Search

Health disparities that affect whole communities may involve factors like housing quality that lie at least partly within planners' realm of policy influence. This article demonstrates a link between housing and childhood asthma. The magnitude of the childhood asthma epidemic in Harlem in New York City and the commitment of engaged community partners led to an interdisciplinary, participatory, and multifaceted approach to the planning, implementation, and evaluation of the Harlem Children's Zone Asthma Initiative. Here we present the first year's data on environmental triggers in the homes of program participants, showing that intensive, community-based programs can reduce both home environmental triggers and adverse childhood asthma outcomes. This provides an example of a community-wide public health intervention that informs public policy and planning, and may provide a sustainable model for reducing childhood asthma in impoverished communities. [ABSTRACT FROM AUTHOR]

The article focuses on public health issues concerning boarder babies with AIDS in New York City. They are children with HIV who lived unnecessarily in hospitals. They had been abandoned, orphaned or removed from their parents' care. The city had the highest rate of pediatric AIDS in the nation. A number of babies in Harlem went directly into foster care, primarily because of drug-related social problems. The babies with AIDS had no organizational intercessor to press for governmental and public beneficence.