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Managing Asthma. Living Well ^ with Asthma. Indoors. Sheila Brown Indoor Environments Division U. S. Environmental Protection Agency Washington, DC. Objectives. Overview of the Environmental Protection Agency’s (EPA) Indoor Environments Division (IED) Asthma Program

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    1. Managing Asthma Living Well ^with Asthma Indoors Sheila Brown Indoor Environments Division U. S. Environmental Protection Agency Washington, DC

    2. Objectives • Overview of the Environmental Protection Agency’s (EPA) Indoor Environments Division (IED) Asthma Program • Defining EPA’s Role in the Asthma Community • EPA, NIH, CDC and State Asthma Programs • Working together, so everyone can live well with asthma • EPA IED Asthma Program Available Resources • Sharing indoor air quality public education and outreach resources

    3. Overview ofEPA IED • Mission Reduce the public’s health risks of indoor environmental pollutants • Major Streams of Work • Asthma • ETS/SHS • Schools • Large Buildings • Radon

    4. Overview ofEPA IED • IED uses a range of voluntary, non-regulatory community-based approaches to reduce the health risks from indoor air pollutants. • EPA Regional Offices • Other Federal Agencies • State and Local Governments • Coalitions • National and Field Affiliate Partners

    5. Overview of EPA IED’s Asthma Program DefiningEPA’s Role in the Asthma Community Asthma can be controlled with medical treatment and management of environmental asthma triggers. • Indoor environment plays an important role in increasing asthma problem. • Exposure to indoor allergens can exacerbate asthma symptoms. • Exposure to secondhand smoke and dust mites in children can cause asthma. • Supportive of the need to mitigate exposures. Peer-Reviewed Science National Academy of Science’s Clearing the Air: Asthma and Indoor Air Exposures Report (2000) – http://books.nap.edu/catalog/9610.html Accepted Clinical Guidance National Asthma Education and Prevention Program (NAEPP) Guidelines – http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

    6. Overview of EPA IED’s Asthma Program Defining EPA’s Role in the Asthma Community Created a multi-pronged program to combat asthma. Program is committed to: • Prevent asthma symptoms by reducing people’s exposure to indoor environmental triggers. • Promote and stress incorporation of indoor environmental management of asthma into comprehensive asthma management programs. • Support the integration of environmental management into medical and healthcare asthma practices. • Collaborate with organizations with common goals: • National Institutes of Health (NIH) • Centers for Disease Control and Prevention (CDC) • Bureau of Primary Health Care (BPHC) • Healthcare and Health Plan Organizations • National Non-Profit Organizations • School-Districts

    7. Indoor Asthma Triggers IED’s Focus: • Secondhand Smoke • Dust Mites • Mold • Pests • Pets

    8. IED’s Asthma Program Components • National Media Campaign • Reducing Secondhand Smoke Exposure • Improving Environments in Schools • School and Childcare-Based Asthma Education • In-Home Asthma Education • Healthcare/Health Plan/Provider Education

    9. EPA, NIH, CDC and State Asthma ProgramsWorking together, so everyone can live well with asthma Working together we can: • Integrate indoor environmental controls into asthma prevention/intervention program strategies and medical/healthcare asthma management practices. • Incorporate indoor environmental management of asthma into individual comprehensive asthma management plans. • Implement interventions to reduce children’s exposure to secondhand smoke and major indoor allergens. • Convince policy makers to include asthma prevention/intervention tools, such as mattress covers, pillow covers, etc. into standard medical coverage programs. • Combine shared success stories, challenges and resources into comprehensive asthma prevention/intervention best practices guides used to conduct asthma programs.

    10. EPA IED Asthma Program Available ResourcesSharing IAQ public education and outreach resources • EPA Asthma Program – www.epa.gov/iaq/asthma • EPA Regional Asthma Programs – http://www.epa.gov/iaq/regionia.html • Smoke-Free Home Initiative – http://www.epa.gov/smokefree/ – • IAQ Tools for Schools Program – http://www.epa.gov/iaq/schools/index.html • IAQ hotlines - http://www.epa.gov/iaq/iaqxline.html • IAQ publications – http://www.epa.gov/iaq/pubs/index.html • State Indoor Air Quality Contacts • http://www.epa.gov/iaq/contacts.html

    11. EPA IED Asthma Program Available ResourcesSharing IAQ public education and outreach resources Mark your calendars: • National Home Indoor Air Quality Action and Awareness Month – annually in October – www.healthyindoorair.org • Children’s Health Month – annually in Octoberwww.childrenshealth.gov • World Asthma Day – annual event - Tuesday, May 6, 2003 • http://www.epa.gov/iaq/asthma/worldasthmaday/eventplanningkit.html • Second National Conference on Asthma Management – June 19 – 21, 2003, Washington, DC – • http://imageits.com/clients/ca_asthma/www/about.html

    12. IAQ TFS Kit Managing Asthma in Schools

    13. Remember the C’s Compliance with a medical plan + Change the indoor environment = Control Asthma, Live Well EPA, CDC and State Asthma Programs Taking Action Together Can Combat Asthma Contact EPA IED – 202-564-9370 – www.epa.gov/iaq Sheila Brown, 202-564-9439, brown.sheila@epa.gov 2002 National Asthma Conference, "Living Well With Asthma," 8:00 am - 9:15 am Plenary Session 10-25-02