School Flag
P R O G R A M
  School Flag Program
 Coordinator Handbook

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School Flag Program Coordinator Handbook
              U.S. Environmental Protection Agency
            Office of Air Quality Planning and Standards
              Research Triangle Park, North Carolina
Thank you for being a School Flag Program Coordinator. We hope that
you find this handbook helpful.  We would appreciate any suggestions
you may have to improve it. Questions about the School Flag Program
should be directed to your State air quality agency or to Donna Rogers,
at rogers.donna@epa.gov.
                                          Publication No. EPA-456/B-13-002
                                                               May 2012

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Table of Contents
Overview of the School Flag Program	page 2
Steps for a Successful School Flag Program	page 3
Background  Information	page 8
Resources	page 10

Overview of the School Flag  Program

The School Flag Program uses brightly colored flags to help children, parents, school personnel, and
the community be aware of daily air quality conditions. Knowing the air quality conditions can help
protect individuals both at school and at home. The flag colors correspond to the colors used in EPA's
Air Quality Index (AQI), which tells how clean or polluted the air is for that day. When members of the
school and the surrounding community know what the daily air quality is, they can adjust their activities
to reduce their exposure to air pollution.  Regular physical activity, at least 60 minutes a day, promotes
health and fitness. The  purpose of the  school flag program is to help children continue to exercise
while protecting their health when the air quality is unhealthy.

Each day, schools raise a flag that corresponds to the local air quality forecast:
                 Green flag  - good air quality
   yellow
                 Yellow flag  - moderate air quality
   orange
Orange flag  - unhealthy for sensitive groups (including all children and people with
asthma)
                 Red flag    - unhealthy for everyone
                 Purple flag  - very unhealthy for everyone
Note: There is a sixth color ~ maroon ~ used in EPA's Air Quality Index. It indicates hazardous air quality. It is
not included in the school flag program since it is rare and will trigger health warnings of emergency conditions
from local media.

Air quality can become unhealthy due to pollutants such as ground-level ozone and particle pollution.
Ozone is especially damaging to the lungs of children and those who work and  play outside. Particle
pollution - especially fine particles such as those found in smoke, haze or dust - contains microscopic
solids or liquid droplets that are so small that they can get deep into the lungs and cause serious health
problems. Children (including teenagers) are at greater risk from air pollution because their lungs are
still developing and they breathe more air  per pound of body weight than adults.  People with asthma
are also more likely to have symptoms when  pollution is in the air.  Children, including those with

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asthma, can continue to stay active even when air quality is unhealthy by modifying their activities or,
in some cases, moving their activities indoors.This handbook describes the four steps a School Flag
Program Coordinator needs to take to implement a successful flag program:

I.      Purchase flags
2.      Educate and inform the school and the community at the start of the program
3.      Find out the daily air quality forecast and fly the corresponding flag
4.      Know what actions to take when the air quality is unhealthy

The School Flag Program can be a great way to teach people about their local air quality, how air pollution
impacts our health, and what actions we can take to protect ourselves. You'll find more information about
the School Flag Program, the AQI, ground-level ozone and particle pollution, and the health effects of air
pollution in the Background Information and Resources sections of this handbook
Steps for a Successful School Flag Program

Step I; Purchase flags

You can buy a set of flags through a local flag vendor, or you can find vendors online. Sometimes
sponsors such as a parent teacher organization, a local environmental organization or a community
business may be willing to purchase the flags for your school.

You will need five flags: green, yellow, orange, red, and purple. The purple flag might be needed only
on rare occasions, but it is important to have if there is an air quality alert due to a wildfire or other
serious air quality episode. There are some suggested color names and PMS (pantone matching system)
numbers that your flag vendor may recognize. If you cannot get these exact colors, any similar green,
yellow, orange, red, and purple will do.The nylon flag colors are called #349 Irish Green (PMS 34l5c),
#108 FMYellow (PMS I02c),#l5l Golden Poppy (PMS I5lc),#485 Canada Red (PMS I86c),and #2627
Pansy (PMS 2627c).

