American Academy of Allergy, Asthma & Immunology Educational Initiatives on Climate and Health © AAAAI Revised 2019

2018 Joint Congress Joint Congress – programmed in collaboration with World Allergy Organization Clinical Theme: Global Environmental Change and Respiratory Health Presidential theme for Peden, global interest from WAO Clinical Theme makes up 10% of the program of each year’s program

2018 Joint Congress AFRICA 10 ASIA 235 AUSTRALIA/PACIFIC 35 CANADA 205 EUROPE/RUSSIA 569 MIDDLE EAST 103 CENTRAL/SOUTH AMERICA 384 UNITED STATES 3340 TOTAL 4881 Top countries by region: Asia: Japan, South Korea, China Europe: Spain, Germany, Italy Central/South America: Brazil, Ecuador, Mexico Middle East: Turkey, Israel

2018 Joint Congress Physicians 3141 67% Allied Health 550 12% PhD 347 7% Students 229 5% Other 432 9%

2018 Joint Congress Outcomes: primary lessons learned included: NIEHS: Understanding the Exposome: Allergens, Adjuvants and Non-Allergens Environmental Influences on Innate Immunity-Insights and Mechanisms Environmental Impacts on Asthma: Biology to Intervention Latin American Society of Allergy, Asthma and Immunology (SLAAI) Sister Society Symposium: The Influence of Climate and Environmental Features Over Allergic Diseases Asthma and Allergic Disorders in an Environment of Continuous Climate Change Storms and Asthma Indoor and Outdoor Air Pollution Create Health Disparities for Rural Asthma Patients Home Environmental Interventions are a Valuable Component of Asthma Management for Low-income Children with Asthma Indoor Allergen Abatement: Strategies for Home- and School-Based Environmental Interventions EORD: Allergen Exposure, Sensitization and Asthma: What Should We Learn from the Opposing Results Inner-City Environmental Exposures and Childhood Asthma: Emerging Concepts from Home and School Studies Allergies, Asthma and Environmental Risk Factors in a Changing World Global Environmental Change and Our Health The Effects of a Warming Climate on the Diagnosis and Treatment of Asthma Particles and Particulates Revisited Early Life Environmental Exposures Regulate Host Allergic Immune Responses: Lessons Learned from the AADCRC Birth Cohorts Outcomes: primary lessons learned included: Increased knowledge of the impact of indoor and outdoor environmental factors on respiratory disease Interaction of the microbiome and immune system – impact on allergic disease Recognition that the effects of the urban environment are experienced worldwide Improved ability and confidence to counsel patients with allergic disease, especially respiratory illness, about management strategies that can improve their symptoms; “Do everything – don’t try to emphasize specific actions” Barriers: Many providers work in suburban settings and don’t see rural or inner city patients (access to care) Lack of adequate time to provide patient counseling during typical office visit

SAMPRO School-Based Asthma Management Program Holistic approach to pediatric asthma management – the Circle of Support around the child Includes the physician taking responsibility for interacting with the school and addressing that environment

SAMPRO Practice Improvement Practice Improvement Module based on implementation of the SAMPRO principles for managing pediatric asthma patients 20 CME credits for physicians; counts as a quality improvement activity for ABAI MOC program Includes a measure “Support the School's Development of an Environmental Asthma Plan” Outcomes: Awareness of the importance of proactively communicating with the schools about the child’s needs, action plan Patients and families need support beyond the office visit Barriers: No defined infrastructure for communicating with the schools Lack of ability to impact school conditions

Patient Resources

National Allergy Bureau