Asthma and Secondhand Smoke

Asthma is a chronic disease that affects the airways in the lungs, causing them to swell and narrow during an asthma attack, which makes breathing difficult. This swelling reduces the flow of air in and out of the lungs, and the cells in the airways may produce excess mucus—a thick, sticky substance—that further obstructs airflow and exacerbates breathing challenges. If you have asthma, an attack can occur when something irritates your airways and triggers symptoms, which can vary from person to person. Tobacco smoke, including secondhand smoke, is a common trigger and is particularly harmful to individuals with asthma, though it is unhealthy for everyone.

Symptoms of an asthma attack may include:

  • Coughing
  • Shortness of breath or trouble breathing
  • Wheezing
  • Tightness or pain in the chest

Secondhand smoke consists of a combination of gases and fine particles, including:

  • Smoke from burning tobacco products, such as cigarettes, cigars, or pipes
  • Smoke that has been exhaled (breathed out) by someone who smokes

To reduce the risk of asthma attacks, it is crucial to identify and avoid personal triggers, such as tobacco smoke, which is not only harmful to individuals with asthma but also to everyone exposed to it. Preventative measures include maintaining a smoke-free environment, minimizing exposure to pollutants, and following a treatment plan prescribed by a healthcare provider. Quitting smoking is one of the most effective ways to protect your health and the health of those around you, especially children and individuals with asthma. By making these changes, you can create a healthier, safer space for everyone while managing asthma more effectively.

**Studies show that flavors such as fruit, candy, and menthol are particularly appealing to adolescents.**

Reference: https://www.cdc.gov/tobacco/campaign/tips/diseases/secondhand-smoke-asthma.html

Know the Effects, Risks and Side Effects of Marijuana

Marijuana use carries significant risks that can impact a person’s health and life, yet its use continues to rise, especially among all adult age groups, both sexes, and pregnant women. In the U.S., marijuana is the most commonly used illegal substance, and despite growing usage, the perception of its potential harm is declining. Many young people today do not view marijuana use as risky. However, the dangers are very real, particularly for youth, young adults, and pregnant or nursing women. Today’s marijuana is stronger than ever, and addiction to it is a genuine concern.

Marijuana Risks

Marijuana use can lead to negative and lasting effects:

Brain health: Marijuana can cause permanent IQ loss of as much as 8 points when people start using it at a young age. These IQ points do not come back, even after quitting marijuana.

Mental health: Studies link marijuana use to depression, anxiety, suicide planning, and psychotic episodes. It is not known, however, if marijuana use is the cause of these conditions.

Athletic Performance: Research shows that marijuana affects timing, movement, and coordination, which can harm athletic performance.

Driving: People who drive under the influence of marijuana can experience dangerous effects: slower reactions, lane weaving, decreased coordination, and difficulty reacting to signals and sounds on the road.

Baby’s health and development: Marijuana use during pregnancy may cause fetal growth restriction, premature birth, stillbirth, and problems with brain development, resulting in hyperactivity and poor cognitive function. Tetrahydrocannabinol (THC) and other chemicals from marijuana can also be passed from a mother to her baby through breast milk, further impacting a child’s healthy development.

Daily life: Using marijuana can affect performance and how well people do in life. Research shows that people who use marijuana are more likely to have relationship problems, worse educational outcomes, lower career achievement, and reduced life satisfaction.

In conclusion, it’s important to recognize that marijuana is addictive, contrary to the common belief that it’s harmless. Research shows that 1 in 6 people who start using marijuana before the age of 18 can become addicted, and 1 in 10 adults who use it face the same risk. Over the years, the potency of marijuana has significantly increased, with today’s marijuana containing three times the THC concentration compared to 25 years ago. The higher the THC content, the more intense the effects on the brain, likely contributing to the rise in marijuana-related emergency room visits. While the long-term risks of higher potency marijuana are still being studied, it’s clear that increased THC levels likely lead to higher rates of dependency and addiction. Understanding these risks is crucial for making informed decisions about marijuana use.