The flag is pennant style and the dimensions are 3'x 5'. You may choose plain flags or flags with  logos,
graphics, or words (note that extra printing on the flags will cost more and  may not be visible once
the flag is raised on the flagpole).  A set of five flags will usually cost under $100. The price often goes
down if you order a large quantity of flag sets at the same time, so consider joining with other schools
when you order your flags.
Step 2; Educate and inform the school and the community at the start of the
program

Choose a date to begin flying your flags, and then begin to educate and inform your school and the
surrounding community. Some suggestions on when to start are Earth Day (April 22) or Air Quality
Awareness Week (the first week in May, the beginning of the ozone season), but any date will do.

Register your program on EPA's school flag website (www.airnow.gov/schoolflag under "School Flag
Program Registration Form"). EPA will add your school to the online table of participating schools and
will send you an official participation certificate for display.
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Train school personnel about the Air Quality Index and the Flag Program so they can help administer
the program and teach the students. You can request help with this training from your State air quality
agency. Give all teachers a copy of the "Air Quality and Outdoor Activity Guidance for Schools" (last
page of this handbook). It includes not only actions for each air quality color but also questions and
answers that help explain the program. Encourage teachers to take advantage of the many resources
available on the School Flag Program website at www.airnow.gov/schoolflag. These include:

      •   a coloring page
      •   activity sheets
      •   a poster
      •   a fact sheet
      •   a children's picture book
      •   interactive games
      •   lesson plans about air quality
      •   an air quality simulator

      •   asthma resources for schools

Make announcements to the school community through newsletters, emails, flyers, and other
communication routes. You can also notify members of the larger community through a local
newspaper, newsletter, or radio station. Here is an example newsletter announcement:
  New Flag Program

  How much pollution is in the air outside today? Soon, our entire school community will have a simple way to
  find out...just look up!  Starting [insert date], we'll be flying a brightly colored flag below our American flag that
  will show how clean or polluted the air is. This new flag program will help us continue to promote exercise
  while protecting health.

  Each colored flag corresponds to an air quality level:

      •   Green - good air quality
      •   Yellow - moderate air quality
      •   Orange - unhealthy for sensitive groups, including all children and those with asthma or other
         respiratory issues
      •   Red   - unhealthy for everyone
      •   Purple - very unhealthy for everyone

  On green and yellow days, teachers and coaches will encourage students to get outside and get moving!
  When air quality is orange or red, it is still OK to play outside, but we will encourage kids to take breaks and
  cut back on activities that involve lots of running.  In addition to helping us plan for exercise, the flags will help
  students and staff with asthma get to know whether their symptoms get worse when air quality is poor and
  whether they need to take extra steps to protect their health.

  The flag program is used in many U.S. cities and we're proud to be the first school in [city] to adopt it. Thanks
  to our PTAfor buying the flags!  In addition to the new flags, we will have in-class activities [include when] to
  learn more about air pollution, how it affects us, and what we can do to make the air cleaner.

  We will post more information about this exciting  new program and our [date] flag raising event on our school
  website.
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Step 3;  Find out the daily air quality forecast and flv the corresponding flag
Like the weather, air quality changes from day to day. Your local or state air quality agency makes a daily
air quality forecast that predicts the AQI color for both ozone and particle pollution.  The forecast
appears in late afternoon and predicts the air quality for the next day.
See page 9 for a detailed explanation of the AQI.

In many cities you can get the daily air quality forecast sent to you by email if you subscribe to
EnviroFlash. You can see if your local area participates (by entering your zip code in the specified
field) and also sign up at www.airnow.gov/enviroflash. This  service also provides alerts when there are
unusual air quality events such as wildfires.

You can also find the air quality forecast online at www.airnow.gov.

