Transcript Slide 1

Improving Life, One Breath at a Time
1-800-LUNG-USA www.lungusa.org
www.lungusa.org
Our Mission
Prevent lung disease and promote lung
health in Mississippi.
www.lungusa.org
www.lungusa.org
What does the Lung Association do?
Education
Advocacy
Research
www.lungusa.org
www.lungusa.org
Lung health focus areas:
Asthma
Clean Air
Chronic Obstructive Pulmonary
Disease (COPD)
Tobacco Control
www.lungusa.org
www.lungusa.org
What is Asthma?
•Asthma is a chronic inflammatory disease of
the airways.
•Produces recurring symptoms such as
shortness of breath, tightness in the chest,
wheezing and coughing.
•Asthma cannot be cured, but can be
controlled.
www.lungusa.org
www.lungusa.org
Burden of Asthma in Schools
•Asthma is the #1 cause of school absenteeism
among children accounting for more than 14 million
total missed days of school.
•1 out of 10 children have asthma in the U.S.
•Out of a classroom of 30 – 3 have asthma, and 2
have had an asthma attack within the last year.
www.lungusa.org
www.lungusa.org
Burden of Asthma in Mississippi
•Based on the 2003 National Survey of Children’s
Health (NSCH):
•an estimated 96, 835 (12.8%) children less than
18 years of age have a history of asthma
•68,855 (9.1%) currently have asthma in
Mississippi.
Source: MS Asthma Surveillance Summary Report
www.lungusa.org
2006
Childhood Asthma
Prevalence
% Asthma
Figure 13. Childhood Asthma Prevalence in
Mississippi Versus the Entire United States, 2003
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12
10
8
6
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2
0
12.8
12.4
9.1
MS
8.8
6.6
Ever
Current
5.8
US
Episodes
Asthma Status
www.lungusa.org
Burden of Childhood Asthma in Mississippi
•During the 12 months preceding the 2003 NSCH, an
estimated 46,497 (6.1%) Mississippi children had an
episode of asthma or an asthma attack.
•About 40% of all persons visiting a Jackson metro
area hospital (Hinds/ Madison/ Rankin counties)
between 1999-2003 due to asthma are under age 15;
four out of five of these children are African-American.
•Between 1999-2003, 11 Mississippi children died
due to asthma.
Source: MS Asthma Surveillance Summary Report
www.lungusa.org
2006
Early Warning Signs of Asthma Flare
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Dry cough
Feeling tired
Feeling restless
Trouble sleeping
Stuffy nose, runny nose
Watery eyes
Stomachache
Headache
Chest Pain or Tightness
Drop in peak flow meter scores
Dr. Rubina Inamdar,
UMC
www.lungusa.org
Triggers/Irritants in the School:
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tobacco smoke
hair spray, cleansers
powder, perfume
chalk dust, marker odors
potpourri, room deodorizers
paint fumes
air pollution
dust mites
cats, dogs, other pets
cockroaches
mold, mildew
pollen
Dr. Rubina Inamdar,
UMC
www.lungusa.org
Other Triggers of Asthma:
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Colds, flu, sinus problems
exercise
bursts of emotion
some medicines in sensitive individuals (aspirin,
NSAIDs, sulfites)
• anxiety
Dr. Rubina Inamdar,
UMC
www.lungusa.org
Asthma medications that may
affect school performance
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B-agonists cause tremors, restlessness, racing of the
heart, reduce attention span, and worsen hyperactivity
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Oral corticosteroids - increased appetite, mood swings,
irritability, and worsen hyperactivity.
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Antihistamines - may cause drowsiness
www.lungusa.org
Treatment of Asthma
Exacerbations at School –
What to look for
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Anxious
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Dyspnea
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Stooped body posture
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Nasal Flaring
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Diaphoresis
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Depressed Sternal Notch
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Respiration rate >20
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Nausea/Vomiting
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Retractions
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Fatigue
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Decreased peak flow
www.lungusa.org
www.lungusa.org
Treatment of an Asthma
Exacerbation at School
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Review the student’s asthma action plan
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Have student sit upright and check peak flow
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Administer prescribed medication
– Inhaled or nebulized
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Reassure Student – keep calm
www.lungusa.org
www.lungusa.org
When the Child Should Stay
Home with Asthma
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Has trouble breathing even after taking the short-acting
β-agonist.
