The Preventive Care Program for Urban Children with Asthma

Research Overview

The Problem

Almost 8 million children in the U.S. are affected by asthma and more than ten percent of the children living in the city of Rochester, NY suffer from asthma. Asthma can cause recurrent symptoms as well as missed school days, parents’ missed workdays, and substantial stress on daily family life. Hospitalization rates for childhood asthma are high, and appear to be increasing.

Children living in the inner city are affected disproportionately by asthma. In Monroe County, NY, young urban children have hospitalization rates for asthma that are five times higher than rates for suburban children.

National guidelines recommend daily preventive medications for all children with moderate to severe asthma. Unfortunately, many children who should receive these medications are not receiving them. The reasons for this are not entirely clear.

The solutions to the asthma epidemic in Rochester and in the U.S. will not likely lie in new medicines and therapies. Beneficial treatments for childhood asthma are already available. We feel that at least part of the solution lies in overcoming multiple obstacles in the receipt of effective care.


Led by Dr. Jill Halterman, the goal of the Preventive Care Program for Urban Children with Asthma is to:

  • Decrease the burden of asthma in the Rochester community
  • Better understand the gaps in asthma healthcare
  • Improve overall care for urban children who suffer from asthma
  • Develop sustainable models for asthma care that can be disseminated

Impact by the Numbers

  • Total number of children who have participated in our programs: 1950 (and counting)
  • Total number of children that received their preventive medicine in school: 398
  • Baseline home visits conducted by our team: 818
  • We collaborate with more than 70 schools and preschools in the Rochester City School District, and 13 primary care practices in urban Rochester

Funding Sources and Future Directions

We receive funding from local and national sources.

Primary funders include:
  • National Institutes of Health
  • Halcyon Hill Foundation
  • Robert Wood Johnson Foundation
Future directions:
  • Further expansion of our successful local programs to maximize the number of urban children with asthma we reach
  • Continued focus on the sustainability and the national dissemination of our programs to various populations and settings

Funding Sources 2014


Contact Us

Jill Halterman Lab
Saunders Research Building
General Pediatrics
Room 3.420
601 Elmwood Avenue
Box 777
Rochester, NY 14642

Phone: (585) 275-5798
Fax: (585) 276-2206
Asthma Study Team