ASTHMA TAKES OUR CHILDREN S BREATH AWAY DEMOGRAPHICS DEMOGRAPHICS NEHA AEC IAQ1101 Asthma: Takes Our Children s Breath Away

Size: px

Start display at page:

Download "ASTHMA TAKES OUR CHILDREN S BREATH AWAY DEMOGRAPHICS DEMOGRAPHICS NEHA AEC IAQ1101 Asthma: Takes Our Children s Breath Away"

Amice Lang
5 years ago
Views:

ASTHMA TAKES OUR CHILDREN S BREATH AWAY DEMOGRAPHICS Duval County

Jacksonville, Jacksonville Beach, Atlantic Beach, Neptune Beach, and

Jacksonville DEMOGRAPHICS County Population 864,263 Race 60.

1 ASTHMA TAKES OUR CHILDREN S BREATH AWAY DEMOGRAPHICS Duval County Located in North East Florida Comprised of the cities/towns of Jacksonville, Jacksonville Beach, Atlantic Beach, Neptune Beach, and Baldwin Home to Naval Station Mayport and Naval Air Station (NAS) Jacksonville DEMOGRAPHICS County Population 864,263 Race 60.9 % - Caucasian 29.5 % - African American 4.2 % - Asian 2.9 % - 2 or more races Ethnicity 7.6 % - Hispanic 1

STATISTICS In 2007, the estimated total cost of asthma in U.S. 56 billion dollars Medical expenses Missed days from work and/or school Premature death Prevalence of asthma increased among children from 2001-2009 2009 from 8.

2 STATISTICS In 2007, the estimated total cost of asthma in U.S. 56 billion dollars Medical expenses Missed days from work and/or school Premature death Prevalence of asthma increased among children from from 8.7 to 9.6% STATISTICS Asthma deaths among children residing in Duval and Clay County is seven times higher than Orange and Hillsborough County combined Between , 2009, Duval County had the highest asthma mortality rate in Florida at 16 deaths per 1,000,000 Florida 8 deaths per 1,000,000 STATISTICS In 2005, children one to four years of age accounted for 979 emergency room visits related to asthma in Duval County 2

3 STATISTICS Emergency Room Visits Duval County vs. Benchmark Counties Duval County has a higher rate of ER visits due to asthma exacerbations in every age group except those years as compared to Hillsborough and Orange Counties STATISTICS 2005 Asthma Related Hospitalizations in Duval County Age < 1 year 1 4 years 5 14 years years Duval Florida STATISTICS 2005 Asthma Related Emergency Room Visits in Duval County Age < 1 year 1 4 years 5 14 years years Duval Florida

STATISTICS An estimated 1,500 ER visits per 100,000 during 2006-2009 2009 were made by children 4 years of age and younger due to asthma exacerbations

4 STATISTICS An estimated 1,500 ER visits per 100,000 during were made by children 4 years of age and younger due to asthma exacerbations OVERVIEW OF ASTHMA Definition Asthma is a chronic, inflammatory disease of the respiratory system that causes the airways of the lungs to tighten and constrict 4

5 OVERVIEW OF ASTHMA Common Signs & Symptoms Wheezing Excessive coughing Chest tightening Shortness of breath OVERVIEW OF ASTHMA Currently, there is no cure for asthma Asthma is the leading cause of missed school days among school-aged children Children from lower income families and those living in urban areas or unclean areas are more at risk for asthma OVERVIEW OF ASTHMA Asthma accounts for many hours of disrupted sleep and routine activities Asthma and allergies are often related and influence one another 5

6 INDOOR ASTHMA TRIGGERS Animal dander Cockroaches Rodents Secondhand smoke INDOOR ASTHMA TRIGGERS Mold Dust Dust mites Perfumes & sprays OUTDOOR ASTHMA TRIGGERS Pollen Air pollution Cold air exposure Secondhand smoke 6

7 35 Childcare Facilities 23 Head Start Centers 12 Daycare Centers Project Timeline March 2009 February 2011 Goals Develop an asthma awareness program to educate childcare centers on the symptoms and environmental factors that may exacerbate the condition Goals Develop an asthma awareness campaign to educate parents on the symptoms, environmental factors, and methods to assist asthmatic children 7

8 Goals Implement an asthma educational program that will help children to participate in their asthma care and management Objectives Define asthma Identify common signs and symptoms associated with asthma Educate children, parents, and staff about how to recognize common asthma triggers in the indoor environment Objectives Educate children, parents, and staff on methods to reduce indoor asthma triggers Identify methods to manage children diagnosed with asthma in the childcare environment 8

