EPA LOGO ON BLACK Fade Up To: Slow Motion: XCU exhaust of gas , XCU children playing, Flower (pollen), Ozone Street Sign Child playing basketball, Child kicking soccer ball Graphic Title: Breathing Freely: Controling Asthma Triggers "This video is produced by the US Environmental Protection Agency to help parents and caregivers learn more about things found indoors and outdoors that can trigger asthma symptoms. Identifying a child's triggers and limiting their exposure to them is an important step in managing asthma." Fade Up to: Natural Sound/Music Cuts of kids at playground – lots of activity Tape 1E OC: Monica Cardoza (Daniela’s Mom) B-roll of Daniela playing B-roll at a DR’s office Asthma Management Plan Graphic B-Roll of children playing; to full screen of Dr Menendez V/O: Asthma is a disease that affects millions of children, but it doesn’t have to affect their quality of life. Monica Cardoza: (6:13:25:11) Tape 6 “Daniela is very active she does participate in any sport. I think that’s one of the things that kept her from getting asthma attacks. / it helps her to exercise.” V/O: A doctor can help you understand what causes your child’s asthma attacks and develop a written asthma management plan customized for your child’s case. Though there is no cure for asthma, the good news is that asthma attacks can be prevented. On Camera Dr. Menendez: (11:01:31) Tape 11 “It is important for patients to realize that they can live a normal lifestyle, and grow up to be a completely normal adult as long as they follow the recommendations of their physicians and maintain the treatment plans that they’ve described.” Slate: What is Asthma? Montage sequence of kids playing basketball Lung Graphic Montage of children playing outside at a playground V/O: What is Asthma? V/O: Asthma is a disease that affects the lungs. In an asthma episode or attack the airways in the lungs constrict, causing the lungs to get less air than normal. Typical symptoms of asthma include shortness of breath, wheezing, tightness in the chest, and coughing. Asthma symptoms can range from mild discomfort to life threating emergencies if breathing stops completely. OC: Angie Samsock CG Title: Angie Samsock School Nurse Montrose Christian School, Rockville, Maryland B-roll of Dr. Menendez examining Daniela B-roll of school (African American kids) Inside emergency room – 03:22:30, 03:29:49 Angie Samsock (School Nurse)01:02:50 Tape 1C “Asthma affects many people/One out of every thirteen school aged children is affected by asthma” V/O: According to the Centers for Disease Control and Prevention, asthma is the most common chronic childhood illness and it is the third-ranking cause of hospitalization among children younger than 15. V/O: Asthma accounts for many emergency room visits and hospital stays, costing billions of dollars in treatment each year. Slate: What causes an Asthma Attack? B-Roll of outdoor and indoor triggers Ozone Sign on the highway Pollen – Tree 13:13:56 Mold – 14:17:05 Factory – 13:12:10 V/O: What causes an Asthma Attack? V/O: Asthma attacks may be caused by many environmental triggers that are all around us…both indoors and outdoors. Child playing monopoly inside on the floor – 14:09:04 Graphic: Layered (picture in background) Indoor Triggers * secondhand smoke – (smoke) * dust mites – (dust mite) * mold – (mold) * cockroaches – (cockroach) * animal dander – (cat) V/O: Children spend the majority of their time indoors, where they may be exposed to asthma triggers such as secondhand smoke, dust mites, mold, cockroaches, and animal dander. Slate: Daniela 3 photo montage of Daniela. B-Roll of Daniela playing in her backyard OC: Monica (Daniela’s Mom) – 13:16:38 CG Title: Monica Cardoza Daniela’s Mom B-roll of Daniela playing monopoly with her sister, Daniela’s mom vacuuming OC Monica Cardoza Cleaning tiles – 05:19:57 Music V/O: But not every trigger affects everyone in the same way, so it’s important for each person to know which triggers affect them most. Daniela is six years old. The things that trigger her asthma attacks are found in many homes. Monica (Daniela’s Mom): (06:10:39:25) Tape 6 “The symptoms that I noticed that Daniela gets before she starts getting an attack is, she’ll start coughing and she can’t stop so I have to make her sit down for a little while so she can relax … and inside what causes her to do that… if I am sweeping or I’m dusting, she starts coughing and I can see that she starts getting her asthma real bad.” OC: Dr. Menendez CG Title: Dr. Menendez Director, Allergy and Asthma Research Center of El Paso, P.A. B-Roll of Monica putting the dog outside B-Roll of Monica putting stuff animals in the washer Dr. Menendez: (10:26:25:26) Tape 10 “The triggers that can provoke asthma attacks in home for patient with asthma include such things as allergens that we find in pets such as cats and dogs also house dust mites and also cockroaches in houses that have cockroaches.” Slates: Tips to control indoor asthma triggers Graphics To avoid pet dander: B-Roll of Mom taking dog outside 1) Remove the pet from the home or keep the pet outside. 