Lets end asthma attacks and deaths in 2025! The recent NCMD report (bit.ly/49Pg1BD) found that on average one child dies from asthma every month in England. This is one of 25 reports, papers, confidential enquiries published in the UK in the last 60 years. That these potentially preventable deaths continue in the UK is unacceptable. In this podcast Ive made some suggested changes that clinicians could adopt as a new years resolution to put an end to preventable asthma attacks and deaths – most can be prevented and all it takes is a few modifications to the way attacks are managed. For more information see:

bit.ly/436r063, bit.ly/3vxpxJt, https://bit.ly/4gW6zyA

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.

Hosted on Acast. See acast.com/privacy for more information.

The National Child mortality database (the NCMD) published a report on deaths in children due to asthma and anaphylaxis in England, between 2019 and 2023. Most of the children who died from asthma had past evidence of well known modifiable risk factors for poor outcomes. Had these factors been identified and acted upon, many of these deaths could possibly have been prevented. This is the 26th publication in the UK that I’m aware of on preventable deaths due to asthma. Asthma is the commonest non-communicable disease affecting about 15% of children. This report from the National Child Mortality Database is clearly a wakeup call for politicians and all those health managers and clinicians responsible for caring for children. See also - bit.ly/3vxpxJt

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

After 5 years, a new UK asthma guideline was published in November 2025. The document is fairly long and has multiple links to other documents which may or may not be read by general practitioners or generalist paediatricians and physicians. So in this podcast I’ve discussed four key messages from the document which in my view could improve asthma care right away. Please do also listen to podcast number 52 for a practical approach to reducing future attacks

See https://bjgp.org/content/74/739/86 for an article on AIR therapy

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

Its 5 years since the UK asthma guidelines were updated. In June 2024 new draft chronic asthma guidelines were published by NICE, the BTS and SIGN. Over 600 feedback responses with comments on this draft were sent to the authors for consideration before publishing the new guideline. In this second of two podcasts I’m joined by Daryl Freeman and Toby Capstick to discuss the treatment section of draft. See https://bit.ly/3XSGHge 

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

It’s 5 years since the UK asthma guidelines were updated. In June 2024 new draft chronic asthma guidelines were published by NICE/BTS/SIGN. Over 600 feedback responses were comments on this draft were sent to the authors for consideration before publishing the new guideline. In this first of two podcasts I’m joined by Daryl Freeman and Toby Capstick to discuss their views on the draft. See https://bit.ly/3XSGHge  

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

Many health care professionals who prescribe asthma treatment are not aware of Anti-Inflammatory Reliever (AIR) Therapy. This podcast clarifies this and will hopefully be a ‘light-bulb’ moment for doctors and nurses who prescribe for people with asthma. It will also be helpful for those non-medically trained people delegated to provide assistance and education to understand this treatment for people with asthma, as well of course people with asthma can benefit from this podcast. The two types of AIR Therapy are summarised - they are MART (MAintenance and Reliever Therapy, and As Needed AIR Therapy for so called mild asthma. See also https://ginasthma.org/reports/ and https://bigcatdoc.com/ for more information on asthma.

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

One of the biggest risks for people with asthma is in those whose asthma is not yet diagnosed. People are often being treated for symptoms, like cough or wheezing without a medical diagnosis. So despite having repeated episodes of respiratory symptoms, these episodes are simply treated as one off acute events with cough mixtures, or antibiotics or inhaler medication. As I’ve said in previous podcasts, asthma is a chronic ongoing disease requiring ongoing treatment to prevent attacks, and is NOT an acute one off disease and in this podcast I’ll share my thoughts and reasons why I think this is a problem. This is particularly relevant because the new draft UK asthma guidelines do not help address this issue of failure to diagnose asthma. For more information on asthma see https://bigcatdoc.com

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

Asthma attacks and asthma deaths are mostly preventable with good care. There is often a lot of publicity, about people who die from asthma. However, not much about people with asthma who have 'near misses'. i.e. life threatening attacks where the management is below expected. thisa happened recently to a young girl, who I had looked after 5 years ago in a general practice. Mom contacted me andt she and her husband agreed for me to share the story about their child who had a near miss asthma attack in 2024 - just about 10 years after we published the National Review of Asthma Deaths. I am really saddened that in the UK, we have still not implemented a robust system for managing asthma, the commonest chronic childhood disease. This podcast discusses some lessons for health professionals and provides some ideas to help parents of children with asthma. Please also see my suggested plan for an ongoing system of clinical audit .for primary care to start reflecting on and tackling this disease properly. GPs please see https://bit.ly/3vxpxJt for an audit system to reflect on asthma attacks.

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.

Hosted on Acast. See acast.com/privacy for more information.

Severe asthma causes misery for many people, it is underdiagnosed and yet it contributes significantly to poor outcomes due to asthma and is very costly for health care providers. About 3-5% of people with asthma have severe asthma and if suspected or confirmed should be cared for by asthma specialists. In this interview with DR Hitasha Rupani, you will understand a lot about this type of asthma irrewspective if you are a sufferer or a health care professional. The information could save someone's life.

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.

Many colleagues have asked for an explanation on Maintenance and Reliever Therapy (MART) for asthma. Ther is a considerable body of exidence supporting the use of Anti-inflammatory Reliever (AIR) therapy for asthma which is more effective and safer than the use of separate inhalers prescribed for relief and prevention opf asthma. There are two forms of AIR therapy authorised by regulators and these are MART for those with moderate to severe asthma and also 'as needed AIR instea=d of Short-acting bronchodilators (SABAs) for relief of symptoms in people wiyh mild asthma. This podcast explains the rationale and some of the practicalities related to AIR therapy and is useful both for health care professionals and people with & parents of people with with asthma. See https://bjgp.org/content/74/739/86 for the research evidence for this approach.

Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 

Hosted on Acast. See acast.com/privacy for more information.