Published online March 1, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. 652 (doi:10.1542/peds.2006-3627)
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LETTER TO THE EDITOR

Preparing for Asthma-Related Emergencies in Schools: In Reply

Marianne Hillemeier, PhD, MPH
Yu Bai, MS
Department of Health Policy and Administration
Pennsylvania State University
University Park, PA 16802

Maryellen E. Gusic, MD
College of Medicine
Pennsylvania State University
Hershey, PA 17033-0850

We appreciate Dr Sapien's response to our article on school health services for children with asthma.1 The limited availability of asthma equipment and the lack of individualized asthma management plans he describes in New Mexico schools are consistent with our findings in Pennsylvania, which suggests that the need for more optimal school asthma management is widespread. Dr Sapien also highlights the importance of overall emergency preparedness in schools, an issue that fortunately is receiving increased attention.2–4 It is interesting that in both Pennsylvania and New Mexico, rural schools were found to be more likely to have emergency equipment available than urban schools. This may be a strategic response to perceived barriers including less optimal nurse staffing availability and greater distances to other sources of emergency care. We also agree that training about emergency asthma management is vitally important, for school nurses as well as other school personnel, and are encouraged by recent attention to the development of relevant educational programs,5,6 including material specifically designed for rural school settings.7

REFERENCES

  1. Hillemeier MM, Gusic ME, Bai Y. Rural and urban children with asthma: are school health services meeting their needs? Pediatrics. 2006;118 :1097 –1103[Abstract/Free Full Text]
  2. Olympia RP, Wan E, Avner JR. The preparedness of schools to respond to emergencies in children: a national survey of school nurses. Pediatrics. 2005;116(6) . Available at: www.pediatrics.org/cgi/content/full/116/6/e738
  3. Stephens RD, Feinberg T. Managing America's schools in an age of terrorism, war, and civil unrest. Int J Emerg Ment Health. 2006;8 :111 –116[Medline]
  4. Graham J, Shirm S, Liggin R, Aitken ME, Dick R. Mass-casualty events at schools: a national preparedness survey. Pediatrics. 2006;117 (1). Available at: www.pediatrics.org/cgi/content/full/117/1/e8
  5. Keysser J, Splett PL, Ross S, Fishman E. Statewide asthma training for Minnesota school personnel. J Sch Health. 2006;76 :264 –268[CrossRef][ISI][Medline]
  6. Harris L. Asthma education for middle school students and staff. J Sch Nurs. 2002;18 :117 –121[CrossRef][Medline]
  7. Winkelstein ML, Quartey R, Pham L, et al. Asthma education for rural school nurses: resources, barriers, and outcomes. J Sch Nurs. 2006;22 :170 –177[CrossRef][Medline]
PEDIATRICS (ISSN 1098-4275). ©2007 by the American Academy of Pediatrics



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