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Asthma. The states' challenge

C M Brown1, H A Anderson, R A Etzel

  • 1Division of Environmental Hazards and Health Effects, National Center for Environmental Health, CDC, Chamble, GA 30341, USA. cmb8@cdc.gov

Public Health Reports (Washington, D.C. : 1974)
|May 1, 1997
PubMed
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Most US public health departments lack asthma control programs due to funding and staffing issues. Improving data access is crucial for understanding and addressing the national asthma burden.

Area of Science:

  • Public Health
  • Epidemiology
  • Environmental Health

Background:

  • Asthma is a growing public health concern nationally.
  • Environmental exposures significantly contribute to asthma morbidity.
  • Public health agencies are vital for asthma surveillance and prevention.

Purpose of the Study:

  • To assess the status of asthma surveillance and intervention programs in US state and territorial health departments.
  • To identify barriers faced by public health agencies in implementing asthma control programs.

Main Methods:

  • A survey was conducted in April 1996 by the Council of State and Territorial Epidemiologists with CDC assistance.
  • The survey targeted 51 state and territorial public health departments.
  • Data on existing asthma control programs and barriers were collected.

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Main Results:

  • Only eight of the 51 responding health departments had implemented an asthma control program in the preceding 10 years.
  • Key barriers included lack of funds, personnel shortages, and low program priority.
  • Most states reported insufficient data or data accessibility issues to assess the asthma burden.

Conclusions:

  • There is a significant gap in national asthma control program implementation.
  • Addressing funding, staffing, and data accessibility is essential for effective asthma surveillance and prevention.
  • Overcoming data barriers is a critical first step to defining the scope of the asthma problem.