Reference: https://www.samhsa.gov/substance-use/learn/marijuana/risks

Can You Have a Delayed Reaction to Grief?

Grief typically unfolds through five stages: denial, anger, bargaining, depression, and acceptance. While it begins with denial and ends with acceptance, the journey is rarely linear. According to San Francisco therapist Dr. Avigail Lev, individuals often move back and forth between stages—shifting from anger to bargaining, returning to depression, and so on. These stages provide a framework for processing loss, confronting emotions, and moving toward healing. However, in delayed grief, denial persists, leaving unresolved feelings that can complicate the path to recovery.

“In delayed grieving, the denial stage lasts longer, meaning the person remains in denial for a more extended period.” — Dr. Avigail Lev

Signs and Symptoms of Delayed Grief

Delayed grief varies from person to person, with symptoms that can manifest both emotionally and physically. Signs of delayed grief on an emotional level include:

  • A sense of numbness or detachment
  • Intense emotional reactions in response to things that remind you of the loss
  • Feelings of persistent sadness
  • Intrusive thoughts or memories about your loved one
  • Problem enjoying things that used to bring you pleasure
  • Changes in how you feel about yourself, your purpose, or your identity
  • Feelings of guilt or regret

Physical symptoms of delayed grief can include:

  • Changes in sleep, appetite, or body weight
  • Feeling tired or unmotivated
  • Physical symptoms such as headaches, stomach aches, muscle tension, frequent illness, and digestive issues

Self-Care Practices to Support the Grieving Process

If you’re dealing with delayed grief, there are strategies to help you reconnect with your emotions and process them more deeply. Consider trying the following techniques:

  • Journaling: Expressive writing can be a therapeutic way to work through the difficult emotions you are feeling. Consider writing a letter to your loved one or write down your favorite memories of that person.
  • Mindfulness practices: Mindfulness is all about centering your attention on the here and now. It can be a way to connect with what you are feeling and what these feelings mean. Research suggests it can help bereaved people improve emotional regulation and executive function.
  • Stick to a routine: Keeping a regular routine is important when you are dealing with stressful experiences. It can help you maintain a sense of consistency and normalcy, which may help you feel more in control even when things seem hectic or tumultuous.
  • Learn about grief: Spend some time learning about what the normal grieving process looks like, including the stages of grief that people typically experience. It can be comforting to know that what you are experiencing is normal and expected.
  • Honor your loved one: Find meaningful ways to honor the memory of the person you have lost. For example, you might create a memorial or participate in rituals to honor their life.

Healing from grief, especially delayed grief, takes time and patience, but it’s important to know that support and effective treatment options are available. Strategies like grief counseling, cognitive-behavioral therapy (CBT), mindfulness-based stress reduction (MBSR), and expressive arts therapy can help you process your emotions, reconnect with your feelings, and navigate your journey toward acceptance. Whether through talking, mindfulness, creative expression, or structured therapeutic approaches, these options provide valuable tools to address your grief and move forward with greater clarity and resilience.

Reference: https://www.verywellmind.com/can-you-have-a-delayed-reaction-to-grief-8425426

What are the physical health consequences of tobacco use?

Cigarette smoking harms nearly every organ in the body and remains the leading preventable cause of premature death in the United States, contributing to an estimated 480,000 deaths annually. Smokers aged 60 and older face a twofold increase in mortality compared to nonsmokers, dying approximately six years earlier. While nicotine itself is not carcinogenic, tobacco smoke contains at least 69 cancer-causing chemicals, making smoking responsible for at least 30% of all cancer deaths. Overall cancer death rates are twice as high among smokers as nonsmokers, with heavy smokers having a fourfold greater risk. Quitting smoking yields immediate health benefits, and depending on the age of cessation, some or all of the reduced life expectancy can be regained.

