Episode Transcript
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(00:00):
So if you look at most air quality measurements, it's 2.2
miles, 5 kilometer gridded data.And so that's not very granular
data and it's not very personal,right?
It's a public health approach. It's like it's a distributed
model where they tell you what the severity of the exposure is,
but they don't tell you the intersection of your
physiological response to those exposures, right?
(00:22):
There's no connection from a health perspective.
So I was really interested in that particular area when I
started that. So I became and to develop Daily
Breath and in the process of developing that, my passion
comes from this particular story.
And this was prior to launching my first MVP in 2017.
There was a young girl in Iowa who was on travel with her
(00:45):
family. Welcome to Sustainability
Transformations podcast where wediscuss bold ideas to drive
positive change for people, the community and business.
And today's guest is visionary, health driven, data, smart,
purposeful, a systems thinker. Eric Kloss is the founder and
(01:08):
CEO of Daily Breath, a digital health platform empowering
people to understand how air quality and environmental
exposures are shaping our health. 1 symptom at a time.
And the key goal of our discussion is to connect health,
sustainability, and innovation, but ultimately the air we
(01:28):
breathe. Why environmental health is the
missing piece in climate action Welcome Eric.
What inspired you to launch Daily Breath, and how did your
personal journey shape the platform's mission?
Sure. So thank you for letting me join
Sustainability Transformation. I really appreciate this
opportunity. So a daily Brush started out
(01:51):
with the idea that environmentaldeterminants of health have
really been neglected by the medical community and that kind
of was driven by an inspirational moment.
My sister has rheumatoid arthritis and she was living
with my family at the time and she came down 1 morning with
kind of, you know, you sometimeswhen you have a flare up with
rheumatoid arthritis, your, yourhands are kind of rigid because,
(02:14):
because you know, your joints are just, you know, stiff,
right? And so she kind of said, you
know, Eric, it'd be interesting if there was a mobile app that
told you when the weather was changing, like the barometric
pressure was changing or things like that, which are impacts on
rheumatoid arthritis. So at the time, it just kind of
struck me as a weather and environmental determinants of a
health. I wonder how those play into
(02:35):
health, right? And so kind of when I started to
look into that, you know, you will look at metrics that say,
you know, maybe 10 to 15% of, you know, our health is
determined by the environment, our environment, right?
And so you start looking at thatand going, OK, well, what health
conditions are most impacted by the environment?
So you can go down that list. Do you start looking at
respiratory health? Well, clearly respiratory health
(02:57):
is the one that's most impacted by air pollution.
In the case of people who have allergies and allergic asthma or
allergies and a respiratory condition, they may have
symptoms that are literally prompted by or by a response
from that to that particular environmental exposure.
So, you know, that's one area respiratory health,
cardiovascular migraines and headaches, you know, are often
(03:19):
caused by the weather, arthritisand joint pain.
If your grandmother has a sore knee, it might because the be
because of the weather, right? So that was what really
initially prompted my interest in it.
I decided to focus on respiratory health.
And this was, you know, literally 20/17/2018 when I
started with started developing MVPS mototypes for integrating
(03:42):
weather and environmental data and then trying to create a
symptom tracker that would connect for the user, for the
patient. Essentially that correlation,
you know, what types of variables are, you know, those
conditions that are causing me to have symptoms, right?
Because the one thing I noticed as I did that exploration was
most of the data that was being generated was not necessarily
(04:05):
very granular. So if you look at most air
quality measurements, it's 2.2 miles, 5 kilometer gridded data.
And so that's not very granular data and it's not very personal,
right? It's a public health approach.
It's like it's a distributed model where they tell you what
the severity of the exposure is,but they don't tell you the
intersection of your physiological response to those
(04:28):
exposures, right? There's no connection from a
health perspective. So I was really interested in
that particular area when I started that.
So I began to develop daily breath and in the process of
developing that my passion comesfrom this particular story and
this was prior to launching my first MVP in 2017.
There was a young girl in Iowa who was on travel with her
(04:51):
family. I think they went to Nebraska
for 1/4 of July weekend and she had spent the day at a amusement
park and then that evening went to a hotel with the family.
