asthma

Cars and Trucks and Things That Go…Put the Brakes on Traffic-Related Pollution Exposure at Schools

By Ruth Etzel, MD

School bus with black smoke.

Many scientific studies have found that people who live, work, or attend school near major roads appear to be more at risk for a variety of short- and long-term health effects, including asthma, reduced lung function, impaired lung development in children, and cardiovascular effects in adults. For example, a study by researchers at the University of Southern California found that children who live within 500 meters (that’s about one-third of a mile) from a freeway incur substantial and long-lasting deficits in lung development and function compared to children living at least 1500 meters (a little under 1 mile) from a freeway.

Yet nearly 17,000 of our country’s schools are located within steps of a heavily-traveled road, potentially exposing more than 6 million children to traffic-related pollution at a time when their developing lungs are particularly vulnerable to the harmful effects of air pollution.  Because one in ten children in the U.S. suffer from asthma, that number includes many kids who may already be struggling to breathe. What’s more, low-income and minority children are disproportionately impacted by asthma and are more likely to live and attend school near major roadways. Many communities are also facing difficult decisions about where to put new schools to serve a growing student population and how to design those schools to maintain a healthy learning and teaching environment.

To help schools, parents, and communities reduce students’ exposure to traffic-related air pollution, EPA has just released a new resource: Best Practices for Reducing Near-Road Pollution Exposure at Schools. In this document, best practice solutions that schools across the country are employing to reduce kids’ exposure to traffic-related air pollution are described. This “Best Practices” document summarizes several strategies that can be used to reduce exposures including ventilation, filtration, voluntary building occupant actions, school transportation policies, school siting and site layout decisions, and the use of sound walls and vegetative barriers. The document also contains a school ventilation checklist and links to additional resources for achieving clean, green and healthy school environments, such as EPA’s Voluntary School Siting Guidelines.

EPA and our partners have had tremendous success cleaning the air over the past 45 years, cutting air pollution by 70% while our nation’s economy tripled. That’s good news for our children; research published this year found that the improving air quality in Southern California over the past 20 years has led to healthier lungs for children in the region. But we still have work to do. While vehicle emissions have decreased over the past several decades due to EPA’s emission standards, schools may still be located in areas where air pollution levels are elevated.  We hope that this new resource will help schools and parents across the country find ways to reduce exposure to traffic-related air pollution at schools.

Learn what you can do: www.epa.gov/schools

Editor's Note: The views expressed here are intended to explain EPA policy. They do not change anyone's rights or obligations. You may share this post. However, please do not change the title or the content, or remove EPA’s identity as the author. If you do make substantive changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to specific content on a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

A Child’s Health Scare during Children’s Health Month

By Elias Rodriguez

EPA Asthma An alarming text came in over a recent weekend, my young niece was being taken to the emergency room by her parents due to a serious episode of asthma. She was treated and released, but was distressingly back in the hospital the next day when the health situation became exacerbated. Asthma can be fatal.

Asthma triggers include pets, pesticides, dust mites, mold and secondhand smoke. Pollutants in the outdoor air, including particulates (soot) and ozone (smog) are major asthma triggers. Ozone can irritate the respiratory system, causing coughing, throat irritation, and aggravating asthma. When ozone levels are high, more people with asthma have attacks that require a doctor’s attention or medication.

When she had fully recovered, I asked my niece for any tips she would like to offer other kids. She noted the changing weather. “Take care of yourself,” she offered while acknowledging that having an Asthma Action Plan was an important message for everyone.

EPA highly recommends that folks create an Asthma Action Plan. You can help avoid the emergency room by managing your asthma daily. With a doctor’s help, you should create an asthma action plan to help you effectively manage your asthma and reduce exposure to triggers.

We hope you heed the tips from Children’s Health Month  this October.

About the Author: Elias serves as EPA Region 2’s bilingual public information officer. Prior to joining EPA, the proud Nuyorican worked at Time Inc. conducting research for TIME, LIFE, FORTUNE and PEOPLE magazines. He is a graduate of Hunter College, Baruch College and the Theological Institute of the Assembly of Christian Churches in NYC.

