268435 Coordinated federal action to reduce asthma disparities

Tuesday, October 30, 2012

Peter J. Ashley, DrPH , Office of Healthy Homes and Lead Hazard Control, U.S. Department of Housing and Urban Development, Washington, DC
Alisa Smith, PhD , Indoor Environments Division, US Environmental Protection Agency, Washington, DC
Virginia Taggart, MPH , Division of Lung Diseases, National Heart Lung and Blood Institute, Bethesda, MD
Asthma disparities, particularly for children in disadvantaged and minority groups, remain a troubling feature of the public health landscape in the US. Federal efforts to develop and foster implementation of evidence-based clinical care guidelines, improve housing conditions, and mitigate the impacts of air pollution have helped improve asthma outcomes for the general population, but the persistence of poor outcomes for low income minority children with asthma suggests that these efforts have not been sufficient. To address this challenge, a working group under the auspices of the federal interagency Children's Environmental Health Task Force has proposed key strategies that leverage existing federal resources and programs. The strategies are distilled from input from federal program representatives, researchers, health care providers, community coalitions, non-profit and advocacy organizations and foundations. These strategies will harness the core federal functions of policy, public health interventions and research and focus on near term actions to identify the children most impacted by asthma disparities and remove the barriers to the delivery of guidelines based care for those children, improve the built environment—primarily homes and schools serving these children, and increase local capacity of their communities to deliver integrated, comprehensive asthma care services. In parallel, the working group has proposed a coordinated research effort to investigate primary prevention approaches to the onset of asthma. While the strategies focus on reducing asthma disparities among children, their implementation will likely benefit people with asthma of all age groups. This presentation will provide an overview of childhood asthma disparities in the US and present the key strategies that have been identified by the Children's Environmental Health Task Force to guide federal coordination and improve asthma outcomes for disproportionately impacted communities.

Learning Areas:
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Upon completion of this session, attendees will be able to: 1) identify key indicators of childhood asthma disparities 2) describe the coordinated federal strategy to address childhood asthma disparities 3) list actions in the federal strategy that focus on improving the built environment of children with asthma

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a member of the federal interagency Children's Environmental Health Taskforce, a co-lead for the Asthma Disparities priority area of the taskforce, and a co-author of the strategic plan that will be the focus of this presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.