller transportmidlet.” Lovdata.no Lov om vern mot tobakksskader (tobakksskadeloven)

Der er mange diskusjoner og synsing om røyking på bussholdeplasser i Norge. Man hevder at det er lov å røyke så lenge som man røyker ute. Det har vært diskusjoner om å forby røyking på holdeplasser og mange er imot det. De ferreste er klar over at det faktisk allerede finnes en lov som forbyr røyking på holdeplasser, da bussen står inne på holdeplassen. Jeg har selv opplevd da jeg har gitt beskjed til røykere om å bevege seg vekk fra bussen om at jeg kan dra dit peppern gror og at de har rett å røyke ute, dere som røyker kunne ikke ha mer feil. Røykere røyker ved bussen og røyken siver inn i bussen som skal være røykfri. Røykeloven slår fast at bussholdeplasser og busskur skal være røykfrie da bussen står på holdeplassen. dette iflg. Arbeidstilsynet.

Krav på eit røykfritt arbeidsmiljø
“Arbeidsgivaren har ansvaret for arbeidsmiljøet, også for at ingen blir utsette for røyk på arbeidsplassen. Alle har krav på eit røykfritt arbeidsmiljø. For arbeidstakarar inneber tobakksskadelova at ekspedisjonslokale, arbeidsrom, spiserom, der to eller fleire arbeider, korridorar, trappeoppgangar, toalett og heisar på arbeidsplassen skal vere frie for røyk.
Som hovudregel vil det ikkje lengre vere tillatt å legge til rette for røykerom eller boks på arbeidsstaden. Arbeidsgivaren er ikkje forplikta til å legge forholda til rette for røyking. Arbeidstakaren har heller ikkje krav på eigne røykepausar. Rutinar for inneklima skal tas inn i verksemda sitt interne helse-, miljø- og sikkerheitssystem. Der det er tvil om røykeforbodet, skal det tydeliggjerast med synlege skilt.” Arbeidstilsynet.no

“§ 25. Røykeforbud i lokaler og transportmidler
I lokaler og transportmidler hvor allmennheten har adgang skal lufta være røykfri. Det samme gjelder i møterom, arbeidslokaler og serveringslokaler. Utendørs inngangspartier til helseinstitusjoner og offentlige virksomheter skal være røykfrie.”

“§ 28. Vern av barn mot passiv røyking
Barn har rett til et røykfritt miljø. Den som er ansvarlig for barn skal medvirke til at denne retten blir oppfylt.”

Kommentarene til § 6

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“Bussførerarbeidsplass når det røykes på holdeplass / i busskur. Holdeplass / busskur må regnes som inngangsparti som skal være røykfrie før bussdørrene åpnes. Kravet til røykfri luft gjelder for lokaler og transportmidler der allmennheten har adgang. Ifølge merknadene til forbudsbestemmelsen gjelder det også i inngangspartier, og det skilles ikke mellom inngangspartier for bygninger og transportmidler. Jf. kommentarene til paragraf 6 første ledd. Det skilles heller ikke mellom ansatte med ulike forutsetninger.” Arbeidstilsynet (brev fra 2009)

Der er en lov som forbyr å røyke på holdeplasser og perronger da bussen står inne på holdeplass / perrong og dørene er åpne. Luften skal være røykfri før bussen er der. Stump røyken før bussen ankommer og vis også hensyn til andre som venter øvrig tid.

Ifølge loven om vern mot tobakksskader og persontransport kan personer som bryter mot loven avvises. Se § 25. Røykeforbud i lokaler og transportmidler

“Fra 2014 er det ikke anledning til å opprette egne røykerom.” Helsedirektoratet

“Eieren, driveren eller den som disponerer eller er ansvarlig for lokalene, området eller transportmidlene, plikter å sørge for at reglene gitt i eller i medhold av disse bestemmelsene blir overholdt. Det skal markeres med tydelige skilt at røyking er forbudt på steder hvor det kan være tvil om dette, samt ved inngangen til alle serveringssteder. Person som på tross av advarsel fra eieren eller den som driver eller er ansvarlig for lokalet, området eller transportmidlet eller representant for denne, overtrer bestemmelse gitt i eller i medhold av paragrafen her kan bortvises fra lokalet, området eller transportmidlet.” Arbeidsmiljøloven (AML) §25

Det er påbudt å merke med røyking forbudt skilt der det måtte være tvil om det er forbudt eller ikke. Røyking utenfor bussene er et problem både for sjåfører i arbeidsmiljøet og for dem som tar bussen. Dette må tas opp på høyeste hold slik at alle busser i hele Norge blir merket med røyking forbudt utenpå bussene og på holdeplasser, det skal også opplyses om på fylkeskommunenes nettsteder, på busselskapenes nettsteder, i rutehefter på nett og på papir, og i landsdekkende aviser slik at alle er informert.

Notere deg det fra nå av at RØYKING ER FORBUDT PÅ BUSSHOLDEPLASSER OG I BUSSKUR DA BUSSEN STÅR INNE OG AT LUFTEN SKAL VÆRE RØYKFRI FØR DØRRENE ÅPNES. DETTE BETYR AT DU SKAL STUMPE RØYKEN FØR BUSSEN STOPPER.

§ 42. Straff
“Den som forsettlig eller uaktsomt overtrer forbud eller påbud gitt i eller i medhold av denne lov straffes med bøter. Forsøk straffes på samme måte.” Lovdata.no

Kilde: Arbeidstilsynet Norge, Lov om vern mot tobakksskader (tobakksskadeloven)lovdata.no, Helsedirektoratet

/ Annelie


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Guidelines for severe asthma – europeanlung.org

Guidelines for severe asthma

europeanlung.org 12.12.2013 “A new guideline has provided an updated definition of severe asthma along with new recommendations for treating the condition.

Produced by a joint task force of the European Respiratory Society and the American Thoracic Society, the guideline is published online today (12 December 2013) in the European Respiratory Journal.

Although severe asthma is estimated to account for less than 10% of all asthmatics, these patients have the greatest burden and require a disproportionate amount of healthcare costs to be spent on treating their condition, which is harder to control.

The guideline defines severe asthma as “asthma which requires treatment with high dose inhaled corticosteroids (ICS) plus a second controller (long acting β2 agonist (LABA), leukotriene modifier, theophylline or systemic corticosteroids) to prevent it from becoming uncontrolled or which remains uncontrolled despite this therapy.”

The definition is intended to help doctors to confirm a diagnosis of severe asthma and address associated factors that could be making asthma difficult to treat.

The guideline provides a detailed discussion of the classification (phenotyping) of patients with severe asthma as evidence suggests that severe asthma affects people in different ways.

Recent research has started to group severe asthma into different types (or phenotypes) based on clinical and certain biological features of the condition. These findings can help researchers develop targeted treatments for this group of people whose asthma remains difficult to treat despite taking the recommended therapies. The guideline encourages continuing research into phenotyping severe asthma and finding more effective treatments aimed particularly at  specific phenotypes of severe asthma.”

Full guideline:

Title: International ERS/ATS Guidelines on Definition, Evaluation and Treatment of Severe Asthma Authors: Chung KF, Wenzel SE, Brozek JL, Bush A, Castro M, Sterk PJ, Adcock IM, Bateman ED, Bel EH,  Bleecker ER, Boulet L-P, Brightling C, Chanez P, Dahlen S-E, Djukanovic R, Frey U, Gaga M, Gibson P, Hamid Q, Jajour NN, Mauad T, Sorkness RL, Teague WG DOI: 10.1183/09031936.00202013

Click the links below to read more:

http://www.europeanlung.org/en/news-and-events/media-centre/press-releases/new-guidelines-for-severe-asthma


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Boy died from asthma attack – Ryan Gibbons – lfpress.com

A boy Ryan Gibbons was not allowed to carry his inhalor With him at School and died from a asthma attack.

“Sandra Gibbons knew something needed to change when her son Ryan, 12, died after an asthma attack at his school in Straffordville last year (2012).

Ryan wasn’t allowed to carry his inhaler with him at school, Gibbons said. So she started a petition to require school boards to adopt standardized asthma plans.

Gibbons’ petition garnered more than 1,500 signatures. The bill passed second reading with all-party support at Queen’s Park this week. The government has an obligation to ensure that (when) kids are at school that they have the safest environment possible.

It would also allow asthmatic students to carry a reliever inhaler at all times, with a doctor’s approval.

“There will be, of course, discretion,” Yurek said. “You’re not going to have a four-year-old carrying around their own puffer.”

Asthma is well known to be a Deadly disease if not treated properly with medicine and avoiding what makes the person ill. It is a shame that the School and People in generally do not respect it as such. Here a boy died from other Peoples ignoranse and overruling a persons needs.
And why a four year old can not carry his own puffer to use whenever the kid needs it is for me not understandable. I have asthma myself and I know that sometimes you do not have the possibility to run all over a School yard to get the teacher to get Your medicine, you must have it there and then, not later. Asthma medicine should be taken at once one feel a problem evolving, not wait 10 minitues to half an hour or more. The puffer is a life saviour and should be handled as such and carried With oneself eat all times. It should not even be a matter of questioning it.

I get upset, sad, angry and a lot more and tears are coming. I have a question for all wanting to deny a person having asthma their puffer:

– Would you deny a heart patient to wear his heart medicine?

It should be a human right to have ones medicine at hand at all times.

We have sertant organs that is crusual for living: heart, lungs, kidneys, liver, stomach, brain a.s.o. Without those organs functioning we are no more. Medicine helps the organ function so if you deny the person having or using their medicine they die.

Rest in Peace Ryan
Annelie

Read the Whole story:
http://www.lfpress.com/2013/12/06/jeff-yureks-private-members-bill-would-require-asthma-policy-at-schools


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Asthma, allergy and sensitivity – Persons with disabilities environment is covered by the discrimination and accessibility act

(Scroll down for English)

Er luften for alle?

paragraph “Nei, mener flere som forteller Likestillings- og diskrimineringsombudet om sin miljøhemming, og om store utfordringer med å delta i samfunnet.

Åshild Flatebakken, seniorrådgiver og jurist i avdeling for lov og rettigheter, har sett nærmere på hvordan diskriminerings- og tilgjengelighetsloven kan gi et diskrimineringsvern for personer som for eksempel er allergisk mot parfyme.

På spørsmålet om personer med miljøhemming er omfattet av diskriminerings- og tilgjengelighetsloven svarer Flatebakken ja.”

Hva er en miljøhemming?

“- Miljøhemming brukes som en samlebetegnelse på tilstander med en eller annen slags overfølsomhet for noe i miljøet, for eksempel parfyme, vaskemidler og planter, som gir plager og kan føre til sykdom, sier Flatebakken.

Hun utdyper at vi ikke har mye praksis når vi skal se nærmere på miljøhemming og diskriminering, men både Likestillings- og diskrimineringsombudet og Likestillings- og diskrimineringsnemnda har uttalt at allergi er omfattet av lovvernet.” LDO 31. aug 2012

Og alle oss som er sensitive sier HURRA!!!!

http://www.ldo.no/no/ombudet/Nyheter/Arkiv/Nyheter-i-2012/Er-luften-for-alle-/

In English

Is the air for everyone?

paragraph “No, says the number of people that tells the Equality and Anti-discrimination Ombud about their environmental inhibition, as well as major challenges to participate in society.

Åshild Flatbakken, senior advisor and lawyer in the department of law and rights, have looked at how discrimination and Accessibility Act may provide protection against discrimination for people such as allergic to perfume.

On the issue of persons with disabilities environment covered by the Discrimination and Accessibility Act responds Flatbakken yes.”

What is an environmental inhibition?

“- Environment inhibition is used as an umbrella term for conditions with some kind of sensitivity to something in the environment, such as perfumes, detergents and plants, which causes annoyance and can cause disease, says Flat ground.

She explains that we do not have much practice as we shall see further on environmental inhibition and discrimination, but both the Equality and Anti-Discrimination Ombud and the Equality and Anti-Discrimination Tribunal has stated that allergy is subject to legal protection. ” LDO 31. aug 2012

And all of us with sensitivities say HURRA!!!!

http://www.ldo.no/no/ombudet/Nyheter/Arkiv/Nyheter-i-2012/Er-luften-for-alle-/


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EFA – Asthma – Raise Awareness, Relieve the Burden

  EFA European Federation of Allergy and Airways Diseases Patients’ Associations  calls for awareness.

Read and join! Sign the petition!

EFA says:

“Respiratory allergies in Europe are increasing and affect around 20%–30% of the European population. Allergies are a real and serious disease, they place a considerable burden on European societies, and on patients and their families. The European Federation of Allergy and Airways Diseases Patients Associations (EFA) calls upon the European Union (EU) and Member States to take the necessary steps to develop a strategic, comprehensive and integrated approach to respiratory diseases with a focus on respiratory allergies that brings all initiatives and actions under one umbrella, and supports the launch and implementation of national programmes on respiratory allergies.

