|By Lichtveld, Maureen|
BACKGROUND: In the city of
OBJECTIVES: The Head-off Environmental Asthma in
METHODS: Children (4-12 years old) with moderate-to-severe asthma were recruited from NOLA schools. Over 1 year, they received two clinical evaluations, three home environmental evaluations, and die asthma intervention. Quarterly end points included symptom days, medication use, and unscheduled emergency department or clinic visits. A community advisory group was assembled and informed HEAL at all phases.
RESULTS: Of the children (n « 182) enrolled in HEAX, 67% were African American, and 25% came from households with annual incomes <
CONCLUSIONS: Despite numerous challenges faced by investigators, study staff, and participants, including destroyed infrastructure, disrupted lives, and lost jobs, HEAL was successful in terms of recruitment and retention, die high quality of data collected that will provide insight into asdimaallergen relationships, and the asthma intervention. This success was attributable to using an adaptive approach and refining processes as needed.
Key WORDS: asthma, asthma case management, asdima counselor, environmental intervention, Hurricane Katrina, indoor allergens, mold. Environ Health Perspect 120:1592-1599 (2012). http:// dx.doi.org/10.1289/ehp.1104239 [Online 15 August 2012]
Hurricane Katrina struck the city of
In addition to the environmental devastation, Katrina destroyed an already strained health care system and its provider base. About 4,500 physicians left the region, leaving 50% of children who previously had a health care provider without one. Most of