I went into a chlorine pool, youknow, a pool with a lot of
chlorine in a hotel, you know, which is not surprising, and had
an asthma attack, was down for about 20 minutes.
But the story itself was not theissue.
(05:12):
The issue was the article I readsaid doctors trying to pinpoint
triggers for 15 year old girl inthe ICU.
Well, she had been down for about 15 to 20 minutes not
breathing. So that's a severe episode.
And she ended up being a paraplegic.
And tragically, you know, I learned in December of 2024 that
she died. So here's a 15 year old who died
(05:34):
by the age of 23 because she hadhad what I described as
potentially preventable asthma attacks, right?
They're potentially preventable.If people know more, they can do
more, they can take preventativeaction, they can prevent these
attacks. And so that really just was
what's inspired for me, this concept of pinpointing triggers.
And so you'll see within the Daily Breath mobile app, there's
(05:56):
maps that actually track where people are being having their
symptoms and that's kind of pinpoint.
So there's a PIN for where you're having your asthma
attack. So that gives you a risk
variable of where in your community you're having an
asthma attack. But then also starting to
connect the what? And I have developed a model,
model where I call it personalizing public health.
We want to actually provide you risk information based on your
(06:20):
experience of symptoms in relation to those various
environmental factors. So the app tracks in the
background your symptoms and those environmental conditions.
And over time, the idea is to apply AI or machine learning to
that back end data so that you can create your own personalized
risk and index over time. So that's kind of the background
(06:41):
for it. In the interim, climate change
is obviously a massive driver and and the visibility of the
topic of the impacts of pollution on our health have
accelerated immensely, both because of the climate change
issue as well as COVID, you know, raising the visibility of,
well, wow, the air you breathe indoors, you know, is this
concoction of things, whether it's a virus that's being passed
(07:05):
or whether it's pollutants in the air or allergens in your
home. So I think those two issues have
really accelerated the discussion and made, you know,
the opportunity even greater fordaily breath.
Yeah, that's amazing. Perhaps before we go into the
opportunities, why has environmental health risk,
especially from the air quality discussions, being so overlooked
(07:27):
by both medicine? Yeah.
So the interesting thing on the medicine side, I can't really
explain that. I think it's very surprising.
I think what we're seeing now isthe emergence of things like
functional medicine and areas where people are realizing that
there's a whole host of things that 'cause sickness and cause
(07:49):
severe symptoms associated with sickness, right?
You know, you can see that we have had a sick care system for
years and our system is wired toinvestigate that sickness and
create medication treatment, right?
And so you have the whole paradigm between, you know, the
hospital treatment and the, the,the pharma and the medications
(08:12):
kind of driving our system. You know, it's called sick care
codes. Our whole system, at least in
the United States, is driven on what's the code that I can use
to get payment for administeringtreatment for this particular
condition, right. So those things are kind of how
the alignment is. There's not a lot of mechanisms
within our current healthcare system that incent people to
(08:35):
focus on preventative health, right, to avoid either people
contract contracting a particular condition or getting
a particular condition, or more importantly, having specific
symptoms that are associated with conditions that when not
arrested cause serious outcomes like ER visits or inpatient
hospital stays or even death, right.
(08:56):
And so that's been the real challenge is how do you reorient
an entire system? Reorient maybe the focus on a
hospital based system and a medication based system into
let's prevent people from going to hospitals.
Let's prevent people from have requiring medications to address
certain issues. Because part of the biggest
(09:17):
thing that I discovered as I ventured into areas like asthma
and allergies and COPD and some of these things is even in the
case of treatment, 50% of peoplewho have are, are required to
take control of medications, which is a daily use inhaler.
They, they don't take it. So only 50% adherence to taking
a daily regimen that's really required if you have asthma or
(09:40):
COPD. And then there's a large percent
of people who may use the medications, but don't use the
inhaler properly. So they're not getting that
medication into the lungs. So there's many, many gaps in
care even in the paradigm aroundtreating that particular
sickness. But the real orientation is the
system itself and, and the, and the stakeholders, the medical
(10:02):
stakeholders and in it are not really focused on preventative
health and Wellness. And that's where I think we are
trying to a, you know, I call ita track, earn hoe and act
because it's personal. It's about the air you breathe
in your health, right? So track your symptoms, earn
your triggers, know when those triggers may impact your health
(10:23):
and then take action to prevent those impacts, Right.