EFA calls upon European policy makers to coordinate actions to:

  1. Increase the political recognition of respiratory allergies as a real and serious disease
  2. Promote national programmes on respiratory allergies
  3. Prioritize the management and control of respiratory allergies
  4. Promote training in allergy for healthcare professionals to improve accurate and early diagnosis
  5. Align healthcare and reimbursement policies, to support appropriate disease managemen
  6. Improve indoor air quality

1. Increase the political recognition and awareness of respiratory allergies as a real and serious disease

Respiratory allergies in Europe affect around 20%-30% of the European population. Nevertheless, allergies, and in particular respiratory allergies such as allergic rhinitis (e.g. hay fever), are not considered real and serious diseases, and, as a result, they remain frequently underdiagnosed and undertreated despite the heavy burden they place on patients, their families and society as a whole.

We call upon the European Union and Member States to recognize respiratory allergies as a serious disease and a real public health problem and to adopt a comprehensive and integrated approach to address these problems in order to improve the quality of life of patients, and decrease the social and economic burden of the disease.

2. Promote national programmes on respiratory allergies

Awareness of respiratory allergies remains relatively low in Europe. Many healthcare professionals and patients consider respiratory allergies, particularly allergic rhinitis, a trivial condition. Patients do not understand what inflammation in allergy means and are often unaware of the implications accompanying the progression of allergies. National programmes on respiratory allergies that involve healthcare authorities, healthcare professionals, patient organizations and all relevant stakeholders are essential in achieving better awareness and control of these conditions.

We call on the EU and Member States to implement large scale public health campaigns to increase awareness of allergies including respiratory allergies amongst the general public, general practitioners, and patients to prevent the exacerbation of the conditions and reduce the burden on society. These measures should aim at achieving equal access to treatment, preventive treatments, reimbursement and information and education programmes in particular for patients with moderate/severe conditions.

3. Prioritize the management and control of respiratory allergies

Respiratory allergy is a complex condition that can have a severe impact on daily life. It can result in work and school day losses and in a reduction of productivity; loss of confidence and sometimes depression. Effective management of respiratory allergies is crucial in keeping control of the condition to avoid exacerbation; and ultimately to improve the quality of life of the patients. Too often patients tend to adapt to and to live with their symptoms. The lack of appropriate control may cause exacerbations that, in asthma, may even cause irreversible damage to the lungs (irreversible obstruction).

We call upon the EU to adopt measures to establish European guidance on the appropriate management and control of respiratory allergies based on a multidisciplinary approach in order to avoid exacerbations.

4. Promote training in allergy for healthcare professionals to improve accurate and early diagnosis

In most European countries there is a lack of allergologists and physicians with specific training in allergy. Allergology is not recognized as a specialization in many European countries. Respiratory allergies are often dealt with in primary care. This means that patients often receive a late diagnosis and not always the appropriate treatment in line with the most recent international evidence-based guidelines. Nurses and pharmacists also play an important role, particularly in promoting early diagnosis, in monitoring and managing patients with a mild condition and in recognizing the onset of more severe symptoms thereby preventing exacerbations.

We call on the EU and Member States to ensure that allergology is included in the training of medical students and that dedicated training for physicians is available in all European countries. Dedicated training in allergies should also be provided to nurses and pharmacists.

5. Align healthcare and reimbursement policies, to support appropriate disease management

Allergen specific immunotherapy seems to be the only treatment able to treat and modify the course of the respiratory allergy in selected patients today, and may reduce the risk of asthma in patients with allergic rhinoconjunctivitis. However, access to and reimbursement of allergen specific immunotherapy is difficult in most European countries.

We call on the EU and Member States to improve access to preventive and/or disease modifying treatments.

6. Improve indoor air quality

European Union governments and the EU pay less attention to indoor air quality than to outdoor air quality. Poor indoor air quality and cigarette smoke are risk factors for respiratory allergies. Exposure to a poor indoor environment (e.g. air pollution in dwellings) has been linked to asthma and allergy symptoms, lung cancer and other respiratory and cardiovascular diseases, and is a real health problem. In addition, poor air quality can trigger exacerbations and worsen the patient’s conditions. Patients have the right to breathe freely, and should have access to safe environments, in particular indoors, such as schools, public buildings, hotels, etc.

We call on the EU and Member States to ensure good indoor air quality, including measures to abolish smoking in both the work place and public places across Europe and a joint framework on healthy air indoors.

We call on the EU and Member States to develop EU guidelines for a healthier indoor environment including in schools and dwellings.”

Source: EFA

I promote and support this. This is very important. This will benefit us all in form of a more healthy environment and more, not only us who have asthma but also everyone with mcs, shr, allergies and other lung diseases. Share it on your sites and spread the news!

Please, do sign the petition!

Please, share this blog entry to spread the news about this petition. According to WHO and GinAsthma there are 300 million people world wide who have asthma. Together we can make a statement!

Kind Regards
Annelie


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Occupational asthma – how to?

(Scroll down for English)

Arbeidsrelatert astma

“Hensikt og omfang

  • Hensikten med veiledningen er å beskrive utredningen av mulig arbeidsrelatert astma, primært til bruk i de arbeidsmedisinsk sykehusavdelingene.
    • Arbeidsmedisinere utenfor slik avdeling kan basert på egen kompetanse, foreta deler av utredningen der dette synes hensiktsmessig.

Forekomst

  • Arbeidsrelatert astma representerer et vesentlig helseproblem i befolkningen og antas å være ansvarlig for 5-15 % av nyoppståtte tilfeller av astma hos voksne1.
  • De arbeidsmedisinske avdelingene i Norge utreder pr 2011 ca 250 saker årlig med spørsmål om arbeidsrelatert astma.
  • Arbeidstilsynets statistikk, som er basert på melding fra leger, har etter år 2000 vist i underkant av 100 tilfeller årlig. I perioden 1995- 99 var tallet det dobbelte. Med stor sannsynlighet er det en underrapportering av tilfellene da kun et fåtall av legene benytter seg av meldesystemet.

Inndeling av arbeidsrelatert astma

  • Arbeidsrelatert astma omfatter tilfeller som enten er forårsaket av (’arbeidsindusert (yrkesbetinget) astma’) eller
  • Forverres av eksponering i arbeidet (’arbeidsforverret astma’)
  • Ved alle tilfeller av nyoppstått astma er det viktig å avgjøre om eksponering i arbeidet har forårsaket sykdommen og spesielt om det er utviklet sensibilisering (’allergisk yrkesbetinget astma’) mot allergener eller lavmolekylære stoffer som forekommer i pasientens arbeidsmiljø
  • Irritanter kan forårsake astma ved kjemiske ulykker, såkalte ’reactive airways dysfunction syndrome’ (RADS). Og trolig også ved påvirkning i lavere nivå over tid, såkalt ’lavdose irritantindusert astma’2.

Utsatte yrkesgrupper

  • Det er hittil identifisert over 475 ulike agens som kan fremkalle arbeidsindusert astma gjennom sensibilisering3.
  • Eksempler på sensibiliserende agens som kan fremkalle arbeidsindusert astma:
Planter Yrke Referanse
Kornstøv (hvete, rug etc.)

Støv fra tørkede pulveriserte næringsmidler

Bomull, flax, hamp

KaffebønnestøvTobakksstøv

Trestøv (eksotiske trearter)

Bakere, møllearbeidere

Næringsmiddelindustri

Tekstilarbeidere

Kaffearbeidere

Tobakksarbeidere

Møbelsnekkere, treindustriarbeidere

45678
Dyr
Laboratoriedyr (rotter, mus etc.)

Fugl

Katt, hund etc.

Skalldyr (krabbe, reke etc.)Laks

Insektstøv

Midd

Dyrelaboratoriearbeidere

Fjærkreoppdrettere

Dyreforhandlere

Fiskeindustriarbeidere

Fiskeindustriarbeidere

Birøktere m.m.

Hønsefarmarbeidere

910111213
Enzymer og legemidler
EnzymerPenicillin, Cimetidin Produksjon av vaskemidler, Bakere

Legemiddelindustri, helsearbeidere

14151617
Lavmolekylære kjemiske forbindelser
DiisocyanaterSyre anhydrider Epoxy resiner

Varmespaltningsprodukter av plast (syre anhydrider m.m.)Kolofonium og andre flussmidler

Persulfater, oksidative hårfargemidler

Skumplastarbeidere

Bil- og flylakkerere

Bilopprettere, malere m.m.

Kjemisk industri

Plastarbeidere

Elektrikere, elektronikkarbeidere

Frisører

181920212223
Metaller og metallsalter
Nikkel

Krom

Kobolt

Vanadium

Metallarbeidere, sveisere

Gassturbinrensere

24252627
Andre
’Hallastma’(fluorforbindelser, støv)

Dyreavl, endotoksiner, soppsporer

Smelteverksarbeidere

Gårdbrukere

2829

Utredning av arbeidsrelatert astma

Arbeidsanamnese

  • Kronologisk registrering av alle arbeidsforhold med angivelse av bedrift og yrkestittel
  • Beskrive arbeidsprosesser, eksponeringer og verneforhold med spesiell vekt på eksponering for biologisk støv/partikler og kjemiske allergener/ haptener.
  • Om nødvendig skaffe tilveie ytterligere informasjon om eksponering
    • Informasjon fra bedriftshelsetjeneste
    • Historiske data om eksponering i aktuelle bransje
    • Yrkeshygieniske målinger og vurderinger
    • Bedriftsbesøk

Miljøanamnese

  • Beskrivelse av dyrehold, teppegulv, fuktskader og andre forhold i bolig
  • Annen fritidseksponering

Sykdommer i familien

  • Familiær forekomst av allergier og lungesykdom

Allergier

  • Pollenallergi, andre allergier

Tidligere sykdommer

  • Astma, atopi eller eksem som barn
  • Lungesykdommer og andre sykdommer
  • Eventuelt skaffe tilveie kopi av primærjournal fra bedriftslege, allmennlege og spesialist

Utredning av den aktuelle lidelsen

Har pasienten astma?

  • Sykehistorie og kliniske funn
  • Spirometri med reversibilitetstest
  • PEF-registrering i arbeid og fritid
    • Prøveperioden bør være i minimum 4 uker med 4 målinger pr døgn. Slike målinger bør fortrinnsvis gjøres med elektronisk PEF-måler som lagrer måleverdi og måletidspunkt30
  • Måling av bronkial reaktivitet: Metakolintest
  • Inflammometri
    • Ekshalert NO
    • Indusert sputum
    • ECP (eosinofilt kationisk protein)

Har pasienten arbeidsrelatert obstruksjon?

  • Beskrive symptomene og deres relasjon til eksponeringer og friperioder
    • Nye prosesser eller stoffer (umiddelbart) før symptomdebut
    • Eksponering for irritanter og sensibiliserende substanser
    • Obs senreaksjon (for eksempel nattlig hoste)
    • Bedring i friperioder mer sensitivt enn forverring i arbeidet

Skyldes pasientens astma en spesifikk sensibilisering mot et allergen eller et kjemisk stoff i pasientens arbeidsmiljø?

