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Wellsville Elks to drop turkeys for fundraiser

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7 2025

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Alfred • Allentown • Alma • Andover • Angelica • Belfast • Belmont • Bolivar • Caneadea • Ceres • Cuba • FilLmore • Friendship • Genesee Houghton • little genesee • portville • richburg • Rushford • Scio • shinglehouse • Ulysses • Wellsville • west clarksville • Whitesville

Catherine Schuyler Chapter of DAR offers cookbook to mark 250 years of US BY LAURA SHIELDS

Editor’s note: This article is the first of several planned by the Catherine Schuyler Chapter, National Society Daughters of The American Revolution, to mark the 250th anniversary of the founding of the United States of America, which is coming up in 2026.

The Catherine Schuyler Chapter, National Society Daughters of The American Revolution (DAR), will be celebrating the 250th year of our nation’s founding all through 2026. The Daughters of the

American Revolution was formed in 1890 in response to the Sons of the American Revolution not permitting women to join. DAR is one of, if not, the largest women’s service organizations in the country today. DAR is historic preservation, education and patriotism. DAR is friendship, family and service. Our Motto is “GOD, HOME and COUNTRY.” This article is about our recently published work, “Our Revolution-

ary Cookbook,” which celebrates our history and heritage. The funds received from our unique book will help to defray the cost of a monument to be erected in Angelica for the 250th anniversary of our great nation. What makes this cookbook Revolutionary? We wanted something different so we compiled this historical book with not just more than 100 recipes, from that era, but also historiCookbook continued on PAGE 4

This depiction shows a planned monument honoring the patriot ancestors who migrated to Allegany County, whose Revolutionary War service has been confirmed.

ACCORD steps up efforts for SNAP households in Allegany County Among children, the rate is even higher — 17.8%, or nearly one in five. Adults (18–64) experience food insecurity at 10.5%, while 6.3% of seniors (65+) face similar challenges. “Working families are being hit the hardest,” ACCORD Executive Director Lesley Gooch-Christman said. “These are ALICE households (Asset-Limited, Income-Constrained, and Employed), the people who work every day

BY JIM ECKSTROM

Photo provided The Wellsville Elks donated $3,000 to ACCORD’s food pantry. From left are Mindy Scott, a Wellsville Elks member and ACCORD board member, with Belinda Knight and Lesley GoochChristman of ACCORD.

As SNAP recipients face uncertainty about the program this month due to the continuing government shutdown, ACCORD is calling for help to support families facing food insecurity. ACCORD reported that more than 5,200 individuals rely on SNAP benefits as the county’s overall food insecurity rate is 11.9% — meaning roughly one in nine individuals struggles to afford enough to eat.

but still struggle to afford the basics. When grocery prices rise, that money has to come from somewhere, often rent, utilities or medical costs. The trade-offs are getting harder every month.” Local food pantries and emergency food programs have seen a steady increase in visits over the past year as working individuals and households turn to community resources to ACCORD continued on PAGE 4

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Wellsville Elks to drop turkeys for fundraiser BY KATHRYN ROSS

WELLSVILLE — This Friday, Nov. 7, will be the first flight for the Elks Club in Wellsville Turkey Drop, but hopefully not the last one. Loyal Knight Kevin Brush (the third man in charge of club activities) got the idea from the old television show from the 1970s and early ’80s, “WKRP in Cincinnati,” and has taken precau-

tions to make it more successful. Part of that success comes from explaining the idea. “If you talk to four people, two of them will instantly start laughing, remembering the old show, while the other two just look at you,” he said. On the old show about a radio station in Cincinnati, thinking that farm-raised turkeys could fly, sales agent