 

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

Why We Must Act: For our Families’ Health and our Kids’ Future

Sanaa Brown is ten years old. Like many other girls her age, she loves playing outside. Soccer, dance, gymnastics, tennis, swimming—as her mom likes to say, there’s isn’t a sport Sanaa doesn’t like.

But these days, she finds herself stuck inside more and more often. Sanaa has asthma and environmental allergies—conditions that are only getting worse, thanks to climate change.  Increasingly extreme summer heat [and humidity] near her family’s home in North Carolina mean Sanaa has more and more trouble breathing. After less than an hour outside, she often breaks out in painful hives.

Despite all this, Sanaa refuses to give up. She’s still running all around her house, still giving it her all on the soccer field. Yet, the difficulty breathing, the painful hives—they’re not going anywhere. As her mom admits, pursuing her passion means that Sanaa now has to “deal with the consequences.”

She shouldn’t have to.

I got into public service more than three decades ago as a local public health official in Canton, Massachusetts, because I wanted to make life a little easier for kids like Sanaa. I wanted to make sure they could play outside whenever they wanted to, without having to worry about being able to breathe.

Thirty-five years later, kids like Sanaa are still the reason I come to work every day—because I know that unless we continue the fight to protect our environment, what’s happened to them could just as easily happen to my family or yours. Nothing drives home this threat more sharply than the challenge of climate change.

Climate change, driven by carbon pollution from fossil fuels, leads to more extreme weather—more extreme heat, cold, drought, storms, fires, and floods. Climate change is a global challenge, but it’s also personal. No matter who you are, where you live, or what you care about, climate change is affecting you and your family today.

Our moral responsibility to act is crystal clear—because our families are bearing the brunt of these effects.

Carbon pollution comes packaged with smog and soot that can lead to lung and heart disease. Over the last three decades, the number of Americans living with asthma has doubled. Warmer temperatures from climate change exacerbate air pollution, putting those patients at greater risk of landing in the hospital.

The facts of climate change aren’t up for debate. Scientists are as sure that humans are causing climate change as they are that cigarettes cause lung cancer. We have a responsibility to act because we have a responsibility to our kids, our grandkids, to Sanaa Brown, and to young people across the country and around the world.

As a mom, I feel the weight of this responsibility every time I look at my three children. At EPA, I feel it every time I walk the halls and remember our mission: to protect public health and the environment. That’s why we’re not shying away from this challenge. We’re not waiting. We’re taking action now.

The transition to a clean energy future is happening even faster than we expected—and that’s a good thing. It means carbon and air pollution are already decreasing, improving public health each and every year. The Clean Power Plan accelerates this momentum. It will slash carbon pollution from the power sector by nearly a third compared to where we were a decade ago. And when we cut carbon pollution, we also cut the smog and soot that come with it. That’s going to make a real difference in the lives of kids and families everywhere.

By 2030, we’ll see major reductions of pollutants that can create dangerous soot and smog, translating to significant health benefits for the American people. We’ll avoid up to 90,000 asthma attacks that would have ruined a child’s day. Americans will spend up to 300,000 more days in the office or the classroom, instead of sick at home. And up to 3,600 families will be spared the grief of losing a loved one too soon.

We’re acting now because lives are at stake.

Two years ago, President Obama told the students of Georgetown University that he “refuse[d] to condemn their generation… to a planet that’s beyond fixing.”

Two months ago, Pope Francis reminded us that “young people demand change,” and called upon “every person living on this planet” to take a stand for our children, and theirs to come.

A child born today will turn fifteen in the year 2030 – the year when the full benefits of the Clean Power Plan will be realized. The actions we take now will clear the way for that child – and kids everywhere – to learn, play, and grow up in a world that’s not only clean and safe, but full of opportunity.

 

Editor's Note: The views expressed here are intended to explain EPA policy. They do not change anyone's rights or obligations. You may share this post. However, please do not change the title or the content, or remove EPA’s identity as the author. If you do make substantive changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to specific content on a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

County Health Rankings: A Breath of Fresh Air

By Donald F. Schwarz

About the Author: Donald F. Schwarz, MD, MPH, MBA is Director, Catalyzing Demand for Healthy Places and Practices at the Robert Wood Johnson Foundation.

http___www.epa3

Air pollution has long moved on from being a concern reserved for proactive environmentalists. Today, it has become a more visible personal health issue for millions of families and a major and growing public health concern for communities who live in close proximity to pollution sources.

