Creating Lung Friendly Environments for Youth

Schools and districts should prohibit the use of tobacco by students, staff, and visitors 24 hours a day, 7 days a week in all school buildings, on all school grounds, at all school sponsored events off school grounds, and in all school vehicles. References to “tobacco” include all commercial tobacco products, which are any products containing, made of, or derived from tobacco or nicotine that are intended for human consumption. These include combustible and smokeless tobacco as well as electronic smoking devices.

The American Lung Association is committed to helping schools address the youth vaping epidemic with tools to protect and support schools and students. Visit our resources for ways to educate school staff and parents, implement school policies, and support students with cessation programs. The American Lung Association also offers education opportunities for staff, parents, and caregivers on the dangers of tobacco use.

Schools and districts should have written policies that permit students to carry and self-administer quick-relief (i.e. reliever) medication for chronic health conditions (e.g., asthma). School staff should receive professional development on chronic health conditions basics and emergency response at least every two years. When children with asthma attend school, their safety and management of asthma becomes a shared responsibility between the family, their asthma care provider, and the school staff. All 50 states and the District of Columbia have passed a law allowing students to carry and use inhalers at school, yet some kids are still being denied access to these lifesaving medications during the school day. Whether your state has passed a stock asthma medication law or not, there is still space to create and implement policies that can save the lives of children with asthma.

Unfortunately, it doesn’t take long for an asthma episode to become an asthma emergency. That is why being prepared for and knowing how to handle an asthma emergency is crucial for school staff members. All staff, not just school nurses, should be educated about asthma - a chronic health condition - and should know how to handle an emergency if it should arise. The American Lung Association offers a training for Responding to Asthma Emergencies in Schools as well as ongoing education opportunities.

Your lungs are an essential part of the respiratory system that work together to help you breathe. Learn how your lungs work and how to keep your lungs and yourself healthy.

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People living with lung disease can and should get regular exercise for many reasons. The lungs and heart get stronger with exercise, individuals are better able to perform the tasks of daily living and feel better in mind and body. However, if an individual is already dealing with shortness of breath, it can be intimidating to think about increasing physical activity. It is important for children with asthma to work with their healthcare team to address physical activity and asthma. Physical education teachers and coaches play an important role in helping children with asthma find exercises that work.

The presence of asthma symptoms during exercise does not preclude or prohibit a student from exercising. For all kids, participating in after-school sports, physical education, and recess is important. Teachers, coaches, and other members of the school staff should be familiar with asthma symptoms and what to do in case a student experiences an asthma attack. School staff should encourage children with asthma to monitor symptoms, to self-carry and self-administer quick-relief medication, including pre-medicating, if appropriate. Staff should be ready for students who do not self-carry.

The American Lung Association offers a variety of helpful resources on asthma triggers, how to handle a breathing emergency, and how to help students manage their symptoms so they can participate in activities to the fullest.  

Air pollutants can cause dangerous health effects. Exposure to air pollution can trigger asthma episodes, cause respiratory distress, and can negatively impact lung development for growing children. Learn about the causes, the impacts, and ways to take action. Schools and communities should monitor areas where children exercise or play for air pollution, allergens, or irritants. 

Food provides the body with nutrients like carbohydrates, fats, and proteins. Eating a diet with fewer carbohydrates and more fat may help you breathe easier. When the body metabolizes carbohydrates, it produces more carbon dioxide for the amount of oxygen used. When the body metabolizes fat, it produces less.

Asthma can be triggered by an allergic reaction to foods food preservatives (e.g., sulfites) or medicines (e.g., aspirin, non-steroidal anti-inflammatory drugs). Common foods that may cause an allergic reaction include eggs, peanuts, tree nuts and shellfish. Individuals should work with a healthcare provider to identify the foods or food additives that they are allergic to, avoid them, and use an epinephrine autoinjector (EpiPen®) to treat anaphylaxis.

Allergy shots or immunotherapy can reduce the risk for anaphylaxis and help prevent asthma symptoms. Remember that identifying and minimizing exposure to known allergens can do a lot to improve quality of life. Controlling allergic conditions such as rhinitis can improve and sometimes prevent asthma symptoms.

School nurses are often the first and sometimes only provider of health services within a school or network of schools. They often work between multiple groups – students, parents/caregivers, doctors, teachers – to keep children safe and healthy during the school day. Equipping school nurses with quality training and resources is essential to the health of students.

All students should have access to quality healthcare. In some cases, it may be necessary for a school to support students’ families and caregivers in accessing quality healthcare services. In a school setting, healthcare services may include immunization offerings, hearing and vision checks, and check-ups or physicals. Schools can work with community providers to offer these services that benefit students and may otherwise be inaccessible to families. Referrals to outside providers can also be offered in cases of limited capacity or specialty needs. 

