ASTHMA Issue No.
NEW YORK CITY
A P r o j e c t o f C o m m u n i t y H e a l t h Wo r k s
Asthma SMART: People and From the Director
Technology Working Together Louise Cohen
Asthma SMART (Symptom Monitoring asthma and to quickly mobilize the
and Referral for Treatment) is a pilot pro- asthma management team in order to
ject designed to improve the coordination avoid unnecessary school absences and In this second issue of Asthma
of asthma care for the children of East hospitalizations. When a child visits one Initiative Info you will find out
Harlem. Program partners include the of the participating emergency rooms:
emergency departments at Metropolitan how the Initiative uses media
Hospital, Mount Sinai Medical Center • The primary care practitioner will be and technology to improve the
and North General Hospital, area primary alerted that the child needs follow-up
care clinics, and the East Harlem Council care. If the child does not contact the lives of children with asthma,
for Human Services, Inc. provider for an appointment or does learn about one of our new
not keep an appointment, the community
The system links hospital emergency outreach worker will follow-up to community partnership
departments, schools, primary care facilitate this encounter. programs and get updated on
physicians, managed care organizations
the activities of the New York
and community outreach workers. By • The school nurse will be cued to see the
improving the flow of asthma-related child his or her first day back at school City Asthma Partnership. You
information across settings, it seeks to and follow up on the treatment plan.
ensure more timely asthma care. Were medications prescribed? If so, was will also have a chance to see
the child able to obtain them? Does the some new data on rates of
While still in the formative stages, the child have the necessary forms on file to
goal of this communication network is to receive the medication at school?
asthma hospitalizations in
identify children with poorly controlled New York City. We look
• The community outreach worker will forward to keeping you
be prompted to make a home visit.
The outreach worker will provide informed about the many
IN THIS ISSUE: asthma education, perform a home
exciting people and programs
environmental assessment and help the
Asthma SMART: People and family to address any problems that are here at the Initiative. If you
Technology Working Together identified, making sure that the child has
have any suggestions or would
the necessary supplies and equipment,
“I have Asthma but...” and coordinating with the primary care like to know more, please call
provider to secure an up-to-date asthma
New York City Asthma the Asthma Action Line at
Partnership Update 1877-ASTHMA-0 (1 877-278-4620).
Dr. Andrew Goodman, Associate
Safe Space and the Jamaica Commissioner of the Department of
Childhood Asthma Initiative Health and head of Community
HealthWorks, captures the essence of the
Asthma in NYC program: “By introducing information
technology into community asthma care,
this program will create a strong network
Continued on page 2
“I have asthma, but …”
ASTHMA AT SCHOOL
Ask someone to complete Washington, D.C., The "Yes We Can"
the sentence, "I have asthma, Urban Partnership in San Francisco, If you have a child with asthma who
but …" and chances are they and the Environmental Health Center,
a Division of the National Safety attends school, it’s not too soon to
will answer, "asthma doesn’t
Council. Credit and appreciation go
have me. " to Stuart Pittman for his design and start thinking about next September.
to Michael Paras for photography.
According to Jeffrey Escoffier,
Director of Health Media and
Soon you will be able to view the All children who need help with
Marketing for the New York City
campaign on the Department of
Department of Health, “This taking their asthma medicine at
Health’s website www.nyc.gov/health.
distinctive slogan has incredibly
For additional information about the
wide recognition.” school should have a "504 Form" on
media campaign, call Zaida Guerrero
Over the past three years, this bilin- file with the school nurse. If your
gual educational and awareness cam-
paign has used a lot of different child can use his or her own inhaler
approaches to get its messages Our goal with the media without supervision, your child still
across. A massive ad campaign using
campaign is to change
New York City subway trains and bus needs an "Inhaler Use Form" on file
shelters was launched. Free pre-paid perceptions and assump-
phone cards were distributed. Print tions about asthma, and at the school.
ads appeared in The New York Times
Magazine, The Daily News, commu- to get families to take
nity newspapers, back-to-school action to get control over You can get either of these forms from
papers, and the Brooklyn and Queens
editions of national magazines. An their asthma. your child’s school now and have them
Asthma Initiative jingle aired on
local radio stations and ads were Louise Cohen, Director filled out by your child’s doctor over
shown in movie theaters throughout
the five boroughs. An ongoing the summer. If you mail the forms to
relationship with major league
your child’s school district office,
baseball was begun with ads in the
Yankee/Mets subway series programs. attention “504 Coordinator” before
Asthma SMART: People and
Currently the campaign is targeting Technology Working Together August 10, your child will be ready to
neighborhoods with the highest Continued from page 1
asthma hospitalization rates. In go on the first day of school!
addition to "Strike Out Asthma" ads around each child. Asthma SMART will
on the sides of buses, posters now prevent children from falling through the
appear on community billboards. cracks and provide the critical support Call your child’s school or the
Soon informational brochures they need to keep them on track. ”
will be displayed in local stores Asthma Action Line at 877-278-4620
and agencies. For more information on Asthma SMART,
contact Jacqueline Fox-Pascal, Program for more information.