The quality of air that we breathe determines, in part, how long and how well we live. Unfortunately, for residents of predominantly low-income and/or minority counties across the country, the impact of polluted air leads to the biggest concerns. Because many mobile and stationary sources of air pollution tend to be concentrated around the residential areas of low-income and minority communities, certain geographies have a greater threat of damaged health.

That’s why the County Health Rankings, an online tool which uses a variety of indicators to rank public health for almost every county in the nation, includes air pollution as an indicator to measure the health conditions of a county. It recognizes that an important aspect of the health of a community includes factors beyond the control of an individual person. The tool highlights regions by their health quality to help focus local government action.

CountyHealthRankings example

(courtesy County Health Rankings)

Air pollution is not a health concern that exists in a bubble — it has impacts on human health in several realms. For example, we know the links between polluted air and asthma. According to the U.S. Centers for Disease Control and Prevention, about nine people die from asthma in the U.S. every day. The toll on lives is acute, as is the effect on how well people in impacted regions live. Air pollution also causes decreased lung function, chronic bronchitis, and other adverse pulmonary effects. The impact does not end with individual homes and families but over time affects our communities and our economy. In fact, asthma costs us about $56 billion in medical costs, lost workdays, and early deaths each year. These are not expenses that people who are already struggling to make a living are able to comfortably “take on,” nor should they have to.

There are also correlations between air pollution and the quality of life for children, many of whom are low-income or minority, who live, learn, and play in close proximity to pollution sources. There is a strong correlation between birth defect rates and proximity to air pollution, likely because pregnant mothers are a more susceptible population to environmental hazards. For older children, education is a concern based on the fact that more than 10.5 million school days each year are lost among 5- to 17-year-olds due to asthma complications.

Our hopes are that by using the county ranking tool, state and local governments can find ways which to share ideas to improve public health from place to place. For example, a recent study from our home state of New Jersey found that programs like the E-Z Pass open-road tolling (which result in fewer cars idling around toll plazas) have been connected to lower premature birth rate among moms who live nearby. By indicating within states those counties with similar pollution control problems, there is an opportunity for increased collaboration between governments and decision-makers. We hope that knowledge like this can contribute to improved public health for all.

We can hope for brighter futures for marginalized communities by taking direct action in the right areas. Want to know if you are breathing clean air in your county? Check out the 2015 County Health Rankings to see where your county stands in your state for air pollution.

Learn what you can do to improve the air in your community, check out the step-by- step guidance from the County Health Rankings & Roadmaps--What Works section or the County Health Rankings & Roadmaps--Action Center where you will find tools, resources, policies, and programs to help you make your community a healthy place to live, learn, work, and play.

Donald F. Schwarz: “Learn what you can do to improve the air in your community. Check out the step-by- step guidance in the County Health Rankings & Roadmaps–What Works section or take a look in the County Health Rankings & Roadmaps–Action Center, where you will find tools, resources, policies, and programs to help you make your community a healthy place to live, learn, work, and play.”

 

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

Topping Off Asthma Awareness Month with Health Advice for Those You Care About

By Becky Weber

Imagine that you’re spending a quiet day at the beach. You get warm and the crystal clear, blue water looks so inviting, you decide to go for a swim. You venture out into the calm water, but before you know it, waves start rolling over your head. You push up from the sandy ocean bottom and take a big gulp of air before another wave knocks you back over. You finally make it to shore and now you’re exhausted, but your heart is racing like you just ran the Boston Marathon and you can’t make it slow down no matter how many deep breaths you take…

Becky Weber

Becky Weber

This is eerily similar to an asthma attack that adults can experience. An attack can come out of the blue and before it’s over, they might spend time in an emergency room with doctors getting the attack and the resulting rapid pulse under control with asthma medication.

