The overall data goal for WVAEPP and its partners is to maintain and improve the measurement of the burden of asthma in West Virginia.

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1 The overall data goal for WVAEPP and its partners is to maintain and improve the measurement of the burden of asthma in West Virginia. This surveillance information will be used for program planning, education, and to measure or document the impact of WVAEPP s efforts.

2 Figure 1: Current Asthma Prevalence by Gender: WV Adults 18+, BRFSS Prevalence (%) Total Males Females

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5 Figure 2: Prevalence of Current Asthma by County: WV Adults 18+, BRFSS Hancock Brooke Ohio Marshall West Virginia Total 9.0% Highest: McDowell 16.9% Lowest: Barbour, Taylor 4.7% Wetzel Monongalia Morgan Pleas- Marion Berkeley ants Tyler Preston Mineral Taylor Jeff- Dodd- Harrison Hampshire erson Wood ridge Ritchie Grant Barbour Tucker Wirt Hardy Cal- Gilmer Lewis Jackson houn Upshur Randolph Mason Roane Braxton Pendleton Putnam Clay Webster Cabell Kanawha Nicholas Pocahontas Wayne Lincoln Fayette Boone Greenbrier Mingo Logan Raleigh Wyoming Summers Monroe McDowell Mercer 11.0%-16.9% 9.0%-10.9% 7.5%-8.9% 4.7%-7.4%

6 Figure 3: Compensation Costs for Work-Related Asthma By Industry: WV Workers Compensation Data, * Agriculture Construction Education Manufacturing Mining, Oil, & Natural Gas Retail Trade Services State & Local Government Transportation Wholesale Trade Other $0 $250 $500 $750 $1,000 $1,250 $1,500 Thousands of Dollars Medical costs Indemnity costs *Costs as of June Indemnity costs include salary replacement for lost wages and compensation for disability (temporary or permanent, partial or total).

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8 The overall asthma education goals of WVAEPP and its partners are to increase public awareness of asthma and to maintain broad partnerships to address the burden of asthma in West Virginia.

9 Figure 4: Asthma Hospitalization Rates, Primary Diagnosis, by Age Group (excludes newborns): WV Residents, Rate per 10, < and over

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11 Figure 5: Asthma Attack Prevalence by School and Gender: WV Youth Tobacco Survey, Prevalence (%) Middle School High School Total Male Female

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13 The overall clinical asthma management goal of WVAEPP and its partners is to ensure that all West Virginians with asthma receive appropriate medical care from the healthcare system. Although guidelines for the effective diagnosis and management of asthma have been developed by the National Heart, Lung, and Blood Institute (NHLBI), current data suggest that uniform implementation of recommended practices is not occurring in West Virginia. The most pressing treatment-oriented problems to be addressed in West Virginia involve the lack of a consistent asthma curriculum for health-care professionals, inconsistent adherence to recommended treatment practices, and failure to incorporate asthma action plans in the treatment plan of those with asthma. Figure 6: Percentage of Adults (18+) with Current Asthma Who Use A Daily Anti-Inflammatory Medicine Inhaler By Gender: WVBRFSS Prevalence (%) Total Males Females

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16 Figure 7: Utilization of Medical Services with a Primary or Secondary Diagnosis of Asthma: WV Medicaid, ,002.0 Rate per 10,000 recipients Hospital visits ED visits Outpatient visits

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18 The overall environment-related goal of WVAEPP and its partners is to ensure that West Virginians with asthma work, attend school, and live in environments with good air quality.

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20 Figure 8: Frequency of Smoking inside Households with Adult Smokers and Children under Age 17: WV Adult Tobacco Survey, % 1 day or less a week 71.0% 2-6 days a week, 6.1% All 7 days a week

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22 The overall Schools and Pediatrics goals of WVAEPP and its partners are to address asthma-related issues unique to youth and to ensure access to appropriate health care for the pediatric population.

23 . Figure 9: Percentage of Students with Past-Year Asthma Attacks Who Missed the Specified Number of School Days Due to Asthma: WVYTS, Percentage Middle Schools 7.3 High Schools 0 days 1-5 days 6-10 days >=11 days

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29 The overall policy goal of WVAEPP and its partners is to support, develop, and advocate policies that promote the health of people with asthma.

30 Figure 10: Amounts Reimbursed by WV Medicaid for Medical Services with a Primary or Secondary Diagnosis of Asthma: 2002 a $25 $ Millions of Dollars $15 $ $ $0 Total Inpatient Services ED visits Outpatient Services Prescription claims a. Total = Amount reimbursed by West Virginia Medicaid for recipients who had medical services with a primary or secondary diagnosis of asthma, including all asthma-related prescription claims for these recipients.

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