  • Prikktest
    • Kommersielle ekstrakter
    • Egenproduserte ekstrakter
  • In-vitro diagnose
    • Spesifikk IgE på relevante yrkesallergener
    • Histaminfrigjøringstest
  • Provokasjon og elimineringsforsøk
    • Ved hjelp av sykemelding eller friperioder
    • Spesifikk provokasjon

Medikamenter/stimulantia

  • Medisinering
  • Kartlegging av røykevaner og livsdose tobakk

Oppfølging

  • Personer med allergisk astma bør fjernes fra utløsende eksponering så fort det er praktisk mulig. Det finnes klare holdepunkter for at jo verre sykdommen er ved diagnosetidspunktet og jo lengre tid det tar før vedkommende fjernes fra eksponeringen, jo større er sannsynligheten for varige astmatiske plager
  • For personer med ikke-allergisk astma kan en forsøke yrkeshygienisk sanering av arbeidsmiljøet med samtidig tett oppfølging og vurdering av om tiltakene er tilstrekkelige til å reversere sykdomsutviklingen
  • Etter opphør av eksponering
    • Gradvis bedring av lungefunksjonen over 2 år eller mer2
    • Symptomfrihet oppnås hos 32 %2
    • Persisterende bronkial hyperreaktivitet hos 73 % 2
  • Melding til Arbeidstilsynet (skjema 154b), NAV og/eller arbeidsgiver ved mistanke om yrkesskade eller yrkessykdom

Informasjon til den ansatte

  • Informasjon om hvilke allergener, evt. kjemiske eller fysiske irritanter som mest sannsynlig er årsak til plagene og må saneres fra arbeidsplass og privat
  • Tobakksrøyking kan være et fortsatt problem begge steder
  • Kombinasjon av arbeidseksponering og allergi utløst privat (katt, hund, støvmidd, muggsopp) må vurderes

Kildereferanser

  1. Toren K, Blanc PD. Asthma caused by occupational exposures is common – a systematic analysis of the  population-attributable fraction. BMC Pulm Med 2009;9:7 PubMed
  2. Tarlo SM, Balmes J, Balkisson R, et al. Diagnosis and management of work-related asthma: American College of Chets Physicians Consensus Statement. Chest 2008;134:1-41 PubMed
  3. Malo JL, Chan-Yeung M. Agents causing occupational asthma with key references.I: Bernstein IL, Chan-Yeung M, Malo JL et al. Asthma in the workplace. 3. utg. New York. NY: Taylor and Francis, 2006: 825-867 http://www.asthme.csst.qc.ca/document/Info_Me…
  4. Storaas T, Steinsvåg SK, Florvaag E, Irgens A, Aasen TB Occupational rhinitis: diagnostic criteria, relation to lower airway symptoms and IgE sensitization in bakery workersActa Otolaryngol. 2005;125:1211-1217
  5. Salvaggio JE, O’Neil CE, Butcher BT. Immunologic responses to inhaled cotton dust. Environ Health Perspect.1986;66:17-23. PubMed
  6. Larese F, Fiorito A, Casasola F, et al. Sensitization to green coffee beans and work-related allergic symptoms in coffee workers. Am J Ind Med 1998;34:623-627. PubMed
  7. Viegi G. Respiratory effects of occupational exposure to tobacco dust. Br J Ind Med 1986;43:802-808 PubMed
  8. Goldsmith DF, Shy CM. Respiratory health effects from occupational exposure to wood dusts. Scand J Work Environ Health 1988;14:1-15 PubMed
  9. Bush RK, Wood RA, Eggleston PA. Laboratory animal allergy. Allergy Clin Immunol. 1998;102:99-112 PubMed
  10. Hargreave FE, Pepys J. Allergy respiratory reaction in bird fancier provoked by allergen inhallation tests. J Allergy Clin Immunol 1972;50:157-173 PubMed
  11. Cartier A, Malo J-L, Forest F et al. Occupational asthma in snow crab processing workers. J Allergy Clin Immunol 1984;74:261-269 PubMed
  12. Douglas JDM, McSharry C et al. Occupational asthma caused by automated salmon processing. Lancet 1995;346:737-740 PubMed
  13. Lutsky I, Teichtahl H, Bar-Sela S. Occupational asthma due to poultry mites J Allergy Clin Immunol 1984;73:56-60 PubMed
  14. Flindt MLH. Pulmonary disease due to inhalation of derivates of Bacillus Subtilis containing enzyme. Lancet 1969;1:1407-1408 PubMed
  15. Baur X, Fruhman G, Haug B et al. Role of aspergillus amylase in bakers’ asthma. Lancet 1986;1,43
  16. Davies RJ, Hendrick DJ, Pepys J. Sthma due to inhaled chemical agents – ampicillin, benzyl penicillin, 6 amino penicillanic acid and related substances Clin Allergy 1974;4:227-247
  17. Coutts II, Losewicz S, Dalley MV et al. Respiratory symptoms in a factory manufacturing cimetidine tablets. Br J Ind Med 1984;228:14-18 PubMed
  18. Gandevia B Respiratory symptoms and ventilatory capacity in men exposed to isocyanate vapour. Australias Ann 1964;13:157-166 PubMed
  19. Pepys J, Pickering CAC, Breslin ABX et al. Asthma due to inhaled chemical agents – tolouene diisocyanate Clin Allergy 1972;2:189-196
  20. Fawcett IW, Newmann Taylor AJ, Pepys J. Asthma due to inhaled chemical agents-epoxy resin systems containing phtalate anhydride, trimellic anhydride and trietylene tetramine. Clin Allergy 1977;7:1-14 PubMed
  21. Pauli G, Bessot BC, Kopfersmitt MC, et al. Meat wrappers asthma: Identification of causal agent. Clin Allergy 1980;10:263-9 PubMed
  22. Fawcett IW, Newmann Taylor AJ, Pepys J. Asthma due to inhaled chemical agents, fumes from ’Multicore’ soldering flux and colophony resin. Clin Allergy 1976;6:577-585 PubMed
  23. Moscato, G, Galdi E. Asthma and hairdressers. Curr Opin Allergy Clin Immunol. 2006;6:91-95 PubMed
  24. Malo JL, Cartier A, Doepner M et al. Occupational asthma caused by nickel sulphate. J Allergy Clin Immunol 1982;69:55-59 PubMed
  25. Novey JS, Habib M, Wells ID. Asthma and IgE antibodies induced by chromium and nickel salts. J Allergy Clin Immunol 1983;72:407-411 PubMed
  26. Davison AG, Haslam PL, Corrin B et al. Interstitial lung disease and asthma in hard metal workers; brochoalveolar lavage, ultrastucture, and analytic findings and results of bronchial provocation tests. Thorax    1983;38:119-128. PubMed
  27. Browne RC. Vanadium poisoning from gas turbines. Br J Ind Med 1955;12:55-59 PubMed
  28. Kongerud J, Boe J, Søyseth V et al. Aluminium potroom asthma: the Norwegian experience. Eur Resp J 1994;7:165-172 PubMed
  29. Eduard W, Douwes J, Omenaas E, Heederik D. Do farming exposures cause or prevent asthma? Results from a study of adult Norwegian farmers. Thorax. 2004;59(5):381-6 PubMed
  30. Malo JL, Trudeau C, Ghezzo H, l’Archeveque J, Cartier A. Do subjects investigated for occupational asthma through serial peak exspiratory flow measurements falsify their results? J Allergy Clin Immunol 1995;96:601-7 PubMed

Fagmedarbeidere

  • Norsk Arbeidsmedisinsk Forening – Kvalitetsutvalget for Arbeidsmedisinske Veiledninger
  • Karl Færden, overlege, Oslo universitetssykehus, Ullevål, Miljø og yrkesmedisin
  • Tor B Aasen, spesialist i lungemedisin, avdelingsdirektør, Yrkesmedisinsk avdeling, Haukeland universitetssykehus

Datoer

  • Sist endret: 02.11.2011″

Kilde: Informasjonen her er hentet fra Arbeidsmedisinsk Forening

In English

Work-related / Occupational asthma

“Purpose and scope

■ The purpose of this guidance is to describe the study of possible work-related asthma, primarily for use in the occupational medicine hospital departments.

■ Physicians working outside such department can based on their expertise, make parts of the report where this seems appropriate.

Occurrence

■ Work-related asthma represents a significant public health problem in the population and is believed to be responsible for 5-15% of new-onset cases of asthma in voksne1.
■ The occupational medicine departments in Norway studying at 2011 about 250 cases annually with questions about work-related asthma.
■ stats Labour Inspectorate, which is based on the message from doctors, has since 2000 shown in nearly 100 cases annually. In the period 1995 to 1999 the number was doubled. With high probability there is an under-reporting of cases when only a handful of doctors uses reporting system.

The division of work-related asthma

■ Work-related asthma includes cases that are either caused by (‘work-(occupational) asthma’) or
■ aggravated by exposure at work (‘arbeidsforverret asthma’)
■ In all cases the onset of asthma it is important to determine whether occupational exposure has caused disease, and especially if they are developed sensitization (‘allergic occupational asthma’) against allergens or low molecular weight substances present in the patient’s work
■ Irritants can cause asthma in chemical accidents, so-called ‘reactive airways dysfunction syndrome’ (rads). And probably also by the influence of lower level over time, so-called ‘low-dose irritantindused astma’2.

Exposed occupational groups

■ So far identified over 475 different agents that can induce asthma through work-sensibilisering3.
■ Examples of sensitizing agent which can cause work-asthma:

Plants Profession / Occupation Reference
Dust Grains (wheat, rye, etc.)Dust from dried powdered foodstuffs

Cotton, flax, hemp

Coffee bean Dust

Tobacco dust

Wood dust (exotic tree species)

Baker, mill workers

FoodTextile Workers

Coffee Workers

Tobacco Workers

Cabinetmaker, timber workers

45678
Animals
Laboratory animals (rats, mice, etc.)

Bird

Cats, dogs etc.

Shellfish (crab, shrimp, etc.)

Salmon

Insect Dust

Mites

Animal Laboratory Workers

Poultry Breeders

Pet Retailers

Fish Manufacturing workers

Beekeepers and more

Chickens Farm Workers

910111213
Enzymes and drugs
Enzymes

Penicillin, Cimetidine

Production of detergents,

Baker

Pharmaceutical and health workers

14151617
Low molecular compounds
Diisocyanates

Acid anhydrides

Epoxy resins

Varmespaltningsprodukter (heat cleaving products) plastic (acid anhydrides mm)Rosin and other fluxes

Persulfate, oxidative hair dye products

Workers Foam

spray painters,

Panel beater,

painters etc.

Chemical Industry

Plastic Workers

Electricians, electrical workers

Hairdressers

181920212223
Metals and metal salts
Nickel

Chrome

Cobalt

Vanadium

Metal workers,  welders

Gas turbine cleaners

24252627
Other
‘Asthma’ (fluorine compounds, dust)Animal farming, endotoxin, fungal spores Smelters Workers

Farmers

2829

Investigation of work-related asthma

Arbeidsanamnese

■ Chronological record of all employment with an indication of the company and job title
■ Describe the work processes, exposures and protective factors, with special emphasis on exposure to organic dust / particulates and chemical allergens / haptens.
■ If necessary, obtain further information on exposure ■ Information from occupational
■ Historical data on exposure to current industry
■ Occupational Exposure measurements and assessments
■ Business Office

Emvironment

■ Description of husbandry, carpet flooring, moisture damage and other conditions in the housing
■ Other recreational exposure

Diseases of the family

■ Familial occurrence of allergies and lung disease

Allergies

■ Pollen allergy, other allergies

Earlier diseases

■ Asthma, atopy or eczema as a child
■ Pulmonary and other diseases
■ Alternatively, obtain a copy of the primary journal of company doctor, general practitioner and specialist

Study of the current disorder

Does the patient have asthma?
■ History and clinical findings
■ Spirometry with reversibility
■ PEC registration at work and play ■ The trial period should be a minimum of 4 weeks of 4 measurements per day. Such measurements should preferably be made with electronic PEF meter stores measuring and måletidspunkt30

■ Measurement of bronchial reactivity: Metakolintest
■ ■ Inflammometri exhaled NO
■ Induced sputum
■ ECP (Eosinophilic cationic protein)

Does the patient work-related obstruction?
■ Describe the symptoms and their relationship to exposures and free periods ■ New processes or substances (immediately) before the onset of symptoms
■ Exposure to irritants and sensitizing substances
■ Note senreaksjon (such as nocturnal cough)
■ Improvement in free periods more sensitive than deterioration in work

Due to the patient’s asthma a specific sensitization to an allergen or a chemical substance in the patient’s work environment?
■ ■ Sales Prick Test Extracts
■ Self-produced extracts

■ In-vitro diagnostics ■ Specific IgE to relevant occupational allergens
■ Histamine Release Test

■ Provocation and elimination trials ■ Using sick leave or leave periods
■ Specific provocation

Drugs / stimulants

■ Medication
■ Survey of smoking habits and life-dose tobacco

Follow-up

■ Persons with allergic asthma should be removed from the exposure as soon as practicable. There is clear evidence that the worse the disease is at diagnosis and the longer it takes before being removed from the exposure, the greater the likelihood of lasting Asthma
■ For people with non-allergic asthma, an attempt occupational redevelopment of the work environment with simultaneous close monitoring and assessment of whether the measures are sufficient to reverse the disease
■ After cessation of exposure ■ Gradual improvement in lung function over 2 years or mer2
■ Symptom Freedom achieved in 32% 2
■ Persistent bronchial hyperreactivity in 73% 2

■ Message to the Labour Inspection (Form 154b), NAV and / or employer suspected injury or occupational disease

Information to the employee

■ Information about the allergens, or chemical or physical irritants that are most likely to cause problems and must be decontaminated from the workplace and private
■ Tobacco smoking may be a continuing problem both places
■ Combination of work exposure and allergy triggered private (cat, dog, dust mites, molds) are considered