So that's one of the biggest thing I think I can't remember
what your second question is. Oh, technology.
So on the technology side, again, it goes back to some of
the available metrics. So when I started this process,
the data that was available was government based, it was EPA air
quality, it's called air now is their data program.
(10:46):
And they had very few sensors across the United States.
And then they extrapolated that data down to a 5 kilometer
gridded level. And again, that's not very
granular. It's not based on a high level
of ground level measurement. And then Pollen's even another
story. There's a very antiquated way
that they detect pollen. It's, you know, kind of flypaper
(11:07):
that catches the allergen spores.
And then someone physically has to observe them, identify what
type of allergen it is and all this other kind of stuff.
So you don't have granular data and granular data and you don't
have specific data like people think they're allergic to a
trees in general, but they're actually often allergic to a
specific type of tree. You may be allergic to an oak
(11:28):
tree, but you're not allergic toHickory, right, or whatever.
So we that that's one of the bigger deficits.
Now you probably have seen there's been a proliferation of
satellite observe observational data for air quality.
There's been a proliferation of ground level measurement
companies, companies that are doing more fixed sensor networks
across the world, or they're youeven mobile networks.
(11:50):
There's a company that has, theyput their air quality sensor on
top of cars or vehicles and thatmeasure air quality or measure
pollution. And then the most recent thing
is some wearables that are coming out and, and that's kind
of a key chain or some people are working on like a necklace
or a bracelet or something like that, that tracks things like PM
2 point, then ozone and CO2 and some of those variables.
(12:12):
So that's been another area where, you know, a lot of my
colleagues and friends that I'vetalked to, I, I tried to explain
that we're really still in the second inning of a nine inning
baseball game. We're very early stage in this
whole environmental health area as it addresses health.
And, you know, for my part, I feel like I was probably 10
years ahead of my time. Right now, things are really,
(12:35):
really just starting to generatea lot of activity and interest
because I have a platform in place, you know, things that I'm
looking at now or how can I connect to the wearables that
are out there, right? Because those wearables are
nice. They're tracking them the air
quality measurements, but they're apps that they create
that are linked to their device.Just track the air quality that
way. They don't have that symptom
(12:56):
tracker, right? And So what I'm trying to do is
say, OK, well, what I'm really trying to do is connect the
symptom with the most granular data.
So if I'm trying to provide a personalized health model for
this, the best way I can do thatis by actually connecting to
these wearables that are becoming available.
And then when you look at that air quality measurement, that's
not a 5 kilometer gridded data measurement, that's, that's a
(13:19):
data of of the PM 2.5 particularthat you're breathing in around
your body, right. And so that is I think very
powerful information for making that correlation.
And more importantly, my argument is that if you know
those metrics and you know that they have an impact on your
personal symptoms, you're much more inclined to take those
(13:42):
preventative action steps. If that's an air purifier in
your home, if that's wearing a mask on a particular day,
there's even some things that have been coming out in the
market about wearable air purifiers.
A company called Respire has this thing that you know what
you wear around your network. Now, ironically, I have this is
this is an air purifier, wearable air purifier.
(14:03):
It has a very low sounding fan that brings the particulates
into this before they get to your nose and everything else.
And that's again, that's first generation technology, but it's
aimed at addressing this particular issue is how can we,
I call it clean or clear the airwe breathe, right?
(14:24):
There's a perception that this is a big global problem and yes,
it is. But policy alone is not going to
solve the problem. And at a personal level, you
can't afford to wait for policy to make the change.
You have to figure out what are the interventions you have to
take on a daily basis to preventbad outcomes that may occur to
(14:45):
you. From a users perspective, how
does it work in? I know you've touched on some of
it, but how does it work from a user's perspective?
Yeah, sure. So it's a digital health app, so
it's available on Google Play orthe Apple App Store.
You can go to www.dailybreath.com and then
they'll have some links for you to download the app, or again,
find them in the stores. Once you've downloaded it, it
(15:08):
has immediate functionality. You can see your daily breath
forecast. So what that forecast is, is
it's pulling based on your geolocation data.