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Gets winded after speaking or playing quietly.
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Has a fever
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Has an infection or sore throat
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Peak flow is in the yellow or red zone after taking the
short-acting β -agonist
Dr. Rubina Inamdar,
UMC
www.lungusa.org
2006 MS Dept of Education
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Coordinated School Health Program Implemented
through Office of Healthy Schools
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Asthma included in School Health Index
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School Health Councils formed
www.lungusa.org
NAEPP Asthma Goals for
School Health
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Healthy School Environment
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Health Services in School
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Asthma Education
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Supportive policies
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Sound/effective communication
www.lungusa.org
School Asthma Programs
Environmental Protection Agency
(Publications)
www.lungusa.org
Coaches Care Basics:
1. Power Point Presentation
2. 30-45 minutes
3. Training developed by an Asthma/Allergy physician
4. Conducted by a healthcare provider (MD, RN, NP,
RT, HE) & an ALA of MS employee
5. Handouts and asthma brochures given out
6. Evaluation
7. Coaches Care mugs & door prize
8. Coaches Care certificates mailed
9. FOOD provided!
www.alams.org
www.lungusa.org
2007 Asthma Study
Committee
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4 Legislators
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Medicaid Representative
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American Lung
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BCBS Representative
Association of MS
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State Employees Health
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Department of Health
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Department of Education
Insurance Representative
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Association
– Superintendent’s office
– Office of Healthy Schools
MS School Nurses
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MS Chapter - Academy of
Pediatrics
www.lungusa.org
Asthma Study Committee
Projected Outcomes
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Asthma Action plans required to be on file for every
student with asthma in grades K-12
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A nebulizer provided to every school
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Address barriers to compliance:
– Asthma Education
– Spacers and peak flow meters
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Coaches trained on asthma (education & preparedness)
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Asthma Emergency Policies adopted by school districts
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Inhaler law to be strengthened and enforced
www.lungusa.org
Asthma Management:
•See physician regularly
•Take meds as prescribed
•Know signs & symptoms
•Control/avoid triggers
•Know what to do during an
asthma attack
•Ask questions to fully
understand asthma
•Have a support team
•Use an asthma action plan
1-800-LUNG-USA www.lungusa.org
www.lungusa.org
Statewide Asthma Plan
To Promote Education, Prevention
and Management of Asthma
throughout the State of Mississippi.
“Funding provided through a sub grant from the Mississippi
Department of Health from federal funds provided by the Centers for
Disease Control and Prevention to the State under Cooperative
Agreement #U59/CCU423193-02, ‘Addressing Asthma from a Public
Health Perspective’.”
www.lungusa.org
www.lungusa.org
Statewide Asthma Plan
•Describes the things that need to be done to address
the problem of asthma in Mississippi.
•Purpose: provide a systematic way for communities to
deliver asthma programs and to eliminate duplication
of efforts.
•Utilize input from all regional coalitions to make it
usable statewide.
•Asthma partners (coalition members, etc.) will
implement specific portions of the state plan because
of their own interest in asthma.
www.lungusa.org
www.lungusa.org
Statewide Asthma Plan Goals
1.Reduce Asthma Hospitalization rates among
children and adults
2.Decrease Asthma disparities in all Public Health
Districts
3.Reduce burden of asthma on Mississippians
4.Increase provider and patient education
5.Encourage the use of Asthma Action Plans
6.Enhance community health education
www.lungusa.org
www.lungusa.org
How do we achieve these goals in MS?
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Programs
Science-based Interventions
Surveillance
Evaluation
State partnerships
Addressing disparities
Communications
As related to Healthy People 2010 Goals, CDC
www.lungusa.org
Statewide Asthma Plan – addressing disparities
•Quality of care
•Access to health care
•Social determinants (neighborhood resources or
exposures, individual resources, opportunity structure,
etc…)
•Socioeconomic Status
The condition or fact of being unequal, as in age, rank,
or degree; difference: “narrow the economic disparities
among regions and industries” (Courtenay Slater).