Source References

1.Toren K, Blanc PD. Asthma caused by occupational Exposures is common – a systematic analysis of the population-attributable fraction. BMC Pulm Med 2009; 9:7 PubMed
2.Tarlo SM, Balmes J Balkisson R, et al. Diagnosis and management of work-related asthma: American College of Physicians Consensus Statement Chet. Chest 2008; 134:1-41 PubMed
3.Malo JL, Chan-Yeung M. Agents Causing occupational asthma with key references.I: Bernstein IL, Chan-Yeung M, Malo JL et al. Asthma in the workplace. 3. Ed. New York. NY: Taylor and Francis, 2006: 825-867 http://www.asthme.csst.qc.ca/document/Info_Me
4.Storaas T, Steinsvåg SK, FLORVÅG E, Irgens A, Aasen TB Occupational rhinitis: diagnostic criteria, relation to lower airway symptoms and IgE sensitization in bakery workers Acta Otolaryngol. 2005, 125:1211-1217
5.Salvaggio JE, O’Neil CE, Butcher BT. Immunologic responses two inhaled cotton dust. Environ Health Perspect.1986; 66:17-23. PubMed
6.Larese F, Fiorito A, Casasola F, et al. Sensitization to green coffee beans and work-related allergic Symptoms in coffee workers. Am J Ind Med 1998; 34:623-627. PubMed
7.Viegi G. Respiratory effects of occupational exposure two tobacco dust. Br J Ind Med 1986; 43:802-808 PubMed
8.Goldsmith DF, Shy CM. Respiratory health effects from occupational exposure two wood dusts. Scand J Work Environ Health 1988; 14:1-15 PubMed
9.Bush RC, Wood RA, Eggleston PA. Laboratory animal allergy. Allergy Clin Immunol. 1998, 102:99-112 PubMed
10.Hargreave FE, Pepys J. Allergy respiratory reaction in bird fancier provoked by allergen inhallation tests. J Allergy Clin Immunol 1972; 50:157-173 PubMed
11.Cartier A, Malo J-L, Forest F et al. Occupational asthma in snow crab processing workers. J Allergy Clin Immunol 1984; 74:261-269 PubMed
12.Douglas JDM, McSharry C et al. Occupational asthma caused by automated salmon processing. Lancet 1995; 346:737-740 PubMed
13.Lutsky I, Teichtahl H, Bar-Sela S. Occupational asthma due two poultry mites J Allergy Clin Immunol 1984; 73:56-60 PubMed
14.Flindt MLH. Pulmonary disease due two inhalation of derivates of Bacillus subtilis containing enzyme. Lancet 1969; 1:1407-1408 PubMed
15.Baur X, Fruhman G, B Haug et al. Role of Aspergillus amylase in bakers’ asthma. Lancet 1986; 1.43
16.Davies RJ, Hendrick DJ, Pepys J. Sthma due two inhaled chemical agents – ampicillin, benzyl penicillin, 6 amino penicillanic acid and related substances Clin Allergy 1974; 4:227-247
17.Coutts II Losewicz S, Dalley MV et al. Respiratory Symptoms in a factory manufacturing cimetidine tablets. Br J Ind Med 1984; 228:14-18 PubMed
18.Gandevia B Respiratory Symptoms and ventilatory capacity in exposed but two isocyanate vapor. Australia’s Ann 1964; 13:157-166 PubMed
19.Pepys J, Pickering CAC, Breslin ABX et al. Asthma Due to inhaled chemical agents – Tolou diisocyanate Clin Allergy 1972; 2:189-196
20.Fawcett IW, Newman Taylor AJ, Pepys J. Asthma due two inhaled chemical agents-epoxy resin systems containing phtalate anhydride, trimellic anhydride and triethylene tetra mine. Clin Allergy 1977; 7:1-14 PubMed
21.Pauli G Bessota BC, Kopfersmitt MC, et al. Meat wrappers asthma: Identification of causal agent. Clin Allergy 1980; 10:263-9 PubMed
22.Fawcett IW, Newman Taylor AJ, Pepys J. Asthma due two inhaled chemical agents, fumes from ‘Multicore’ soldering flux and colophony resin. Clin Allergy 1976; 6:577-585 PubMed
23.Moscato, G, Galdi E. Asthma and hairdressers. Curr Opin Allergy Clin Immunol. 2006: 6:91-95 PubMed
24.Malo JL, Cartier A, Doepner M et al. Occupational asthma caused by nickel sulphate. J Allergy Clin Immunol 1982; 69:55-59 PubMed
25.Novey JS, Habib M, Wells ID. Asthma and IgE antibodies induced by chromium and nickel salts. J Allergy Clin Immunol 1983; 72:407-411 PubMed
26.Davison AG, Haslam PL, Corrin B, et al. Interstitial lung disease and asthma in hard metal workers; brochoalveolar lavage, ultrastucture, and analytic Findings and results of bronchial provocation tests. Thorax 1983; 38:119-128. PubMed
27.Browne RC. Vanadium poisoning from gas turbines. Br J Ind Med 1955; 12:55-59 PubMed
28.Kongerud J, Boe J Søyseth V et al. Aluminium potroom asthma: the Norwegian experience. Eur Resp J 1994; 7:165-172 PubMed
29.Eduard W, Douwes J, Omenås E, Heederik D. Do farming Exposures or contraceptives cause asthma? Results from a study of adult Norwegian farmers. Thorax. 2004, 59 (5) :381-6 PubMed
30.Malo JL, Trudeau C, Ghezzo H, l’Archeveque J, Cartier A. Do subjects investigated for occupational asthma through serial peak flow measurements exspiratory falsify their results? J Allergy Clin Immunol 1995; 96:601-7 PubMed

Qualified staff

■ Working Norwegian Medical Association – Committee on Quality of Work Medical Guidelines
■ Karl Færden, consultant, Oslo University Hospital, Environmental and occupational medicine
■ Gate B Aasen, a specialist in pulmonary medicine, director, Occupational Medicine, Haukeland University Hospital

Dates

■ Last Modified: 02/11/2011 ”

Source: The information here is taken from the Occupational Medicine Society


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EU regulation on hair dye safety

I 2010 vedtok EU at 40 av de mest allergiframkallende hårfargestoffene skal merkes med advarselmerke. I dag skal der ifølge EU-regler være et faresymbol og en advarsel på hårfarge der innholder ekstremt allergifremkallende stoffer. Etter 1. november 2012 er det forbudt å selge hårfarger i butikkene som ikke har denne advarselen.

Hårfarger med særlig allergirisiko må ikke være på butikkshyllene – med mindre de advarer mot allergi.

Produkter merkede med denne advarselen skal ikke brukes av personer under 16 år.

In English

In 2010, the EU decided that 40 of the most allergenic hair dye substances must be labeled with a warning label. Today according to EU rules there must be a danger sign and a warning on the hair color which contains extremely allergenic substances. After 1 November 2012, it is prohibited to sell hair dye in stores that do not have this warning.

Hair color with particular allergy risk should not be on the store shelves – unless they warn against allergy.

Products marked with this warning should not be used by persons under 16.

Source / Kilde: astma-allergi.dk


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Smoking Bans Reduce Hospitalizations: Study

Smoking Bans Reduce Hospitalizations: Study

MONDAY, Oct. 29 (HealthDay News) Significant cuts seen in heart attacks, strokes, asthma

Qoute:

“Bans on smoking in public areas and workplaces have significantly reduced hospitalizations for heart attacks, strokes and asthma around the world, a new study finds.

Researchers found that “smoke-free laws” in 33 locales led to a 15 percent reduction in hospitalizations for heart attack and a 16 percent reduction in hospitalizations for strokes.

Smoking bans also cut hospitalizations for asthma and chronic obstructive pulmonary disease and other respiratory diseases by 24 percent.

Smoke-free laws have dramatic and immediate impacts on health and the associated medical costs, says director of the Center for Tobacco Control Research and Education at the University of California, San Francisco.

To gauge the effectiveness of smoking bans, Glantz and study co-author Crystal Tan reviewed 45 studies that looked at smoke-free laws in the United States and around the world. Countries included such diverse places as Uruguay, New Zealand and Germany. This type of study is called a meta-analysis. In such a study, researchers hope to find a common pattern that may not be apparent from a single research project.

The largest decreases in hospitalizations were seen in areas with the most restrictive policies — for instance, those that ban smoking in workplaces, restaurants and bars. More comprehensive laws have bigger effects. Less comprehensive laws were associated with more hospitalizations. The study indicates that exceptions in indoor air laws send more people to the emergency room and lead to unnecessary and substantial medical costs for the patients, their employers and taxpayers.”

End Qoute

Read the whole story
http://consumer.healthday.com/Article.asp?AID=670073


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GINA – Global Strategy for Asthma Management and Prevention

GINA Report, Global Strategy for Asthma Management and Prevention

Please reference this document as follows: From the Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA) 2011. Available from: http://www.ginasthma.org/.

Asthma is a serious global health problem. People of all ages in countries throughout the world are affected by this chronic airway disorder that, when uncontrolled, can place severe limits on daily life and is sometimes fatal. The prevalence of asthma is increasing in most countries, especially among children. Asthma is a significant burden, not only in terms of health care costs but also of lost productivity and reduced participation in family life.

GINA’s Global Strategy for Asthma Management and Prevention presents a comprehensive plan to manage asthma with the goal of reducing chronic disability and premature deaths while allowing patients with asthma to lead productive and fulfilling lives.

GINA is one of the founding participants in the World Health Organization’s  Global Alliance Against Chronic Respiratory Diseases (GARD).

The goal of this effort is to improve collaboration between already existing governmental and non-governmental programs against chronic respiratory diseases. Improved coordination will help use resources efficiently and avoid duplication of efforts.

Ultimately, the participants will develop a comprehensive global approach to the prevention and control of chronic respiratory diseases, with a special emphasis on developing countries.

GINA give you information on how to best manage your asthma both for your own sake and as information to your doctor and lung specialists. Do you got a problem with your asthma? This give you information about your rights and management and prevention ff asthma. Do check this out.

Please visit www.ginasthma.org for more information
http://www.ginasthma.org/guidelines-gina-report-global-strategy-for-asthma.html

http://www.aaaai.org/about-the-aaaai/newsroom/asthma-statistics.aspx

Source: GINA and WHO


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Asthma vs. Doping

(Scroll down for English)

Iflg. Antidoping Norge er jeg dopet fordi jeg bruker Ventoline astmaspray, så om jeg ville deltake i Birkebeineren eller andre arrangementer så fikk jeg ikke det.

fra Antidoping Norges dopingliste:
Ventoline mikstur salbutamol S3.Beta2-agonister
Ventoline Depot salbutamol S3.Beta2-agonister

Andre astmamedisiner som står på dopinglisten til Antidoping Norge er Bricanyl m.fl.
http://www.antidoping.no/internett/medisinsk-info/legemiddellisten/#s

Nyhetsartikkel: http://www.nrk.no/nyheter/distrikt/hedmark_og_oppland/1.8290404

In English

Today I read a news article. Some people never stop to amaze me. The Norwegian Anti-Doping association lists a number of medicines as doping. Among those you find common asthma medicine inhalors as Ventoline and Bricanyl.

View the medicine list from Anti-Doping Norway:
http://www.antidoping.no/internett/medisinsk-info/legemiddellisten/#s

News article: http://www.nrk.no/nyheter/distrikt/hedmark_og_oppland/1.8290404


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Equality and Asthma – by Annelie Molin

(Scroll down for English)

Likestilling og Tilgjengelighet

Likestilling og tilgjengelighet berører også astma og allergi. Hva er likestilling for deg?

Jeg deltaker i Likestilllings og Diskrimineringsombudets kampanje på Facebook med dette bildet.

In English

I am a participant in Equality and Discrimination Ombudsman’s campaign on Facebook with this picture.

Photo translation:
“For me equality is…

To be able to do the same as others on the same terms and possibilities.

Specifically for me it would be a wonder-world to be able to go wherever I want, meeting, dealing with and talk with whomever I want without being exposed to tobacco and perfume that I am asthmatic to. Dropping lung congestion, to let go detours, avoiding places, avoid talking to others due to it. And an end to the open testing perfume in a store (it should happen in a closed in space.) The use of scented products, fragrance block, air fresh, and strong cleaners that clog the lungs in the room where the public has access. This is a social barrier, a barrier that prevents me from going places where it is and talk to people who use it. I have to avoid the fact that I’m being dense in the lungs. Everyone must have fresh air and healthy lungs to feel good. It’s on my wish list.”

~o~

Writing is the only profession where no one considers you ridiculous if you earn no money. ~ Jules Renard


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Thank you!

I got asthma from a bad work environment working here in Norway. But that is not what I am thankful for and want to say thank you for. Getting asthma is nothing to be thankful for. No, it is the benefits from Norway I want to say thank you for.

