AAFA's 2014 State Honor Roll™ of Asthma and Allergy Policies for Schools
2014 AAFA Honor Roll™ State 2008 - 2014
Overall, Washington meets nineteen of 23 core policy standards and nine of twelve extra credit indicators.
Medication and Treatment Policies:
Meets ten of twelve 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.
5. State requires local school districts to create asthma and anaphylaxis medication policy and provides resources, guidelines and parameters.
6. State policy mandates schools to identify and maintain records for students with chronic conditions including asthma & anaphylaxis.
7. State requires a procedure updating health records periodically.
8. State requires that schools maintain asthma/allergy incident reports for reactions, attacks, and medications administered.
9. State requires a student health history form that includes asthma/allergy information to be maintained for each student.
10. State requires schools to have emergency protocols for asthma.
11. State requires schools to have emergency protocols for anaphylaxis.
Meets three of five extra credit indicators in this category:
B. State has or is preparing an explicit asthma program with policies, procedures and resources for schools to manage students with asthma.
C. State has or is preparing an explicit anaphylaxis program with policies, procedures and resources for schools to manage students with allergies.
E. State has adopted policy stating that school districts provide case management for students with chronic health conditions such as asthma.
Meets both core policy standards in this category:
13. State recognizes problem of asthma in schools and has begun to address it.
14. State recognizes problem of allergy in schools and has begun to address it.
Meets both extra credit indicators in this category:
F. State sponsors or provides funding for staff training in asthma awareness covering school asthma program/policy and procedures.
G. State sponsors or provides funding for staff training in food allergies.
School Environment Policies:
Meets seven of nine core policy standards in this category:
16. State has adopted a policy requiring that districts and schools conduct periodic inspections (of HVAC system & other items important in asthma/allergy management.
17. State has IAQ policies that include specific components important in asthma/allergy management (HVAC, HEPA, carpeting, pesticide use).
18. State recommends/requires that districts or schools use integrated pest management (IPM) techniques OR ban use of pesticides inside school.
19. State requires schools to notify parents of upcoming pesticide applications.
21. All smoking is prohibited in school buildings and on school grounds.
22. All smoking is prohibited on school buses and at school-related functions.
23. Tobacco use prevention is required in health education curriculum.
Meets four of five extra credit indicators in this category:
H. State makes funding or resources available for technical IAQ assistance to schools.
I. State recommends standards and programs to promote environmentally preferable materials for school construction, maintenance and cleaning.
J. State requires school facility design standards that include low emission construction materials, pollutant source controls, durable and easy to clean surfaces and floors, moisture/mold controls.
K. State has implemented or actively promotes diesel school bus engine retrofitting program.
Washington has been selected for the State Honor Roll since 2008.
Epinephrine Auto Injector Law: A 2013 law, Chapter 268 (S.B. 5104) allows schools to maintain supply of epinephrine auto-injectors based on the number of students enrolled in the school. The law also requires the office of the superintendent of public instruction to review the state’s anaphylaxis policy guidelines and make recommendations to the education committees of the legislature by December 1, 2013 regarding school policies on epinephrine auto-injectors in emergencies.
Indoor Air Quality: On May 1, 2013, the WA Department of Health adopted regulations to maintain minimum environmental health and safety standards for school facilities. The regulations are effective July 1, 2015 and address moisture control, mold prevention, and remediation; address certain standards for indoor air quality in schools; require schools to obtain construction project review and written approval from the local health officer regarding environmental health and safety requirements; and put in place other environmental health and safety requirements. Wash. Admin. Code 246-366A-070 Moisture control, mold prevention, and remediation.
State Education Agency Website
State Legislature Website
Guidelines for the Care of Students with Anaphylaxis
Health Services/Resources for Students with Asthma/Allergies plus information on administration of medication in schools (March 2009)