Key Factors:

  1. Cancer Risks:
    • Lung cancer: Smoking is linked to 80–90% of cases and 80% of deaths.
    • Other cancers: Mouth, pharynx, larynx, esophagus, stomach, pancreas, cervix, kidney, bladder, acute myeloid leukemia.
    • Smokeless tobacco: Associated with cancers of the pharynx, esophagus, stomach, lung, and colorectal cancer.
  2. Lung Diseases:
    • Chronic bronchitis and emphysema.
    • Worsened asthma symptoms in adults and children.
    • Leading risk factor for chronic obstructive pulmonary disease (COPD), which is irreversible once developed.
  3. Heart Disease:
    • Increases risk of stroke, heart attack, vascular disease, and aneurysm.
    • Responsible for 40% of smoking-related deaths.
    • Causes coronary heart disease, the leading cause of death in the U.S.
  4. Other Health Conditions:
    • Rheumatoid arthritis, inflammation, impaired immune function.
    • Reduced health-related quality of life in young smokers aged 26–41.
    • Potential link to Type 2 Diabetes through pathways between the pancreas and brain.
  5. Benefits of Quitting:
    • Lung damage repair over time (except in COPD).
    • Improved overall health and reduced risk of smoking-related diseases.



The devastating impact of smoking on nearly every aspect of health—causing cancers, lung diseases, heart conditions, and a host of other ailments—underscores the urgent need to quit. While the damage caused by smoking is significant, the good news is that quitting can lead to remarkable health benefits, including the repair of lung damage, improved quality of life, and a lower risk of life-threatening diseases. Whether you’re a long-term smoker or have recently started, it’s never too late to take the first step toward a healthier future. Seek support from loved ones, healthcare professionals, or smoking cessation programs to embark on this life-changing journey. Quitting smoking not only adds years to your life but also greatly improves the quality of those years—an investment in your well-being and the peace of mind of those who care about you.

**By prioritizing the health and safety of its young residents, Minnesota is investing in a brighter, healthier future for all.**

Reference: https://nida.nih.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/what-are-physical-health-consequences-tobacco-use

Office on Smoking and Health (OSH)

Tobacco use remains the leading cause of preventable illness, disability, and death in the United States. As of 2021, approximately 28.3 million U.S. adults smoke cigarettes, with over 16 million living with at least one smoking-related disease. Additionally, 58 million nonsmokers are exposed to secondhand smoke. The Centers for Disease Control and Prevention (CDC) leads national efforts to reduce tobacco-related deaths and chronic diseases. Through partnerships and tobacco control initiatives, the CDC focuses on:

  • Preventing youth from starting tobacco use.
  • Promoting smoke-free environments.
  • Expanding programs to support quitting tobacco.
  • Addressing tobacco-related health disparities across diverse populations.



The Office on Smoking and Health (OSH) leads strategic public health efforts to end commercial tobacco use and exposure, striving to provide equitable opportunities for all communities to live free from the disease, disability, death, and social and economic impacts caused by tobacco products. Guided by a vision of a world free from commercial tobacco-related harm, OSH focuses on preventing tobacco use among youth and young adults, promoting quitting, eliminating secondhand smoke exposure, and advancing health equity by addressing tobacco-related disparities. In collaboration with local, state, national, and international partners, OSH expands the science of effective tobacco control, builds sustainable infrastructure for comprehensive programs, communicates timely information to stakeholders, and coordinates policies and strategic initiatives, while fostering global tobacco control through surveillance, capacity building, and knowledge sharing.

Key Activities
The CDC collaborates with decision-makers, partners, health officials, and the public to combat the tobacco epidemic by:

  • Supporting tobacco cessation and quitline services in 50 states, 2 territories, and Washington, D.C., and maintaining the national network of tobacco cessation quitlines.
  • Educating the public about the harms of tobacco use, including through paid media campaigns like Tips From Former Smokers.
  • Conducting and coordinating surveillance, laboratory, and evaluation activities related to tobacco use and its effect on health.
  • Reducing tobacco-related health disparities through 8 national networks working to reduce tobacco use among specific populations.
  • Supporting health systems to improve cessation insurance coverage, remove barriers to evidence-based cessation treatments, and promote use of covered treatments.