Partnerships between students, parents/caregivers, doctors, school nurses, and school staff are important for healthy students. All entities should be aware of an individual student’s diagnoses, health concerns and a written plan should be on file. In the event of a health emergency, a written and reviewed plan ensures that the student’s health can be attended to immediately. Documents may include an Asthma Action Plan for students with asthma, medication administration approval forms, medical condition forms, immunization records, and allergy list. The American Lung Association offers educational opportunities that address Asthma Action Plans as well as sample plans.

Someone’s mental health has a direct correlation to how often they have asthma flare-ups. Researchers know, for instance, that anxiety and depression can result in increased symptoms, increased use of healthcare services and frequent asthma exacerbations. Unfortunately, being diagnosed and managing a chronic lung disease, like asthma or COPD, increases the likelihood that a patient will experience anxiety, depression or panic attacks. Those dealing with anxiety and depression are often physically and emotionally drained, which may prevent patients from properly managing their asthma.

Learning to manage stress and relax is not easy with today's busy lifestyle. Emotional stress is a common trigger for asthma. Stress also impacts our regular routines, so you may forget to take a controller medication or leave your quick-relief (rescue) inhaler at home. Both situations put you at risk of being unable to control an asthma flare-up. It is a vicious circle that cannot be ignored, so it is important that you find ways to manage stress.

Getting help when you need it is important to managing asthma. Family, friends, co-workers and your healthcare team can support you in many ways. Explore these resources to help you connect with the support you need. 

Connect to support resources including experts, community groups and treatment assistance. 

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School Specific Programming/Guidance:  

1. Improve Asthma Management in Schools | American Lung Association

2. For Asthma Health Professionals | American Lung Association

3. E-cigarettes, Vapes and JUULs - What Schools Should Know | American Lung Association

Strategies for Addressing Asthma and Lung Health for Healthcare Providers

1. Most people with asthma should be able to control their disease with proper care. When healthcare providers—including health professionals, asthma educators or patient advocates—deliver asthma care based on the evidence-based asthma guidelines, patients can experience better health outcomes and quality of life. Below are priority messages along with tips and resources you can share to help provide guidelines-based asthma care and education.
2. Strategies for Addressing Asthma for Healthcare Providers | American Lung Association

Family Lung Health Tips:

1. For Parents of Children with Asthma | American Lung Association
2. Helping Teens Quit Smoking and Vaping | American Lung Association
3. Youth & Young Adults In Action | American Lung Association
   
    

The overwhelming majority of adult smokers began smoking before age 18, and many were addicted before they even finished high school. So, why do kids pick up that cigarette in the first place? Parents, social pressure, advertising, stigma—are just some of the different reasons a young person might try tobacco. Keeping youth from starting is critical and they need your help. Youth tobacco use can be prevented by families, schools, communities and policymakers joining together.

Learn the reasons why some kids start and how to help them be tobacco-free:
 

Learning to use asthma medicine independently, talking to healthcare providers, quitting smoking, and saying “No” to tobacco products are just some of the situations youth will encounter during adolescence. Preparing them with positive communication and self-advocacy skills through education, awareness, and parent-child conversations can help youth learn to manage their lung health effectively: 

We all want children and teachers to be safe at school. But there are some dangers—such as air pollution—that are not always obvious. Air pollution in schools can affect how children learn and harm their growing lungs. It can also cause health problems for faculty and staff. You can help protect your family and your community by learning more about keeping the air in schools clean and healthy.

Exposure to pesticides can cause both short-term and long-term health problems. Integrated Pest Management (IPM) is an effective and environmentally sensitive approach that relies on common-sense practices. With current and comprehensive information on the life cycles of pests and their interactions with the environment, IPM uses the most economical and safest means while avoiding exposure to harmful chemicals that worsen indoor air quality.

Common air pollutants carry dangerous health effects. Air pollution triggers asthma episodes, sends people to hospitals, shapes how kids' lungs develop and can even be deadly. Learn the causes, the impacts and what you can do.

Americans spend more than half of their time at work, and many are either at risk for or dealing with lung disease of some kind. Lung disease—which includes chronic conditions like asthma and COPD, and respiratory illnesses like the flu and pneumonia—is one of the most common and costly of all health problems. And tobacco use is the leading cause of lung cancer and other major health issues. By making small changes in your workplace environment and providing resources to employees to change behaviors and improve health, you can create a safer and healthier workplace for all employees and see significant savings in healthcare related costs.

Small changes can include focusing on indoor air quality, providing quit tobacco use resources for employees, educating those living with a chronic lung disease and helping employees adopt healthier lifestyles.

The American Lung Association offers comprehensive support to help employers adopt and implement workplace policies and programs that support a healthy work environment while contributing to a healthier corporate bottom line.
 

Education Programs | American Lung Association

Every year, the American Lung Association helps thousands of people manage their lung disease, overcome their tobacco addiction and live healthier lives, thanks to help from our wide range of education and training resources.

Whether you are interested in quitting smoking, facing lung disease or just have an interest in learning more about your lungs, we have the learning opportunity for you.

Have a question? Call our Lung HelpLine at 1-800-LUNGUSA or view our Online Support Communities. 

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