Since I got my asthma from working in Norway I am by Norwegian law granted to get free medication for my asthma by the state. So that I can live such a normal life as possible.

And I am really greatful, because without those medicines I would not be able to work full time and live such a normal life as I can, and I do, and they also are expensive so I am so greatful that I get those medicines from the Norwegian Government.

Thank you Norway for being such a great country to live in. I sure helps!

Thank you!

Bless you!

Annelie


2 Comments

Do report!

Are you one among us who get sick from inhaling perfume, aftershave, cologne, fragrances (fragrances is actually perfume), or you get allergies from getting in contact with fragranced products?

The fragrance mania in the world today gets even worse by the minute, one get exposed to fragrances on people, in products, in cleaning, in airfreshening, designer fragrances spread by machines in shops, offices, hotels, toilets and other buildings and rooms. And the fragrance spread in the air we all have to breathe.

–  We all must breathe to live – what if the air you breathe makes you sick?

Do not just accept the fact it is there! Go report that you got sick, where you got sick and from what. You are there and they need to hear it! And also, you are not alone!

Contact your governemental health department and your consumer centre, and tell them what is going on and make them register it along with your note from the doctors! It is the only way to make them see that fragrance, aka. perfume and scented products, is a problem in many peoples daily life. Too many sit in silence and do not speak out.

Speak out and tell them the truth!

Fragrance, ac perfume or scent is the new second hand smoke! It is spread to everyone around the wearer or source, and it is forced on everyone around to inhale.


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Asthma and allergy is a handicap

(Translation in English further down.)

Diskriminerings- og tilgjengelighetslov

Fra nyttår 2009 er det i Norge forbudt å diskriminere personer med nedsatt funksjonsevne på alle samfunnsområder. Den fra 2009 nye loven gir også rett til tilgjengelighet over alt i samfunnet.

17.02.2009 | Likestillings- og diskrimineringsombudet

Friheten til å fungere i samfunnet skal være lik for alle.

“Likestillings og Diskriminerings Ombudet håndhever diskriminerings- og tilgjengelighetsloven (dtl), som forbyr diskriminering på grunn av nedsatt funksjonsevne. Loven har også bestemmelser om universell utforming, jf. § 9, og individuell tilrettelegging, jf. § 12. Flere av de problemstillingene med astma, allergi og sensitivitet kan reise spørsmål etter dtl. ” Likestillings og Diskrimineringsomdudet LDO

“Ifølge norske offentlige utredninger,   “NOU 2005: 8 om likeverd og tilgjengelighet. Rettslig vern mot diskriminering på grunnlag av nedsatt funksjonsevne. Definert funksjonshemming som: “Fuksjonshemming oppstår når det er et gap mellom individets evner og design eller funksjon i omgivelser / miljø / bygg.
Lov om forbud mot diskriminering på grunnlag av nedsatt funksjonsevne (Diskriminerings-og tilgjengelighetsloven) Lovdata.no

Astma og allergi er med andre ord et handikap på likt med å ikke kunne gå, være blind og døv, og det skal taes hensyn og tilrettelegges for astmatikere og allergikere.

F.eks. kan forurensning i luft (f.eks. men ikke kun eksos, tobakksrøyk, parfyme, vaskemidler, røykelse, duftlys, gass osv) i en bygning, offentlig transport, gatemiljø osv gjøre at en allergisk og astmatisk person ikke kan oppholde seg i miljøet, og dette gjør astma og allergi til et handikapp.

Lær mere
https://anneliemolin.wordpress.com/2011/06/21/the-environmental-impairments/

In English

Discrimination and Accessibility Act
From New Year 2009 it is illegal in Norway to discriminate against persons with disabilities in all areas of society. The new Act from 2009 gives the right to access everywhere in society.
17.02.2009 | Equality and Anti-Discrimination Ombud

The freedom to function in society should be equal for all.
“Equality and Anti-Discrimination Ombudsman enforces anti-discrimination and Accessibility Act (DTL), which prohibits discrimination on the basis of disability. The Act also has provisions for universal design, see § 9, and individual adaptation, see § 12 Many of the problems with asthma, allergies and sensitivities can raise questions for DTL. “Equality and Anti-discrimination ombud LDO

“According to Norwegian public reports, “NOU 2005: 8 on equality and accessibility. Legal protection against discrimination on the basis of disability. Defined disability as: “Functional inhibition occurs when there is a gap between an individual’s capabilities and ambient design or function requirements in the surroundings/environment/buildings a.s.” The Act on prohibition against discrimination on the basis of disability (Discrimination and Accessibility Act) Lovdata.no

Asthma and allergies are, in other words, a handicap equally with not being able to walk, being blind and deaf, and it should be taken into account and organized for asthmatics and allergy sufferers equally to other handicapped.

Eg. to pollution in the air (eg. but not only exhaust, tobacco smoke, perfumes, detergents, fumes else, candles, gas, etc.) in a building, public transport, street etc. cause an allergic and asthmatic person can not remain in the environment, and this makes the asthma and allergy to a handicap.

Learn more
https://anneliemolin.wordpress.com/2011/06/21/the-environmental-impairments/


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Flight security and asthma?

My letter to www.Luftfartstilsynet.no. Translation in English further down.

Brev til Luftfartstilsynet.
“Siden noen år tilbake er det ikke lov å ta med mer væske enn det som kan bæres i en lukket 1 liter plastpose ombord et fly. Jeg har hatt min astma siden 2007 og jeg har ikke vært på reise ved fly siden. Det har bare ikke blitt av. Bare i det siste har jeg tenkt på at jeg ønsker å dra til utlandet på ferie en dag. Jeg har ikke satt en dato, jeg bare tenker på det, men jeg ser for meg et mulig problem.

Fordi jeg er så astmatisk mot parfyme og flere andre hygieneprodukter må jeg ta med mine egne hygienprodukter med meg for bruk på reise utenlands. Jeg kan ikke bare gå inn i nærmeste butikk og kjøpe sjampo, balsam, hårstyling produkter, såpe, rengjøringsmidler o.s.v, fordi jeg må ta med min egen astma- og allergivennlige merke jeg vet at jeg ikke blir syk av. Alle disse produktene holder sammen mer enn én liter.

Hvordan ville dette fungere med de nye sikkerhetsreglene? Hvis jeg bare har lov å ta med et innhold av væske i en pose som er kun 1 liter? Bare én flaske shampoo holder 250 ml, og alle de andre flaskene er omtrent samme størrelse. Dette merket blir ikke solgt i mindre flasker. Det er umulig for meg å bruke andre merker enn de som er tilpasset for meg.

Hva sier reglene om dette? Hvordan kan jeg bære mine sårt trengte produkter med meg? ”

Jeg vil legge svaret senere.

– Det er tydelig ikke et så stort problem etter alt. Det er kun det jeg har med meg inn i håndbagasjen i flykabinen som må få rom i en liten pose. Hva jeg ellers bruker legger jeg oppi reisevesken som vanlig.

Letter to Luftfartstilsynet.
“Since some years back it is not allowed to bring more fluid than can be carried in a closed 1 liter plastic bag onboard a flight. I have had my asthma since 2007 and I have not been travelling by flight since. I just have not happend. Only lately I have been thinking of I would like to go abroad on a vacation some day. I have not set a date, I am just thinking of it, but in my mind I can see a possible problem.

Because I am so asthmatic to perfumes and several other hygiene products I must bring my own hygien products with me for use on the travel abroad. I can not just walk in to the nearest store and buy just any shampoo, conditioner, hairstyling products, soap, cleaning agents a.s.o, I must bring my own asthma and allergy friendly brand I know I do not get sick from. All those products holds way more than one liter.

How would this work with the new security rules? If I am only allowed to bring a content of fluids in a bag that is only 1 liter? Only one bottle of shampoo holds 250 ml, and all the other bottles about the same size. They do not come in smaller bottles.

It is impossible for me to use other brands than the ones suitable for me.

What do the rules say about this? How am I able to carry my needed supply with my?”

I will add the answer later.

– It appears not to be a big problem. It is only what I bring with me in my handbag that must be in a little plastic bag. What else I need I put in my toiletry bag in my travel case in the luggage room.


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About smoking and about rights

Translation in English further down.

Nyheter i NRK 11. Oktober 2011. – Regjeringen foreslår en rekke innstrammingstiltak om røyking lovgivning.
Takket være Helseminister (i 2003) Dagfinn Høybråten (KrF)  fikk Norge røykeforbudet i klubber i 2003. Helse-og omsorgsdepartementet har nå utviklet en rekke nye forslag om å stramme opp på røykeforbudet.

Den gjeldende loven fra 2003  åpner for skjønn, noe som gjør den vanskelig å håndheve. Mange restauranter tøyer grensene og bygger inn i deres uteserveringer slik at røyken ikke ventileres ut. Et alternativ til et totalforbud mot røyking er å lage strenge retningslinjer. Regjeringen foreslår blant annet et forbud mot røyking på uteserveringer, ytterligere røyking buffersone rundt utendørs restauranter, kiosker og puber o.l, et forbud mot røyking i institusjoner, forbud mot salg av leketøysigaretter, forby røykerom og forby salg av 10pakninger, skoler og barnehagepersonale skal være røykefrie i arbeidsdagen, helsevesenet lokaler og omegn skal være røykfritt, helsepersonell skal være tobakksfri i arbeidsdagen, inngangene til offentlige bygg skal være røykfrie, lisensieringsordninger for salg av tobakk, tobakksimportører må registrere seg hos staten. Forslagene skal ut på høring senere i høst. ”

 Jeg kan se at de som røyker har et s.k. behov, eller vane og avhengighet som er en mere sann beskrivelse, fordi røyking er ingenting man egentlig trenger for å leve. Mat, klær, vann, luft, bolig og kjærlighet trenger man for å leve, men røyk? Neppe. Røyken er heller med på å ta livet ditt i det lange løp.

Men hele denne debatten med røykeres rettigheter blir egosentrisk om vi kikker på det andre siden gjerdet.

Også du som røyker ønsker å slippe å bli sjuk, ikke sant?

I Norge (år 2011) har vi 25% (1,23 millioner) allergiske, sensitive og astmatiske, og over 370.000 personer med KOLS. Alle disse menneskene har vondt av den røyken din, og verst har de med astma, KOLS og MCS og andre lungesjukdomer av det. Den røyken du sitter og nyter, den sprer røyk. Ja, du trekker den først inn i lungene, men så blåser du den ut igjen, og den røyken den sprer seg i lufta som du deler med flere andre, også med alle de som jeg har skrevet om herover.

Røyk har den effekten på disse personer som medfør at de får vondt å puste. Hvis du var lungesjuk, ville du da ikke ville ha muligheta å slippe å bli sjuk pga av andres sk. behov eller som røykere gjerne kaller det rettigheter å røyke?

Og det spiller ingen rolle om du røyker ute eller inne fordi røyk er røyk uansett hvorhen den blir spredd og påtvinnet en sensitiv og lungesjuk å puste inn. Mange tror at det er ikke så galet om det er ute det skjer, men det tar ikke mere enn 1-5 sekund før en lungesjuk har pustet inn røyk før lungene blir satt ut av stand å fungere normalt, og effekten av det blir at personen som blir utsatt for røyk ikke får puste og får oksygenmangel da det er lungene som tar opp oksygen i kroppen. Og det spiller ingen som helst rolle om det skjer ute eller inne, røyken blir ikke renere fordi det er utendørs.

Så kan vi snakke rettigheter.

Du som røyker mener vel også det er en menneskerett å få være frisk, så frisk som det går an? Du mener vel også det er en menneskerett at du får være frisk? Hvis noen gjør noe som gjør deg sjuk, da ville du reagere, ikke sant?

Lungesjuke har det behovet akkurat som du har, og også den samme rettigheten å få være friske. Men dessverre så kan en lungesjuk ikke råde over luften at den er frisk, så lenge som den blir forurenset av andres tobakksrøyk.

De som bor på instutisjon deler lokalene med mange andre, de må derfor tilpasse seg og vise hensyn til de som de bor sammen med på likt med hvordan det er i resten av samfunnet. Og dønn ærlig, de har det mye bedre helsemessig av å kutte røyken da de på institusjon. Det er slettest ingen helse i å sitte å bruke dagene sine på å kjederøyke på et røykerom. Og igjen er sannsyneligheten veldig stor for at denne institusjonen der de bor også har lungesjuke som bor der, da 25% av norges innbyggere er sensitive. Det er 1 av 4 personer. Se deg om på byen.. 1 av 4 personer. Mange av de rundt deg blir sjuke av røyken din, og du vet ikke hvem av sidemannen din som blir sjuk av den nytelsen din. Dønn ærlig, vil du være den som gjør dine medmennesker sjuk?

