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Reporting childhood asthma: why? Why not? What else?
A T Koutsavlis1, T Kosatsky, J Cox
1Faculty of Medicine, McGill University, Occupational and Environmental Health Unit, Montreal Regional Public Health Department, 1301 Sherbrooke Street East, Montreal, Quebec, Canada H2L 1M3.
Insights
Mandatory reporting of childhood asthma could help public health agencies reduce the disease burden. This article evaluates the potential benefits and harms of making pediatric asthma a notifiable disease.
Area of Science:
- Pediatric Pulmonology
- Public Health Policy
- Epidemiology
Background:
- Childhood asthma is a prevalent chronic inflammatory airway disease in the US.
- It is a multifactorial condition with significant economic costs, estimated at $3.2 billion annually in 1999.
- Current public health strategies advocate for making childhood asthma a notifiable disease to identify and mitigate adverse consequences.
Purpose of the Study:
- To evaluate the potential benefits of mandatory reporting for childhood asthma.
- To assess the potential harms associated with obliging physicians to report pediatric asthma cases.
- To provide a comprehensive analysis of the controversy surrounding notifiable disease status for childhood asthma.
Main Methods:
- Review of public health arguments for mandatory reporting.
- Analysis of potential public health benefits of identifying modifiable sources.
- Evaluation of potential negative consequences for physicians and patients.
Main Results:
- The study provides a thorough evaluation of the issues surrounding mandatory reporting of childhood asthma.
- It addresses the rationale behind the controversy and offers answers to key questions.
- The findings aim to inform public health policy decisions regarding pediatric asthma surveillance.
Conclusions:
- The article offers a detailed examination of the pros and cons of mandatory childhood asthma reporting.
- It seeks to resolve long-standing questions regarding the implementation and impact of such policies.
- Informed decision-making is crucial for reducing the burden of childhood asthma.
Abstract:
Childhood asthma is a chronic inflammatory disorder of the airways. It is a multifactorial disease that has been associated with familial, infectious, environmental, socioeconomic, and psychosocial causes. In the US alone, asthma is the most common chronic disease of childhood. In 1999, the estimated annual cost of treating asthma in children in the US was $3.2 billion. Public health authorities have argued for making childhood asthma a notifiable disease, with the hopes of identifying modifiable sources and reducing adverse consequences. As of the end of the 20th century, however, no jurisdictions in North America require physicians to report pediatric asthma. Would mandatory reporting help public health agencies reduce the asthma burden? What harm might come from obliging physicians to report childhood asthma? In this article we provide a thorough evaluation of these issues, the rationale behind the controversy, and long-awaited answers to these difficult questions.
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