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How Asthma-Friendly Is Your Child-Care Setting?
Children with asthma need proper support in child-care settings to keep their asthma under control and be fully active. Use the questions below to find out how well your child-care setting assists children with asthma:

Yes No 1. Is the child-care setting free of tobacco smoke at all times?
Yes No 2. Is there good ventilation in the child-care setting? Are allergens and irritants that can make asthma worse reduced or eliminated? Check if any of the following are present:
      Dust mites (commonly found in humid climates in pillows, carpets, upholstery, and stuffed toys)
      Pets with fur or feathers
      Strong odors or fumes from art and craft supplies, pesticides, paint, perfumes, air fresheners, and cleaning chemicals
Yes No 3. Is there a medical or nursing consultant available to help child-care staff write policy and guidelines for managing medications in the child-care setting, reducing allergens and irritants, promoting safe physical activities, and planning field trips for students with asthma?
Yes No 4. Are child-care staff prepared to give medications as prescribed by each child's physician and authorized by each child's parent? May children carry their own asthma medicines when appropriate? Is there someone available to supervise children while taking asthma medicines and monitor correct inhaler use?
Yes No 5. Is there a written, individualized emergency plan for each child in case of a severe asthma episode (attack)? Does the plan make clear what action to take? Whom to call? When to call?
Yes No 6. Does a nurse, respiratory therapist, or other knowledgeable person teach child-care staff about asthma, asthma management plans, reducing allergens and irritants, and asthma medicines? Does someone teach all the children about asthma and how to help a classmate who has it?
Yes No 7. Does the child-care provider help children with asthma participate safely in physical activities? For example, are children encouraged to be active? Can children take or be given their medicine before exercise? Are modified or alternative activities when medically necessary?)
If the answer to any question is "no," children in your child-care setting may be facing obstacles to controlling their asthma. Uncontrolled asthma can hinder a child's attendance, participation, and progress in school. Child-care staff, health professionals, and parents can work together to remove obstacles and promote children's health and development.

Contact the organizations listed for information about asthma and helpful ideas for making school policies and practices more asthma-friendly. Federal and State laws are in place to help children with asthma.

Asthma can be controlled; expect nothing less.

Resources for Parents and Child-Care Staff

National Asthma Education and Prevention Program
Telephone: (301) 592 - 8573
Materials include:
  • Managing Asthma: A Guide for Schools
  • Asthma Awareness Curriculum for the Elementary Classroom
  • Asthma and Physical Activity in the School
  • Making a Difference: Asthma Management in the School (video)
Allergy and Asthma Network/ Mothers of Asthmatics, Inc.
Telephone: (800) 878 - 4403 or (703) 641 - 9595
Materials include:
  • Breathing Easy with Child Care (booklet)
  • School Information Package
American Academy of Allergy, Asthma and Immunology
Telephone: (800) 822 - ASMA or (414) 272 - 6071

American Academy of Pediatrics
Telephone: (800) 433 - 9016 or (847) 228 - 5005
Materials include:

  • Caring for Our Children: Health and Safety Guidelines for Child Care (book)
American Association for Respiratory Care
Telephone: (972) 243 - 2272

American College of Allergy, Asthma, and Immunology
Telephone: (800) 842 - 7777 or (847) 427 - 1200

American Lung Association
Telephone: (800) LUNG - USA
Materials include:

  • A is for Asthma (Sesame Street video)
Asthma and Allergy Foundation of America
Telephone: (800) 7 - ASTHMA or (202) 466 - 7643
Materials include:
  • Asthma and Allergy Essentials for Child Care Providers (training program)
Healthy Kids: The Key to Basics
Educational Planning for Students with Asthma and Other Chronic Health Conditions
Telephone: (617) 965 - 9637
Materials include:
  • Including Children with Chronic Health Conditions: Nebulizers in the Classroom
National Institute of Allergy
and Infectious Diseases

Office of Communications and Public Liaison
Telephone: (301) 402 - 1663

U.S. Department of Education
Office for Civil Rights, Customer Service Team
Telephone: (800) 421 - 3481 or (202) 205 - 5413

U.S. Environmental Protection Agency
Indoor Environments Division
Telephone: (202) 233 - 9370
Indoor Air Quality Information Clearinghouse
Telephone: (800) 438 - 4318

Special thanks to members of and consultants to the NAEPP School Asthma Education Subcommittee, representing the following organizations, for their contributions in developing this document: Allergy and Asthma Network/Mothers of Asthmatics, Inc.; American Academy of Allergy, Asthma, and Immunology; American Academy of Pediatrics; American Alliance for Health, Physical Education, Recreation, and Dance; American Association for Respiratory Care; American Lung Association; American Medical Association; American Public Health Association; American School Health Association; Asthma and Allergy Foundation of America; Centers for Disease Control and Prevention; Healthy Kids: The Key to Basics; National Association of Elementary School Principals; National Association of School Nurses; National Education Association Health Information Network; National Institute of Environmental Health Sciences; National School Boards Association, and the U.S. Environmental Protection Agency.

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