Jeg ville ikke vært den som gjorde det, om jeg var røyker. Jeg for en, vil i hvert fall hilse den strengere røykeloven velkommen, og setter pris på den.

Kilde NRK: http://www.nrk.no/nyheter/norge/1.7828251

In English

Norway may get an even harder smoking ban law, and I personally hope we will get it.

News in NRK 11. October 2011. “The government proposes a series of austerity measures on smoking legislation, including bans on smoking in outdoor restaurants and a ban on smoking.

Health Minister Dagfinn Høybråten (KrF) in 2003 got Norway the smoking ban in clubs in 2003. Now the Health and Care Services started to develop a series of new proposals to tighten up on the smoking ban..

The current law allows for discretion, which makes it difficult to enforce. Many restaurants are pushing the limits and build into their beer gardens. An alternative to a complete ban on smoking is to create strict guidelines for legal integration. Government proposals include a ban on smoking in outdoor restaurants.

The the new proposals also consist of further smoking buffer zone around the outdoor restaurants, kiosks and pubs, a ban on smoking in institutions, the ban on the sale of toy cigarettes, ban smoking rooms and ban sale of packages of 10 cigarettes packages. The Ministry proposes that schools and day care staff are required tobacco free in durig the workday, that health care should be smoke free, the working hours of health care professionals should be tobacco-free, the entrances to public buildings should be smoke free, the establishment of municipal licensing arrangements for the sale of tobacco, and for importers of Tobacco is the requirement of registration. The proposals are going out for consultation later this fall.”

I can see that those who smoke have a so called needs, or dependency is a more true description, because smoking is nothing you really need to live. Food, water, air, clothing, housing and love you need to live, but the smoke? Probably not. The smoke is helping to take your life in the long run.

But this whole debate with smokers rights are self-centered if we look at the other side the fence.

Also you who smoke do not want to have to become sick, right?

In Norway (year 2011), we have 25% (1.23 million), allergic, sensitive and asthmatic, and over 370,000 people with COPD. All these people are hurt by the smoke, and it is worst  for those with asthma, COPD and MCS and other pulmonary diseses. The smoke you sit and enjoy, it is spreading smoke. Yes, you first pull the smoke into the lungs, but then blow it out again, and the smoke is then spread in the air that you share with others, even with all those I have written about over here.

Smoking has the effect on these people that they get hard to breathe. If you were a lung sick person, would you not want to be able to avoid getting sick because of others’ so called needs,  or what smokers like to call the right to smoke?

And it does not matter if you smoke outside or inside because the smoke is smoke regardless of wherever it is spread and forced upon a person with sensitive and sick lung to breathe in. Many people I know believe and think that it is not so bad if it is outdoors there happening, but it takes no more than 1-5 seconds before a lung sick has breathed the smoke until their lungs are put out of order to function normally, and the effect of it is that the person being exposed to smoke can not breathe in or out to get oxygen. It is the lungs that absorb oxygen in the body that allow us to live. And it makes absolutely no difference whether it takes place outside or inside.

So we can talk about rights
Those who smoke surely think there is a human right to be healthy, as healthy as it gets? You mean also it is a human right that you will be healthy? If someone does something that makes you sick, then you would react, right?

Persons with pulmonary diseases have the need just as you have, and also the same right to be healthy. But unfortunately, a lung sick can not control, not dispose, of the air that is fresh, so long as it is being polluted by tobacco smoke of others.

Those who live in instiutijons share premises with many others, they must adapt and show respect to those they live with the same as how it is in the rest of society. And swell honest, they have much better health by cutting the smoke when they live at the institution. It is really no health in to sit and use their days chain smoking in a smoking room. And in turn it is very likely that this institution where they live has people living there who got lung illnesses and sensitivites when 25% of Norway’s population is sensitive. It is 1 of 4 people. Look around you on the town .. 1 of 4 people. Many of those around you are sick of the smoke, and you do not know of the people around you who get sick from your enjoyment and so called pleasure. Totally honestly, you would not like to be the one that makes your fellow men ill?

I for one would not like to be the one who make my fellow man sick, if I were a smoker. I welcome the new and harder smoking ban.

Source NRK: http://www.nrk.no/nyheter/norge/1.7828251


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The book – Environmental inhibition (Norwegian) – By prof. Kjell Aas

Now the book The Environmental inhibition is released in pdf format. The book is written by professor Kjell Aas and tell in a light digest manner information about environmental inhibition. Book in Norwegian.

Click link to read the book:
http://www.inneklima.com/pdf/miljohemming_2011.pdf


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Universal design – Regjeringen.no

Translation in English furhter down.

The environmental inhibited is in the Norwegian Governements plan for Stavanger. But it also says a lot about the environmental ihibition itself, and the governements view on it.

“De viktigste årsaker til funksjonshemming i Norge er … og kroniske sykdommer i kretsløporganene og lungene. … Begrepet funksjonshemmet ble introdusert i norske offentlige dokumenter i Stortingsmelding nr 88 (1966/67). …Frem til år 1998 og 2001 har det i hovedsak skjedd to endringer en bør merke seg. En har gått over fra å fokusere på funksjonshemmet til funksjonshemming, det vil si fra en person i sine omgivelser til en relasjon – et misforhold. For det andre kommer samfunnet mye sterkere inn i perioden 1998-99. En tydeliggjør at det her ikke bare fokuseres på det fysiske miljøet, men en rekke forhold av samfunnsmessig karakter (NOU 2001:22 Fra bruker til borger). …

Miljøhemming (astma/allergikere)
Astma er en kronisk sykdom i luftveiene som fører til anfall av tung pust eller hoste. Allergi, tobakksrøyk, støv, forurensing, tåke, rå luft, kulde, gasser, sterke lukter, stress, medisiner, fysisk aktivitet og virusinfeksjoner kan utløse astmaanfall. Alle kan få astma, og sykdommen kan også være arvelig. Astma kan forekomme sammen med eksem og allergi. De mest kjente allergiformene er antakelig pollenallergi, husdyrallergi, støvallergi og intoleranse mot enkelte typer matvarer (Crawford 2003). I følge et av intervjuobjektene våre er det ikke bare astma og allergi som kan betegnes som miljøhemming. Miljøhemming kan også komme som følger av en annen sykdom, som f.eks KOLS. …

Universell utforming dreier seg om likestilling og fysisk utforming av samfunnet som påpeker at det må arbeides mot gode løsninger, med bred funksjonell basis, samtidig som løsninger skal tilfredsstille krav til sikkerhet, bærekraft, design etc Begrepene tilgjengelighet og tilrettelegging må forstås i lys av dette. Tilgjengelighet for alle er en samfunnsmessig rettighet og skal i prinsippet oppnås gjennom det ordinære tilbudet/ hovedløsningen, samtidig som det skal skje på en ikke-diskriminerende måte (NOU 2001:22, Fra bruker til borger). Begrepet ”Universell utforming” stammer fra USA, og ble beskrevet av arkitekt Michel Bednar for over 20 år siden. Det ble tatt i bruk i forbindelse med innføringen av ADA-lovgivningen (Americans with Disabilities Act) i 1990. Målsettingen med loven var å sikre grunnleggende borgerrettigheter ved å hindre at folk ble diskriminert grunnet funksjonshemming (Bergh og Henriksen 1998). I begrepet universell utforming ses tilgjengelighet på som løsninger som muliggjør at mennesker med en funksjonshemming er i stand til å utføre de samme aktivitetene som andre mennesker. Viktig her er at tilgjengelighet er et samspill mellom de fysiske omgivelsene og den enkeltes funksjonsevne. Det vil dermed si at tilgjengelighet for en bruker ikke nødvendigvis er det for en annen (Borg m.fl 2003). Universell utforming er en formgivning og planleggingsstrategi som introduserer likestilling som et viktig element i fysisk utforming av samfunnet. Universell utforming går ut på at produkter og omgivelser skal være mest mulig tilgjengelig for alle i størst mulig utstrekning med minst mulig tilrettelegging og minst mulig penger. Målgruppen for universell utforming er alle mennesker, uansett alder, størrelse og funksjonsevne. Det må selvsagt tas hensyn til at funksjonsnivå varierer fra person til person, og det svakeste leddet må ivaretas sterkest (Crawford 2003).”

Kilde: Regjeringen http://www.regjeringen.no/upload/MD/Vedlegg/Planlegging/By%20og%20tettsted/Universell_utforming_delrapport.pdf

In English

“The main causes of disability in Norway, … are among others chronic diseases of the circulatory system and lungs. … The term disability was introduced in the Norwegian public documents in the White Paper No. 88 (1966/67). … Up until 1998/2001 have it mainly occurred two changes one should note. One has moved from focusing on disability to disability, that is, from a person in their environment to a relationship – a disparity. Second is the community much stronger in the period 1998 -99. A reveals that there are not only focused on the physical environment, but a number of issues of social character (NOU 2001:22 From user to citizen). …

Environmental Inhibition (asthma / allergy)
Asthma is a chronic disease of the airways that leads to attacks of wheezing or coughing. Allergy, tobacco smoke, dust, pollution, fog, rough air, cold, fumes, strong odors, stress, medications, physical activity and viral infections can trigger asthma attacks. Anyone can get asthma, and the disease can also be hereditary. Asthma can occur with eczema and allergies. The most familiar forms of allergy is probably pollen, pet allergies, dust allergies and intolerances to certain types of food (Crawford 2003). According to one of our interviewees, it is not just asthma and allergies that can be described as environmental inhibition. Environmental Inhibition can also be supplied by another disease, such as COPD. …

Universal design is about equality and physical design of the community who points out that it must work towards good solutions, with broad functional basis, as well as solutions to satisfy the requirements for safety, sustainability, design, etc. The concepts of availability and provision must be understood in this light. Accessibility for all is a social right and, in principle, be achieved through the normal supply / main solution, while it should be done in a non-discriminatory manner (NOU 2001:22, From user to citizen). The term “universal design” comes from the U.S., and was described by architect Michel Bednar for over 20 years ago. It was used in conjunction with the introduction of the ADA legislation (Americans with Disabilities Act) in 1990. The objective of the Act was to ensure basic civil rights by preventing people were discriminated against because of disability (Bergh and Henriksen 1998). The concept of universal design is seen as the availability of solutions that enable people with a disability is able to perform the same activities as other people. Important here is that accessibility is an interaction between the physical environment and the individual’s disability. It will thus say that the availability of a user is not necessarily there for another (Borg et al 2003). Universal design is a design and planning strategy that introduces equality as an important element in the physical design of the community. Universal design is that products and environments to be the most accessible of all to the greatest extent possible, with minimal preparation and minimal cash. The target group for universal design is all people, regardless of age, size and function. It must of course be taken into account that the functional level varies from person to person, and the weakest link must be maintained strongest (Crawford 2003). ”

Source: Norwegian Governement at http://www.regjeringen.no/upload/MD/Vedlegg/Planlegging/By%20og%20tettsted/Universell_utforming_delrapport.pdf


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1,230,100 people

(Scroll down for English)

1.230.100 personer

I begynnelsen av 2011 hadde Norge ca 4.920.400 innbyggere.

25% av disse har sensitiviteter som astma, allergi, lungesjukdom og andre sensitiviteter. 25% av 4.920.400 = 1.230.100 personer med astma, allergi og / eller andre overfølsomheter

I USA og andre land, er forbudet mot parfyme, forbud av bruk av parfymerte produkter, røyking også utendørs på offentlige steder som gangveier, fortau, torg, strender, parker områder rundt matutsalg og utendørs kafé, forbud mot dufter, røykelse , duft lys, etc., på offentlige steder og arbeidsplasser er allerede et faktum. Det er på tide at Norges innbyggere som har følsomhet også får tilgang til frisk luft uten allergener og irritanter som kan forebygges. Pollen kan vi ikke gjøre noe med da det kommer hvert år, og er ute av vår kontroll, men vi kan hindre folk å bli syk av parfyme og røyk. Det er ikke parfyme eller duftende produkter som gjør at du rengjør, men duften gjør flere hundre tusen mennesker syke hver dag. Det er mulig å friske deg selv duft fritt

Verden er full av alternative ikke-parfymerte produkter i dag av hva folk ikke blir syke av. Det er ingen unnskyldning lenger.

1.230.100 mennesker er i risikosonen for å  bli sjuke av bruk av parfyme og røyk bare i Norge. Du kan også legge til resten av verden, hvor mange du får da?

In English

1.230.100 persons

At the beginning of 2011 Norway had about 4,920,400 inhabitants.

