Controlling Childhood Asthma and Reducing Emergencies Initiative

Promoting Asthma-Friendly Environments strengthens strategic partnerships to advance CDC EXHALE guidelines and improve community asthma outcomes.

The Problem:

Asthma affects millions of people in the United States, but its impact is not evenly distributed. Recent national data show that about 27 million Americans currently have asthma, including over 4 million children. Asthma is more common among children and individuals living below the poverty level. Asthma rates and severe outcomes are higher among Black individuals (about 10–11%) compared to White individuals (about 8–9%), with Black children experiencing more emergency visits and hospitalizations. While overall asthma rates among Hispanics (about 6–7%) are similar to or slightly lower than White populations, Puerto Ricans have among the highest asthma rates in the U.S. These differences are associated with environmental exposures, access to care, and social and economic factors.

Using Proven-Effective Strategies

The American Lung Association’s project, Promoting Asthma Friendly Environments through Partnerships and Collaborations, will use proven effective strategies outlined in the CDC EXHALE technical package to improve asthma control in populations. By engaging a network of asthma control programs, healthcare professionals, public health and professional health organizations, local, state and federal governments, and non-governmental organizations, the Lung Association will increase knowledge and adoption of strategies that improve asthma morbidity and mortality in communities with the highest burden of asthma.

What is EXHALE?

The CDC’s EXHALE technical package represents a group of strategies, which, based upon the best available evidence, can improve asthma control and reduce healthcare costs. It is intended as a resource to inform decision-making in communities, organizations, and states.

About the Project

The American Lung Association builds partnerships with State Asthma Programs (including those who are CDC-funded), state and local asthma coalitions, and community stakeholders to implement effective interventions. In September of 2020, the Lung Association received funding from the CDC to Promote Asthma Friendly Environments through Partnerships (Asthma Friendly Environments Project) for a five-year funding period.

The purpose of the Asthma Friendly Environments project is to support an informed network of strategic community partners to improve asthma among high-burden populations through coordinated dissemination and evaluation of the CDC EXHALE technical package across the United States.

The overall goals for the Asthma Friendly Environments project are to:

  1. increase the implementation of EXHALE by engaging strategic community partners to disseminate messages and effective interventions,
  2. increase the number of people that live, work, or go to school in asthma friendly environments by providing training, technical assistance, and resources; and
  3. advance the CCARE goal to prevent 500,000 hospitalization and emergency department visits among children with asthma. 

The project focuses on reaching specific, high-burden populations which include adults and children with asthma through stakeholders, such as healthcare professionals and local organizations, that serve them. These stakeholders include but are not limited to:

  • Organizations with access to high-burden populations (e.g. - Health Systems, Federally Qualified Health Centers, Community Clinics, School-based Health Centers, Rural Health Practitioners)
  • People with asthma and their families
  • Asthma care providers and healthcare professionals (Primary Care Physicians, Pediatricians, Allergists, Pulmonologists, Physician Assistants, Nurses, Nurse Practitioners, Respiratory Therapists, Pharmacists, Certified Asthma Educators, Health Educators, and Community Health Workers)
  • Policy and Decision Makers

Partnerships

 

Resources

  1. Centers for Disease Control and Prevention. Health Outcomes. https://www.cdc.gov/asthma/data-visualizations/health-outcomes.htm. Accessed March 31, 2020.

Page last updated: March 3, 2026

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