You know, right now that's the data I described, which is 5
kilometer gridded data for things like PM 2.5 and ozone and
pollen thresholds. And then it has other weather
variables. The thing that was very
(15:28):
interesting about some of the. So I had a team do some climate
research as they were investigating this and they
correlated some of this weather variables with asthma incidences
like ER visits in a particular city and that kind of thing.
And what we ended up doing for the forecast was creating an
algorithm. And to give you an example, what
we determined in our research was that on days when
(15:49):
temperature pictures were above 80° and the humidity was above
50%, pollutants in the air had agreater impact on asthma
patients, right? And so we created this daily
breath risk index to actually make that correlation and say,
OK, well, if the air quality says it's this bad, let's
(16:09):
increment that by plus one because we know it's an 80°
temperature day and it's 50% humidity.
And then there's two things on the bottom.
That one's an impact summary and1's recommendations.
So the impact summary tries to explain that correlation, right?
So what I learned as I was doingthis research and, and it drew
upon the research this team had done was because it's warmer and
(16:32):
hotter particulates tend to adhere more closely.
So that's more dense. The pollutants are more dense,
which when you think about it, then those pollutants are more
easily inhalable into your mouthand into your Airways.
And therefore, that's why it's more problematic for you if you
have asthma, right? So, you know, that's what that
impact summary tries to describeis why it would have greater
(16:54):
impact if a particular temperature threshold or
something like that is different.
The other thing is that recommendations, right?
So if that's the case, well thenwhat should I do that day?
Well, maybe I should wear a mask, right?
You know, and that's kind of thethings that you know are on the
right are more or less like, OK,based on some of these
variables, you know, what are the recommendations?
(17:14):
Well, if the hottest time of theday is at 2 and at two to four,
5:00 PM in the afternoon, then maybe do a lot of your
activities outside in the morning, right?
So those kinds of recommendations.
So that's what the app does initially is present you a daily
breath forecast. You have an opportunity to click
the symptom button and record your symptoms.
And again in the background, that's kind of making that
(17:37):
correlation. And then there's both a symptom
map for yourself and then a community flare up map, which is
something that I think is another dynamic opportunity with
our technologies, right? With geolocation, we can, I call
it crowdsourcing for the public good, right?
And if you have a community symptoms map and you're
recording not just the individual's location so they
(17:58):
can benefit from an understanding of risk, but you
can see a community flare up mapto see where lots of people are
having symptoms. Then, you know, those areas
might be where there's large pollutants, number of pollutants
or those areas might be if they're allergy symptoms that
for being recorded, that may be an area where there's a tree
line of trees that are potentially our our genetic for
(18:21):
you. And so I, I think that that's an
interesting thing because that could be a proxy.
Sometimes if you get enough symptoms, you could be looking
at particular areas in a community where you go wait a
second. Lots of people and, and I've
seen this in the in the data andin the maps, a lot of people are
experiencing symptoms in highwaycorridors, right.
Well, that's that's not surprising, right?
I mean, if you have have asthma and you in housing, this comes
(18:44):
into the whole discussion of underserved populations or
vulnerable populations, right? Many times their homes might be
closer to a highway area, right?And so you have nitrogen dioxide
being emitted from those high traffic areas and that's a
pollutant that's very irritatingfor asthma patients.
So I think that the, the, the maps have an interesting
(19:06):
opportunity as we kind of continue to evolve and record
more data. So that's the initial thing.
And then we have a real low entry point.
There was a paid version for theapp and what we do there is we
try to personalize and customizesome of the features.
Like if you want a favorite locations that you go to
frequently, you can favorite those locations.
I also put some notifications inthere.
(19:28):
So it prompts you to actually check your forecast periodic
times a day. Maybe you check your forecast in
the morning, you check it at lunch, and you check it at 3:00
PM when your kids going to be getting out of school and doing
some after school activities, right?
So there's some scheduled notifications in there.
There's also a reporting mechanism where we can show, OK,
(19:50):
here are the actual variables that were recorded when you
recorded this symptom. And that's an area of
opportunity where, you know, over time, you know, save it to
a CSV file, save it to APDF and,and maybe take it to your
doctor, right? I mean, here's just a, hey, this
is, I, I noticed this is, is identifying that I'm having
problems with this particular allergen or, you know, that kind
(20:12):
of thing. And I'd like to get.