25% of those have sensitivites like asthma, allergy, lung diseases and other sensitivites. 25% out of 4,920,400 = 1,230,100 people with asthma, allergies and/or other sensitivities.

In the U.S., and other countries, the ban on perfume, the ban of use of scented products, smoking even outdoors in public places like boardwalks, sidewalks, squares, beaches, parks areas around food stands and outdoor cafe’s, ban against fragrances, inscense, fragranced candles, etc., in public places and workplaces are already a fact. It is time that Norway’s inhabitants who have sensitivity also have access to fresh air without the allergens and irritants that are preventable. Pollen we can do nothing about, it come every year and is out of our control, but we can prevent people getting sick from perfume and smoke. It’s not the perfume or fragranced products that make you clean, but the fragrance makes several hundred thousand people sick every day. It is possible to freshen  your self scent free.

World is full of alternative non-fragranced products today of wich people do not get sick from. There are no excuse any more.

1,230,100 people the danger zone of getting sick from use of fragrance and smoke only in Norway. You may also add the rest of the world, how many do you get then?


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A lame law

The Equality and Anti-discrimination Commissioner (LDO)

“QUESTIONS RELATED TO ASTHMA AND SENSITIVITY
The Equality and Anti Discrimination Commissioner refers to your request by e-mail of 13 May 2011, where you take up a number of issues related to asthma and sensitivity.  LDO enforces the Anti-Discrimination and Accessibility Act (DTL), which prohibits discrimination on the basis of disability. The law also has provisions on universal design, see § 9, and individual arrangements, see § 12 Several of the issues you refer to may raise questions for DTL, and we will try to give you feedback on these individually. You will among other issues related to shopping malls, especially with an emphasis on shops and restaurants solutions. LDO has recently received several inquiries that address these issues. A similar case was treated in 2009, but this was dropped. The rationale to discontinue said the LDO including following:

“There is no doubt that shopping malls and individual stores in a mall is to be regarded as” private activities aimed at the general public “which basically is committed to ensuring universal design for Discrimination and Accessibility Act § 9 Allergy is regarded as a disability that is protected by Anti-Discrimination and Accessibility Act. The LDO will however note that the perfume smells and cooking smells are smells that can hardly be avoided in today’s society, where both the sale of foods and the use of perfume is generally accepted and legal. The LDO has made it clear in guidance to A that it can raise questions about violations of the duty of universal design in the Discrimination and Accessibility Act § 9, if a mall has unacceptably poor ventilation that can cause allergic reactions. Something more than ordinary proper ventilation will initially require fundamental changes in the shopping center’s construction. A shopping center that has common proper ventilation, will delegate meaningful protection of the people use assumptions, which are also in line with legislative intent and legislative history of the Act. The central question in this case is about discrimination and Accessibility Act § 9 can be used to require fundamental changes in corporate structure to provide for some use conditions. Discrimination and Accessibility Act § 9 assumes that availability will be ensured through the main solution to the current business function to
could be used by many people as possible. In Proposition. No. 44 2007-2008 p. 139 stated that claims about universal design can not justify fundamental changes to the character and function. The Ministry also states that the term many people as possible are selected in order to demonstrate that the statutory target of universal design is wide, but it is not always possible to accommodate all user requirements. It is emphasized further in the Proposition. No. 44 (2007-2008) p. 260 that “target group for the rule of universal design are as many as possible, and this means that as far as possible to take allow for different user requirements. The decisive factor for the facilitation requirement arises is whether it is possible, by a physical arrangement of the environment, to meet the appropriate use conditions. It will not be possible to maintain all user requirements through the physical arrangements, and this is reflected in the statutory text. As technological advances make it possible, however, the duty of universal design to address emerging user requirements.

The LDO believes that if one should meet A’s requirements, it could easily lead to the need for major modifications and fundamental changes in shopping centers in Norway. After the LDO’s assessment, it is natural that this type of requirement is regulated in the Planning and Building Act and associated regulations. The new Planning and Building Act proposed regulations does not prohibit the kind of solutions that A believes are problematic. How the LDO considers that this is outside the LDO may decide through its individual case management, and outside of the Discrimination and Accessibility Act § 9 is intended to include. LDO finds on this basis that there is no reason to consider the matter further. ”

LDO has been shelved was appealed to the Equality and Anti-Discrimination Tribunal. The Tribunal upheld the LDO conclusion, cf Tribunal case 09/2010. The principles that the LDO and the Tribunal has assumed will also apply to complaints of other shopping centers. We emphasize also that buying center’s responsibility for the universal design will only apply to the common area inside the center (for example, entrance to the center, escalators / elevators, air facilities, toilets etc). The remaining charge will be on each activity within the center.

A question of universal design at the shopping centers in terms of environmental inhibition to that described in the LDO has been shelved primarily involve an assessment of the ventilation system is acceptable. The LDO will also consider issues about the use of air fresheners and perfume-free detergents. The requirement that businesses should be universally designed, however, not a mall chance to refuse even individuals to use perfume. A total ban on all use of perfumes and other perfumed products had adopted a new law, then such a ban would involve an infringement of individual normal behavior. This is the only parliament can do. When it comes to the problems you have experienced with regard to your visit to for an example NAV, ratings will be the same. NAV’s offices are aimed at the general public, and should therefore be in line with the requirements of universal design. If businesses do not meet the requirements of universal design to the LDO to process a complaint on the matter within the framework as it is explained in this letter. In a complaint to the LDO must be pointed out clearly the matters complained of. Beyond this, it is not so much the LDO may make on the basis of our mandate. Questions about the closed stores, product placement and smoking outdoors will be political issues that must be addressed at a higher level.

LDO thanks anyway for your inquiry and hope this was clarifying.”

Well, what to say about it?

We can start with LDO’s own statements in the press and media:

 

– It is not those allergic, asthmatic and sensitive that should solve this problem for them, that is us and the society that should to that, says LDO’s own President. Video:

http://www.nrk.no/nyheter/distrikt/troms_og_finnmark/1.6954399

And here is also an article in Nrk.no http://www.nrk.no/nyheter/distrikt/nordland/1.7411743 where the Norwegain Health Department, Helsedirektoratet, says that if the public asks for smoke free public room outdoors then we will look in to it.

To say that normal ventilation would prevent an allergic and asthmatic, or sensitive person from getting sick in the environment is rubbish. It is a laughing stock! It does not matter if you got a normal ventilation system that is working, we still get sick from the chemicals in the scents spread in the air regardless. There are small changes in the environment that could make it better for allergic, asthmatic and sensitive people, and it was this I said to the The Equality and Anti-discrimination Commissioner, and it is not costly to make it happen.

  • No open plan area for shops selling perfume, scent, scented products, washing and cleaning agents, scented personal hygien products, chemicals, paint, pesticide a.s. Walls to keep it in a own department, and doors too the surrounding areas to keep the fumes inside the area. I could even be glass walls and doors so all products are visible.
  • Perfume and similar products in stores should not be placed by the cashier, it should be located in a secluded area to protect the environmental inhibited persons.
  • Walls and doors that secludes the hazard products could be of glass so the customers can see they are there and go there.
  • No open plan solution for kitchens.
  • People working places where the public got access, for example stores, offices a.s should personell not be allowed to use perfume and scented products at work.

In Norway, about 20-25% of the inhabitants of Norway is asthmatic and / or allergic and in addition we have those who are sensitive in other ways. Norway has a little over 4 million inhabitants. 25% out of 4 million inhabitants is approximately 1 million people with asthma and / or allergies. It is certainly far more than only I who got this problem and you have gotten message from others before me who are struggling. They others who have not said anything they certainly belong to the category that do not realize that asthma and allergies and sensitivities is classed as a disability and that they have rights in relation to their illness. And this is why they have not given more sound from them. They may not even know who to turn to. I’ve had my asthma for about 4 years now and I learned it for only a few weeks ago that the LDO should help me. Think of how many out there who do not know you, and do not know of their rights.

This is a law that is in a wheelchair. The law requires a ramp so physically impaired people can come into the shops with a wheelchair if there are stairs. Having asthma, allergies and sensitivity is as much a inhibition in this case as being unable to walk up the stairs. Having asthma, allergy, and sensitivity just as effectivily make a person having those diceases not able to enter an environment/locality that have irritants and allergens in the air. Asthma and allergies including sensitivity is also a handicap, but there is no “ramp” available to us, and you will not do anything about it either.

And that ventilation would help in allergies and asthma and sensitivity of the evidence, unfortunately, how little you really know about the disease. I’m get sick from perfume, smoke, etc. chemicals in the fumes (or as you call it fragrance) whether outside or inside, whether there is ventilation or not, and it has very little to do with the quality of the ventilation. Thw ventilation can be very good and follow all the classifications and standards that exist, but I and very many others become sick from perfume, tobacco, chemical fumes, cooking fumes, etc.. And it’s not just the aroma as you call it as I and all the others get sick from, ie the chemical composition found spread in the air.

ONLY THING THAT HELP IS TO MONITOR THE SPREAD OF THE POLLUTED AIR.

This is best done by setting up a partition with door for these products. They may well be made of glass so that customers can easily see the merchandise at a distance. And door will be shut but not locked.

Location of the products also have plenty to say. For example, do not have perfumes and perfumed products, beauty products, detergents, personal hygiene products, or any other product holding chemicals or strong scent right next to the entrance or cashier but put them remote and also keep them behind glass wall with a door.

For your information.

This Act you have and how to manage it, I think is lame.

A law in a wheel chair. This is a law that tells us that allergy, asthma and other sensitivities is environmental inhibition and a handicap equally with other physically disabled persons. For the disabled persons is is obliged to have rams and/or elevators so they get acccess to whatever they want, and on the same time it says it is not able to help any of us that is handicapped by allergies, asthma and sensitivity with getting us our “ramp”. Can anyone wheel this law to the right office so we can get use of it?

By the pen
Annelie Molin


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NAAF on occupational asthma

Norway Asthma and Allergy Association (NAAF) got a new much better website. I must really congratulate them on their effort to give more and better information. And they have added a special section about occupational asthma, and that I think is really formidable!

Site in Norwegian but you can always use Google translate. :)

http://www.naaf.no/no/astma/arbeidsrelatert-astma/

http://www.naaf.no/

I am so proud of NAAF now. :)


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Discuss: Need prohibitions? – NRK.no

Do we need prohibitions?

Røyking forbudt (Foto: JOHN MACDOUGALL/AFP)Are we healthy because we are not allowed?

Photo: John MacDougall / AFP
 

Should we thank Høybråten and “the ban tyranny” that we live two years longer than the Danes? – Perhaps life has other qualities than to live long, “says philosopher Lars Fredrik Svendsen.

Today 31 April it is the world’s tobacco-free day.

The adopted unhealthy habits such as regulated by the Tobacco Act. It is forbidden to smoke in public places. We have age limit, “invisible” tobacco products in the store, sky high taxes and anti-smoking campaigns.

And it works. Smokers are becoming fewer and fewer.

Live longer than the Danes

Norwegians are also working longer and live an average of nearly two years longer than the Danes.

The same applies to the Swedes, who like us more than the Danes in their common safety and prevention policies. Or “prohibition tyranny,” as the Danes call it, according politiken.dk.

Is it really true that we can not look after ourselves and need rules and prohibitions to make “correct” choice?

– The State raises to the father figure

Lars Svendsen (Foto: Tor Richardsen/Scanpix) Is a long life so important that the trump everything else? Asks Lars Fredrik Svendsen.

Photo: Tor Richardsen / Scanpix

– We are moving toward a paternalistic society. State exalts himself to father figure and reduce citizens to toddlers who can not make good choices, “says Professor of Philosophy at the University of Oslo, Lars Fredrik Svendsen nrk.no.

– We must ask ourselves whether this is to live as long as possible is a value which must trump all else, or whether it is one of the many values ​​that life has to offer, “he continues.

Svendsen believes governments should engage in proper course and objective public education, but that when they have done it, it should be up to us to choose whether we want to take a chance or not.

– Everyone knows now the dangers of smoking. If anyone still wants to continue to smoke, knowing that this, statistically speaking, it takes several years of their lives, they must be doing it. We must have the freedom to, for example, weigh up to pet health – and even prioritize what is most important for us, “he said.

– Still lots of freedom

We still have a lot of freedom in Norway, “says Asbjorn Kjønstad.

Photo: Roald, Berit / SCANPIX

Asbjørn Kjønstad (Foto: Roald, Berit/SCANPIX) Svendsen is the polar opposite Asbjørn Kjønstad law professor, he is the man who led the Tobacco Act in the pen. He believes the time is overripe for smoking in Norwegian homes where children are present, especially the children’s room and car.

He would certainly not have alcohol advertising on television, and he thinks the EU’s snuff-denial is a reasonable regulation.

