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Asthma, and deaths due to
asthma, have rapidly increased since 1980. Though the exact cause of asthma
remains uncertain, environment very likely plays a key role. Research is
heavily focused on indoor environmental triggers for
asthma instead of the contribution of outdoor environmental triggers. Asthma
prevention, as a result, is focused more on the habits of parents than the
possible harmful effect of industry and traffic on air quality in poor minority
communities.
Health
centers around the country conduct asthma research and treatment. Efforts
focused on poor minority communities are overseen by several Department of Health and
Human Services agencies including the National
Institute of Environmental Health Sciences. Research,
though, on industrial triggers for asthma is primarily supported by the
National
Institute of Occupational Safety and Health.
While numerous non-profit environmental health groups focus on asthma
relatively few actually work as partners with poor minority communities. The American Academy of Allergy Asthma &
Immunology through Academy CAN! (Consulting Allergist Network), places
volunteer allergists in community health care centers where they consult with
center clinicians and training staff on the latest diagnosis and management of
allergies and asthma. In partnership with the Congress of National Black
Churches, the AAAAI has also created
educational materials about asthma. The Asthma
and Allergy Foundation of America has numerous local chapters, some of
which partner with poor minority communities to fight asthma.
A survey of
state health departments in 1996 found that no state had an asthma control
program. Yet, recent studies
estimate
the cost of childhood asthma from household triggers to exceed $800 million per
year. The cost of occupation asthma is estimated to be $1.6
billion. Poor minority communities, and the health care systems that serve
them, bear the brunt of these costs. Comprehensive models to eliminate
childhood asthma have been proposed but have yet to be implemented.
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