EPA, Schools and Communities Work Together to Reduce Asthma

By Dr. Teresa Lipsett-Ruiz

Visitors to Puerto Rico often come to bask in the island’s warmth and waves. But, our tropical environment also contributes to the asthma problem that affects about 1 in 10 people here.

In close partnership with EPA, our university-based indoor air quality program builds partnerships with students, schools and the community to improve the environmental conditions in schools and reduce student absences caused by asthma. It has worked! Over the past 6 years, the schools that we’ve worked with have seen significant decreases in the number of missed school days.

Mountainous areas such as the Puerto Rican municipalities of Caguas and Gurabo are surrounded by humid valleys known as “asthma hotspots,” yet asthma education is not always available there. In response, we created a program with EPA that focuses on three key elements: (1) information resources and checklists, (2) school “walkthroughs,” and (3) partnerships with school officials and the community to physically remove indoor environmental asthma triggers.

Our program relies on EPA’s Indoor Air Quality (IAQ) Tools for Schools guidance and Spanish-language indoor checklists to educate the community and schools on managing environmental asthma triggers. Working with the Puerto Rico Department of Education, we hold IAQ Workshops on asthma triggers.

During school walkthroughs, we often find pest problems—cockroaches, rats and mice—as well as moldy, wet cardboard boxes overflowing with paper. We then formulate a plan to address these asthma triggers.
At first, some teachers were skeptical. They were worried that this was another burden piled onto their busy schedules. Enthusiasm grew, however, when the students and the community began to help. As the old saying goes, “many hands make light work.” The school community came together for a “mega green cleaning” of the school. To check our effectiveness, we collected mold samples before and after our plans were put in place and mold counts dropped significantly.

With the support of school officials, we implemented our program at 32 schools, which resulted in a 38 percent reduction in student absenteeism due to asthma. Based on these impressive results, we now are expanding the program in partnership with EPA. To learn more, listen to my presentation in EPA’s Back-to-School Webinar: Managing Asthma in Schools. Our communities are proud to have improved both their health and student attendance. We invite you to pursue similar programs in your schools and community.

About the author: Dr. Lipsett-Ruiz is the Dean of the School of Science and Technology in Universidad del Turabo in Puerto Rico. Her partnership with EPA has trained more than 150 teachers in 100 schools on practical steps to asthma management. The program leverages school clubs, blogs, conferences, theater play, and role modeling exercises, along with EPA information resources to reduce student absenteeism due to asthma.

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