– We still have a lot of freedom in Norway, even though we have a strict alcohol and tobacco laws, “said Kjønstad to nrk.no.

– When it comes to nicotine and alcohol, these drugs are the highly addictive. One does not have the same opportunity to use freedom if one is addicted, “he says.

– Therefore I think it must be regulations on these areas. For decades we have known that passive smoking is a health hazard. Yet many people still smoke with children present. Then it is my opinion about time that lawmakers interferes continues Kjønstad.

Article is Google translated.

Article by NRK.no:
http://www.nrk.no/helse-forbruk-og-livsstil/1.7653973

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Commentary:

I wonder what this guy  Lars Fredrik Svendsen is thinking about? He is a philosopher. Alright he is not a doctor, but surely he understands that smoke is not something you can steer or control in any way? When a person smoke then the smoke gets out in free air, and anyone that is around the person smoking get affected by it. The smoker got no possibility to steer the smoke other directions. They might think they can but the reality is it get dissolved in the air, and all particles of chemicals in it is spread all over. And all the particles spread everyone around them have to breathe in.

This law has come to protect those who work in restaurants and other places where the public have access. Working areas have been protected by the Working environment law from before, so that people working in any firm or business will not be subjected to health damages such as second-hand smoking.

He claim that smokers should have the right  to smoke if they want. He claim it should be in their own free choise to smoke and where they smoke. But what about those who do not smoke because they are children, have chosen not to start smoking, or because they get ill from tobacco smoke – for example people with chronic lung illnesses like asthma, COLD and other respiratory illnesses and difficulties – and also because tobacco smoke is damaging to the health.

As I said before the smoker can not steer the smoke, and even if he could he pollutes the air around and forces others to breathe in the chemicals.

For me and other people who get ill from tobacco smoke this is just as bad as forced feeding. We get forced to smoke – it is lamely called passive smoking – but the more true word would be forced smoking.

And the law have come because smokers got to little knowledge about the large perspective of the damage they do to others, and often is not showing enough consideration and care about those who of any reason have chosen not to smoke. They like to do it, and therefore they do it all over and no matter what. It should not be necessary for an asthmatic person to get an asthma attack every time only to prove to the smokers that they should show consideration. Unfortunately that is the case with to many of those who smoke.

Smokers can smoke if they want, as long as they go out and sit on a root in the forest alone while doing it, then they do not force smoke anyone.

This person Lars Fredrik Svendsen… For being a person Philosophic he does not think longer than his nose reach.

Smoking is toxic, and damaging to the health, and everyone have the right to breathe fresh air, therefore smoking is regulated. If a person chooses to smoke then that person must take what comes along with it – showing other consideration, care, and smoke where it does not hurt or abuse others. That is only common sense and basic good upbringing, but unfortunately to many smokers do not have that in the case of smoking.

I am for one glad for the smoking prohitition, without that my life would be much more limited. And I have the right to work, meet people, go out and breathe without problems just as anyone else. The smoker can do that, so why should I and everyone else not be able to? That is why we got the smoke prohititions. And I hope there will be more prohibitions. There should be a law against using perfume at work and on public transportations too. And there should be a prohibitions against using perfumed cleaning products and perfume at restaurants and such places too. Even asthmatic people need to use the toilet once in a while and without getting an asthma attack.

I think people like Svendsen and others thinking like this is only making a fool out of themselves, and they really do not think of others and no longer than their noses reach.

Maybe they should try having they lung function disabled a couple of months because of their smoke? Maybe then they would understand?

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Blogs about: Environmental inhibition of allergy

Original article:

NAAF and NFBIB have collaborated in a project on the environment funded by inhibition, Helsedirektoratet written a  book (Kjell Aas: Environmental Inhibition – a hidden disability) and produced  brochures.

forside

This is a draft brochure on the environmental impairments due to allergies. Both the book and brochures are freely available online.

Environmental inhibition are conditions with sensitivity to something in the environment that leads to such severe diseases and ailments that the environment is unavailable. The affected person can not stay healthy and able to function normally in ordinary environments that contain what the person does not tolerate. She or he must stay away from such environments.miljøkjemi

Bokforside NettversjonHow are environmental inhibition special disability on an equal par with such as physically disabled to move or walk. Both the government and the individual must strive for the best gender equality and promote equality and accessibility for all disabled people. (Law and regulations relating to integration and equality, Norway’s public reports NOU 2005: 8 Equality and availability Norway’s public reports NOU 2005: 8 Equality and availability). The regulation contains some possibilities for exemptions to environmental impairment where the costs are too great. It requires knowledge, understanding, and that they show consideration and respect which the laws and regulations are insufficient.
Environmental inhibition occurs in someone with specific allergic diseases and in some with severe hyperresponsiveness in asthma that these states have approved medical diagnoses. Environmental Inhibition is also common in chemical environment intolerance ( brochure ), this form is not currently approved as a medical diagnosis in Norway. These are special illnesses little known and attention, and therefore is subject thorrowly mentioned in the book Miljøhemming – en skjult funksjonshemming (Kjell Aas: Environmental Inhibition – a hidden disability).

Disability are available in different varieties and degrees. It can be caused by something that is inhaled and possibly something in the food, drinks and medicines. In addition, acts of environmental impairment “or intolerance”, which is not discussed further here. No patient, but person in risk. The environment is conditioned inhibition. In environments that do not contain anything that is not tolerated, the affected may be well. Therefore,
the term in risk.

Allergies with environmental impairment Allergy is an immunological reaction in
terms of cost and environment where exposure may cause illness. Most people with
allergies and allergic diseases do well in all environments thanks to the proper use of modern medicines and treatments. Only relatively few allergy is hampered by environmental significance, and usually because of atopic allergy. Some are inhibited because of the environment.

Specific allergies such as against the venom of wasps and bee-sting, and some because they are extremely allergic (” hypoallergenic “). The allergy may mean environmental inhibition throughout the year or is seasonal. Often play non-allergic conditions a role
as well as by co-infection or if exposed to tobacco smoke or dust.

flytskjema allergi 30“Hyper Allergy” By hyper-allergic so little of for an example the wasp sting is needed to make the person hyper allergic that it may be difficult to understand for the uninitiated. Hazardous reaction may be triggered by extremely low concentrations of most current allergy sources. Systematic research has shown that this is about real immunological reactions that initiate cascades of uncontrolled chemical in the body.

Risk and risk environments Food, beverages, confectionery, medicines The most common cause of severe allergic reactions to hyper-allergy sufferers – and especially children – are hidden traces of nuts, almonds, peanuts and nut oil or the like in bags and good food. Trace quantities of eggs or milk may also trigger severe allergic reactions. It can also happen when cooking meals or pulling with it traces of previous spills on the ground.

Cookery fumes and odors Many people with hyper-allergic to certain foods at risk of serious reactions when breathed in air that is contaminated from the preparation of that food. Since this is something that happens very often in open shopping centers, cafe, restaurants, cafeterias and halls serving such sites can be inaccessible and “forbidden” areas for some. Most feared are allergic shock (anaphylaxis). It can develop in a matter of seconds with more symptoms at the same time, lead to blood pressure and unconsciousness and sometimes fatal end in a matter of minutes.

AnafylaksiFeared and dangerous is the throat swelling ( larynksødem ) where inside the throat with swollen vocal cords can be so much that it closes up completely. This can also act as the only symptom. Nascent larynksødem must be treated quickly with medication for emergencies. Complication allergic reactions of the mucosa leads to a form of inflammation, so-called allergic inflammation. The inflammation is often accompanied by irritability of the mucosa, hyperresponsiveness. This can cause asthma and mucosal reactions in a number of non-specific air pollutants (irritants). How hyperresponsiveness occurs even without allergies – depending on genetic predisposition and environmental factors. Even mild and moderate forms of allergy can cause pronounced symptoms that affect the individual’s quality of life. Examples of this are unbearable itching that can lead to many sleepless nights and poor concentration. Allergic reactions are often accompanied by additional symptoms such as headaches and severe abdominal pain. Most of us would probably stay away from places and situations that may trigger these symptoms, how common allergies can also lead to a significant degree of environmental impairment. Treatment options and recommended action Allergies and hyper allergies can be helped all or a good piece on the road with custom measures and medications. Consult your doctor and possibly allergy specialist doctor working with you.

More information:

Anti-discrimination and equality law can be downloaded from www.Lovdata.no. NOU 2005: 8 Equality and availability can be ordered through local bookstores or from
Fagbokforlaget, phone 55 38 88 38. It can also be downloaded from www.regjeringen.no. The various forms of environmental impairment and measures for adaptation of the environment for disabled is thoroughly described in the book Environmental Inhibition: a hidden disability (link later), in broshure about environmental inhibition of hyperresponsiveness and asthma (link later). Brochure on the environmental inhibition by chemical environmental intolerance (link later) and in a brochure Some are working in Asthma and Allergy Association. The Association has also released a series of brochures on allergies and asthma. Some brochures available in several languages ​​for immigrants. Asthma and Allergy Foundation has an open telephone counseling (switchboard 23 35 35 35) and can answer questions through e-mail: raadgivning@naaf.no. Members can find much useful information in the union’s member newspaper and get information and advice through telephone counseling, or through the Association County sections. They can also use the query box in www.allergiviten.no.

Internet users can find useful information on the website

* http://www.helsebiblioteket.no/
* http://www.naaf.no
* http://www.allergiviten.no,
* http://www.inneklima.com
* http://www.innemiljo.net

Source: article and images allergiviten.no

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Commentary

It is about time they do something about this. Many people including myself is environmentally handicapped. I am handicapped by my asthma due to chemicals, here under in fragrance, tobacco, scent a.s. Other people are also inhibited from environments by allergies and MCS, Multiple Chemical Sensitivity, and other sensitivities that wear your health down and make you sick in symptoms like when you get a flu. Having MCS you get fever, get dizzy, severe headaches, your strength drained and so on. Some people having MCS even end up falling in to coma.

I got some environmental handicap. I can for example not go to parties and locations where people smoke or use much perfume. I can not visit toilets, ladies rooms where people spray perfume, hair spray a.s or they clean the room with heavy chemical cleaning agents because then I get asthma problems. I can not visit restaurants and cafe with open area kitchens because of the cookery fumes, I get sick from those, garages can be a problem, road tunnels I can not drive through in an open car and if it gets really bad I have to close the air-conditioning for incoming air, perfume shops, shops with perfume by the cashier, even so-called natural perfume shops and bath articles shops, churches using incense, concerts, theaters, bars and disco using smoke machines, places with scented candles and so on. Going to a restaurant and sit outdoors having a beer or food with friends or alone is not an option since it is allowed to smoke such places (2011). If anyone at the neighbouring table lights a smoke I have to get up and leave. List is long. Sometimes I got bad days and some days are better. On better days my health can stand more irritants than on a bad day. Yes, I work at the bus. I sit there 8-10 hours a day driving, but it is really not without problems with my asthma. I get sick almost everyday. I am environmentally impaired here at work too actually. I get sick from passengers perfume, tobacco use and if they got some chemicals stick to their working clothes, smog and road dust. If I am subjected to such I get sick in asthma. Sometimes I then must open up to air all substances out to be able to continue to work. But I will not give in, I do not want to get pension from the state. I would go nuts only sitting at home. I love to work.

The extended use of perfume, chemicals and tobacco among people and companies is an environmental problem, not only for animals and nature, but for people too. I would really wish people and companies could see this and take a bit more notice of how their use of perfume, tobacco and chemicals in any other way effect other around them.

I can for example not take just any job. I can preferably only work in occupations where I can avoid what make me ill. And the list of what make me ill is long. That is one environmental inhibition. I am lucky that I can work as a bus driver, even though I get ill anyway. I suffer from asthma when subjected to the irritants and what make me sick but stand up against it, I fight it with medicines and brains. I hold my breath when I feel it coming and get to fresh air and medicine for help. But without medicines I would not be able to work. Without medicines I get really ill and that is fast.


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Discrimination and asthma

(5. december 2008) This I found at the website of the Norwegian Governement.
 
Translated: Indirect discrimination at/in work means that any desition, condition, practice, doing or not doing something about it that makes that one that is applying for a job or an already emplyoed person comes worse out than other appliers or workers because of being physically impared.
 
“Med indirekte diskriminering i arbeidslivet menes enhver tilsynelatende nøytral bestemmelse, betingelse, praksis, handling eller unnlatelse som faktisk virker slik at en arbeidssøker eller arbeidstaker stilles dårligere enn andre arbeidssøkere eller arbeidstakere på grunnlag av nedsatt funksjonsevne.”
 
 
/ Annelie
5. desember 2008 17:39