AAFA's 2013 State Honor Roll™ of Asthma and Allergy Policies for Schools
2013 AAFA Honor Roll™ State 2008 - 2013
Overall, Vermont meets seventeen of eighteen core policy standards and ten of fifteen extra credit indicators.
Medication and Treatment Policies:
Meets nine of nine core policy standards in this category:
1. State requires physician’s written instructions to be on file to dispense prescription medication to students.
2. State policy ensures students’ right to self-carry and self-administer prescribed asthma medication.
3. State policy ensures students’ right to self-carry and self-administer prescribed anaphylaxis medication.
4. State policy mandates schools to identify and maintain records for students with chronic conditions including asthma & anaphylaxis.
5. State requires a procedure updating health records periodically.
6. State requires that schools maintain asthma/allergy incident reports for reactions, attacks, and medications administered.
7. State requires schools to have emergency protocols for asthma.
8. State requires schools to have emergency protocols for anaphylaxis.
9. Nurse-to-student ratio is 1:750 or better.
Meets five of six extra credit indicators in this category:
A. State requires local school districts to create medication policy and provides resources, guidelines and parameters.
B. State requires schools to maintain a health history form that includes asthma/allergy information for each student.
C. State has or is preparing an explicit asthma program with policies, procedures and resources for schools to manage students with asthma.
D. State has or is preparing an explicit anaphylaxis program with policies, procedures and resources for schools to manage students with allergies.
F. State has adopted policy stating that school districts provide case management for students with chronic health conditions such as asthma.
Meets two of two core policy standards in this category:
10. State recognizes problem of asthma in schools and has begun to address it.
11. State recognizes problem of allergy in schools and has begun to address it.
Meets two of three extra credit indicators in this category:
G. State sponsors or provides funding for staff training in asthma awareness covering school asthma program/policy and procedure.
H. State sponsors or provides funding for staff training in food allergies.
School Environment Policies:
Meets six of seven core policy standards in this category:
13. State has adopted a policy requiring that districts and schools conduct periodic inspections (of HVAC system & other items important in asthma/allergy management).
14. State has IAQ policies that include specific components important in asthma/allergy management (HVAC, HEPA, carpeting, pesticide use).
15. State requires schools to notify parents of upcoming pesticide applications.
16. All smoking is prohibited in school buildings and on school grounds.
17. All smoking is prohibited on school buses and at school-related functions.
18. Tobacco use prevention is required in health education curriculum.
Meets three of six extra credit indicators in this category:
J. State makes funding or resources available for technical IAQ assistance to schools.
K. State recommends or requires that districts or schools use IPM techniques or ban the use of pesticides inside school whenever students are in the building.
L. State limits school bus idling time.
Vermont has been selected for the State Honor Roll since 2008.
Epinephrine in Schools: In 2013, Vermont passed a law allowing schools to stock epinephrine auto-injectors, allowing a health care professional to prescribe epinephrine auto-injectors to a school, requiring the health care professional to also issue protocols for assessing a potential life-threatening emergency, administering the medication and caring for the individual after administration of the medication. The bill also allows pharmacists to dispense the medication to a school. No. 68
Indoor Air Quality: A 2012 Vermont law states a commitment to improving air quality of schools and environmental health of students. Further, it directs cleaning service contractors with school districts to use only environmentally preferable cleaning products and to provide green training to each school district it provides with such products. S.92 (Act 68 of 2012)
The state's "Envision Program" adopted in 1999, mandates that cleaning services contractors use cleaning products that are certified as environmentally preferable by an independent third party and that the distributors and manufacturers of these products provide training to contracting school districts at no costs to the districts. The “Envision—Promoting Healthy School Environments” program.
State Education Agency Website
State Legislature Website
Managing Life-Threatening Allergic Conditions in Schools