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This report, prepared by the Environmental Law Institute and the Children’s Environmental Health Network, provides an overview of how state policy addresses indoor environmental exposures in the child care setting. The report describes the state of state policy today and highlights notable examples to assist policymakers, agency officials, non-governmental organizations and associations, and others who work to advance quality child care and promote children’s health.
Asthma Friendly Policies, Community Setting, English, Day Care, Document (PDF, Word, Excel), Website, School
Neighborhood poverty, urban residence, race/ethnicity, and asthma: Rethinking the inner-city asthma epidemic
A new study challenges the widely held belief that inner-city children have a higher risk of asthma simply because of where they live. Race, ethnicity and income have much stronger effects on asthma risk than where children live, the Johns Hopkins Children's Center researchers reported. The investigators looked at more than 23,000 children, aged 6 to 17, across the United States and found that asthma rates were 13 percent among inner-city children and 11 percent among those in suburban or rural areas. But that small difference vanished once other variables were factored in, according to the study published online Jan. 20 in the Journal of Allergy and Clinical Immunology. Poverty increased the risk of asthma, as did being from certain racial/ethnic groups. Asthma rates were 20 percent for Puerto Ricans, 17 percent for blacks, 10 percent for whites, 9 percent for other Hispanics, and 8 percent for Asians, the study found.
Community Health/Outreach Worker Tool, Community Setting, English, Document (PDF, Word, Excel), Education/Outreach Materials, Environmental Assessment/Checklist, Home/Housing, Other
Healthy Cleaning & Asthma-Safer Schools: A How-To Guide, is a new set of guidelines that helps school districts go green and save money by transitioning to asthma-safer cleaning products and practices.
Education/Outreach Materials, School
Asthma is often poorly controlled. Home visitation by community health workers (CHWs) to improve control among adults has not been adequately evaluated. This study tests the hypothesis that CHW home visits for adults with uncontrolled asthma improve outcomes relative to usual care.
Asthma Care Plan/Action Plan, Document (PDF, Word, Excel), Home/Housing
This document provides codes used to bill Medicaid within states for asthma care services, including descriptions of services covered. The information can be used to advocate for expanded Medicaid and private payer reimbursement in your state.
Asthma Friendly Policies, English, Document (PDF, Word, Excel), Health Care Setting
As CHWs become a more significant part of the healthcare workforce, states have taken a variety of approaches to supporting and regulating this group. This report by Harvard Law School's Center for Health Law & Policy Innovation is designed to review some of the major policies in different states and highlight some of the issues that arise in these programs. There is no single right approach. With sufficient stakeholder engagement, each state can develop policies tailored for its community.
Community Health/Outreach Worker Tool, English, Document (PDF, Word, Excel), Other
Different types of data analysis tell different stories about asthma disparities in children. This study analyzed trends in racial disparities using both traditional population-based rates and at-risk rates. Population-based data methods found disparities in asthma prevalence among black children over time and asthma-related deaths increased. However, the at-risk analysis found the same racial disparities remained the same or decreased, suggesting that despite a growing asthma prevalence among black children compared to white children, progress has been made in addressing racial disparities in asthma outcomes.
English, Document (PDF, Word, Excel), Other
This tool kit shows how Washington State partners are approaching asthma home visits.
English, Document (PDF, Word, Excel), Home/Housing, Implementation Guide, Program Management/Evaluation, Quality Improvement
In recent years, defilement of the air has significantly impacted the health and hygiene of the population at large. In order to address this issue properly, information is needed on the particulates responsible for affecting the quality of air both outdoor as well as indoors. Pollutants vary greatly in their composition, as well as from place to place. Data is required to interpret a correlation between particulates with that of health and hygiene. This information may signify an overall idea about the air that composes an environment and its quality.
Asthma Care Plan/Action Plan, English, Website
This document provides building professionals with practical guidance to control moisture in buildings during design, construction and maintenance.
English, Day Care, Document (PDF, Word, Excel), Education/Outreach Materials, Environmental Assessment/Checklist, Home/Housing