Hi there fellow travelers,
I'm hoping to visit Cuba in the Fall of 2017, but I'm an asthmatic and I've heard varying things about the air quality. I've seen complaints that the air quality rivals that of Beijing, or is even worse (I've never been, so I can't use that as a measuring stick for how I'll react.) I do NOT take a daily inhaler (weight gain canceled out any benefits). I do take a pill and have a rescue inhaler, and treat the allergy aspect of things in other ways. Most of the time, the asthma is well controlled (stairs or hills can affect me if I go too fast, but I'm working on the exercise part of things). I read advice that you can medicate your asthma successfully through a trip to Cuba, but I'm extremely reluctant to start up with a steroid inhaler again just so I can visit there.
If the air is a problem, would a guided tour with a bus and focusing on more rural areas help be advisable? It's not our preferred way of travel, but I am not sure I should get into those older cars too often to get around. I have no sense of how the exhaust might affect me - cars are newer here in NYC, plus I haven't driven regularly since before I developed asthma.
I can't really know how I'll be affected until I get down there, but any first-hand info will help me weigh the pros and cons. I'm very eager to visit Cuba as soon as I can, and I'll be devastated if I have to decide it's not the best idea for me.