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Regional Asthma Management & Prevention (RAMP) & California School-Based Health Alliance, 2015.

Asthma is a chronic inflammatory disease of the airways characterized by recurrent episodes of wheezing, shortness of breath, and coughing. Asthma symptoms are triggered by a variety of environmental factors: allergens like pollens and cockroaches or irritants like tobacco smoke and air pollution. These environmental asthma triggers cause inflammation, obstruction, and constriction of the lungs’ airways making it difficult—and sometimes impossible—to breathe. Reducing or eliminating exposure to these triggers can improve a patient’s ability to manage their asthma symptoms.

Although there is a broad array of evidence-based interventions to address asthma triggers, many people with asthma continue to be exposed to the factors that make their asthma worse. School-based health centers (SBHCs) are uniquely positioned to address this gap in order to help children breathe easier. While many SBHCs across the country are already playing a key role in helping students manage their asthma by providing quality clinical care and education, there is an opportunity for SBHCs to also be leaders in managing the environmental factors that make asthma worse. This guide describes the types of interventions that SBHC staff can initiate or support to reduce exposure to environmental asthma triggers.

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EPA, 2015.

EPA’s IAQ Tools for Schools guidance has been implemented successfully in tens of thousands of schools nationwide. The Framework for Effective School IAQ Management synthesizes the accumulated learning of more than 800 schools involved in a national survey of IAQ management practices; 200 applicants for IAQ Tools for Schools awards; and in- depth interviews, site visits and analysis of five faculty school districts. The Framework provides a common language
to describe the drivers of IAQ program success; detailed guidance on the proven strategies, organizational approaches, and leadership styles that are fundamental to program effectiveness; and a clear vision of the pathway to school IAQ excellence. Its highly flexible and adaptable structure allows any school, regardless of location, size, budget or condition, to use the Framework to launch, reinvigorate and sustain an effective IAQ management program.

The Framework: Key Drivers

The Six Key Drivers are the essential elements of effective and enduring IAQ management programs. Applying a cycle of continuous assessment, planning, action and evaluation, the Six Key Drivers work synergistically to deliver effective school IAQ management programs. The Six Key Drivers are:

  • Organize for success;
  • Communicate with everyone, all the time;
  • Assess your environments continuously;
  • Plan your short- and long-term activities;
  • Act to address structural, institutional and behavioral issues, and
  • Evaluate your results for continuous improvement.The Framework: Technical SolutionsThe Six Technical Solutions define the most common issues that schools need to address to effectively manage IAQ risks. When addressed systematically
    and aggressively, an IAQ program that focuses on the Six Technical Solutions will deliver a healthier school environment. The Six Technical Solutions are grounded in the IAQ Tools for Schools Action Kit, the Center for Disease Control’s School Health Policies and Programs Study and the management practices of leading school IAQ programs.

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United States Environmental Protection Agency

Teachers play an important role in promoting good IAQ in their classrooms. This checklist can help in:

  • maintaining general classroom cleanliness
  • managing animals in the classroom
  • reducing moisture sources
  • taking other preventative actions to ensure a healthy learning environment

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Environmental Law Institute, 2016.

Energy efficiency continues to be an important component of federal, state, and local efforts to reduce greenhouse gas emissions. School facility upgrades that increase energy efficiency can help school districts advance their educational mission by reducing energy and other operating costs. Facility upgrades that protect and improve indoor air quality (IAQ) also support the core mission of schools by promoting staff and student health, productivity, and attendance. There is now broad recognition that it is possible to achieve both energy efficiency and indoor air quality goals as part of a school retrofit project. When undertaking energy efficiency and other facility upgrades, early consideration of IAQ issues can help schools avoid unintended, negative consequences and reap the twin benefits of energy savings and a healthier, more productive school environment.

State laws, regulations, and guidance can facilitate the integration of IAQ and energy efficiency goals. This report discusses three areas of potential policy development: state funding for school facility upgrades, energy savings performance contracting, and regulation of indoor pollutants during renovation. While these are not the only policy areas ripe for consideration, the examples described throughout the report reflect a variety of strategies for maximizing the health benefits of energy retrofits and other school facility upgrades.

State Funding for School Facility Upgrades

States operate a variety of programs that provide grants, loans, and other financing for school energy efficiency retrofits and other facility upgrades, and these programs are particularly important for school districts that have limited resources for capital-intensive measures. Currently there are few state funding programs that affirmatively require or encourage the integration of IAQ and energy goals, however the report highlights examples of policy strategies that have been adopted and could be expanded in the future. These include:

  •  Establishing energy-related IAQ improvements as allowable or priority uses of energy efficiency funding;
  •  Considering non-energy benefits, such as enhanced IAQ, in awarding energy-efficiency funding; and
  •  Establishing IAQ measures as priorities for general school renovation and repair programs.

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Recent research suggests that a school’s physical environment also can play a major role in academic performance.

  • Leaky roofs
  • Problems with heating, ventilation and air conditioning systems, known as HVAC systems
  • Insufficient cleaning or excessive use of cleaning chemicals
  • and other maintenance issues

can trigger a host of health problems — including asthma and allergies — that increase absenteeism and reduce academic performance. Research links key environmental factors to health outcomes and students’ ability to perform. Improvements in school environmental quality can enhance academic performance, as well as teacher and staff productivity and retention. To learn more, read the Quick Reference Guide for Student Health and Academic Performance.

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U.S. Environmental Protection Agency, 2015

The School IAQ Assessment app provides you with a “one-stop shop” for accessing guidance from EPA’s IAQ Tools for Schools Action Kit with proven strategies for specifically addressing important issues such as ventilation, cleaning and maintenance, environmental asthma triggers, radon, and integrated pest management. Whether you are developing, sustaining or reinvigorating your IAQ management program, this tool will help you identify and prioritize IAQ improvements district-wide.

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(EPA, 2014). This Guide is written primarily for school facility managers, energy managers, risk managers, building operators and school administrators to help them collaboratively manage the relationships between energy efficiency upgrade activities and indoor air quality (IAQ) in schools

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Other helpful links from the EPA on integrating savings and health.

Savings Plus Health Checklist Generator

Building Upgrades