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Program Manager ( Part-Time)

Program Coordinator (Part-Time)

Health Educator (Part-Time)

(2) Student Interns (3 hours per each meeting section)

10 parents to be Outreach workers

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Breathe Easy Community Asthma Program Budget

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Breathe Easy Community Asthma Program Budget

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Breathe Easy Community Asthma Program in Richmond

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African Americans children ages 10+ who lived in Richmond, California

Families living in low-income housing who are exposed to unhealthy air quality

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Health Belief Model

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Using three strategies to help reduce Asthma among African Americans children in Richmond

First, the program will go door to door to educate families about children’s Asthma medication.

Second, encouraging families to attend a 2 hours program to learn more about how to properly wear a mask when going outside of homes.

Thirdly, providing better ventilation systems and pest control activity at homes that are being exposed to unhealthy air quality.

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Program Activities Phase 1: Program Development

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Program Activities Phase 1: Program Development

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Buy boxes of N 95 mask to give away to the families

Implement space in the school gym to conduct all the activity

Hire three staff that is well trained, skilled, and committed to making a difference in children’s lives.

Train 10 parents in Richmond to become community outreach workers for the program.

10 parents will work directly with the program coordinator on public speaking, public attention, and come up with activities to reach out to the community.

Develop a two-hour curriculum to educate families on how to avoid any Asthma triggers

Such as teaching children and families to properly use the N95 masks

Teach families how to build a clean environment to help reduce Asthma among African American children

Purchase materials to conduct fun activities for the children and families

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Program Activities Phase 2: Program Implementation

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Program Activities Phase 2: Program Implementation

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Each family will attend 2 hours workshop once a week for a total of 52 weeks

About 30 families will attend the workshop therefore each family will attend a total of 104 hours

Parents who are community outreach workers must attend the mandatory meeting twice a month for 52 weeks

A local pest control company will come to the 30 minutes workshop to teach families about how to determine when the home is at risk for an unhealthy environment.

Families will have a chance to sign up for free pest control activity at home.

With the homes that are more exposed than others, our program will provide free ventilation inside the home.

In one-hour workshop families and children will participate in hands-on activities like drawing, crafting, and learning what are the risk factors when an asthma attack happens.

Each workshop families will receive a least 2 boxes of N95 mask that will last them a least 3-4 weeks supply.

Community outreach parents will hand out flyers, and posters in the community.

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Train 15 parents to be community outreach members

Hire 3 knowledgable staff

Hand out a least 100 flyers in a different neighborhood

Make 100 posts on instagram, facebook, and Snapchat using #breatheeasyrichmond

Create 30 posters to hang in the local school, library, and bus stops

Total of 104 hours for families who are attending the program for 52 weeks

#breatheeasyrichmond

#breatheeasyrichmond

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1. Decrease the number of childhood asthma among African Americans in Richmond within 3 years.

2. Decrease the rate of hospitalization due to Asthma among African Americans in Richmond within 3 years.

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1. Increasing the number of children to use asthma medication and asthma inhaler within 12 months. (Behavior)

2. Increasing the number of children in the household to use N95 masks when going out to the public by six months.

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1. An increase in the # of children with Asthma to believe that using inhalers and masks will avoid any trigger by three months (Attitude)

2. Increase in the # of children who know that most of the death due to asthma is caused by environmental behaviors within three months. (Knowledge)

3. Increase in the # of children who believe that using a mask and taking medication will lower the risk of asthma by three months. (Attitude)

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The childhood asthma rate in Richmond, California is twice the national average.

In the Richmond Health Survey Report, 17 percent of Richmond children have asthma, while 8 percent nationwide. Richmond residents have been burdened by the impacts of environmental pollution for decades, and have been struggling to achieve a healthy and just environment.

Danielle Parenteau ( December 10, 2015) https://richmondconfidential.org/2015/12/10/chevrons-role-in-childhood-asthma-hazy/

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293 hospitalizations among African American children due to Asthma

289 hospitalizations among white children due to Asthma

250  hospitalizations among Hispanic children due to Asthma Hispanic

67  hospitalizations among Asian/Pacific Islander children due to Asthma

Overall, African American children are at higher risk for Asthma in Richmond California.