May is Asthma Awareness Month, and I’d like to cap off the month by reminding everyone that adults have asthma, too. According to the Centers for Disease Control, there are just under one million adults in the Heartland living with asthma, or seven percent of the population. These asthma sufferers are moms, dads, brothers, sisters, sons, daughters, employees, etc. When they have an attack, it takes time away from their families, jobs, and activities. In EPA Region 7’s Air Program, we work closely with our state and local partners to educate the public about asthma and the common triggers for asthma attacks.

The most common triggers for asthma in both adults and children are:

  • Secondhand smoke
  • Dust mites
  • Molds
  • Cockroaches and pests
  • Pets
  • Nitrogen dioxide
  • Chemical irritants
  • Outdoor air pollution
  • Wood smoke

Having healthy indoor and outdoor air is important for every citizen, but it can mean life or death for people with asthma. Our Air Program is doing its part to protect air quality in the Heartland via the regional indoor and outdoor air programs, closely working with our Public Affairs and Environmental Justice experts on education campaigns and with our state and local partners. We hope our efforts result in fewer missed school and work days, less missed time with families, fewer hospital visits – and most of all, a better quality of life for our citizens living with asthma every day.

You may be thinking to yourself, “Is there anything I can do?” Yes, there are several things you can do to help those with asthma around you. Carpool more or take public transportation to reduce air pollution. Use green products when cleaning your home or office space. Buy Energy Star or energy-efficient products. And educate yourself on asthma trigger prevention. We can all do our part to help prevent asthma attacks!

For more information on asthma, triggers, and prevention, please visit EPA’s Asthma page.

About the Author: Becky Weber serves as the Director of EPA Region 7’s Air and Waste Management Division, and has worked over 20 years at EPA managing a variety of programs. She has a Bachelor of Science in meteorology from Texas A&M University. Becky enjoys cooking, reading, walking, and spending time with her family and friends.

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

Community-Based Programs are Key to Addressing Asthma Triggers

Did you know that May is Asthma Awareness Month? If you or a family member are among the nearly 23 million Americans who are affected by this chronic respiratory disease, you probably already knew. Each year, in May, we increase our public awareness efforts, further strengthen our partnerships with community–based asthma organizations, and recognize exceptional asthma programs.

The chart below shows the prevalence of asthma, its cost to us as a society and what is called the “asthma disparity.” As you can see, poor and minority children suffer a greater burden from asthma and we need to work together to ensure everyone has access to the care they need to get their asthma under control.

What’s the best way to address the asthma disparity? The medical and public health communities have found that the key is a comprehensive, community-based approach that incorporates medical treatment and the management of environmental triggers like secondhand smoke, mold, dust mites and pet dander. This approach can lead to fewer asthma episodes and better quality of life for children and families struggling with asthma.

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Editor's Note: The views expressed here are intended to explain EPA policy. They do not change anyone's rights or obligations. You may share this post. However, please do not change the title or the content, or remove EPA’s identity as the author. If you do make substantive changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to specific content on a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

When it Rains, it Molds: Part 2 of 2

By Marcia Anderson

Schools can harbor mold that triggers asthma in students.

Schools can harbor mold that triggers asthma in students.

When I was in EPA Region 2 (New York, New Jersey, Puerto Rico and the Virgin Islands) I visited several schools that had questions about mold. This prompted a follow-up discussion with Mark Berry, EPA’s Region 6 (Serving Arkansas, Louisiana, New Mexico, Oklahoma, Texas and 66 Tribes) Indoor Air Quality Coordinator about common mold questions resulting from these visits. An earlier blog looked at general questions about mold and moisture. Here, we focus on these issues in schools.

What are the most impacted areas in school buildings?

Areas without adequate air flow by themselves are not, necessarily the issue – it is areas where it is damp or humid and the airflow isn’t adequate enough to help dry up the moisture. Problem areas may be in the walls behind restrooms, kitchens, gyms, facility manager closets, near air conditioners, compressors and in damp basements. Moisture problems in schools may also be associated with delayed or insufficient maintenance due to budget and other constraints. Temporary structures, such as trailers and portable classrooms, have frequently been associated with moisture and mold problems. Most respiratory issues are associated with poor ventilation or outdated HVAC units. Mold is often targeted as the cause for illness, but, in fact, the mold is an indicator of moisture.

