DFA Wildcard

Community Crit Presentation

Ramya Mahalingam Sophia Dalal Ivy Sokol Ben Snell Elizabeth McAvoy Jeffrey Lam Miranda Olson
dfawildcard.tumblr.com

What are we looking at?

Asthma: The Rundown

THE LUNG

Asthma: The Rundown

THE LUNG

medicines colds exercise TRIGGERS allergens

sulfites

irritants

Asthma: The Rundown

MUCUS BUILDS UP
medicines colds exercise TRIGGERS

INFLAMMATION AIRWAYS NARROW

allergens

sulfites

irritants

Asthma: The Rundown

coughing shortness of breath SYMPTOMS wheezing chest tightness

MUCUS BUILDS UP
medicines colds exercise TRIGGERS

INFLAMMATION AIRWAYS NARROW

allergens

sulfites

irritants

9 11 23

percentage of children diagnosed with asthma in the US

percentage of children diagnosed with asthma in RI

percentage of children diagnosed with asthma in Providence

The number of children diagnosed with asthma in Providence is disproportionately high

$0 Density of Children between 2 - 17 years old, diagnosed with Asthma

$50k

$100k

Median Per Capita Income

Number of asthma related hospitalizations for African Americans

=3x 25
percentage of Hispanics taking daily asthma medication

Number of asthma related hospitalizations for Caucasians

35
percentage of Caucasians taking daily asthma medication

23
percentage of African Americans taking daily asthma medication

There is a clear demographic disparity in the incidence of asthma attacks and access to medication

Community Partners

HARP
+ Clear instructions from doctors for asthma self-management + Culturally appropriate interventions/treatment for minority patients + Environmental control measures Families choose not to opt in initially Limited funding: not a very scalable model

PCI
+ High follow up rates due to personal contact and ease of access + Initial asthma-related contact leads to other social work Focus on empowering children to take charge of their own asthma treatment 17 families, limited resources and funding

GHHI
+ 29 point audit and (separate) assessment + Streamlined funding application and assistance to various government funds + Scalable model & tools (handbook, compendium) Maintenance of deep-cleaned home No standard for minimum level of clean to detect triggers

Our Areas of Focus

community service requiremen ts

Community-based shared solutions Home trigger detection and maintenance Education and communication

atteens & risk kids

ed shar g in clean als ri mate

inter activ hom e diag e rams

oduct natural pr ystem cleaning s

breathe-o-meter

Thanks! :)

Appendix
Geographic Residence Age Age-Specific Asthma Hospitalization Rates

Percent of children between 0 - 17 years hospitalized for asthma attacks in Providence, RI from 2001-2007*

Caucasian African American Hispanic

17.0 39.8 27.1

Rhode Island 0-17 18-64 65+ Providence 0-17 18-64 65+ 0-17 18-64 65+

11.6 % 10.3 10.9 23 17.4 19.7 22.1 14.2 13.9

Core Cities