2) Keep pet out of sleeping areas and off furniture. To avoid dust mites: B-Roll of Monica covering pillow with pillow case, Close Up of hand putting clothes in the washer, Monica taking stuff animals off the bed, Dan vacumming carpet, Close Up of hand wiping table. 1) Wash bedding weekly in hot water. 2) Use dust proof covers on pillows and mattresses. 3) Vacuum carpets and furniture every week. 4) Wash stuffed toys in hot water To avoid cockroaches: B-Roll of Mom cleaning kitchen, Close Up of hand filling a container closing the container. 1) Clean all food crumbs or spilled liquids right away. 2) Store food in tightly sealed containers. 3) Use roach baits or traps to kill pests instead of sprays. 4) Cover trash cans. B-Roll of bathroom tiles with mold Graphics B-Roll of Juan walking outside to smoke Juan walking outside to smoke – 14:15:42 To avoid secondhand smoke: 1) Do not smoke in your home or car B-roll of Juan going outside Music To avoid pet dander: 1) If possible, remove any pets from your home or keep the pet outside. 2) Keep pets out of sleeping areas and off furniture. To avoid dust mites: 1)Wash bedding weekly in hot water. 2)Use dust proof covers on pillows and mattresses. 3)Vacuum carpets and furniture every week. 4)Wash stuffed toys in hot water To avoid cockroaches: 1) Clean dishes, crumbs, and spills right away. 2) Store food in tightly sealed containers. 3) Use roach baits or traps instead of sprays. 4) Cover trash cans Dr. Menendez: (10:26:25:26) Tape 10 “We worried about secondhand smoke, we are worried about exposure to molds which grow on surfaces that are humid or that are contaminated with water in the homes.” To avoid secondhand smoke: 1) Do not smoke in your home or car and do not allow others to do so. To prevent mold: B-Roll of hand cleaning bathroom tiles, Mom turning air conditioner on, Mom opening window, 1) Fix water leaks as soon as possible. 2) Clean mold with soap and water and dry completely. 3) Control humidity by using an air conditioner, dehumidifier, or exhaust fan. To prevent mold: 1) Fix water leaks as soon as possible. 2) Clean mold with soap and water and dry completely. 3) Control humidity by using an air conditioner, dehumidifier, or exhaust fan. Montage of children playing at a playground Graphic: Layered (picture in background) Outdoors Triggers * pollen – (flower) * pollution – (factory smokestack) * high ozone levels – (sun rays through leaves) * high particle levels – (exhaust fumes – tail pipe, and smoke from forest fires) * smog – (city skyline) Slate: Taylor Stuart 3 seconds of photo montage of Taylor OC: Taylor Stewart CG: Taylor Stewart 7 years old B-Roll of Taylor playing outside OC: Linda Bland Stewart (Taylor’s Mom) CG Title: Linda Marie Bland Stewart Taylor’s Mom B-Roll of Taylor playing basketball outside with her family OC Linda Bland Stewart Music V/O: Not all asthma triggers are found inside. Outdoor triggers can also cause asthma attacks. Outdoor asthma triggers include allergens, such as pollen, or air pollutants, such as ozone and particle pollution. Particle pollution is composed of microscopic solids or liquid droplets that are small enough to get into the lungs and trigger asthma attacks Dr. Menendez: (10:25:29:26) Tape 10 “Patients that have asthma experience symptoms of asthma and sometimes attacks of asthma when exposed to outdoor triggers such as air pollution, primarily coming from ozone also particle pollution such as we see with dusty days in the inner city that are exposed to a lot of heavy traffic.” V/O: Taylor who is 7 years old started having asthma attacks at a very early age Taylor Stewart – 02:05:28 Tape 1B “When I have an asthma attack it feels like my lungs hurt and I…start wheezing and coughing.” V/O: Taylor’s attacks are often caused by outdoor triggers. Linda Bland Stewart – 01:22:56 Tape 1A “Pollen is usually very thick in our neighborhood because there are many trees…when the wind blows outside, and, particularly a fall day or spring day, not a good day. It’s going to be an asthma