One area that is often impacted by mold and moisture problems in schools are gym locker rooms. Do you have any advice for school facility managers?

It is common for mold to grow on and around areas that are continuously wet. The moisture has a tendency to increase the relative humidity levels in a building, providing the perfect environment for mold and mold spores to grow.

  • Vent showers and other moisture-generating sources to the outside;
  • Control humidity levels and dampness by using air conditioners and de-humidifiers to provide adequate ventilation.
  • Maintain indoor humidity levels between 30-60 percent.
  • Students should remove clothing from their gym lockers at least weekly, and damp laundry, such as towels, should be removed daily.

For existing mold, the first step is to eliminate the moisture source, then take appropriate steps to clean it up. The EPA does not encourage the use of harsh chemicals for mold clean-up. Soap and water will suffice. These measures, along with monitoring for adequate ventilation, locker checks and educating students about the importance of following these guidelines, will go a long way to decreasing mold in your school.

Mold and moisture problems in the basement of an older school.

Mold and moisture problems in the basement of an older school.

What do we do if we suspect hidden mold?

Investigating hidden mold problems may be difficult and will require caution when it involves disturbing potential sites of mold growth. If you believe that you may have a hidden mold problem, consider hiring an experienced professional.

What can building facility managers do to decrease the incidence of mold in their buildings?

EPA’s guidance is solutions based – to focus on the source of the moisture that feeds the mold. The three principles of mold remediation are:

  1. Fix and eliminate the moisture source.
  2. Clean and remove mold and mold spores. In many cases detergent and water will be sufficient – there is no need to use harsh chemicals that may endanger your health. Follow all manufacturer’s directions when using cleaning products.
  3. Dry out the area. If you continue to see mold growing, you have not eliminated the moisture source and should repeat step 1.

Does carpet cause mold or related allergy problems in schools?

Carpet use in schools provides a decrease in noise, falls and injuries. Mold problems can be encountered with carpet and many other materials if the school has any type of water intrusion or moisture problem, such as a leaky roof. If carpeting remains damp, it can become a primary source for microbial growth, which frequently results in adverse health effects. Carpet and other furnishings that become significantly water damaged should be removed and discarded. Use care to prevent excess moisture or cleaning residue accumulation and ensure that cleaned areas are dried quickly. In areas where there is a perpetual moisture, do not install carpeting (i.e., by drinking fountains, by classroom sinks, or on concrete floors with leaks or frequent condensation).

How does mold affect asthma?

Molds can trigger asthma episodes in sensitive individuals with asthma. People with asthma should limit contact with and exposure to areas contaminated with a mold presence. However, remember that molds are a natural part of the environment – and it is impossible to totally avoid mold for asthmatics. EPA provides very useful information on mold and asthma.

How does mold remediation compare to Integrated Pest Management (IPM)?

IPM and mold remediation are both based on the principle of limiting sources of the primary needs for life – but they are very different practices. Molds are microscopic fungi that grow best in damp places such as kitchens, bathrooms and basements. Mold has the same basic needs as any pest: 1. Mold needs a surface to grow on; 2. Food (paper, wood, carpet, food, insulation or other organic fibers); and 3. Water (moisture to germinate and grow). IPM is similar, in that it employs common sense strategies to reduce sources of food, water and shelter for pests in your school buildings. If just one of the essential components that a pest needs to survive can be removed, then the pest cannot survive. In the case of mold, remove the moisture. Mold problem solved.

For more information on controlling mold and moisture, visit www.epa.gov/mold

About the Author: Marcia is with EPA’s Center of Expertise for School IPM in Dallas, Texas. She holds a PhD in Environmental Management from Montclair State University along with degrees in Biology, Environmental Design, Landscape Architecture, and Instruction and Curriculum. Marcia was formerly with the EPA Region 2 Pesticides Program and has been a professor of Earth and Environmental Studies, Geology, and Oceanography at several universities.

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

Children’s Health: A link between Allergies, Asthma and School Attendance

By Marcia Anderson

 Cockroach allergens are linked to children’s asthma

Cockroach allergens are linked to children’s asthma

Many schools have shown a high incidence of students missing valuable school days due to asthma and allergies. In many of the same schools that report a high incidence of absenteeism, we have also found cockroach infestations in cafeterias, storage closets and teacher break rooms.