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Herb Tarlek dropped live turkeys from a helicopter as a promotional event at Thanksgiving time. It was as traumatic as the Hindenburg disaster, when the flightless birds crashed to the ground. Oh, the sitcom didn’t show the tragedy. It showed news anchorman Les Nessman returning to the newsroom in shock, mumbling the infamous Hindenburg quote. Brush knows farmraised turkeys don’t fly (while wild turkeys definitely do). He promised that the Elks aren’t going to be dropping live turkeys or even frozen turkeys. Their turkeys are rubber, and about the size of quarter. All the toy turkeys will be numbered based on sales. “It is like a golf ball or ping pong ball drop,” he said. The toy turkeys will

be dropped from the Emerald Hook and Ladder fire truck if it’s back in service. (It has been out for repairs and is due back this week.) If it is not back, the turkeys will be dropped from the three-story Elks Club’s fire escape onto the driveway at the club located on Pearl Street. Parking will be roped off. The drop will take place at 6 p.m. Friday with lights illuminating the event. “We expect them to bounce all over the place, and we will probably be picking them up for weeks,” Brush noted. He explained that the three birds landing closest to the target will win 10%, 20% or 30% of the amount of money collected from the sale of the rubber turkeys and based on their distance from the target. Each turkey costs $10. They can be pur-

Photo by Kathryn Ross The Wellsville Elks Club is selling chances for its Turkey Drop fundraiser.

chased from now through Friday at the club by calling (585) 5935430 or from Brush by calling (585) 648-6237. After the prizes are paid out, the rest of the funds will be used to help support the many charities and causes the Elks Club supports, such as Little League, high school groups, community kitchens and food pantries, the Club’s sponsored Kids Hoop Shoot and a Soccer shoot

and various requests for funding. “We contribute to a lot more causes and fundraisers than people realize,” Brush said, “We just hope the Turkey Drop will grow into another fun event for the community that helps raise funds for our many projects and donations.” The public is invited to take part in and observe the Elks in Wellsville Turkey Drop.

Alfred State architecture students present designs to town of Friendship ALFRED — Alfred State College (ASC) architecture students in Design Studio 5 presented comprehensive plans to reimagine the Town of Friendship. Three groups of students

worked for eight weeks and presented their concepts and ideas to interested members of the community at Friendship Central School. The groups looked at a variety of different areas around Friendship including Main Street, Island Park and GAR Hall Community Center. The groups showed concepts for economic enhancement, community beautification, architectural rehabilitation and preservation of historical resources, and introduced new business opportunities that would be beneficial to the residents. Led by Professors Matt DiRado, Elizabeth Joyce and Alan Vlakancic, the students met with stakeholders from Friendship, Allegany County Planning Officials and the Allegany County Land Bank to learn more about the town, researched the area, and then put together presentations that included vision boards, a formal presentation of their ideas, and an animated walking tour of the concepts proposed. “I am very proud of our students,” commented DiRado. They accomplished so much in eight short weeks. They worked together as teams to develop plans from what they had learned and seen while visiting and talking to the residents of Friendship. This project gave them an amazing opportunity to apply what they are learning in the classroom with real clients.

Photo provided by Alfred State College Alfred State Architecture students presented comprehensive plans for the Town of Friendship. Three groups presented their ideas to community members that gathered in the Friendship Central School auditorium.

We hope that the village will be able to use some of the concepts that were presented as they look to the future.” “It is interesting to see that the students latched on to the things that I said when they interviewed me and they really got it,” commented Friendship Town Supervisor Russell Hall. “They have a good idea of the feel and history of the town and did a nice job making things new without erasing the

old. I am hoping that these presentations will sparks interest.” Hall continued, “If we can have something that is nice then maybe it will inspire others. Little by little we can put more than a few of these projects in to place.” The Architecture Department has done similar projects in the past with other villages; Alfred, Andover, Angelica, Bolivar, Belfast, Belmont, Caneadea, Cuba, Fillmore and Wellsville.

Allegany County Democrats collect for Alfred U. food pantry The Allegany County Democratic Committee will collect nonperishable food and personal care items for the Alfred University Food Pantry at its monthly “Coffee with Democrats” event. ACDC organizes donations for a different local charity each month and has helped dozens of organizations in recent years. In this way, the committee lives its motto “Serving our Community.” This month’s collection takes place on Saturday, Nov. 8, from 10 a.m. to noon at the Alfred Village Hall, 7 W. University St. Coffee and light

snacks will be served. The mission of the Alfred University Food Pantry is “to support the Alfred University campus community and surrounding area by providing healthful food options to those who may need them.” It specifically requests donations of canned and boxed foods, allergen-free items and cooking oils and spices as well as personal care products like tampons, shampoo and deodorant. To learn more about the Allegany County Democratic Committee visit acdcny.org.