day, / So on those days, we like to keep her inside.” B-Roll of School Nurse and Taylor OC: Angie Samsock (School Nurse) B-roll of Taylor playing outside OC: Linda Bland Stewart (Taylor’s Mom) B-Roll of Taylor’s family playing basketball V/O: No matter what triggers your child’s asthma, his or her school nurse is an important ally in managing symptoms and preventing attacks. Angie Samsock (School Nurse)02:11:54 Tape 1D It’s a big communication factor between all of us, the staff, and her family, and with Taylor herself to help control her triggers because she has asthma related to her allergens, related to the cold weather, related to outdoor problems too.” Linda Bland Stewart (Taylor’s Mom) 01:24:33 Tape 1A “As a parent, I’m very concerned when I send my child off to school or anywhere when I’m not there to let them know what her health requirements are. But everyone knows that either through my husband or myself, or Taylor telling them, “Listen, I have asthma and these are the things I need to avoid.” Slate: Limit your exposure to outdoor asthma triggers Graphic: Air Quality Index website B-Roll of Monica (Daniela’s Mom) Watching TV CU of TV - 06:03:14, 06:03:48, 06:01:40 EPA Web site, Weather channel Slate: Tips to control outdoor asthma triggers Graphics B-Roll of Monica watching TV Ozone Action Day pan from highway to sign Ozone B-Roll – Sign: WS: “Ozone Action Forecast tomorrow” Kids playing indoors, Taylor playing basketball, Mom turning AC on. 1) Check the Air Quality Index (AQI) reported on television and in the newspaper. 3) When AQI levels are unhealthy, limit your outdoor activities 5) Use an air conditioner to filter outside air coming into the home or car. V/O: Outdoor asthma triggers can’t be eliminated, but their effects can be minimized by limiting your exposure to them. Dr. Menendez: (10:28:17:25) Tape 10 “When the patient with asthma lives in an urban center…it is probably of value to them to check to see what the air quality index for that particular day in that particular city is going to be and they can obtain that information through their local news media they can also check the signs that are sometimes posted along the highways.” Air Quality Information is also available on EPA’s website at www.epa.gov V/O: Here are some tips on how to control asthma if outdoor triggers affect your child: 1) Check the Air Quality Index reported on television and in the newspaper. 2) When AQI levels are unhealthy, remind your child to take it easier outdoors to limit the amount of pollution he or she breathes in. 5) Use an air conditioner to help filter outside air coming into the home or car. Be aware that asthma attacks may also occur or worsen the day after pollution levels are high. B-Roll of Nurse with kids at the hospital OC: Monica Cardoza (Daniela’s Mom) OC Linda Bland Stewart (Taylor’s Mom) B-Roll of Taylor playing B-Roll of Taylor dribbling the ball, B-roll of kids playing at a playground Montage of CU of Kids smiling CU GIRL – 08:25:06 CU GIRL – 08:25:31 CU BOY – 13:08:42 CU GIRL – 13:08:32 CU BOY – 13:08:02 CU – 13:07:34 CU Daniela – 08:28:44 CU Taylor – 13:25:19 Fade to Black V/O: Doctors also encourage asthma patients to keep up with the latest treatments to help them live a normal life. Monica Cardoza (Daniela’s Mom) (06:13:25:11) Tape 6 “…for Daniela, what I do for her so she will live a normal life, first of all I take her to the doctor to get checked, I do give her medications …” Linda Bland Stewart (Taylor’s Mom)01:28:04 Tape 1A “Taylor really has a normal life, // There are just precautions we need to take. She dances, she plays soccer. She’s one of the best Hip Hop dancers that I know, it doesn’t limit her life. As long as we take the necessary precautions, like keeping the house clean, watching the air quality index, informing those that she’s going to be with about how to manage her asthma should she have an attack, she has a very normal life.” Music Up Music Out SPECIAL THANKS Dr. Roger Menendez, M.D Director, Allergy and Asthma Research Center of El Paso, P.A. Angie Samsock, Montrose Christian School, Rockville, Maryland SPECIAL THANKS Monica N. Cardoza Daniela V. Cardoza Carina A. Cardoza Linda Bland Stewart Richard Stewart Taylor Stewart Tyler Stewart Montrose Christian School Langdon Elementary School EPA LOGO Indoor Environments Division Asthma Program www.epa.gov/asthma Office of Air Quality Planning and Standards www.epa.gov/air/oaqps 6 Suggested shortened version 103105 Breathing Freely: Controlling Asthma Triggers English Asthma Video VIDEO AUDIO 4/30/2009 1