Is there a relationship between cockroach exposure, allergies and asthma?

Most people with asthma have allergic responses in their bronchial tubes when they breathe in particles of the right size and shape and composed of materials recognized by their immune system. Exposure to things like mold, cat dander, ragweed, pollen, and rodent and cockroach droppings can elicit an allergic reaction.

The proteins in cockroach feces and their decomposing bodies are of just the right size to be lifted into the air, inhaled and recognized by the immune system as a signal to make an allergic reaction in some people. This is asthma. Airborne cockroach allergens will stick to particles, like dust, that quickly settle onto dust-trapping fabrics found on upholstered furniture, carpets and curtains. Activities like vacuuming, or even walking may stir up these allergens.

An asthma attack can happen when a student is exposed to “asthma triggers.” One child’s triggers can be very different from those of another child or an adult with asthma.

What Causes the Allergic Reaction? The job of the immune system is to find foreign substances, such as viruses and bacteria, and get rid of them. This protects us from dangerous diseases. People with allergies have supersensitive immune systems that react when they inhale, swallow or touch certain substances such as pollen or dust that contain the allergens. Some people are born with allergies. Others seem to acquire these allergic sensitivities as they grow older.

Asthma Studies: A 2014 study in the Journal of Allergy and Clinical Immunology showed marked geographic differences in allergen exposure and sensitivity in inner city children. Early exposure to cockroach allergens can actually cause asthma to develop in preschool aged children. Inhaling particles from cockroaches can cause coughing and wheezing in babies less than 12 months of age. A lack of understanding about asthma and its treatment may cause further risk of severe, undertreated asthma. In many low income communities, coughing and wheezing are accepted as part of normal growing up and medical care may not be sought because it isn’t considered necessary, or it is too difficult to access.

A National Institutes of Health research project demonstrated a definitive connection between income and the severity of asthma in the population (http://www.nih.gov/news/pr/sept98/niaid-21.htm). The study compared people hospitalized for asthma in six major U.S. cities. It found that the lower the average income, the more frequent the need for hospitalization for severe asthmatic attacks.

Exposure to the things that stimulate asthma like cockroaches, second hand smoke, mold, and air pollution are often greater in poor households. In dwellings where the amount of cockroach allergens are high, exposure is high and the rate of hospitalization for asthma goes up.

Keeping your home and family safe: The EPA recommends that you use Integrated Pest Management (IPM), a smart, sensible and sustainable approach to pest control. Smart because IPM creates a safer and healthier environment by managing pests and reducing children’s exposure to pests and pesticides. Sensible since practical strategies are used to reduce sources of food, water and shelter for pests in buildings. Sustainable because the emphasis is on prevention that makes it an economically advantageous approach.

Actions you can take: From cracks to drain traps to groceries, cockroaches can find a way into your home in the oddest of places. Focus on sanitation to eliminate food sources, moisture sources, and harborage for the insects. At least every two to three days, vacuum or sweep areas that might attract cockroaches.

Allergen concentrations are generally highest in kitchens where there is plenty of food and water for cockroaches. Keep counters, sinks, tables and floors clean, dry and free of clutter. Clean dishes, crumbs and spills right away. Store food in airtight containers. Seal cracks or openings around or inside cabinets to keep cockroaches out.

Next are bedrooms where people inhale the allergens that have settled into bedding. Wash bedding regularly in hot water and remove any unnecessary fabrics like curtains and upholstered furniture. Replace carpeting with smooth flooring that can be damp-mopped.

Controlling Cockroaches. To prevent and treat cockroach infestations in your home use IPM methods first – sanitation followed by low-impact pesticides such as baits, or gels.

EPA offers more information about cockroaches and asthma along with a Citizen’s Guide to Pest Control and Pesticide Safety. We also recommend reviewing EPA’s Asthma Checklist and exploring the EPA-sponsored Asthma Community Network website.

About the Author: Marcia is with EPA’s Center of Expertise for School IPM in Dallas, Texas. She holds a PhD in Environmental Management from Montclair State University along with degrees in Biology, Environmental Design, Landscape Architecture, and Instruction and Curriculum. Marcia was formerly with the EPA Region 2 Pesticides Program and has been a professor of Earth and Environmental Studies, Geology, and Oceanography at several universities.