Through collaborative efforts with decision-makers, partners, health officials, and the public, the CDC remains steadfast in its mission to end the tobacco epidemic. By advancing science, building sustainable infrastructure, implementing effective policies, and addressing health disparities, the CDC is paving the way for a healthier, tobacco-free future. Together, these actions are critical to protecting lives, promoting health equity, and creating communities free from the devastating impacts of commercial tobacco use and exposure.

**By prioritizing the health and safety of its young residents, Minnesota is investing in a brighter, healthier future for all.**

Reference: https://www.cdc.gov/tobacco/programs/index.html

Marijuana and Lung Health

Marijuana is the most commonly abused drug, with its health effects largely determined by how it’s consumed. It can be smoked using pipes, bongs, joints, blunts, and vaporizers or consumed through products like e-cigarettes, candy, brownies, beverages, and capsules. While this discussion centers on marijuana and lung health, it’s crucial to recognize other health concerns, such as neurological and cognitive effects, as well as public health issues like accidental pediatric poisonings from edible marijuana products. Smoke from marijuana combustion contains many of the same toxins, irritants, and carcinogens as tobacco smoke, posing potential harm to lung health. Although marijuana smoke is less carcinogenic than tobacco smoke, its toxins may still pose risks, particularly to vulnerable populations like children. More research is needed to fully understand the effects of secondhand marijuana smoke.

Key Facts on Lung Health and Marijuana Smoke

  1. Impact on Lung Health: Smoking marijuana damages the lungs, causing chronic bronchitis, injuring airway cell linings, and leading to chronic cough, phlegm production, wheeze, and acute bronchitis.
  2. Air Pocket and Air Bubble Risks: Heavy marijuana smoking has been linked to air pockets between the lungs and chest wall, as well as large air bubbles in the lungs, especially among young to middle-aged adults.
  3. Immune System Effects: Smoking marijuana suppresses the immune system, impairing the body’s ability to fight infections and potentially increasing the risk of lower respiratory tract infections.
  4. Defense Mechanisms: It reduces the lungs’ ability to defend against infections by killing cells that remove dust and germs and increasing mucus production.
  5. Radiographic Findings: Marijuana-only smokers exhibit greater airway thickening, inflammation, and emphysema compared to both nonsmokers and tobacco-only smokers.
  6. Opportunistic Infections: Marijuana smoking may heighten the risk of opportunistic infections and transmission of viral infections, particularly in individuals with weakened immune systems, such as those with HIV.
  7. Aspergillus Mold Exposure: Marijuana can harbor Aspergillus mold, which may cause lung disorders when smoked, though it rarely affects healthy individuals.
  8. Vaping and “Dabbing” Concerns: Limited research suggests that inhaling marijuana via vape pens or dabbing cannabis concentrates could pose similar respiratory health risks as e-cigarette use.

In light of the significant respiratory and immune system risks associated with smoking and inhaling marijuana, it’s essential to approach its use with caution, particularly for those with pre-existing health conditions or compromised immune systems. The damage to lung health, increased vulnerability to infections, and potential exposure to harmful molds underscore the need for further research and public awareness. As methods of consumption like vaping and dabbing grow in popularity, understanding their long-term effects becomes increasingly critical. Prioritizing health and making informed choices about marijuana use can help mitigate these risks and protect overall well-being.

Reference: https://www.lung.org/quit-smoking/smoking-facts/health-effects/marijuana-and-lung-health

Is Anxiety a Mental Illness?

Anxiety is a natural part of life that everyone experiences at some point, whether it’s feeling nervous before a big event, getting butterflies in your stomach, or dwelling on a stressful situation. While these feelings can be uncomfortable, occasional anxiety is not considered a mental illness. However, when anxiety becomes overwhelming, persistent, and significantly impacts daily life, it may indicate an anxiety disorder, which is a diagnosable mental health condition. Understanding the difference between everyday anxiety and anxiety disorders is an important step in recognizing when to seek support.