Unlikeness; incongruity
www.cdc.gov
www.lungusa.org
State Partnerships
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MS Department of Health – state and local
Asthma Coalitions of Mississippi
MS Department of Education
MS Department of Environmental Quality
MS Alliance for School Health
The Partnership for a Healthy Mississippi
Hospitals, Physicians, Provider groups
Faith-based groups
Other coalitions
Other stakeholders (pharmaceutical companies,
foundations, funding organizations, etc…)
www.lungusa.org
www.lungusa.org
www.lungusa.org
Regional Asthma Coalitions
Nine coalitions in each
public health district
Leadership Team
Regional meetings held
every other month
www.lungusa.org
www.lungusa.org
WORKGROUPS
1.Advocacy/Policy
2.Community
3.Data and
Surveillance
4.Environment
5.Healthcare
6.School Health
www.lungusa.org
www.lungusa.org
What are we doing in MS?
www.lungusa.org
Asthma Camps for children in MS
Central/South Camp
Camp Wesley Pines
July 16 – 20
North Camp
Tishomingo State Park
May 28 – June 1
www.lungusa.org
Tobacco programs & services
www.lungusa.org
Superkids Purpose:
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To provide tobacco education to students grades K-6
To teach the value of community service
To promote lung health and prevent lung disease
To encourage physical activity
www.alams.org
www.lungusa.org
Superkids Basics:
Phase 1-Tobacco education presentation
Phase 2-Students raise funds for the ALA
Phase 3- Distribution of incentive prizes and
SuperKids Field Day
Income from the SuperKids program accounts for
approximately one-third of the ALA’s budget.
www.alams.org
www.lungusa.org
Development Opportunities:
www.lungusa.org
Asthma Awareness Events
Hattiesburg
September 29, 2007
Corinth
October 27, 2007
McComb
October 13, 2007
Flowood /Jackson
November 12, 2007
www.lungusa.org
Register: www.asthmawalk.org
F.L.A.R.E. for hospitals
• Developed by the Asthma Coalition
• One-page education tool for follow-up, education,
compliance and management
• Two different FLARE plans:
• Inpatient
• Emergency Department
• Reviewed and approved by Asthma/Allergy doctor,
Pediatric Allergy/Immunology doctor, Pulmonologist,
RN’s, and Respiratory Therapists
www.lungusa.org
How you can be involved:
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Join the Asthma Coalition
Volunteer at camp or for an ALA school program
Commit to be a partner in the state plan
Letter of commitment to do an asthma activity
Tell us what you are already doing
Request patient education materials, resources,
etc…
Utilize the F.L.A.R.E. plan in your Hospital
Join us for the Asthma Walk!
Host your own mini-asthma walk (with ALAM help!)
Inquire to serve on a school health council
www.lungusa.org
Web Resources
• American Lung Association – www.lungusa.org
• American Lung Association of MS – www.alams.org
• MS Department of Health, Asthma Program –
www.msdh.state.ms.us
• Centers for Disease Control and Prevention –
www.cdc.gov/asthma
• Environmental Protection Agency – www.epa.gov/asthma
• MS Department of Environmental Quality –
www.deq.state.ms.us
• School Asthma Allergy – www.schoolasthmaallergy.com/ms
www.lungusa.org
Jennifer Cofer, MPH, CHESExecutive
Director, ALA of MS
601.206.5810 or 800.LUNG.USA
[email protected]
Laurie Walters, Asthma Program Manager
MS Department of Health
601.576.7415
[email protected]
Improving Life, One Breath at a Time
1-800-LUNG-USA www.lungusa.org
www.lungusa.org
Improving Life, One Breath at a Time
For 100 years, the American Lung Association has been the lead
organization working to prevent lung disease and promote lung health.
Lung disease death rates continue to increase while other leading
causes of death have declined.
The American Lung Association funds vital research on the causes of
and treatments for lung disease. With the generous support of the public,
the American Lung Association is “Improving life, one breath at a time”.
For more information about the American Lung Association or to support
the work it does, call 1-800-LUNG-USA (1-800-586-4872) or log on to
www.lungusa.org.
www.lungusa.org