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January 2002, Vol 92, No. 1 | American Journal of Public Health 24-26
© 2002 American Public Health Association


FIELD ACTION REPORT

On the Front Lines: An Environmental Asthma Intervention in New York City

Patrick L. Kinney, ScD, Mary E. Northridge, PhD, MPH, Ginger L. Chew, ScD, Erik Gronning, MA, Evelyn Joseph, BA, Juan C. Correa, MD, MPH, Swati Prakash, MPH and Inge Goldstein, DrPH For The Reducing Indoor Allergens Study Team,

Patrick L. Kinney, Ginger L. Chew, Evelyn Joseph, and Juan C. Correa are with the Department of Environmental Health Sciences; Mary E. Northridge is with the Harlem Health Promotion Center, Department of Sociomedical Sciences; and Inge Goldstein is with the Department of Epidemiology, all at the Mailman School of Public Health, Columbia University, New York, NY. Erik Gronning is with the New York State Department of Health, New York City. Swati Prakash is with West Harlem Environmental Action, Inc, New York, NY.

Correspondence: Requests for reprints should be sent to Patrick L. Kinney, Department of Environmental Health Sciences, Mailman School of Public Health, 60 Haven Ave, B-1, New York, NY 10032 (e-mail: plk3{at}columbia.edu).

Asthma is now the leading cause of school absence among children of color in impoverished urban neighborhoods. Environmental interventions have the potential to augment clinical approaches to asthma management by directly reducing exposure to environmental triggers (e.g., cockroaches, rodents, and mold).

We implemented an apartment-based intervention to reduce exposures to indoor allergens among children living with asthma in 2 areas in New York City with rates of asthma morbidity and mortality that rank among the highest in the United States. Although the intervention phase of the present study is not yet complete, timely reporting of our field experiences may prove useful to other groups engaged in environmental intervention trials in urban communities.




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