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Arch Pediatr Adolesc Med. 2004;158:1091.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Each year, more children are living with asthma.¹ In response to this worrisome situation, innovative community-based approaches are sought to elucidate best practices to improve asthma outcomes. An article in the May 2004 issue of the ARCHIVES "Benefits of a School-Based Asthma Treatment Program in the Absence of Secondhand Smoke Exposure" by Halterman et al² described a system-change approach comparing the effectiveness of school-based delivery of inhaled corticosteroids, facilitated by school nurses, with corticosteroids delivered at home. We appreciate this innovative and important study and agree that system change is needed to address escalating asthma rates.

We are engaged in a similar school-based approach to reduce asthma morbidity in our community. Unlike the schools described in the article by Halterman et al, our community’s schools lack school nurses, and unfortunately, our experience is representative for that of the nation. The fact that many schools lack on-site nurses speaks directly . . . [Full Text of this Article]

AUTHOR INFORMATION

Lisa J. Chamberlain, MD, MPH; Laurie Bauer, RN, MPH

RELATED ARTICLE

The Crucial Role of the Vanishing School Nurse—Reply
Jill S. Halterman
Arch Pediatr Adolesc Med. 2004;158(11):1091-1092.
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