What Is a Mental Illness?

Mental illnesses are psychiatric conditions that affect a person’s mood, behavior, and thoughts, impacting about 1 in 5 people, with 4% experiencing severe cases. For a condition to be considered a mental illness, it must significantly disrupt daily life. While some cases are short-term, many require long-term management through effective treatment. Untreated mental illnesses can affect jobs, relationships, and family dynamics, but with proper care, people can lead fulfilling lives.

Common mental illnesses include:

  • Depression, including unipolar depression and bipolar depression
  • Anxiety disorders
  • Personality disorders, such as borderline personality disorder and narcissistic personality disorder
  • Psychotic disorders
  • Post-traumatic stress disorder (PTSD)
  • Substance abuse disorder
  • Eating disorders

Your mental health matters, and taking steps to care for it is an act of strength and self-compassion. If you’re struggling with chronic anxiety or other mental health concerns, know that support is available and healing is possible. Treatments for anxiety, including therapy (like cognitive behavioral therapy), medications, mindfulness practices, and lifestyle changes, can help you regain balance and improve your quality of life. Don’t hesitate to reach out to a mental health professional, trusted friend, or support group—no one should navigate this journey alone. Prioritize your well-being, and remember: seeking help is a powerful step toward a healthier, happier you.


保持平衡的生活方式。
Maintain a balanced lifestyle.

Reference: https://www.verywellmind.com/is-anxiety-a-mental-illness-5271630

School work identified as key stressor for AAPI youth

Mental health challenges among AANHPI (Asian American, Native Hawaiian, and Pacific Islander) youth have often been overlooked due to a lack of research and attention to their unique struggles. A recent study by The Asian American Foundation (TAAF), titled “Beyond the Surface: Understanding Mental Health Among Asian American, Native Hawaiian, and Pacific Islander Youth,” sheds light on this critical issue. The study reveals that academic pressure is one of the most significant stressors for AANHPI youth, driven by cultural expectations linking success in school to upward mobility and respect. This stress is further amplified by the “model minority” stereotype, which imposes unrealistic standards of excellence while dismissing emotional vulnerability. By addressing these unique challenges, the study offers insights into solutions for a group often misunderstood and underserved in mental health discussions.

“The biggest stressor on mental health that youth reported was actually pressure to succeed, both self-imposed and from families,” Dr. Charissa Cheah, lead researcher

Key Facts

Exacerbation by the COVID-19 Pandemic:

  • Heightened mental health struggles during the pandemic.
  • Complicated identity development due to the rise in anti-Asian hate.

Cultural Challenges:

  • Difficulty navigating cultural heritage in a climate of racism.

Stressors:

  • Discrimination and its impact on mental health.
  • Academic pressures contributing to a “perfect storm” of stress.

Isolation and Anxiety:

  • Increased feelings of loneliness and worry among AANHPI youth.

Alarming Statistics:

  • Suicide is the leading cause of death for young AANHPI individuals, per CDC data.
  • One in three AANHPI youth has considered or attempted suicide.

Addressing the mental health challenges faced by AANHPI youth requires urgent attention and action. The compounded pressures of academic expectations, cultural identity struggles, and discrimination, particularly during the COVID-19 pandemic, have created a crisis that cannot be ignored. With one in three AANHPI youth considering or attempting suicide, these alarming statistics serve as a stark reminder of the need for culturally responsive mental health resources and support systems. By acknowledging and addressing these unique challenges, we can work towards creating a more inclusive and understanding environment where AANHPI youth feel seen, supported, and empowered to thrive.


面对压力时,要学会呼吸放松。
Learn to breathe and relax when facing stress.