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Borrello urges legislative hearing on NYS license plate fraud Senate and Assembly Transportation committees to convene a joint public hearing on what they see as an “alarming” rise of license plate fraud across New York. In a letter sent to state Sen. Jeremy

Cooney and Assemblyman William Magnarelli, the lawmakers described an increasingly common issue in which properly surrendered license plate numbers, meant to be permanently retired, are showing

up again on vehicles, particularly in the New York City area. Victims have reported receiving toll violations, E-ZPass bills and even visits from law enforcement tied to plates they had legally turned in months or even years earlier. “This is not an isolated issue; it’s a statewide failure that is putting innocent people through financial and legal turmoil,” Borrello, R-Sunset Bay, said in a statement Oct. 30. “After being scammed by criminals, these innocent New Yorkers have been victimized all over again by a bureaucracy that seems unwilling or unable to stop it. We owe it to them to get answers and demand accountability.” Assemblyman Scott Gray, R-Watertown, said “it is absolutely unacceptable” that residents are facing toll violations, E-ZPass bills and even registration suspensions over license plates they legally surrendered. “This administrative oversight is creating a massive headache and real distress for victims, and we must take immediate action to permanently retire plate numbers and protect our citizens from this troubling fraud,” he said. A series of investigative reports by WIVB of Buffalo has brought the issue to public attention, profiling victims from Western New York

who have been hit with thousands of dollars in fraudulent fines. One Jamestown couple was charged nearly $10,000 in tolls tied to a plate they had surrendered long ago. In another case, a resident was mistakenly linked to a downstate criminal offense committed using a plate number that was supposed to be out of use. Borrello said Department of Motor Vehicles (DMV) officials have License Plate Fraud continued on PAGE 6

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Sign-ups with higher Obamacare costs underway: What it means for New Yorkers SYRACUSE (TNS) — More than 22 million people nationwide — about 6% of the population — could see higher health care costs with Obamacare open enrollment underway. The price of Obamacare is the subject of debate during the ongoing government shutdown. Democrats have been predicting financial doomsday as the signup period approached. But that financial cliff is hitting far fewer New

Yorkers — though that pain could simply be a delay until next summer. Here’s why: Only 221,534 New Yorkers are enrolled in Obamacare, state data show. That’s 1.1% of the state population. Those people, like others around the country, could see hundreds or thousands more in premiums next year. Yet that’s a sliver of the population, especially compared with

other states facing the same predicament. New York only has 1 in 100 people enrolled in Obamacare. That’s tiny compared to other big states. In Florida, 1 in 5, are enrolled in Obamacare. In Texas, it’s 1 in 12 people. Even in California, it’s 1 in 20. Put another way, New York accounts for only 0.9% of the Affordable Care Act enrollees nationwide. In New York, many low-in-

come workers qualify for Medicaid under the Affordable Care Act expansion. States like Florida and Texas never expanded Medicaid. Those who don’t qualify for Medicaid here have generally been steered toward a different health program, called the Essential Plan. That state-run plan covers many of the working-class families that utilize Obamacare elsewhere. There are 1.7 million New Yorkers on

to treat many common ailments of the day. There are many illustrations by R. Michelle Breazeale. The 114-page, spiral-bound cookbook was printed by Alfred State College Print and Mail Services. The cookbook is currently the primary Catherine Schuyler Chapter NSDAR America 250 fundraiser, the net proceeds of which are dedicated to the installation of an impressive monument honoring the patriot ancestors who migrated to Allegany County and were among the earliest settlers, numbering over 100, whose Revolutionary War service has been vetted. Patriots who are connected to Allegany County through their descendants who later became settlers and residents are also remembered. Fundraising for this ambitious project includes DAR chapter-allocated funds, grant applications that are in progress and will soon involve additional outreach to our Allegany County communities, businesses, organizations and individual donors. The monument will fittingly be placed, along with a time capsule, flag installation and landscaping at the east end of the Park

Circle Historic District in Angelica, facing the Veterans Memorial on the west end of Park Circle. Here’s one recipe from “Our Revolutionary Cookbook,” which you will find on page 23. The recipe was adapted from “The Spirit of The Harvest, North American Indian Cooking” by Beverly Cox and Martin Jacobs.