Air Quality Forecast for Anytown, USA
Today's High
Air Qualty Index (AQI)


Unhealthy for
Sensitive Groups
j

Health Message: People with heart or lung
disease, older adults, and children should
reduce prolonged or heavy exertion.
Tomorrow's High
Air Qualty Index (AQI)
1 	 |
Unhealthy
Health Message: People with heart or lung
disease, older adults, and children should
avoid prolonged or heavy exertion. Every-
one else should reduce prolonged or heavy
exertion.
AQI - Pollutant Details
Ozone
Particles (PM2
• Unhealthy for
Sensitive Groups
5) 57 Moderate
Particles (PM2.5)
Ozone
156 Unhealthy
57 Moderate
In this example,"Today's High" is forecast to be orange (unhealthy for sensitive groups) and
"Tomorrow's High" is forecast to be red (unhealthy).The "Pollutant Details" tell you the specific
pollutant that is driving the forecast. For the current day, ozone is the pollutant that is causing the air
quality color to be orange. For tomorrow, particles (PM2.5) are driving the red forecast.

Each morning, assign someone at your school to raise the flag that shows the current day's AQI color.
It is a good idea for the assigned  person to check the air quality forecast in the morning before the flag
is raised. Some state and local air quality agencies will update the current day's forecast to a different
color if pollution is worse than originally expected. If you subscribe to EnviroFlash emails, you can
choose to be notified via email of forecast updates. Such updates will also be posted on airnow.gov.

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Fly only the flag showing the current day's forecast.  For example, if you receive tomorrow's forecast in
the late afternoon, do not change the flag to show tomorrow's color. Some ideas to involve students
and teachers in the flag program:

     •  Encourage everyone with an email account to sign up for EnviroFlash if it's available in your
        area.
     •  Establish student teams to be in charge of checking the forecast and raising the flag each
        morning.
     •  Have each classroom teacher assign a rotating student to post the day's air quality color in
        the classroom.
     •  Add a message about the day's air quality color to the daily announcements.
     •  Get the current AQI forecast added to your school's website. You can do this by providing the
        following link to the person responsible for your school's website: www.airupdate.info
Step 4; Know what actions to take when the air quality is unhealthy

General Actions When Ozone or Particle Pollution Levels are Unhealthy

Ozone and particle pollution are the most widespread air pollutants. When either ozone or particle
pollution is at an unhealthy level, the chances of being affected increase the longer a person is active
outdoors and the more strenuous the activity. Since  exercise is good for your health, it's important to
stay active and know when to make changes.

Children (including teenagers) and those with asthma are two groups EPA considers "sensitive" because
they have more health effects at lower pollution levels. For a complete list of sensitive groups, see page 8
(for ozone) and page 9 (for particle pollution) in the Background Information section of this handbook)

Actions:
     •  As either ozone or particle pollution levels  become unhealthy, the general advice is to reduce:
        (I) how hard you exercise, and (2) the length of time you exercise.  For example, on code
        orange days, it is still o.k. for children to play outside, but they should  reduce activities that
        involve running and take more frequent breaks.
     •  Sensitive groups, including children and people with asthma, should start taking it easier at
        code orange alert levels.
     •  When either ozone or particle pollution is in the air, adults and children with asthma are more
        likely to have symptoms such as coughing or shortness of breath. Be alert for symptoms and
        follow the child's asthma action plan. If a child has a quick relief inhaler, be sure it is always handy.
        Note that even students who do not have asthma could experience symptoms when exposed to
        unhealthy levels of air pollution.

Specific Actions When Ozone Pollution is at an Unhealthy Level

Ozone is formed when  pollutants emitted  by industrial facilities and power plants, motor vehicle
exhaust, and other sources react in the presence of heat and sunlight. Since heat and sunlight drive
ozone formation, warm sunny days have more ozone than cool or cloudy days.  Ozone levels are
generally much lower in the mornings. (See page 8 in Background Information section of this handbook
for a more  detailed discussion.)
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Actions:

     •  When unhealthy levels of ozone are expected, you can reduce exposure by playing and
        exercising outdoors before noon.
     •  For specific guidance on what action to take for each flag color, see the chart called Air
        Quality and Outdoor Activity Guidance for Schools (the last page of this handbook).

