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Surveillance for asthma--United States, 1960-1995

D M Mannino1, D M Homa, C A Pertowski

  • 1Division of Environmental Hazards and Health Effects.

MMWR. CDC Surveillance Summaries : Morbidity and Mortality Weekly Report. CDC Surveillance Summaries
|May 15, 1998
PubMed
Summary

National asthma prevalence and death rates are rising, but current surveillance is insufficient for state-level tracking. Improved data collection is crucial for effective asthma prevention and treatment strategies.

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Area of Science:

  • Public Health
  • Epidemiology
  • Chronic Disease Surveillance

Background:

  • Asthma is a prevalent chronic disease in the U.S., with increasing significance over the past two decades.
  • Existing surveillance systems lack the granularity to monitor asthma trends at state or local levels.

Purpose of the Study:

  • To review national data on asthma prevalence, healthcare utilization, and mortality.
  • To assess the adequacy of current surveillance systems for tracking asthma trends.

Main Methods:

  • Analysis of national datasets from the National Center for Health Statistics (NCHS) from 1960 to 1995.
  • Inclusion of data on self-reported prevalence, office visits, emergency room visits, hospitalizations, and deaths.
  • Examination of trends at national and regional levels (Northeast, Midwest, South, West).

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Main Results:

  • Significant increases observed in self-reported asthma prevalence and asthma death rates nationally and regionally.
  • Asthma hospitalization rates showed regional variations, with some areas increasing and others decreasing.
  • Substantial state-level variation in asthma death rates, with limited data availability.

Conclusions:

  • National asthma prevalence and mortality rates are on the rise.
  • Current surveillance data is inadequate for comprehensive state and local asthma trend assessment.
  • Enhanced state and local surveillance is essential for improving understanding, treatment, and prevention of asthma.