the Essential Plan. But here’s the rub for New Yorkers: The Essential Plan is facing its own crisis. Some 450,000 New Yorkers are getting the boot from the popular program, which includes no premiums and other perks. That’s after changes made during the summer budget bill undercut the Essential Plan’s funding. Those 450,000 people may very well be confronted by high

Obamacare costs in the future. That doomsday won’t hit until July 1. For now, the debate during the shutdown revolves around expiring enhanced tax credits that lower the cost of Obamacare. Those enhancements, passed in 2021, saved families an average of $1,000 a year for people who signed up on the Affordable Health Care exchanges, according to an analysis Obamacare continued on PAGE 6

➡Cookbook continued from PAGE 1 cal, factual, genealogical interests, along with a way to honor our chapter patriots; some even have short bios included. What we ended up with is a very captivating read, enjoyed by men and women alike, from ages 8 to 80 years young. Would you like to learn how to make George Washington’s “Small Beer”? Would you like to know more about Revolutionary patriots like John Davis?

Or why we paired Jesse Leavenworth with the “Hot Toddy” recipe? Do you have any interest in the border changes of Western New York from 1763 through 1897? How about the Senecas’ Forbidden Trail? We also share little-known facts from the Revolutionary times. With “Our Revolutionary Cookbook” you can read about all of these things, as well as medicinal concoctions used

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NORTHEASTERN INDIAN PUMPKIN SOUP (Modernized) • 20 oz canned pumpkin • 1/2 tsp. salt • 1/2 tsp. pepper • 2½ tbsp. honey or maple syrup • 1/2 tsp. Allspice • 3½ cups chicken or beef broth Garnish: • Chopped hazelnuts • Roasted pumpkins seeds • Green onion slices Coat and roast pumpkin seeds on a baking sheet in a small amount of fat for 15-20 minutes. While roasting pumpkin seeds prepare the soup, place all ingredients except garnishes into a medium to large pot. Simmer 30-45 minutes until hot and flavorful. Remove from heat and serve in bowls or squash shells, garnish

Cookbook cover.

as desired and serve. Serves 4-6. To purchase “Our Revolutionary Cookbook” you may email me at lls0722@icloud. com. To purchase your copy in person, they can be found at the Allegany County Historical Society in Andover, the Nathanial Dyke Museum in Wellsville or at The Palmer Opera House in Cuba. The cost per copy is $25.

The Catherine Schuyler Chapter NSDAR America 250 Committee is grateful for the support of all purchasers. We hope that you thoroughly enjoy having a copy of this unique cookbook. For additional information contact either myself or Joan at joansinclair1776@gmail. com, or leave a message at catherineschuylernsdar.weebly.com.

➡ACCORD continued from PAGE 1 keep food on the table, ACCORD reported. In 2024, its Community Food Pantry experienced a greater than 40% increase in use, serving more individuals and households than ever before. “Food is our main concern right now,” Gooch-Christman said. “It’s our most needed and critical service, and it’s where we can use the most support and where donors can make the biggest impact.” Community Bank has donated $5,000 to the ACCORD Food Pantry, while the Wellsville Elks have donated $3,000. ACCORD will host an emergency pop-up pantry for individuals and households impacted by the SNAP disruption on Nov. 14. Registration will open Nov. 10 at 7 a.m. at accordcorp.org/pup. Space is limited, and advanced registration is required. The ACCORD Food Pantry is currently open

Photo provided Community Bank has donated $5,000 to the ACCORD Food Pantry. From left are Belinda Knight, Theresa Carl and Lesley GoochChristman of ACCORD with Julie Hall from Community Bank.

Monday through Friday from 9 a.m. to 3 p.m., closed from noon to 12:30 p.m., with walk-in services available. The organization is also exploring ways to expand service hours to include select week nights, with details to be announced. As the demand for food continues to grow, ACCORD is also seeking volunteers to help keep operations running smoothly. “We’re stocking more food, packing more boxes, and

reaching more people — all while working at or above capacity,” Gooch-Christman said. “Volunteers can make an immediate and meaningful difference right now.” Community members who are able to help are encouraged to donate food, contribute financially, or volunteer with ACCORD or their local hometown food pantry. President Donald Trump’s administration said Monday that it will

partially fund SNAP for November — after two federal judges issued rulings Friday requiring the government to keep the nation’s largest food aid program running. Associated Press reported the government says an emergency fund it will use has $4.65 billion — enough to cover about half the normal benefits. It wasn’t clear exactly how much beneficiaries will receive, nor how quickly they will see value show up on the debit cards they use to buy groceries. November payments have already been delayed for millions of people, and AP reported exhausting the fund potentially sets the stage for a similar situation in December if the shutdown isn’t resolved by then. New York Gov. Kathy Hochul, in declaring a state food emergency last week, increased the state’s commitment to $100 million to help families facing food insecurity.