Among African American children, boys had a higher rate of Asthma compared to girls. The boys had 657 asthma hospitalization while girls had 364 of asthma hospitalization. It is to show that boys have a higher chance of getting Asthma when compared to the girl's population.

Chronic Disease ( August 25, 2010)

https://cchealth.org/health-data/hospital-council/2010/pdf/38_childhood_asthma.pdf

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People of color in Richmond live on average ten years less than white people living in other parts of the county. African Americans are the main target for asthma emergency visits and admissions about four times that of other racial groups in the county. The health gap is especially striking among low-income, non-white residents.

Robert Durell (August 6, 2012) https://www.sfgate.com/bayarea/article/North-Richmond-in-shadow-of-poverty-and-pollution-3605994.php

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The rate of childhood hospitalization for asthma in San Pablo (41.2 per 10,000) is more than double that of the overall county rate (17.0 per 10,000). Richmond’s rate (30.5 per 10,000) is nearly double the county. According to the figure below, African American children in Contra Costa County are hospitalized for asthma at a rate almost four times that of White, Asian and Latino children, and almost three times that of the county’s children overall.

http://www.rampasthma.org/pdfs/CAFA_Contra_Costa.pdf

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Greater Risk to Unhealthy Physical and Social Environment

Less Access to High Quality Goods And Services

Health care Inequalities

The highest percentage of low income and non- white residents

African Americans have a higher death rate from all causes combined than county residents overall and than Whites, Latinos and Asians.

Experience higher death and disease rates than the county overall for many chronic and communicable diseases, injury, and maternal and child health issues

Poverty and Discrmination leading to higher risk of stress

https://cchealth.org/rhd/pdf/health_disparities_in_cc.pdf

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Cumulative Risk Contribute To Higher Rate OF Childhood Asthma

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Cumulative Risk Contribute To Higher Rate OF Childhood Asthma

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Heavy Traffic

Feeling Unsafe

Noise Pollution

Vacant Lots

Richmond Health Survey (2009) http://www.cbecal.org/wp-content/uploads/2012/05/Richmond-Health-Survey1.pdf

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The People of Richmond are surrounded by...

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The People of Richmond are surrounded by...

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The people of Richmond live within a ring of five major oil refineries, three chemical companies, eight Superfund sites, dozens of other toxic waste sites, highways, two rail yards, ports and marine terminals where tankers dock. People in north and central Richmond are breathing air that is exposed from contaminants such as benzene, mercury, and other hazardous air pollutants that are linked to cancer, reproductive problems and neurological effects.

California Air Resources Board (2017) https://ww2.arb.ca.gov/search/site?keys=richmond+air+quality

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Affordable Homes In Richmond, California

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Affordable Homes In Richmond, California

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Most houses sell for below $100,000, among the lowest prices in the Bay Area, in the zip code shared with the Chevron refinery, and residents complain of a lack of paved streets, lighting and basic services. Low income residents are seeking affordable homes, and families are ending up sharing a fence line with a refinery and a cluster of other polluting businesses. Affordable homes are helping them save money but the cost of health exposure to polluting is costing more.

Robert Durell (2012)
https://www.sfgate.com/bayarea/article/North-Richmond-in-shadow-of-poverty-and-pollution-3605994.php

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In Richmond, the Household Exposure Study found over 50% of homes tested to have indoor air levels of particulate matter above California’s ambient air quality standard. According to National Heart, Lung, and Blood Institute, the cause of asthma is known as “ hygiene hypothesis” (NHLBI, 2020). Children who are growing up in a household where improper practice of hygiene and sanitation is putting the children on the higher risk of asthma.

https://www.asthmaweb.com/wp-content/uploads/NIH-Write-Up-on-Asthma.pdf#:~:text=The%20%22Hygiene%20Hypothesis%22%20One%20theory%20researchers%20have%20for,an%20overall%20decline%20in%20infections%20in%20early%20childhood.

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The costs of asthma hospitalizations affect everyone. Total charges for asthma hospitalizations in Contra Costa County among children aged 0-17 increased from $2.6 million in 2004 to $4.8 million.
For more information about this Asthma Report Card, please contact the Contra Costa Asthma Coalition at 925.313.6764, email ccac-admin@hotmail.com, or visit the website www.calasthma.org

Contra Costa Asthma Coalition (2008) http://www.rampasthma.org/pdfs/CAFA_Contra_Costa.pdf