Advocacy
North Carolina
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.
Closed
Medication and Treatment Policies
Meets 10 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 one 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 one of two 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 one 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 nine 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
Noteworthy
Nurse-to-Student Ratio: North Carolina’s most populous county made progress in 2014 as Charlotte-Mecklenburg County approved funding for one nurse per school beginning in September 2014.
Asthma and Allergy Medications in Schools: North Carolina law, Section 115C-375.2 (2005), requires local boards of education to adopt policies authorizing students with asthma or anaphylactic reactions to possess and self-administer asthma medication on school property, at school-sponsored events, and in transit to and from school. These district policies must include certain provisions:
- Written authorization from the student’s parent or guardian permitting the self-administration of medication
- A written statement from the student’s health practitioner verifying the student’s health condition and prescription of medication
- A written treatment plan for emergency protocol provided by the student’s health practitioner
- Back-up asthma medication to be kept on file in the school in the event of an emergency
All levels of emergency medical technicians are allowed to carry and trained to use epinephrine auto-injectors.
Tobacco Use Prevention: Using funds from its tobacco settlement trust fund, North Carolina developed the NC Tobacco Free Schools website. That site reports that all 115 school districts in the state have a tobacco free policy in place.