Specific Actions to Reduce Exposure to  Particle Pollution

In some locations (such as the western United States) where wood is burned for heat, particle
pollution levels can be especially high during wintertime inversions. An inversion occurs when a layer
of cooler air is trapped near the ground by a layer of warmer air above. When the air cannot rise,
pollution at the surface is trapped and can accumulate,  leading to higher pollutant concentrations. A
variety of conditions can cause inversions to form. The most common is a nighttime inversion, when
cloudless skies allow air at the surface to  cool faster than the air above.

Actions:

     •  Choose areas away from busy streets for children to walk, exercise and play.
     •  Make sure children avoid standing or playing near vehicles that are idling.
     •  Implement policies and education programs to limit idling by school buses and personal
        vehicles (parent drop off/pickup) on school grounds.
     •  Limit outdoor activity when there is smoke in the air.

Use Your Judgement

Based on the recommended actions listed here and the chart provided on the last page of this
handbook, school staff should use their judgment to decide how to modify planned outdoor activities
when air quality is unhealthy. This should  take into account the flag color, the intensity of the activity
and the length of time involved.
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Background Information

What is Ozone?

Ozone is a colorless gas found in the air we breathe. Naturally occuring ozone high above the earth's
surface protects our planet from solar radiation. When ozone is created near the ground it is un-
healthy to breathe and can also damage trees and crops.

Ozone is created at ground level by chemical reactions between oxides of nitrogen (NOx) and volatile
organic compounds (VOC) in the presence of sunlight. Emissions from industrial facilities and power
plants, motor vehicle exhaust, gasoline vapors, and chemical solvents are some of the major sources of
NOx and VOC. Because ground-level ozone needs sunlight to form, it is usually highest during the hot,
sunny days of summer, spring, and fall.

Within the last decade, however, high ozone concentrations have also been observed under specific cir-
cumstances in cold months.  Specifically, there are a few high elevation  areas in the Western U.S. where
high  levels of local VOC and  NOx emissions have formed ozone when snow is on the ground and tem-
peratures are near or below freezing. Ozone contributes to what we typically experience as "smog"  or
haze, which still occurs most frequently in the summertime, but can occur throughout the year in some
southern and mountain regions.

Health Effects of Ground-level Ozone

     •  Constriction of airways forcing the respiratory system to work harder to provide oxygen
     •  Coughing, pain when taking a deep breath, wheezing and inflammation of the airways including
       the deep portions of the lungs
     •  Increased fatigue
     •  Reduced athletic performance
     •  Aggravated lung disease

For ozone, people with lung disease, children, older adults, and people who are active outdoors are
considered sensitive and therefore at greater risk.

What is Particle Pollution?

Particles in the air are  a mixture of solids and  liquid droplets that vary in size and are often referred
to as "particulate matter." Some particles - those less than 10 micrometers in diameter - pose the
greatest health concern because they can pass through the nose and throat and get deep into the lungs.
Ten micrometers in diameter is just a fraction of the diameter of a single human hair. Particles  larger
than 10 micrometers do not usually reach your lungs, but they can irritate your eyes, nose and throat.
Particle pollution, unlike ground-level ozone, can occur year-round.

Very small particles with diameters less than 2.5 micrometers are called "fine" particles. They are
produced any time fuels such as coal, oil, diesel or wood are burned. Fine particles  come from fuel used
in everything from power plants to wood stoves and motor vehicles (e.g., cars, trucks, buses and marine
engines).  These particles are even  produced by construction equipment, agricultural burning, trash and
brush burning, and forest fires. In fact, forest fires (wildfires) are responsible for some of the worst
particle pollution events.

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"Coarse" dust particles range in size from 2.5 to 10 micrometers in diameter. Particles of this size are
produced during crushing or grinding and from vehicles traveling on paved or unpaved roads.