The success of this campaign has Manager at 212-360-5980, ext. 703 or
led to national recognition and the firstname.lastname@example.org.
Department of Health has received
many requests to duplicate the
campaign in other cities. At present,
the posters are being used by the
American Lung Association in
SAFE SPACE AND THE JAMAICA
CHILDHOOD ASTHMA INITIATIVE
"The mission of the Jamaica Childhood Asthma Partnership is A Community Health
to promote coordination, cooperation, and collaboration among Worker Makes a Difference
community organizations, service providers, and community
residents, in an effort to reduce illness, hospitalizations and death A toddler was diagnosed
due to childhood asthma in Queens Community District 12". with asthma just two months
–Jamaica Childhood Asthma Partnership ago. His mother doesn’t
know much about asthma.
Safe Space, formerly known as the Center In addition to its regular activities, A Spanish-speaking community
for Children + Families, is home to the Laudrey Lamadieu, the Project
new Jamaica Childhood Asthma Initiative. Coordinator and the entire Jamaica health worker from the Jamaica
Partners in the project include the Initiative staff are working with the Childhood Asthma Initiative:
Benincasa Family Services/Jamaica Jamaica Childhood Asthma Partnership
Neighborhood Center and El Centro to make sure that every child with asthma
Hispano Cuzcatlán. has three things: the necessary forms on •taught the mother asthma
file that allow them to take their asthma basics, making sure that she
When childhood asthma was identified medication at school, an Asthma Action can identify asthma triggers
as a serious concern for District 12 in Plan, and health insurance.
Southern Queens, Lorna Davis, Safe
inside and outside of the
Space’s Director of Evaluation and Quality The staff is excited about the results they house and explain her child’s
Management, took the lead in bringing are seeing. Community residents are more asthma medication.
the New York City Childhood Asthma knowledgeable about managing their
Initiative to Jamaica. She made a commit- children’s asthma and are relying less on
ment to working collaboratively with the emergency medical services. Children are •supplied bedding covers,
many agencies and organizations that feeling better and missing less school. a spacer and mask
touch the lives of the community’s chil- Families are advocating for better housing
dren, and today, these diverse agencies conditions and enrolling their children in
and organizations make up what is now Child Health Plus. Case management •secured funds for the
known as the Jamaica Childhood Asthma program "graduates" are referring other purchase of a nebulizer
Partnership. families to the Jamaica Childhood Asthma
Initiative – they see that, with knowledge,
Having opened in January of 2000, they can make a difference in their chil- •translated during clinic visits
the operations of the Jamaica Asthma dren’s lives.
Initiative are well underway. Three com-
•worked with the primary care
munity health workers, Romelia For more information about the Jamaica
Rodriguez, Ivanna Lopez and Dionne Childhood Asthma Initiative and its provider to secure a completed
Hall, are providing case management ser- programs, please call Laudrey Lamadieu, Asthma Action Plan
vices for approximately 80 families. Project Coordinator at (718) 657-5662 or
Jennifer Cadet, the Jamaica Asthma send e-mail to email@example.com.
Initiative’s health educator and staff from As a result, the mother can
El Centro Hispano Cuzcatlán are making identify and respond to early
group presentations at schools, tenant warning signs, and she is
organizations, day care centers, communi-
ty based organizations, churches, and clin- committed to keeping regular
ics. One-on-one sessions and drop-in ser- appointments with her son’s
vices are being provided at Safe Space’s primary care provider.
two multi-media resource centers, where
pamphlets, books and videos on asthma,
medications, triggers and exercise and an
Internet hook-up are available.
