Post Fire Clean-up Procedures for Asthmatics

Our local hospital is looking for any specific advice on post-fire clean-up for asthmatic family members.  

I've received great advice from NCHH including hiring a RIA/IICRC certified professional cleaning company, focusing on water clean-up and dehumidification, smoke and soot clean-up under negative pressure, and NYDOH resources.

Anyone have anything to add that is asthma-specific?  e.g. certain chemicals to recommend/avoid as part of the clean-up effort?

Thanks! 

Article on Asthma Care Coverage in State Medicaid Programs

  • Posted on: 1 November 2018
  • By: SCG_Ric
Through the American Lung Association’s Asthma Guidelines-Based Care Coverage Project, the organization determines the extent of asthma care coverage and associated barriers in state Medicaid programs — information that has been previously unavailable. The Project tracked coverage for 7 areas of guidelines-based asthma care and 9 barriers related to accessing care in Medicaid programs for all 50 states, the District of Columbia, and Puerto Rico. Results from the Project show a lack of consistent and comprehensive coverage across states, as well as coverage-related challenges to accessing asthma care within states.

Evaluation of the Environmental Scoring System in Multiple Child Asthma Intervention Programs in Boston, Massachusetts

Our study demonstrated that the Environmental Scoring System is a useful tool for measuring home asthma triggers and can be applied regardless of program and survey designs, and that demographics of the target population may influence the improvement in asthma outcomes.

"Evaluation of the Environmental Scoring System in Multiple Child Asthma Intervention Programs in Boston, Massachusetts"

Dong

American Journal of Public Health

January 2018; 108(1): 103-111

Entire article

 

Objectives. To test the applicability of the Environmental Scoring System, a quick and simple approach for quantitatively measuring environmental triggers collected during home visits, and to evaluate its contribution to improving asthma outcomes among various child asthma programs.

 

Methods. We pooled and analyzed data from multiple child asthma programs in the Greater Boston Area, Massachusetts, collected in 2011 to 2016, to examine the association of environmental scores (ES) with measures of asthma outcomes and compare the results across programs.

 

Results. Our analysis showed that demographics were important contributors to variability in asthma outcomes and total ES, and largely explained the differences among programs at baseline. Among all programs in general, we found that asthma outcomes were significantly improved and total ES significantly reduced over visits, with the total Asthma Control Test score negatively associated with total ES.

 

Conclusions. Our study demonstrated that the Environmental Scoring System is a useful tool for measuring home asthma triggers and can be applied regardless of program and survey designs, and that demographics of the target population may influence the improvement in asthma outcomes.

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