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Be Prepared for Asthma

from CT DPH (2018)

Asthma is a chronic disease of the respiratory system that is characterized by reversible obstruction of the airways and airway hyper-responsiveness to a variety of stimuli. In Connecticut, it has been found that the following population subgroups are disproportionately affected by asthma: children, females, Hispanics, non-Hispanic Blacks, and residents of the state’s five largest cities.


What is an Asthma Action Plan?

The Centers for Disease Control and Prevention (CDC) states “All people with asthma should have an asthma action plan. An asthma action plan (also called a management plan) is a written plan that you develop with your doctor to help control your asthma.”

The Asthma Action Plan (AAP) lists all medications with instructions on when they should be taken. It is a simple plan that describes how to achieve long term control and what to do when asthma symptoms arises. If you or your child do not have an AAP, please download and print one out below. Bring it to your next medical appointment, so that you and your provider can fill out the plan together.

DPH Asthma Program Asthma Action Plans

AAP for Children 0-11 Years of Age (English & Spanish) – If you have a child in a Connecticut licensed day care facility, the Asthma Action Plan does not meet the requirements of Day Care Licensing Regulations for an authorization to administer medication. Please use the following Authorization to Administer Medication form.

AAP for 12 Years of Age & Older (English & Spanish)

Provider Instructions