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November 7, 2025

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How to introduce contemporary design in a bathroom remodel and make it work within budget (BPT) — For years, bathroom design was defined by straight lines, sharp corners and a sense of heavy minimalism. The 2010s were all about clean chrome fixtures, glossy tiles and match-everything finishes. But like all trends, the pendulum is swinging back. Today, we’re seeing softer curves inspired by mid-century design, tactile textures that add depth to flat surfaces

and finishes that don’t need to match perfectly to feel cohesive. The bathroom space itself is also shifting from utilitarian to something reminiscent of a personal retreat. With so much changing, the big question becomes: How do you bring these contemporary touches into a remodel in a way that feels fresh, functional and most importantly, within budget?

Shape: The rise of curves

Today, straight, rigid lines are giving way to softer, more organic shapes. Arched mirrors, rounded shower openings and curved vanities are showing up everywhere, immediately making any bath space feel more inviting and full of character. With curved designs becoming a go-to choice, faucet fixtures are one of the easiest ways to experiment and introduce this trend. The new Ezra™ Curve Spout Expansion from Peerless® Faucet, for example, includes a curved, arched spout and clean handle design that strikes the perfect balance between modern edge and approachability. All at a price point that makes an elevated, contemporary bathroom refresh achievable.

NEW Peerless® Ezra™ Widespread Curved Spout Faucet Surface: Texture and tactility

Flat, high-gloss surfaces are losing ground to materials with dimension. Fluted wooden cabinetry, ribbed tile and natural stone with dramatic veining are all

on the rise. Introducing these textures in your next bathroom remodel can add visual depth and craftsmanship that plain finishes can’t deliver. Pairing them with softer silhouettes can also help keep the space from feeling too heavy-handed, creating a layered look that feels thoughtful rather than busy. If premium materials stretch your budget, mix in textured laminates, patterned tile or stone-look alternatives, as these affordable options still bring warmth, movement and modern sophistication to the space.

Peerless® Flute™ Single-Handle Faucet Finish: Mixing metals with intention

The “everything must match” rule is officially out. Today, mixing metals is not only acceptable, but

recommended. If you’re renovating a bath space with limited resources or maybe can’t decide between metal finished accents, this design trend is for you. Matte black faucets can ground a space - making all the difference when paired with a brushed nickel or charming bronze finished mirror, for example. The trick is

choosing one finish as your anchor and layering the others as accents to give you a collected and curated feel.

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November 7, 2025

allegany county Community Source

home improvement remodel, it’s important to keep in mind that design conversations aren’t just about looks anymore; performance and responsibility are now part of the package. Wet rooms and spa-style showers are redefining what a bathroom can be, and they don’t have to cost a fortune. Using simple upgrades like a rainfall showerhead, frameless glass panels or budget-friendly waterproof wall panels can create that spa-like

feel without a full gut renovation. Accessibility is also increasingly important, especially as about 75% of adults over 50 want to stay in their current homes or communities as long as possible. Features like ADA-friendly handles ensure the bathroom works for everyone, both now and in the future. For this, the latest Peerless® Precept® Bathroom + ADA expansion fits perfectly. It offers functionally

designed options that combine style, ease of use and efficient performance.

Peerless® Precept® ADA Tub and Shower A contemporary blueprint

Bathrooms today are about balance: Curved lines soften bold textures, mixed finishes create layers of personality and efficient fixtures deliver performance and functionality without compromising

style. Taking inspiration from current bathroom remodel trends makes it easier than ever to recreate a space that feels contemporary and thoughtfully designed without requiring a large investment. By embracing these trends and crowdsourcing the right fixtures and/ or products, bathroom remodels can achieve the ideal combination of contemporary appeal, lasting value and affordability.