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

Children’s Health: A link between Allergies, Asthma and School Attendance

By Marcia Anderson

 Cockroach allergens are linked to children’s asthma

Cockroach allergens are linked to children’s asthma

Many schools have shown a high incidence of students missing valuable school days due to asthma and allergies. In many of the same schools that report a high incidence of absenteeism, we have also found cockroach infestations in cafeterias, storage closets and teacher break rooms.

Is there a relationship between cockroach exposure, allergies and asthma?

Most people with asthma have allergic responses in their bronchial tubes when they breathe in particles of the right size and shape and composed of materials recognized by their immune system. Exposure to things like mold, cat dander, ragweed, pollen, and rodent and cockroach droppings can elicit an allergic reaction.

The proteins in cockroach feces and their decomposing bodies are of just the right size to be lifted into the air, inhaled and recognized by the immune system as a signal to make an allergic reaction in some people. This is asthma. Airborne cockroach allergens will stick to particles, like dust, that quickly settle onto dust-trapping fabrics found on upholstered furniture, carpets and curtains. Activities like vacuuming, or even walking may stir up these allergens.

An asthma attack can happen when a student is exposed to “asthma triggers.” One child’s triggers can be very different from those of another child or an adult with asthma.

What Causes the Allergic Reaction? The job of the immune system is to find foreign substances, such as viruses and bacteria, and get rid of them. This protects us from dangerous diseases. People with allergies have supersensitive immune systems that react when they inhale, swallow or touch certain substances such as pollen or dust that contain the allergens. Some people are born with allergies. Others seem to acquire these allergic sensitivities as they grow older.

Asthma Studies: A 2014 study in the Journal of Allergy and Clinical Immunology showed marked geographic differences in allergen exposure and sensitivity in inner city children. Early exposure to cockroach allergens can actually cause asthma to develop in preschool aged children. Inhaling particles from cockroaches can cause coughing and wheezing in babies less than 12 months of age. A lack of understanding about asthma and its treatment may cause further risk of severe, undertreated asthma. In many low income communities, coughing and wheezing are accepted as part of normal growing up and medical care may not be sought because it isn’t considered necessary, or it is too difficult to access.

A National Institutes of Health research project demonstrated a definitive connection between income and the severity of asthma in the population (http://www.nih.gov/news/pr/sept98/niaid-21.htm). The study compared people hospitalized for asthma in six major U.S. cities. It found that the lower the average income, the more frequent the need for hospitalization for severe asthmatic attacks.

Exposure to the things that stimulate asthma like cockroaches, second hand smoke, mold, and air pollution are often greater in poor households. In dwellings where the amount of cockroach allergens are high, exposure is high and the rate of hospitalization for asthma goes up.

Keeping your home and family safe: The EPA recommends that you use Integrated Pest Management (IPM), a smart, sensible and sustainable approach to pest control. Smart because IPM creates a safer and healthier environment by managing pests and reducing children’s exposure to pests and pesticides. Sensible since practical strategies are used to reduce sources of food, water and shelter for pests in buildings. Sustainable because the emphasis is on prevention that makes it an economically advantageous approach.

Actions you can take: From cracks to drain traps to groceries, cockroaches can find a way into your home in the oddest of places. Focus on sanitation to eliminate food sources, moisture sources, and harborage for the insects. At least every two to three days, vacuum or sweep areas that might attract cockroaches.

Allergen concentrations are generally highest in kitchens where there is plenty of food and water for cockroaches. Keep counters, sinks, tables and floors clean, dry and free of clutter. Clean dishes, crumbs and spills right away. Store food in airtight containers. Seal cracks or openings around or inside cabinets to keep cockroaches out.

Next are bedrooms where people inhale the allergens that have settled into bedding. Wash bedding regularly in hot water and remove any unnecessary fabrics like curtains and upholstered furniture. Replace carpeting with smooth flooring that can be damp-mopped.

Controlling Cockroaches. To prevent and treat cockroach infestations in your home use IPM methods first – sanitation followed by low-impact pesticides such as baits, or gels.

