Asthma Education Conference for Tribal Health Officers Serving the Aberdeen Area

项目概述-在20世纪60年代早期，哮喘在美洲原住民中仍然相对罕见。从那时起，它在15岁以下的印度儿童中变得越来越普遍。尽管许多印第安人生活在农村地区，但美国印第安人的哮喘发病率和死亡率几乎与美国所有种族的发病率和死亡率相同。虽然由于缺乏关于土著社区哮喘的流行病学数据，这种增加的原因尚不清楚，但潜在的环境健康风险包括接触主流和侧流烟草烟雾的增加、使用燃木炉灶、婴儿呼吸道病毒发作的高发率以及哮喘与肥胖的合发。在社会环境中，许多美洲印第安人生活在极端贫困的条件下，失业率高，受教育程度低，这进一步加重了儿童哮喘对这些社区的身体和经济负担。该项目将举办一次关于哮喘的区域会议，旨在向北部平原部落卫生机构的代表通报哮喘的知识、研究和治疗现状、其潜在的环境健康诱因、预防战略和环境改善措施。该项目的目标是提高与北部平原部落流行病学中心（IA， NE， ND， SD）服务地区18个部落合作的部落卫生代表和主任、印第安人卫生服务人员、急诊医务工作者、护士和儿科医生对哮喘的认识水平，使他们能够将这些知识转化为更好的医疗服务，并提高他们社区对这种疾病的了解。研讨会将于2006年9月在SD拉皮德城的Alex Johnson酒店举行。它将解决暴露于日常室内外污染物的问题，包括但不限于环境中的烟草烟雾、过敏原和内毒素、霉菌和昆虫、尘螨等生物污染物、杀虫剂和甲醛等化学污染物、烧木头的炉子排出的废气以及机动车尾气。EHSRC及其在爱荷华大学的研究人员是唯一有资格开展这次传播会议的机构，因为它是唯一一个由niehs资助的专注于哮喘研究的农村环境暴露的中心。

DESCRIPTION (Provided by the Applicant): PROJECT SUMMARY - In the early 1960's, asthma in Native American populations was still relatively rare. Since then, it has become increasingly prevalent in Indian children under 15 years of age. Despite the fact that many live in rural locations, morbidity and mortality rates of asthma among American Indians are nearly the same as rates seen among all races in the United States. While the reasons for this increase are not yet clear due to a lack of epidemiologic data on asthma in Native communities, among the potential environmental health risks are increases in exposure to mainstream and side-stream tobacco smoke, the use of wood-burning stoves, a high incidence of attacks of respiratory viruses in infants, and co-morbidity of asthma with obesity. In the social environment, many American Indians are living in conditions of extreme poverty, with high unemployment and lower educational attainment, adding further weight to the physical and financial burdens of childhood asthma on these communities. This project will conduct a regional conference on asthma designed to inform representatives of Northern Plains tribal health agencies about the current state of knowledge, research, and treatment of asthma, its potential environmental health triggers, prevention strategies, and environmental improvement measures. The goal of this project is to advance the state of knowledge of asthma among tribal health representatives and directors, Indian Health Service staff, emergency medical workers, nurses, and pediatricians working with 18 tribes in the region served by the Northern Plains Tribal Epidemiology Center (IA, NE, ND, SD) so that they may transform this knowledge into better medical services and heightened understanding of this condition in their communities. The workshop will be held in September 2006 at the Alex Johnson Hotel in Rapid City, SD. It will address exposures to everyday types of indoor and outdoor contaminants, including, but not limited to environmental tobacco smoke, allergens and endotoxins, molds and insects, biological contaminants such as dust mites, chemical contaminants such as pesticides and formaldehyde, exhaust from wood-burning stoves, and motor vehicle exhaust. The EHSRC and its investigators at The University of Iowa are uniquely qualified to carry out this dissemination conference, as it is the only NIEHS-funded center to focus on rural environmental exposures with specialization in asthma research.