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During normal breathing, air moves down the windpipe (also called the trachea) and into progressively smaller airways (called bronchi). The bronchi also branch to become even smaller airways (called bronchioles). Finally, the air ends its journey in a series of tiny air sacs (called alveoli). Here, the oxygen passes through the wall of the air sac into the bloodstream. At the same time, carbon dioxide (a waste product that your body needs to get rid of) moves the other way, out of the bloodstream and into the air sacs. When you breathe out, the carbon dioxide moves up your airways and out through your mouth and nose.1

Whats different in people with asthma?The lungs and airways of people with asthma are hypersensitive to various trigger factors, such as exercise, pollens or cold air. They react abnormally in the following ways: The membranes lining the airway walls become inflamed (red and swollen), and release sticky mucus (called phlegm) and other fluids. The muscles in the airway walls tighten (i.e. contract).Due to these reactions the airways become narrower, reducing the space for air to flow through and making it harder to breathe.

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CoughWheezeTight Feeling in the ChestShortness of BreathAwakening at Night from Cough or WheezeChildren are not always able to express in words that their asthma symptoms are worsening. They may have noticeable coughing and wheezing, but these are not always the first indications of breathing distress. Different children show asthma trouble in different ways. Some possible indications of the beginning of an asthma episode include:

Unusual Tiredness Or RestlessnessTrouble Sitting StillCrankinessLooking Worried or ScaredPale, Sweaty SkinFast BreathingSlouching OverIf you do not have asthma, you can help yourself imagine what it feels like to have an asthma episode. (No need to try these if you do have asthma-you already know what it feels like, and you don't want to risk triggering a real episode.)

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I out of these students had gone to emergency room3 cannot do strenous physical activity4

Triggers5

National Heart, Lung, and Blood Institute and the National Asthma Education and Prevention Program (NAEPP) was initiated in March 1989 to address the growing problem of asthma in the United State

Objectives

For Patients and the PublicIncrease public awareness of asthma as a significant public health problem.Increase public awareness of the signs and symptoms of asthmaImprove the knowledge, attitudes, and skills of patients regarding the detection, treatment, and control of asthma, particularly in high-risk populations.Define guidelines for effective asthma education programs.Promote development, dissemination, and use of patient and family education materials.

For Health ProfessionalIncrease knowledge, attitudes, and skills of all health professionals regarding signs, symptoms, and management strategies for asthma.Encourage health professionals treating patients with asthma to adequately track and monitor patient status and to use objective measures of lung function.Assist and encourage health professional schools and continuing education programs to include up-to-date and accurate information on diagnosis, pathogenesis, and treatment of patients with asthma.Promote and encourage the concept of active patient participation with the physician in the management of asthma.Develop resources and materials for use by health professionals.Promote research to answer unresolved questions about underlying causes of asthma and appropriate asthma treatment and management practices.

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Childhood Asthma Found to Negatively Affect Adult HealthLong-term consequences for children who suffer from the chronic breathing condition, including an increased likelihood of adult obesity and increased absenteeism from either school or work.In 2010 The Yale School of Public Health has found. The study is published in this months issue of the Journal of Health Economics.Researchers found significant long-term consequences for children who suffer from the chronic breathing condition, including an increased likelihood of adult obesity and increased absenteeism from either school or work.Childhood asthma affects nearly 10 percent of children, but there has been little research on its long-term consequences, both physically and in terms of socioeconomic costs.Results from this analysis suggest that the prevalence of asthma early in life may have important negative consequences for future health and well-being, said Jason M. Fletcher, an assistant professor in the division of Health Policy and Administration and the studys lead author. The long-term health effects of childhood asthma appear to be as severe as those associated with other major childhood health conditions such as AD/HD or low birth-weight.Specifically, the researchers found that children with asthma have a 12 percentage point higher risk of adult obesity. This may be due to certain lifestyle choices adopted in childhoodsuch as avoiding routine or vigorous exercisein order to avoid triggering asthma attacks, they note.The study also found that young adults who suffered from childhood asthma had sharply increased rates of absenteeismby as much as 50 percentfrom school and work. People who grew up with the chronic condition were also significantly less likely to report that they were in excellent health.The findings suggest that behavioral reactions to asthma in childhood can have lasting impacts and that some health resources should be reallocated to younger people with asthma to instill better habits. Waiting and treating asthma-related problems in adults can be very costly because it often requires undoing years of cumulative damage, note the researchers.The researchers plan to examine additional long-term consequences of childhood asthma, such as earnings, physical activities and limitations, and other adult health conditions, as well as examining the mechanisms of the links.

Does Asthma Impact You? More than likely, you know the impact of asthma. At the individual level

7Perceived Awareness of Asthma

How much health information do Teachers of Asthmatic Students Know About Asthma?How does it impact their students interactionsMrs Almageur, Administratiuve Assistant8

9.5% (63,962) of youth in San Antonio have asthma9

Target Population Sample San Antonio ISDSchool officials who interact with students who have asthma.Teachers who will be interacting with students who have asthma in the Middle School setting8 teachers1 administrator1 counselor1 nurse

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Ms Cano, BA 3 yrs teaching 6th grade math Ms. Alma, MED 7 years teaching english, 1 year counselorMs Crosby, M School psych, 9 years teaching middle school science11

Teach for America CohortMs JanieMs PerryMs SteviMr james12

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Nurse Jasmine, BSN 12yrs school nurse

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information15

EPA's Air Quality Index is a guide to the overall quality of air in a region based on levels of major pollutants. The AQI represents the health risk from the most severe pollutant on any given day. In the Austin area, that's usually ozone.

Air Quality Index GraphicAn AQI forecast is issued as both a number and a color-coded scale. AQI numbers are very close to the parts-per-billion (ppb) measurement for ozone, but not the same. The AQI is calculated on a uniform scale for all pollutants. 16

Mr. Cruz and his son during field day17Health Education

Prevention efforts and coping skillsJuanita18

May is asthma awareness monthCelebrities and pro football players like Jerome Bettis is working with the ALA to promote asthma awareness19

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