Health Effects of Particle Pollution

    •   Increased respiratory symptoms, such as irritation of the airways, coughing, or difficulty
        breathing
    •   Decreased lung function
    *  Aggravated asthma
    •   Development of chronic bronchitis
    •   Irregular heartbeat
    •   Heart attacks
    •   Premature death in people with heart or lung disease

For particle pollution, people with heart or lung disease, older adults, and children are considered sensi-
tive and therefore at greater risk.

What is the Air Quality Index (AQI)?

The Air Quality Index (AQI) is an index for reporting daily air quality. It tells you how clean or polluted
your air is, and what associated health effects might be a concern for you. The AQI  focuses on health
effects you may experience within a few hours or days after breathing polluted air.

How Does the AQI Work?

The higher the AQI value, the greater the level of air  pollution and the greater the health concern. For
example, an AQI level of 50 represents good  air quality with little potential to affect public health, while
an AQI value over 201  represents very unhealthy air quality.

An AQI value of 100 generally corresponds to the National Ambient Air Quality Standard (NAAQS)
for the pollutant, which is the level  EPA has set to protect public health. AQI values below  100 are
generally thought of as satisfactory. When AQI levels are above  100, air quality is considered to be
unhealthy - at first for certain sensitive groups of people, then for everyone as AQI  values get higher.
                     Air Quality Index I Levels of Health Concern
                     (AQI) Values     I
                     When the AQI
                     is in this range:
                     201-300
.air quality conditions are:
                                     Good

                                     Moderate

                                     Unhealthy for Sensitive Grouos
                         Colors
...as symbolized
by this color:
                                     Very Unhealthy
                         Purple
The purpose of the AQI is to help you understand what local air quality means to your health. To make

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it easier to understand, the AQI is divided into categories. Each category corresponds to a different
level of health concern. The levels of health concern and what they mean are:
      Air Quality Index
      Levels of Health Concern
      Good

      Moderate


      Unhealthy for Sensitive Groups
Meaning
Air quality is considered satisfactory, and air pollution poses little or no risk.
Air quality is acceptable; however, for some pollutants there may be a
moderate health concern for a very small number of people who are un-
usually sensitive to air pollution.

Members of sensitive groups may experience health effects. The general
public is not likely to be affected.

      Unhealthy
      Very Unhealthy
Everyone may begin to experience health effects; members of sensitive
groups may experience more serious health effects.
Health alert: everyone may experience more serious health effects.
Resources

For a list of additional resources, visit www.airnow.gov/schoolflag and choose "Teacher, Student and
School Resources."  The links include lesson plans, student pages, interactive games, asthma resources
for schools, and further information on pollutants and health effects.

Your state or local air quality agency may offer free materials such as brouchures to educate parents
and posters to help display the daily forecast in classrooms, school offices and lobbies.  Click on the
United States map at http://www.airnow.gov/ to find information on your state or local agency.
                                                                                                 10

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United States                   Office of Air Quality Planning and Standards   Publication No. EPA-456/B-13-002
Environmental Protection            Outreach and Information Division                      November 201 I
Agency                                Research Triangle Park, NC

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          Air Quality and Outdoor Activity Guidance for Schools
Regular physical activity — at least 60 minutes each day— promotes health and fitness. The table below shows when and how to
modify outdoor physical activity based on the Air Quality Index. This guidance can help protect the health of all children, including
teenagers, who are more sensitive than adults to air pollution. Check the air quality daily at www.airnow.gov.

 Air Quality Index     Outdoor Activity Guidance
                        Great day to be active outside!
    GOOD
    yellow
   MODERATE
Good day to be active outside!

Students who are unusually sensitive to air pollution could have symptoms, so watch for
coughing or shortness of breath. These are signs to take it easier.
   UNHEALTHY FOR
   SENSITIVE GROUPS
It's OK for students to be active outside, especially for short activities such as recess and
physical education (PE) class. For longer activities such as athletic practice, students
should take more breaks and do less intense activities. Watch for symptoms such as
coughing or shortness of breath.

Students with asthma should follow their asthma action plans and keep their quick relief
medicine handy.
   UNHEALTHY
For all outdoor activities, students should take more breaks and do less intense activities.
Watch for symptoms such as coughing or shortness of breath. Consider moving activities
indoors or rescheduling.