I tested for tree allergens because this is showing me that
I might have a tree allergy, right?
Or stuff like that. So there's a lot of
opportunities, I think to do that right now from a visionary
perspective, I think we're looking at, you know, this
Bluetooth enablement to the wearable devices.
I want to be kind of universal, I want to be open.
So as additional wearables emerge in the marketplace, you
(20:36):
know, I certainly am going to test out with a company that's
out there right now doing it. But a lot of people are working
on this technology and trying toexpand the number of pollutants
that are tracked by the individual wearable.
And so that's kind of the next progression.
And I think that most likely will be more of a premium
version. I'm talking to my developer
about looking at that and sayingit, you know, maybe that's the
(20:56):
version where we implement more AI machine learning, IOTI have
Internet of Things, sensor connections and stuff like that.
Because the idea is that, you know, whatever is the closest
available data source for your pollutants and allergens, that's
what I want to pull from, right?So within the app, we're trying
to build that technology into it.
(21:17):
That was going to be my next question around the tie in with
the wearables which you've answered.
But yes, there is the asthma andthe well known diagnosis, but
those of us that may see that weare occasionally exposed to cold
or other things. What are some of the key actions
that can be taken to start to monitor from the results from
(21:40):
the app and start asking how do we then start asking questions
whether to our doctor? How does that conversation start
considering the existing healthcare system is more
reactive as opposed to being proactive?
Yeah, and right. And you hit the nail on the
head. I think that that's an uphill
struggle to a certain extent andit needs to be initiated by the
(22:03):
patient. The patient's going to be the
mover and driver here because they're they're the one actually
experiencing it, right. So I'll give you an example.
What's been interesting about the changes over the last
several years is we see that extreme weather events are
actually becoming more and more impactful.
So there's three different areaswhere I would cite that one is
extreme heat, right? And so, so one of the reasons I
(22:26):
pivoted the product from daily breath, allergies and asthma to
daily breath, the air you breathe in your health was
because the evidence over the last, I'd say five years has
been increasing for OK, well, maybe it's not just respiratory
health, maybe it's not just cardiovascular health, but how
are pregnant women, women experiencing wildfire smoke?
(22:46):
How are the elderly and childrendealing with wildfire smoke?
How is heat impacting these pollutants?
And we talked about that a little bit earlier with the how
the risk index is calculated. And then the third is kind of
extreme precipitation. One of the things I wrote
recently about was why are we surprised that areas on the East
Coast are having higher levels of pollen when Helen came
(23:11):
through the southeast and dumped32 inches of rain right in a
very, very short period of time?Well, the plant growth with that
type of saturation of of the soil is probably massive this
spring and that's what caused the pollen intensity.
So we see that extreme weather events, strain precipitation
(23:35):
events, we talked about the wildfire smoke.
All of these extreme events are impacting broader populations.
So that's where where the topic might have been specific
conditions and those conditions are still the ones that are most
impacted from a negative outcomeperspective.
Like we'll talk a little bit about kind of the incidence and
(23:56):
economics, right? I mean, the issue with asthma is
imagine if there are 30,000 asthma symptoms experienced in
the US every day, right? The metrics are about 5000 of
those are incidences where people can't recover their
breathing sufficiently with inhalers or whatever they're
doing that they have to go to the ER OK, So thousand ER visits
(24:20):
every day in the US and then of those, 1000 of those lead to
inpatient hospital stays, right?And then 10 people every day die
of an asthma attack in the United States.
So if you look at those metrics and look at the economics of Ed
visits and inpatient hospital stays and the cost of those
stays, right, And think about itin terms of what would it take
(24:41):
from an expenditure perspective,from a preventative point of
view to save 3 to $5000 in ETR visit, let's say, for example,
right? So that's where we have to look
at it and realize for specific populations that have
potentially serious impacts to an exposure, we have to do
(25:02):
better job of prevention. But for the larger population in
general, we have to do a better job of tracking, you know, their
experience of as of, of symptom of, of exposures on a, on a
frequent basis. And you know, I've been thinking
about building this into the app.