New York City Asthma Partnership Update The New York City
Childhood Asthma Initiative
On May 3rd, World Asthma Day, NYCAP welcomes new members. A Project of Community HealthWorks
The New York City Asthma If you are interested in joining, New York City Department of Health
Partnership held it’s first annual please contact Anna Caffarelli, 40 Worth Street, CHW Room 1607
meeting at the New York Academy New York, New York 10013
NYCAP Coordinator, at 212-788-
of Medicine. Over 100 people attend- 5364 or firstname.lastname@example.org.
ed the meeting to take advantage of Fax: 212-442-9539
networking opportunities, hear www.nyc.gov/health
committee updates and learn about
the progress of various policy Asthma Action Line
initiatives. The exciting panel of 877-ASTHMA-0 [877-278-4620]
presenters sparked coalition-wide
discussion on medical standards of Louise Cohen, M.P.H.
care, school issues and pending
Andrew Goodman, M.D., M.P.H.
Sally Findley discusses early childhood education
Neal L. Cohen, M.D.
New York City Department of Health
40 Worth Street, CHW Room 1607
New York, New York 10013
THE CITY OF NEW YORK
DEPAR TMENT OF HEALTH
Rudolph W. Giuliani Neal L. Cohen, M.D.
ASTHMA IN NEW YORK CITY Spring 2001
NYC ASTHMA HOSPITALIZATION RATES*
FOR CHILDREN DROP 13.5% FROM 1997 TO 1999
The following charts examine 1997 and 1999 childhood asthma hospitalization rates for children aged 0-14 living in New York
City. The chart below compares 1997 and 1999 rates of hospitalization in each borough. On the reverse side are 1999 data
for hospitalization by New York City neighborhood. The 1997 data are those compiled for the New York City Childhood Asthma
Initiative’s publication, Asthma Facts, and the 1999 data are the most recent available.
Both charts use rates of hospitalizations, because numbers of hospitalizations, alone, don’t help to make comparisons among
different populations. For example, the number of asthma hospitalizations in Brooklyn (4,934 in 1997) is far higher than the
number of hospitalizations in Manhattan (2,602 in 1997), but because many more people live in Brooklyn, the hospitalization
rate is lower in Brooklyn (8.54 per thousand children) than in Manhattan (11.28 per thousand children).
From 1997 to 1999, asthma hospitalization rates fell 13.5% citywide. The greatest reductions, 25.6% were seen in the Bronx.
While it would be premature to call this change a trend, the decline is encouraging. Whether it is due to the work of asthma
initiatives, environmental factors, changes in housing conditions, some combination of factors, or an as-yet-unidentified cause,
this drop is good news for thousands of children who are feeling better.
9.57 Percent Change in Rates
from 1997 to 1999:
• NYC -13.5%
7.00 • Bronx -25.6%
7.12 • Brooklyn -8.4%
• Manhattan -15.2%
• Queens +1.7%
3.95 • Staten Island -5.6%
0 5 10 15 20
Rate per 1,000 Children Aged 0-14
*Asthma hospitalization data are based on reports made to New York State through its Statewide Planning and Research Cooperative
System (SPARCS) and represent numbers of hospitalizations rather than the number of children hospitalized. This means that if a child is
hospitalized twice, this will count as two hospitalizations although it is only one child.
ASTHMA INITIATIVE INFO • INSERT
ASTHMA IN NEW YORK CITY
Northeast Bronx 9.26
Fordham-Bronx Park 13.77
Pelham-Throgs Neck 12.48
High Bridge-Morrisania 13.68
Hunts Point-Mott Haven 14.94
Williamsburg- Bushwick 7.49
Bedford Stuyvesant-Crown Hts. 12.65
East New York 11.58
Sunset Park 4.21
Borough Park 2.17
East Flatbush-Flatbush 8.33
Bensonhurst-Bay Ridge 2.07
Coney Island-Sheepshead Bay 3.14
Washington Heights- Inwood 5.78
Cental Harlem-Morningside Hts. 15.40
East Harlem 25.61
Upper West Side 4.95
Upper East Side 3.78
Gramercy Park-Murray Hill 4.50
Greenwich Village-Soho 2.10
Union Square-Lower East Side 6.10
Lower Manhattan 3.48
Long Island City-Astoria 6.71
West Queens 8.18
Bayside-Little Neck 2.50
Ridgewood-Forest Hills 5.29
Fresh Meadows 5.89
Southwest Queens 8.85
Southeast Queens 6.63
STATEN ISLAND 3.73
Port Richmond 5.61
Stapleton-St. George 5.70
South Beach-Tottenville 2.29
0 5 10 15 20 25 30
Rate per 1,000 Children Aged 0-14
These neighborhoods are defined by the United Hospital Fund and include specific zip codes.
ASTHMA INITIATIVE INFO • INSERT