Welcome kids back to an asthma-friendly school

Becoming an asthma-friendly school is simple to do and benefits all students and staff—especially those who have been diagnosed with asthma. Roughly 8,200 (7%) of Vermont’s children has asthma, and Vermont is among the top five states in the country in asthma rates. That means the potential for lots of missed school and workdays, and even asthma-related emergencies.

Learn more about COVID-19-specific recommendations for schools


Today, amidst the COVID-19 global pandemic, it has never been more important for schools to be as asthma-friendly as possible, to help students and staff members with asthma avoid triggers, manage their symptoms, and successfully learn and thrive.

Many asthma-friendly strategies are simple to implement and low-cost, which may very well also help schools satisfy other policy requirements and best practices, and reflect steps taken to address COVID-19 challenges.


Below are some proven practices, protocols, programs, and policies that can help to create asthma-friendly school environments. The following should be adopted by all schools and Local Education Agencies (LEAs):

TIER 1 - These are the most important steps for your school

Complete an ENVISION Environmental Walkthrough (available as a dynamic online tool or as a printable checklist)

The Envision Program’s goal is to improve indoor air quality so that all members of a school community—including students and school staff with asthma—stay healthy and thrive in the school environment. This walkthrough will help school staff identify potential environmental health issues and areas to improve the school environment for people with asthma.

» ENVISION Dynamic Online Tool
» ENVISION Printable Checklist

Offer Asthma Self-Management Education

An example of Asthma Self-Management Education is the Open Airways for Schools program, which educates and empowers children to better manage their asthma. The program teaches children with asthma about common symptoms, understanding medications, identifying and avoiding their triggers, managing asthma, detecting the warning signs of worsening asthma, and knowing what to do in an emergency.

Obtain a written Asthma Action Plan for at least 70% of students with asthma

Asthma Action Plans are completed by the student’s health provider. These plans should be shared with the student’s school nurse, coaches, and any other caregiver as they provide easy access to information and guidance on how to support the student in managing their asthma, and what to do in an emergency. Prior to the start of the school year, ensure that an up-to-date Asthma Action Plan is on file for all students with asthma.

» Learn more and download an Asthma Action Plan.

Include an Asthma Emergency Plan in the staff and student/parent handbook

Asthma Emergency Plans help staff members, students, parents, and guardians know how schools prepare for and deal with emergencies related to asthma. These Plans help ensure everything is in place before they are needed.

Have a Whole School, Whole Community, Whole Child (WSCC) or equivalent team that addresses indoor air quality and meets at least two times per year

Schools play a critical role in promoting the health and safety of young people and helping them establish lifelong healthy behaviors. The WSCC model is the CDC’s framework for addressing health in schools and emphasizes the role of the community in supporting the school, the connections between health and academic achievement, and the importance of evidence-based school policies and practices, including those that improve air quality.

» Learn more about implementing WSCC in your schools.

TIER 2 - These steps bolster the best practices and policies in Tier 1

Make HVAC improvements to increase ventilation, improve filtration and/or address humidity

Encourage annual well-child exams, and achieve the state average of 72% of students whose parents report the child received an annual check-up.

Staff members are trained in asthma basics, asthma management, and asthma emergency response.

TIER 3 - Together, these steps act as a strong foundation for asthma-friendly policies & programs

Use electronic health records to identify, track, and maintain individual health plans for students with asthma.

Uphold Vermont state law that bans the use of cigarettes, tobacco products, and tobacco substitutes (e.g. e-cigarettes) on school property, school buses, and at school-sponsored events.

Prohibit parents, teachers and staff from bringing in their own cleaning products.

Have a written indoor air quality (IAQ) management plan that reduces or eliminates allergens and irritants.


Good news! Implementing these practices, in addition to other key steps, also make you eligible to be recognized as an asthma-friendly school, which honors schools, school districts, and LEAs that demonstrate a commitment to asthma-friendly strategies and practices.

Learn More


Individuals with moderate to severe asthma may be at a higher risk of developing severe illness from COVID-19. Since COVID-19 can affect the respiratory tract, being exposed to the virus may lead to an asthma attack, and possibly acute respiratory disease and pneumonia.

» Get the most up-to-date information on Vermont’s response and guidance surrounding COVID-19.
» Learn more about the link between COVID-19 and asthma via the CDC.


Do students and staff members with asthma need to wear masks?

While it is a requirement to wear a mask in Vermont, if an individual has breathing difficulties or another medical or behavioral reason making it difficult to wear a mask, then this requirement may be waived. These decisions should be made in partnership with a health care provider or school nurse.

» Learn more about Vermont’s mask mandate

Which products are recommended to be used for cleaning schools?

Since many cleaning products and chemicals can trigger asthma symptoms and attacks, schools are strongly encouraged to use cleaning products that are fragrance-free, non-toxic, and certified by a third-party like Green Seal or EPA’s Safer Choice.

In fact, under Vermont’s Act 68 of 2012, commercial vendors are required to only sell third-party certified, environmentally preferable cleaning products to Vermont schools.

Schools and LEAs should also prohibit staff members, teachers, and parents from bringing in cleaning products.

How can schools use disinfectants properly to control COVID-19, knowing that some students and staff members have asthma?

People with asthma may find that their symptoms are made worse when exposed to smells and fumes from cleaning chemicals and disinfectants. The United States Environmental Protection Agency (EPA) encourages individuals to take the following safeguards when using cleaning products in any setting:

  • Select products with safer ingredients, like ethanol, isopropanol (isopropyl alcohol), hydrogen peroxide, L-Lactic acid, or citric acid
  • Always read labels and only use products as directed
  • Use products that could reduce inhalation exposure (e.g. damp paper towels or wipes, rather than sprays) when disinfecting surfaces
  • Wash hands after handling any cleaning product or after coming into contact with a surface that may be contaminated with COVID-19

» Review the CDC’s cleaning recommendations for COVID-19

What about indoor air quality systems and preventative maintenance procedures?

Did your school make HVAC improvements to increase ventilation, improve filtration and/or address humidity? Keeping these air quality systems and preventative maintenance procedures up-to-date and implemented properly can help support good air quality and COVID-19 prevention efforts.

The following steps are recommended with regard to ventilation and HVAC:

  • Ensure that the school ventilation system is properly cleaned and meets the operating standards recommended by the manufacturer.
  • Operate HVAC systems in occupied mode for at least a week prior to reopening while assuring that the outdoor air dampers are open.
  • Encourage staff members to provide additional outside time, as well as open windows when it is safe to do so (e.g., when there is no risk of falling, noise, or triggering an asthma attack).
  • Ensure ventilation systems work properly and increase circulation of outdoor air.

» Read more about HVAC and ventilation during COVID-19 from ASHRAE Epidemic Taskforce Schools & Universities
» Review Vermont’s guidance for safely reopening schools