National Election Hero Day ➡Obamacare The League of Women Voters of Cattaraugus and Allegany Counties celebrated Monday, the day before Election Day, as National Election Hero Day, by delivering home-baked cookies to the boards of elections in Allegany and Cattaraugus counties. “The election heroes who work at

the BOEs strive all year long to provide a reliable, safe and secure environment for citizens to exercise their right to vote at local, state and federal elections,” said Margie McIntosh, president of LWV in the counties. “We greatly appreciate these dedicated neighbors, friends and family who are

committed to doing this good work.” Shown at the Allegany County Board of Elections are (from left) Julie Jones (Republican clerk), Barb Broughton (Democratic deputy commissioner), Marcy Crawford (Republican deputy commissioner)

and Erika Gaboriault (Democratic clerk). For more information about LWV, email cattarauguslwv@gmail.com.

by non-profit KFF. Those tax credits will return to lower levels next year unless Congress extends them. Democrats say they won’t vote to reopen the government until those enhanced credits are extended. Republicans say they won’t negotiate until the government reopens. Separately, the 221,534 Obamacare enrollees in New York are facing dramatically higher premiums next year, which were

continued from PAGE 4

approved recently by state regulators. Fallout from the shutdown continues to grow, with federal workers missing their first paycheck last week. Millions who rely on food stamps are also bracing to miss their benefits starting Saturday. While the Essential Plan faces an uncertain future, it is offering a shelter, of sorts, for 1.7 million New Yorkers. For them, nothing changes Nov. 1.

➡License Plate Fraud continued from PAGE 3

110 110

been unable to explain how surrendered plate numbers are being re-used by bad actors. He said DMV officials claim their system marks surrendered plates as inactive, but mounting evidence suggests lapses in chain of custody, recordkeeping or data security. Borrello and Gray have introduced legislation to strengthen penalties for license plate fraud but note the scale and complexity of the issue call for broader legislative scrutiny.

They are urging the Transportation Committees to schedule a public hearing when the Legislature reconvenes in January to gather testimony from affected residents, DMV officials, law enforcement, and tolling entities. “This isn’t just a technical glitch; it’s a broken system that is damaging lives and eroding public trust,” Borrello said. “We need to find out where the system is failing and fix it.”

allegany county Community Source

November 7, 2025

7 ways to honor active military and veterans A major portion of the North American population is comprised of people who are actively serving in the Armed Forces or those who once did. USAFacts reports the military included 2,079,142 military personnel and 778,539 civilians as of September 2023. In 2023, the U.S. Census Bureau estimated there were 15.8 million veterans in the U.S. In Canada, the 2021 Census of Population found that 97,625 Canadians were serving in the Canadian Armed Forces while 461,240 Canadians were characterized as veterans. Military men and women work tirelessly and selflessly to defend their countries’ ideals

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a community and honor service personnel at the same time. • Support veteran-friendly policies. By supporting policies and organizations that prioritize veterans’ rights, individuals are showing veterans they care. Policies that ensure veterans have access to services they need warrant everyone’s support. • Donate to a nonprofit that supports veterans. Many charities do important work to bridge the gap in care

or services needed by veterans or active military members. Using hard-earned dollars to fund these nonprofits is money well spent. • Ask a veteran to be a keynote speaker. Schools or businesses can ask military members to come in and speak to groups about their experiences. Newspapers and other local publications can write about veterans and share their stories. continued on PAGE 8

November 7, 2025

• Pay respects to the country. A simple way to honor veterans is to embrace and showcase national pride. Flying the country’s flag in front of homes and businesses is a first step. Attending patriotic events, such as parades and memorials, also is a way to honor veterans and others. • Keep cemeteries clean. Respect the hallowed land that is the final resting place

for veterans by volunteering to tidy up around headstones and other markers. On key calendar dates, such as Memorial Day, help with the placement of flags on every veteran’s grave as a token of thanks for their sacrifice. • Volunteer at a VA hospital. Now more than ever VA hospitals may be shortstaffed and have need of more volunteers to help with various ser-

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vices. Volunteer work can include visiting patients or running recreational activities, both of which can boost the spirits of veterans receiving care. Honoring veterans and other military personnel doesn’t have to be difficult. Beyond a simple “thank you,” there are many steps people can take to show their gratitude to active military personnel and veterans.

