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Asthma is the most common chronic health problem among children, affecting 7 to 10% of all preschool and school-aged children.

Children with asthma have attacks of coughing, wheezing, and shortness of breath, which may be very serious. Before you place your child in a child care setting, you should discuss the specific needs of your child with the provider to be sure that they can be well met.

Be sure the child care environment is well ventilated, that there are no pets present and that no smoking is permitted in that area at any time.

Perhaps your child needs medication administered every day or only during attacks. Your provider should know how to prevent your child's exposure to conditions that might trigger an attack, how to recognize the symptoms of asthma, and how to treat severe attacks. Providers need to know when to administer all medications and also the name and telephone number of your child's doctor.

A care plan for your child should be prepared by your doctor and kept on file at the child care facility. But it's up to you to ask questions.

Many hospitalizations and most deaths from asthma are the result of delayed treatment. A peak flow meter, an instrument that measures how well a child is breathing, can help determine when treatment is needed or whether or not the treatment is working after an attack. Your caregiver should know how to use this as well as much more.

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