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Resources — 2015 SEHAC Symposium Presentation Slides


On May 14, 2015, SEHAC hosted its 3rd Annual School Symposium on Asthma.  Each year, stakeholders — including school nurses, public health professionals, and non-profit organization representatives — gather to learn about and discuss clinical and environmental issues related to asthma in schools. The organizations participating included University of California, San Francisco; American Lung Association; Kaiser Permanente; California Department of Public Health; U.S. Environmental Protection Agency; California School-based Health Alliance; John Muir Medical Center; California PTA; California School Nurses Organization; Northern California Breathmobile; various school districts and county departments of health; and many others.

The Impact of Adversities on the Development and Management of Chronic Illnesses


Healthy Cleaning and Asthma-Safer Schools – A How-To Guide


Oakland Kicks Asthma


Assessing Children for Asthma in the School Environment

The Impact of Adversities on
the Development and Management of Chronic Illnesses


Neeta Thakur, MD, MPH

Clinical Instructor

UCSF Department of Medicine

Division of Pulmonary and Critical Care Medicine


This presentation reviews health disparities in asthma, discusses chronic stress and how chronic stress from adversity affects asthma development and outcomes, and explores potential areas for intervention to reduce the effects of adversity on asthma.


Issues addressed in the presentation include:

  • Racial disparities

  • Determinants of health

  • Health Model of Stress

  • Discrimination and health

  • Levels of stress

  • Adverse childhood experiences (ACEs)

  • Stress and genetics

  • Medical-legal partnerships to address ACEs

  • School-based screening

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Healthy Cleaning and
Asthma-Safer Schools —
A How-To Guide


Debbie Shrem, MPH

California Department of Public Health

Work-Related Asthma Prevention Program


This presentation introduces the Healthy Cleaning and Asthma-Safer Schools: A How-To Guide, developed by The Cleaning for Asthma-Safe Schools (CLASS) project in the California Department of Public Health.


The How-To Guide helps school districts transition to asthma-safer products and practices. It discusses the important difference between cleaning, sanitizing, and disinfecting, and suggests when to do each. It further explains how to switch to asthma-safer cleaning in simple, manageable steps, including how to:


1. Create your Asthma-Safer Cleaning Team

2. Train cleaning crew on asthma-safer products, methods, equipment, and the need for them

3. Inventory products to reduce costs

4. Select products to test

5. Arrange vendor presentations and select vendors

6. Test, evaluate, and choose asthma-safer products

7. Communicate your success and set policies


Finally, the Guide includes ready-to-use forms and tools to help districts progress through each step, and shares cleaning success stories and lessons learned from school districts throughout the country.

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Oakland Kicks Asthma


Joan Edelstein, MPH, DrPH

Clinical Instructor, UCSF

School Nurse, Piedmont School District;

Instructor, CSUS School Nurse Credential Program


This presentation outlines a study conducted by the American Lung Association in California, University of California, Berkeley, School of Public Health, Oakland Unified School District.  The study sought to develop, implement, and evaluate a large scale case identification and education program for children with asthma in Oakland Public Schools. 


Kickin’ Asthma addresses the needs of kids afflicted with asthma aged 11–16 (6th–10th grade). It seeks to empower students to take control of their asthma so they can grow up with the skills needed to manage their symptoms and live a full and active life. The program is specially geared toward teens living in low-income neighborhoods who face social and economic challenges. These teens often have higher rates of asthma and are more likely to end up in the emergency room.


The study’s validated conclusions, include that:

  • Secondary schools are an effective venue for identifying and recruiting youth with asthma for large scale public health interventions.

  • School based education for youth in an urban school district with asthma can be successful at decreasing symptoms and improving health outcomes.

  • Although medication practice improved over the course of the program, many students still did not use their medications properly.

  • The parent or guardian of the child should be engaged to maximize the program’s  efficiency.

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Assessing Children for Asthma in the School Environment


Sulochina Lulla, MD

Staff Allergist

Allergy Department, Permanente Medical Group

Kaiser Permanente, Santa Clara


This presentation outlines the tools and policies needed to assess children for asthma, and includes case studies of students exhibiting asthma symptoms.

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