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Arizona

Overall, meets 16 of 23 core policy standards and five of 13 extra credit indicators. Below are the standards that Arizona meets.

Arizona
 

The 2019 State Honor Roll of Asthma and Allergy Policies for Schools ranks the states with the best public policies for people with asthma, food allergies, anaphylaxis and related allergic diseases in U.S. elementary, middle and high schools.
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Medication and Treatment Policies:

Meets eight of 12 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 policies or procedures shield school personnel from liability for unintended injuries.
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 and 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.
12. Nurse-to-student ratio is 1:750 or better.

Meets three of six extra credit indicators in this category:

A. State requires anaphylaxis medicine – epinephrine – stocking and authority to administer in schools.
B. State allows and/or requires asthma quick-relief medicine – albuterol – stocking and authority to administer in schools.
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.
E. State has adopted policy that each school will have one full-time nurse.
F. State has adopted policy that school districts provide case management for students with chronic health conditions such as asthma.

Awareness Policies:

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 zero of two extra credit indicators in this category:

G. State sponsors or provides funding for staff training in asthma awareness covering school asthma program/policy and procedures.
H. State sponsors or provides funding for staff training in food allergies.

School Environment Policies:

Meets six of nine core policy standards in this category:

15. State has mandated that all schools must have indoor air quality (IAQ) management policies.
16. State has adopted a policy requiring that districts and schools conduct periodic inspections of heating, ventilation and air conditioning (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.
20. State limits school bus idling time and establishes proximity restrictions.
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 two of five extra credit indicators in this category:

I. State makes funding or resources available for technical IAQ assistance to schools.
J. State recommends standards and programs to promote environmentally preferable materials for school construction, maintenance and cleaning.
K. 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.
L. State has implemented or actively promotes diesel school bus engine retrofitting program.
M. State requires districts or schools to provide tobacco-use-cessation services to students.

Policy Gaps:

Identification and Reporting; Nurse-to-Student Ratio

Noteworthy:

Asthma in Schools: Arizona is one of twelve grantees to receive a 5-year grant from the CDC called Steps to a Healthier US, which aims to reduce the burden of diabetes, obesity, and asthma. The Steps to a Healthier Arizona Initiative is facilitated by a partnership between the Arizona Department of Health Services Office of Chronic Disease Prevention and Nutrition Services, Arizona Department of Education, Arizona College of Public Health Evaluation Team, and a number of community partners.

Epinephrine in Schools: A 2016 law 2016 Ariz. Legis. Serv. Ch. 85 (H.B. 2265) that provided for mandatory epinephrine stocking only if funded by the legislature was amended by statute HB 2085 in 2018 to eliminate the mandatory stocking provision but still permit voluntary stocking.   

Sources:

State Honor Roll report 2019
View this year’s full report Download PDF