9 Objectives Provide local resources to families and childcare providers whose children are affected by asthma Activities Partner Identification Jacksonville Urban League Head Start Episcopal Children s Services Early Learning Coalition Activities Training Materials IAQ Tools for Schools EPA Asthma Home Environment Checklist EPA Dusty The Asthma Goldfish and His Asthma Triggers Funbook EPA 9

10 Assessment of Educational Tools Appropriateness of Materials Age Reading Comprehension Exercises Activities Training Materials Little House of Triggers DCHD Asthma Triggers Coloring Book DCHD 10

11 Parents should make sure the bathroom stays clean and dry! 11

12 No smoking in the house! Educational Materials Daycare providers Online Training Adopted by Tallahassee Asthma Program 12

13 ASTHMA TRIGGERS IN THE CHILDCARE ENVIRONMENT Animals and Pests Keep classroom pets in clean, caged environments Isolate classroom pets away from children diagnosed with asthma or known allergies Place animals away from air vents to avoid circulation of dander Place animals away from upholstered furniture and stuffed toys Opt to keep an animal free facility ASTHMA TRIGGERS IN THE CHILDCARE ENVIRONMENT Mold and Moisture Control Fix plumbing and moisture problems as soon as possible to minimize or prevent mold growth Provide adequate ventilation in the classroom Report signs of water damage and/or mold growth as soon as noted Avoid installing carpet in areas likely to be exposed to moisture PREVENTING AND MANAGING ASTHMA EPISODES Managing Children with Asthma Ensure appropriate staff are aware of their students asthma status and how to respond Always notify parents when a child has an asthma episode at school even if it is resolved Be sure that staff know when it is appropriate to call 911 for additional help 13

14 Activities Site Visits Asthma Trigger Identification Checklist Checklist Criteria Cleanliness of classroom/kitchen areas Classroom pets Signs of leaks/mold Excess dust Noticeable odors Excess clutter Linens Potential Sources of Asthma Triggers Yes No N/A Rooms are cleaned and vacuumed regularly Rooms are free of excessive clutter Trash removed from classrooms daily Ensured that food is not stored in classroom overnight Room is free from pests and vermin 14

15 Children Allergies? Asthma? What to do? Documentation? Pre/Post Test 10 multiple choice/answer questions Definition Symptoms and causes Common triggers Trigger reduction Management Test Questions Identify common indoor and outdoor triggers for asthma. Select all that apply. Cold weather Pollen Pet dander Fresh, clean air Dust/Dust mites Tobacco smoke Perfumes Mold Cockroaches Gas from indoor fuel el-burning appliances pliances 15

16 Test Questions True or False (Circle One). There are both hereditary and environmental factors that contribute to asthma. True or False (Circle One). Asthma and allergies can be related. Little House of Triggers Activity 16

17 Results Overall 35 childcare centers participated 994 children participated 121 teachers/staff participated 227 children with asthma/recurring respiratory ailments 17

18 Health Zone 1 Zip codes: 32202, 32204, 32206, 32208, 32209, childcare facilities Health Zone 2 Zip Codes: 32207, 32211, 32216, 32224, 32225, 32246, childcare facilities Health Zone 4 Zip Codes: 32205, 32210, 32212, 32215, 32221, 32222, childcare facility Health Zone 5 Zip Codes: 32218, 32219, 32220, 32226, childcare facilities Results Asthma Triggers At least 80% of the children able to correctly identify 3 or more asthma triggers Triggers correctly identified without hints Dog/Cat Cockroach Rodent Flowers 18

19 Results Asthma Triggers Triggers correctly identified with hints Perfume/spray Cigarette Dust Bleach Results Asthma Triggers Pictures of mold and a water leak were not readily recognized by most children A picture of a dust mite was not recognized by any of the children participating Results Preventing/Reducing Triggers After receiving education, children were able to successfully identify at least three ways to minimize asthma triggers in the school and home environment Sweeping Vacuuming Taking out the trash 19

20 Challenges Schedules of facilities participating School year calendar Parent participation Only 9 parents participated Parental figures Centers have similar challenges Accomplishments Florida Asthma Coalition Webinar Department of Children and Families Training Extension of the Asthma Smart School Program to conduct training in 46 additional childcare facilities Accomplishments Distribution of Little House of Triggers and Asthma Coloring Book nationally by EPA 20

21 QUESTIONS CONTACT INFORMATION Monica Queeley, R.N. B.S.N. Duval County Health Department Division of Environmental Health and Safety 900 University Blvd. N. Ste. 300 Jacksonville, FL (904)

ASTHMA AND CHILDCARE PART 1. Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis

ASTHMA AND CHILDCARE PART 1. Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis ASTHMA AND CHILDCARE PART 1 Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis OBJECTIVES By the end of training, participants will: