When the red tide cells rupture, they release extracellular brevetoxins into the environment. Some of those stay in the ocean, while other particles get aerosolized. During onshore winds, brevetoxins can become aerosolized by bubble-mediated transport, causing respiratory irritation, bronchoconstriction, coughing, and wheezing, among other symptoms. On a windy day, avoiding contact with the aerosolized toxin is recommended. These individuals report a decrease in respiratory function after only 1 hour of exposure to a "K. brevis" red-tide beach and these symptoms may last for days. People with severe or persistent respiratory conditions (such as chronic lung disease or asthma) may experience stronger adverse reactions. The National Oceanic and Atmospheric Administration's National Ocean Service provides a public conditions report identifying possible respiratory irritation impacts in areas affected by red tides.