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Asthma and chronic rhinosinusitis: How one condition can worsen the other (BPT) — If you live with asthma and struggle with chronic sinus problems, the two conditions may be more connected than you think. Chronic rhinosinusitis is long-term swelling of the nose and sinus passages that lasts for 12 weeks or more. It causes ongoing congestion, facial pain or pressure, postnasal drip and difficulty with sense of smell. Sometimes chronic rhinosinusitis can cause small growths in the nose called nasal polyps. These are soft, painless, noncancerous lumps. Globally, about 5-12% of people live with chronic rhinosinusitis, and up to 30% of them also develop nasal polyps. When both conditions are present, it’s called chronic rhinosinusitis with nasal polyps (CRSwNP).

How does CRSwNP affect asthma?

Chronic rhinosinusitis with nasal polyps can worsen asthma. The nose, sinuses and lungs are part of a “united airway.” Any inflammation in the upper airways can trigger asthma symptoms and flare-ups in the lower airways. Polyps can also disrupt airflow. Due to the chronic nature of the conditions, people with CRSwNP and asthma tend to struggle with worse quality of life.

What causes CRSwNP?

The exact cause of CRSwNP is not fully understood, but several factors contribute to its development. Sinuses and nasal passages are lined with a protective mucosal barrier that blocks germs and irritants. In

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people with CRSwNP, this barrier is weakened. When microbes and irritants get through, they can trigger long-lasting inflammation in the sinuses. Over time, this constant inflammation can change the structure of sinus tissue, leading to the growth of nasal polyps. People with both CRSwNP and asthma may also have high levels of immunoglobulin E (IgE) antibodies and/ or eosinophils in their body. • IgE is a protein in your blood that helps fight germs. In some patients, it can cause allergic reactions. • Eosinophils are white blood cells that fight infections. Too many can increase inflammation. It’s important to get an accurate diagnosis. Your healthcare

provider will take a detailed history of your symptoms and perform a physical exam. Additional tests may include: • Lung function tests. These can help diagnose or reveal the severity of asthma. • Blood tests. These can help determine levels of IgE and eosinophils for both asthma and CRSwNP. • Sinus CT scan. Images of your sinuses and nasal cavity can reveal the severity of CRSwNP. • Nasal endoscopy. This involves a tiny camera inserted into your nasal passages to search for polyps. • Allergy tests. These help identify allergies that could be triggering symptoms. (They are also used to diagnose allergic asthma.)

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CRSwNP triggers often overlap with asthma triggers. They include allergens such as pollen, mold or pets. Nonallergic triggers include respiratory viruses, tobacco smoke, air pollution and cold, dry air.

How to treat asthma and CRSwNP together

Asthma and CRSwNP require different treatments. Medications are available. Working together with your doctor to manage both conditions gives you the best chance for relief and better breathing. For asthma, it’s essential to keep symptoms under control. Most people use a daily controller inhaler with an inhaled corticosteroid. These medications can help reduce inflammation and keep the airways open. Quick-relief inhalers are also available for sudden asthma symptoms or attacks. For CRSwNP, corticosteroid nasal sprays are the first-line treatment. They can help reduce swelling and inflammation in the nose. A short course of oral corticosteroids can shrink polyps and improve a stuffy nose, but long-term use can cause serious side effects. If medications aren’t working, surgery to remove the polyps may be an option.

Biologic medications can treat asthma and CRSwNP together. Given as injections every 2-4 weeks, they are often a good choice for people with moderate to severe symptoms who haven’t found relief with other treatments. Biologics target the underlying inflammation, not just the symptoms. They help reduce airway swelling, improve breathing and can even shrink nasal polyps. Some biologics are specifically approved for people with high IgE or eosinophil levels. This can help patients maintain control of both asthma and CRSwNP. Healthcare providers may also recommend lifestyle changes, such as avoiding triggers. This can also help reduce asthma and CRSwNP symptoms and help you feel better.

How to start taking control

If you have asthma with chronic sinus symptoms, it’s time to meet with your healthcare provider. Consider seeing a specialist such as a board-certified allergist. Ask about testing for CRSwNP, since sinus problems and nasal polyps may be making your asthma symptoms worse. Visit AllergyAsthmaNetwork.org to learn more about asthma and CRSwNP.