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IF YOU HAVE A CHILD WITH ASTHMA, YOU'RE NOT ALONE,
 Asthma is a chronic disease which causes ongoing swelling of the airways. When certain triggers such as dust, smog,
 pet dander or secondhand smoke enterthe airways,they may become irritated and constricted. This makes it difficult to breathe.
 If you have a child with asthma, you're not alone. More than 20 million people in the U.S. have asthma, including 7 million children.
 However, there's good news. You can help manage your child's asthma and help prevent their attacks before they happen.
 HOW TO MANAGE YOUR CHILD'S INDOOR ENVIRONMENT
 Americans spend about 90% of their time indoors. So, managing your child's indoor environment is an important step in reducing
 exposure to the things that can trigger asthma attacks. Asthma triggers vary from person to person. You and your doctor should
 determine a plan to reduce the triggers that most affect your child. Listed below are several common indoor environmental
 triggers and some actions you can take to reduce your child's exposure.
 SECONDHAND SMOKE
 Asthma can be triggered by the smoke from the burning end of a
 cigarette, pipe, or cigar, or the smoke breathed out by a smoker.
 WHAT YOU CAN DO: Choose not to smoke in your home or car,
 and do not allow others to do so either.
fETS
 Your pet's skin flakes, urine, and saliva can be asthma triggers.

 WHAT YOU CAN DO: Consider keeping pets outdoors or even
 finding a new home for your pets, if necessary. Keep pets out
 of the bedroom and other sleeping areas at all times, and keep
 the door closed. Keep pets away from fabric-covered furniture,
 carpets and stuffed toys.

 DUST  MITES  I
 Dust mites are too small to be seen, but are found in every home.
 They live in mattresses, pillows, carpets, fabric-covered furniture,
 bedcovers, clothes, and stuffed toys.

 WHAT YOU CAN DO: Wash sheets and blankets once a week in hot
 water. Choose washable stuffed toys, wash them often in hot water,
 and dry thoroughly. Keep stuffed toys off beds. Cover mattresses and
 pillows in dust-proof (allergen-impermeable) zippered covers.
                                              PESTS|
                                              Droppings or body parts of pests such as cockroaches or
                                              rodents can be asthma triggers.
                                                   :OLD
                                              WHAT YOU CAN DO: Do not leave food or garbage out. Store
                                              food in airtight containers. Clean all food crumbs or spilled liquids
                                              right away. Try using poison baits, boric acid (for cockroaches),
                                              or traps first before using pesticide sprays. If sprays are used,
                                              limit the spray to the infested area. Carefully follow instructions
                                              on the label. Make sure there is plenty of fresh air when you spray,
                                              and keep the person with asthma out of the room.


                                              MOLDS
                                              Molds grow on damp materials. The key to mold control is
                                              moisture control. If mold is a problem in your home, clean up
                                              the mold and get rid of excess water or moisture. Lowering the
                                              moisture also helps reduce other triggers, such as dust mites
                                              and cockroaches.

                                              WHAT YOU CAN DO: Wash mold off hard surfaces and dry
                                              completely. Absorbent materials with mold, such as ceiling tiles
                                              and carpet, may need to be replaced. Fix leaky plumbing  or
                                              other sources of water. Use exhaust fans or open windows in
                                              kitchens and bathrooms when showering, cooking, or using the
                                              dishwasher. Vent clothes dryers to the outside. Maintain low
                                              indoor humidity, ideally between 30-50%.
                                                   FOLD
 To find help in your community, contact:

 Asthma & Allergy Network Mothers of Asthmatics
 (800)878-4403
 www.aanma.org

 Asthma and Allergy Foundation of America
 1-800-727-8462
 www.aafa.org

 American Lung Association
 1-800-586-4872
 www.lungusa.org
                                              To learn more about asthma, visit:

                                              US Environmental Protection Agency
                                              www.epa.gov/asthma
                                              www.airnow.gov

                                              Centers for Disease Control and Prevention
                                              www.cdc.gov/asthma
                                              1-800-CDC-info
This publication was developed under a cooperative agreement with the U.S. Environmental Protection Agency.
 EVEN ONE ATTACK IS ONE TOO MANY     I-866-NO-ATTACKS
                                                                WWW.NOATTACKS.ORG

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  KEYS TO PREVENTING
  YOUR CHILD'S ATTACK

 Work with a doctor to develop a written Asthma
  Management Plan that's right for you and your child.

  Learn whattriggers your child's asthma and
  eliminate or reduce your child's exposure to those
  allergens and irritants.

 Make sure your child takes medications as
  prescribed and tell your doctor if there  are
  any problems.

  Keep a daily symptom diary and use a peak flow
  meter every day to monitor your child's progress.
 WHAT IS AN ASTHMA
 MANAGEMENT PLAN?

Written details by your physician should include:

A list of your child's asthma triggers

Instructions for using asthma medication(s)

Instructions for using a daily symptom diary and
peak flow meter

Details about how to stop an asthma attack or
episode in progress

Instructions for when to call the doctor
ACP
PO Box 42510
Cincinnati, OH 45242

                       "WHEN i HAVE AN ASTHMA ATTACK
                         I  FEEL  LIKE A FISH
                                            WITH NO WATER."
                                                          -JESSE, AGE 5

            You know how to react to their asthma attacks. Here's how to prevent them.
                         EVEN ONE ATTACK IS ONE TOO MANY

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