EPA offers more information about cockroaches and asthma along with a Citizen’s Guide to Pest Control and Pesticide Safety. We also recommend reviewing EPA’s Asthma Checklist and exploring the EPA-sponsored Asthma Community Network website.

About the Author: Marcia is with EPA’s Center of Expertise for School IPM in Dallas, Texas. She holds a PhD in Environmental Management from Montclair State University along with degrees in Biology, Environmental Design, Landscape Architecture, and Instruction and Curriculum. Marcia was formerly with the EPA Region 2 Pesticides Program and has been a professor of Earth and Environmental Studies, Geology, and Oceanography at several universities.

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.

EPA Grant Makes Great Strides in Education and Health

One of the many things we do in the EPA Denver office is work on education and children’s health. We wanted to share some work that Denver based National Jewish Health completed as part of an environmental education grant. This grant allowed National Jewish Health to work with regional projects that focused on environmental education and health. One of the objectives is to work with research organizations to bring the best science to address children’s health.

National Jewish Health is a Children’s Environmental Health and Disease Prevention Center (Children’s Centers). Jointly funded by EPA and the National Institute of Environmental Health Sciences, Children’s Centers conduct research to understand the complex interactions between the environment, genetics, and other factors, and how those interactions may affect children’s health.

Air quality and health was a program that allowed a network within EPA Region 8 to increase skills related to air quality and human health, and provide environmental education to schools, higher education institutions, and not for profit organizations to help tailor implementation and stewardship activities to meet the needs of their community.

image of two girls standing in front of lockers at a display table

East Middle School in Aurora, Colorado during a back to school night discussing asthma and environmental impacts on lung health.

In total, there were 19 projects reaching over 25,000 youth in EPA Region 8. More than 15 lesson plans/resources were developed and nine public schools, three higher education institutions, and seven community organizations were funded to conduct a variety of activities in diverse settings. Here are some of the projects:

  • The Clean Air Engines Off! program is an anti-idling education program offered through the American Lung Association to local schools.
  • At the Conservation Center in Paonia, Colorado, students conducted investigations on topics including airplane emissions, indoor air quality, effects of train traffic and the creation of carbon dioxide during physical exertion. Students presented their findings to the public through a community meeting organized by The Conservation Center.
  • At the Denver Green School students’ projects included connecting basic circuits to a microcontroller and programming it both to control the circuit and to interface with a user. The students worked with environmental sensors to measure temperature, humidity, and air quality.
  • At the John McConnell Math and Science Center in Grand Junction, Colorado an interactive, computer‐based program and kiosk was developed to teach students about:
    1. Formation and sources of ground-based ozone
    2. Differences between “good” and “bad” ozone
    3. Effects of ozone on lung health and the environment, and
    4. Exploration of what individuals can do to reduce the creation of ozone.
  • The Utah Society for Environmental Education provided skills in linking air quality and health and offered three workshops reaching teachers from along the Wasatch Front.

It’s very rewarding to see the successful outcomes of our grant programs. These grants allow environmental programs to reach a greater audience than EPA could reach alone.

For more information about protecting children’s health, visit www2.epa.gov/children.

About the authors: Wendy Dew is the Outreach and Education Coordinator for EPA Region 8. Kim Bartels is the Children’s Environmental Health Coordinator for EPA Region 8. The authors are sharing these stories to celebrate Children’s Health Month.

Editor's Note: The opinions expressed herein are those of the author alone. EPA does not verify the accuracy or science of the contents of the blog, nor does EPA endorse the opinions or positions expressed. You may share this post. However, please do not change the title or the content. If you do make changes, please do not attribute the edited title or content to EPA or the author.

EPA's official web site is www.epa.gov. Some links on this page may redirect users from the EPA website to a non-EPA, third-party site. In doing so, EPA is directing you only to the specific content referenced at the time of publication, not to any other content that may appear on the same webpage or elsewhere on the third-party site, or be added at a later date.

EPA is providing this link for informational purposes only. EPA cannot attest to the accuracy of non-EPA information provided by any third-party sites or any other linked site. EPA does not endorse any non-government websites, companies, internet applications or any policies or information expressed therein.