You know, how many days have youbeen exposed to wildfire smoke?
(25:22):
Because again, we don't know what the longer term impact of
wildfire smoke is. If wildfire smoke is present for
a week or 10 days or whatever. Los Angeles would be a perfect
example of this. If it's around for seven to 10
days and you're exposed to it, maybe we should be tracking that
You're exposed to that because you're within the plume of
(25:44):
smoke. It's impactful.
And over time we would be able to look at that and go, well,
wait a second. This person started developing
an asthma symptoms and then now has been diagnosed with asthma,
which they didn't have before. They were exposed to the
wildfire smoke. So maybe those 10 days of
exposure really must have impacted them, right?
So that's where I think there's just going to be a lot more
(26:05):
growth. There's a lot of research
institutions that are, you know,working on the research
associated with these types of correlations that I call.
But what's valuable is that we're also building this data on
the back end. And, and I'm currently looking
for, you know, an academic medical research partner that I
can actually share my database with of symptoms.
(26:26):
And we can join in a partnershipto really discover these
correlations and bring greater and greater value both to the
app, but more importantly, just through these findings, really
share that information with the general public.
And, you know, so they appreciate that there's multiple
ways that these particular pollutants are impacting and,
and at the end of the day, I want to drive the, the
(26:48):
interventions that help people on a daily basis.
But it if it informs the public as to motivation for them to
take policy action or to move towards policy action, that's
great. I mean, you want it to be
supporting good policy action moving forward because of the
threat. A final question around what can
(27:10):
the storytelling or the communication around these
impacts of air quality? What are the climate change
advocates missing? What can they learn from your
discovery so people can relate to their personal life about
impact of climate change compared to a global warming?
Yeah, I mean, so, I mean, I think the challenge for me and,
(27:32):
and it it's difficult because every day I can pull, I pull
Google articles and I can literally maybe every day, every
other day I can pull an article that talks about a 15 year old
or 22 year old or, you know, a father, a 35 year old father of
(27:52):
two that dies of an asthma attack or, you know, And so to
me it's like this is a here and now problem, OK.
And it's a here and now problem that it's impacting people.
It's impacting fathers, families, parents, you know,
tragically. And and so it's like, yes, it's
in the scheme of things. There's this number that puts
(28:13):
out air pollution is going to threaten 7 million people
annually, you know, because of climate change or whatever you
want to call it. Those are those, to me, they're
very esoteric numbers. It's like that's just way up
there in the clouds. And it's like those numbers
don't drive. What drives the action is those
personal stories and understanding that there's a
(28:34):
personal impact. The reason the person, the young
girl, the 15 year old girl, is that she's not counted in the
deaths, but her life was tragically impacted by an asthma
attack. Her entire family was
dramatically impacted when she had that asthma attack at at
1578 years ago. And ultimately she died of that
(28:56):
asthma attack in December of 2024.
So it's these stories that I think we have to understand and
associate with action. Now, I totally, I appreciate I
was just involved in something called the Exposo Moon Shot
forum where we're trying to document the human exposome much
the way the human genome projectultimately documented a gene.
(29:18):
And that accelerated the whole range of growth opportunities in
health by mapping genes and, andbeing able to begin to figure
out how do we address genetic disorders and things like that.
Now we're trying to do the humanexposome, and there's a goal of
trying to map the entire human exposome by 24, and that's
great. But at the end of the day, don't
(29:39):
let the perfect be the enemy of the good.
Let's track what we can right now so we can stop negative
impacts from occurring today. Huge thank you to Eric.
If listeners want to find more of your work, where can they
find you and what's your final thought?
Yeah, buw.dailybreath.com and again, Daily Breath mobile app
in the Apple App Store or Google, Google Play.
(30:01):
And you know, I just think, you know, this is a time for action.
Each of us is being impacted by our environment outdoors.
And the goal here is for you to recognize that it's impacting
you personally and take action and take action by first being
fully informed about the weatherand the environment and how they
do intersect with your body personally, right?
(30:22):
And I think that will motivate you to take the action to do
what's important for you for airquality in your home indoors and
then potentially outdoors on very problematic days.
Great. Thank you so much, Eric.