A3 - Asthma Interventions: Research Into Practice Part 2 of 4
Gregory Diette, M.D., MHS, Johns Hopkins School of Medicine, Associate Professor & Director of Clinical
Kate Scott, MPH, RN, BSN, Baltimore City Department of Health, Asthma Program Director, Reducing Asthma
Disparities (RAD) Initiative
Research, Division of Pulmonary & Critical Care Medicine
Recorded at the "Clearing the Air" conference addressing asthma disparities in Maryland on June 28th, 2011. Held at the Maritime Institute Conference Center in Linthicum, MD.
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Gregory Diette, M.D., MHS, - African-American children have disproportionately high rates of asthma, as well as excessive morbidity and mortality compared to other races. Race-based disparities in asthma health are not new, but the gap between whites and blacks has widened inexplicably over the past
30 years. Many factors coalesce unfavorably in this highly aected group, including high exposure to certain ambient pollutants, certain indoor allergens and pollutants, and the eects of poverty. Another factor that distinguishes the inner- city African-American child is a diet of poor quality that may increase susceptibility to airborne pollutants and allergens.
The "Mediterranean-type" diet has been shown to protect against asthmatic response and is low in pro-inammatory foods. Rich in anti-oxidants and Vitamin D, the diet is comprised of whole fruits, legumes, vegetables, low-fat dairy foods, and low-fat meats, versus so-called junk food and sugar-containing beverages. In the U.S., over only the past 30+ years (the
same time period in which race-based heath disparities have widened in asthma as well as in diabetes, heart disease and obesity), the national diet has diverged signicantly from this healthy diet pattern. These unfavorable patterns are especially notable in low-income African-Americans (see background). We will discuss the evidence behind these statements and the Johns Hopkins ASTHMA-DIET program which is studying how airway inammation and oxidative stress are modied by diet and how with these ndings may be translated into practical dietary strategies to improve pediatric asthma health.
Kate Scott, MPH, RN, BSN - will present ndings from a home visiting program, targeted to inner-city families with asthmatic children (ages 4 to 18), that strives to reduce home based asthma triggers, improve asthma management, and establish community-based support networks for families within a "healthy home" framework. Preliminary results
suggest that the Reduce Asthma Disparities (RAD) approach is resulting in reduced presence of pests and reduced evidence of environmental tobacco smoke. Learn about the ecacy of a comprehensive holistic housing approach that includes integrative pest management (IPM) and smoking cessation to reduce allergens and establish an asthma friendly
Gregory B. Diette, M.D., MHS is Associate Professor of Medicine, Epidemiology and Environmental Health Sciences at the Johns Hopkins University. He is a pulmonologist with a practice devoted to the care of patients with obstructive lung diseases, including asthma and COPD. He has an extensive portfolio of patient-based research in asthma and COPD, supported by the NIH and other sponsors. Dr. Diette's current research focuses on identifying environmental causes of obstructive lung diseases, the role of diet in development of asthma, as well as understanding and reducing disparities in health of racial and ethnic minorities. Dr. Diette received his undergraduate degree in Economics from the Wharton School of the University of Pennsylvania, the Doctor of Medicine degree from Temple University and a Master's degree in Epidemiology from the Bloomberg School of Public Health at Johns Hopkins University. He completed a residency in Internal Medicine at the Hospital of the University of Pennsylvania and fellowship training in Pulmonary and Critical Care Medicine at Johns
Kate Scott, MPH, RN, BSN is the Asthma Program Director, Reducing Asthma Disparities (RAD) Initiative, for the Baltimore City Health Department. There, she directs clinical asthma programs including the CDC-funded translational research grant for asthma home visiting services for children. She represents the Health Department on the Department of Health and Mental Hygiene (DHMH) Maryland Asthma Coalition Executive Committee and the Greater Baltimore Asthma Alliance. She received her RN and MPH from Johns Hopkins.