Reference: https://asamnews.com/2024/12/27/beyond-the-surface-of-aanhpi-youth-mental-health-research/?fbclid=IwZXh0bgNhZW0CMTEAAR0Oe5d1oc80z-JadHPJuCvh3k2LdlTzZeJHW6kUaPH5VFXwjnpg9aXnmVU_aem_aKVwcfNMD6Tnep0Xa9lLtA

Harmony Between Worlds: A Black Buddhist Artist’s Journey

Living as a Black Buddhist artist immersed in a bicultural experience is a profound act of self-discovery. My heritage as a Black individual expresses resilience, creativity, and community, while my Buddhist practice offers a framework for mindfulness, compassion, and balance. These two identities do not simply coexist—they enrich and inform each other, creating a unique lens through which I experience this world. Through the teachings of lord Buddha, I’ve come to understand my cultural roots not as a separate identity but as a path in which I cultivate dharma..

As an artist, the bicultural experience manifests in the stories I tell and the mediums I use to tell them. My work is a reflection of both celebration and introspection, merging the rhythms of my heritage with the contemplative silence of my Buddhist practice. Whether through the meditative pluck of the Guzheng or the quiet resilience embedded in my poems, I strive to create art that speaks to the shared humanity between cultures. This process has taught me that self-cultivation is not about abandoning one identity to embrace another but about finding harmony in the tension, allowing each aspect of myself to bloom.

Self-cultivation within this bicultural space is an ongoing practice of loving-kindness toward myself and others. It is about embracing the complexities of my identity without judgment, cultivating wisdom through the lessons of my ancestors, and staying grounded in the present moment. As a Black Buddhist, I see my journey not only as personal liberation but also as a call to inspire others in my community to explore the depths of their identities with courage and compassion. Together, we can honor the beauty of our roots while forging new paths of creativity and cultivation.

Jarrelle (杰遨) Jieao

Marijuana use linked to higher risk of heart attack and stroke

New research suggests that using cannabis—whether by smoking, eating, or vaping—may increase the risk of heart attacks and strokes. Published in the Journal of the American Heart Association, the study found that cannabis users faced higher cardiovascular risks, regardless of tobacco use or other underlying health factors. Dr. Abra Jeffers, a data analyst at Massachusetts General Hospital, highlighted the growing misconception that cannabis use is harmless, particularly as smoking remains the predominant method of consumption, exposing users to particulate matter. With recreational marijuana now legal in 24 states and its usage nearly doubling since 2002, understanding its health impacts is increasingly critical. The study analyzed survey data from over 434,000 U.S. adults between 2016 and 2020, focusing on cardiovascular outcomes like heart disease, heart attacks, and strokes—even among non-tobacco users and younger individuals at lower baseline risk. Prior research on marijuana’s cardiovascular effects has been limited due to overlapping tobacco use and younger study populations, but this study underscores the potential dangers as cannabis use becomes more widespread.

Key Facts

  • Higher Risk with Any Use: Any marijuana use was associated with an increased risk of heart attacks and strokes.
  • Frequent Use Increases Risk: Daily marijuana users had 25% higher odds of heart attack and 42% higher odds of stroke compared to non-users.
  • Smoking as Predominant Method: Smoking was the most common way people consumed cannabis, followed by eating and vaping.
  • Increased Odds for Younger Adults: Men under 55 and women under 65 who used marijuana had a 36% higher combined odds of coronary heart disease, heart attack, or stroke, even without tobacco or e-cigarette use.
  • Independent Risk Factor: The elevated odds for cardiovascular issues persisted even in individuals who had never used tobacco products or e-cigarettes.

These findings underscore the importance of understanding the potential health risks associated with marijuana use, particularly as its prevalence continues to rise and perceptions of its safety shift. With smoking remaining the most common method of consumption and frequent use linked to significantly higher odds of cardiovascular issues, it’s crucial for individuals to consider these risks and for healthcare providers to address them in discussions about overall heart health. As marijuana use becomes more widespread, further research is needed to provide a clearer picture of its long-term impact on public health.

Reference: https://www.heart.org/en/news/2024/02/28/marijuana-use-linked-to-higher-risk-of-heart-attack-and-stroke