asthma in kentucky kids tricia mclendon, mph asthma program manager kentucky department for public...

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Asthma in Kentucky Asthma in Kentucky Kids Kids Tricia McLendon, MPH Tricia McLendon, MPH Asthma Program Manager Asthma Program Manager Kentucky Department for Kentucky Department for Public Health Public Health October 17, 2003 October 17, 2003

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Page 1: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Asthma in Kentucky KidsAsthma in Kentucky Kids

Tricia McLendon, MPHTricia McLendon, MPH

Asthma Program ManagerAsthma Program Manager

Kentucky Department for Public Kentucky Department for Public HealthHealth

October 17, 2003October 17, 2003

Page 2: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

OverviewOverview

National dataNational data Kentucky dataKentucky data Current education activities and Current education activities and

interventionsinterventions Asthma initiative in KentuckyAsthma initiative in Kentucky

Page 3: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Asthma in United States KidsAsthma in United States Kids

In 2001, asthma affected more than 6 In 2001, asthma affected more than 6 million children in the United Statesmillion children in the United States11

– 14 million school days missed annually14 million school days missed annually22

– 1 in 6 pediatric emergency room visits1 in 6 pediatric emergency room visits22

– 33rdrd leading cause of hospitalizations among leading cause of hospitalizations among children younger than 15 yearschildren younger than 15 years22

1. Environmental Protection Agency

2. CDC National Center for Environmental Health

Page 4: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Asthma in Kentucky KidsAsthma in Kentucky Kids

The rate of children with asthma in Region IV, The rate of children with asthma in Region IV, which includes Kentucky, is higher than the which includes Kentucky, is higher than the national rate.national rate.11

70,200 children in Kentucky are affected by 70,200 children in Kentucky are affected by asthmaasthma33

9.8% of high school and middle school 9.8% of high school and middle school students have asthmastudents have asthma44

1. Environmental Protection Agency

3. Asthma and Allergy Foundation of America

4. Youth Tobacco Survey, 2002

Page 5: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

7

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1999 Medicaid Child Asthma ER Visits Per 1,000 Recipient-Years

Child Asthma ER Visits Per 1,000 Recipient-Years

0 - 5151 - 7777 - 9797 - 126126 - 225

L. Snider, Ph.D.University of KentuckyCenter for Rural HealthSource of Data: KY Dept. of Medicaid

Appalachian BoundaryDelta Boundary

Page 6: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

7

1

151

15

.-,24

.-,65

.-,265 .-,64

.-,75

.-,75.-,71

.-,64

Bluegrass Parkway

Cumberland ParkwayDaniel Boone

Parkway

Mtn. Parkway

NatcherParkway

AudobonParkway

BreathittParkway W. KY Parkway

Carroll

Parkway

(/60

(/51"!80

ø÷121

(/45

(/64

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(/68

(/641

(/60(/60

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(/431

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1999-2001 Child Asthma Hospital Discharges Per 1,000 Child Population

Hospital Discharges Per 1,000 Child Population

2.00 - 3.793.80 - 4.494.50 - 7.998.00 - 34.15

0.62 - 1.99L. Snider, Ph.D.University of KentuckyCenter for Rural HealthKY Department of Public Health Hospital Discharge Data

Delta BoundaryAppalachian Boundary

Page 7: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Economic ImpactEconomic Impact

Estimated cost of treating children with Estimated cost of treating children with asthma is $3.2 billion per yearasthma is $3.2 billion per year22

Cost of illness for children with asthma Cost of illness for children with asthma in Kentucky is $45 million per yearin Kentucky is $45 million per year33

2. CDC National Center for Environmental Health

3. Asthma and Allergy Foundation of America

Page 8: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Asthma EducationAsthma Education

American Lung Association (ALA) of American Lung Association (ALA) of KentuckyKentucky– Certified Asthma Educator workshopCertified Asthma Educator workshop– Open Airways for SchoolsOpen Airways for Schools– Rules of Two Awareness CampaignRules of Two Awareness Campaign– Starbright FoundationStarbright Foundation

UK Cooperative Extension ServiceUK Cooperative Extension Service

Page 9: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Other Asthma ActivitiesOther Asthma Activities

ALA of KentuckyALA of Kentucky– Asthma campsAsthma camps– A Is for AsthmaA Is for Asthma

Environmental Protection AgencyEnvironmental Protection Agency– Indoor Air Quality Tools for SchoolsIndoor Air Quality Tools for Schools– National Smoke-Free Home Pledge National Smoke-Free Home Pledge

CampaignCampaign

Page 10: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Statewide Asthma InitiativeStatewide Asthma InitiativeKentucky Asthma PartnershipKentucky Asthma Partnership

Department for Department for Public HealthPublic Health

ALA of KentuckyALA of Kentucky University of University of

KentuckyKentucky University of University of

LouisvilleLouisville School NursesSchool Nurses Community Community

educatorseducators

Healthcare Healthcare professionalsprofessionals

Insurance providersInsurance providers Pharmaceutical Pharmaceutical

companiescompanies Environmental Environmental

professionalsprofessionals Public health Public health

professionalsprofessionals

Page 11: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Next StepsNext Steps

Statewide asthma prevention and control Statewide asthma prevention and control programprogram– Statewide asthma surveillance systemStatewide asthma surveillance system– Interventions and evaluationInterventions and evaluation– Partnerships with key organizationsPartnerships with key organizations

Enhance education initiativesEnhance education initiatives Promote use of NHLBI Guidelines for the Promote use of NHLBI Guidelines for the

Diagnosis and Management of AsthmaDiagnosis and Management of Asthma Create policy and legislation to address Create policy and legislation to address

asthma issues in schools and improve access asthma issues in schools and improve access to careto care

Page 12: Asthma in Kentucky Kids Tricia McLendon, MPH Asthma Program Manager Kentucky Department for Public Health October 17, 2003

Thank you!Thank you!

Tricia McLendonTricia McLendon

502-564-7996 ext 3819502-564-7996 ext 3819

[email protected]@mail.state.ky.us