Students with asthma should follow their asthma action plans and keep their quick relief
medicine handy.
                        Move all activities indoors or reschedule to another day.
   VERY UNHEALTHY
           Go for 60!
                  Watch for Symptoms
    Plan Ahead for Ozone
  CDC recommends that children
  get 60 or more minutes of
  physical activity each day.
  www.cdc.gov/healthyyouth/
  phvsicalactivitv/quidelines.htm
          Air pollution can make asthma symptoms
          worse and trigger attacks. Symptoms of
          asthma include coughing, shortness of
          breath, wheezing, and chest tightness.
          Even students who do not have asthma
          could experience these symptoms when
          exposed to unhealthy levels of air pollution.
There is less ozone in the
morning. On days when ozone
is expected to be at unhealthy
levels, plan outdoor activities in
the morning.

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Questions and Answers
How long can students stay outside when the air quality is unhealthy?
There is no exact amount of time. The worse the air quality, the more important it is to take breaks, do less intense
activities, and watch for symptoms. Remember that students with asthma will be more sensitive to unhealthy air.

Why should students take breaks and do less intense activities when air quality is unhealthy?
Students breathe harder when they are active for a longer period of time or when they do more intense activities.
More pollution enters the lungs when a person is breathing harder. It helps to:
       ^  reduce the amount of time students are breathing hard (e.g., take breaks; rotate players frequently)
       ^  reduce the intensity of activities so students are not breathing so hard (e.g., walk instead of run)

Are there times when air pollution is expected to be worse?
Ozone pollution is often worse on hot sunny days, especially during the afternoon and early evening. Plan outdoor
activities in the morning, when air quality is better and it is not as hot.
Particle pollution can be high any time of day. Since vehicle exhaust contains particle pollution, limit activity near
idling cars and buses and near busy roads, especially during rush hours. Also, limit outdoor activity when there is
smoke  in the air.

How can I find out the daily air quality?
Go to www.airnow.gov. Many cities have an Air Quality Index (AQI) forecast that tells you what the local air quality will
be later today or tomorrow, and a current AQI that tells you what the local air quality is now. The AirNow website also
tells you whether the pollutant of concern is ozone or particle pollution. Sign up for emails, download the free AirNow
app,  or install the free AirNow widget on your website. You can also find out how to participate (and register your
school) in the School Flag Program (www.airnow.qov/schoolfiaq).

If students  stay inside because of unhealthy outdoor air quality, can they  still be active?
It depends on which pollutant is causing the problem:
     Ozone pollution:  If windows are closed, the amount of ozone should be much lower indoors, so it is OK to keep
     students moving.
     Particle pollution: If the building has a forced air heating or cooling system that filters out particles then  the
     amount of particle pollution should be lower indoors, and it is OK to keep students moving. It is important that
     the particle filtration system is installed properly and well maintained.

What physical activities can students do inside?
Encourage indoor activities that keep all students moving. Plan activities that include aerobic exercise as  well as
muscle and bone strengthening components (e.g., jumping, skipping, sit-ups, pushups). If a gymnasium or open space
is accessible,  promote activities that use equipment, such as cones, hula hoops, and sports balls. If restricted to the
classroom, encourage students to come up with fun ways to get everyone moving (e.g., act out action words from a
story). Teachers and recess supervisors can work with PE teachers to identify additional indoor activities.

What is an asthma action plan?
An asthma action plan is a written plan developed with a student's doctor for daily management of asthma. It includes
medication plans, control of triggers, and how to recognize and manage worsening asthma symptoms. See www.
cdc.gov/asthma/actionplan.html for a link to sample asthma action plans. When asthma is well managed and well
controlled, students should be able to participate fully in all activities. For a booklet on "Asthma and Physical Activity in
the School,"see http://bit.ly/activewithasthma.
            United States
            Environmental Protection
            Aaencv
School Flag
PROGRAM
EPA-456/F-13-002
     March 2013

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