Proposition 10

On November 1998, California voters passed the California Children and Families Act of 1998. The act levies a tax on cigarettes and other tobacco products with the intent to provide funding for early childhood development programs, in addition to establishing a State Commission and local County Commissions for this purpose. 

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Featured Program Vignette

Imperial County Child Asthma Project


A parent, her infant son and young daughter, residents of the border town of Calexico, sit with a Community Healthcare Worker during a home visit on December 3, 2013. The purpose of the visit is designed to increase the parent’s understanding of asthma and how knowledge of this chronic condition can greatly support managing symptoms and asthma related issues.  Graciela Ruiz, the Community Healthcare Worker from a local hospital facilitating the session, works to explain the difference between controller medications versus quick-relief medications, teaches the parent how to identify triggers and talks to the parent about foods and diet as part of the method for controlling asthma symptoms. This in one example of the many families that have meaningfully benefitted from asthma case management, support and medical provider treatment services through the Child Asthma Project funded by the Imperial County Children & Families First Commission and operated by El Centro Regional Medical Center in partnership with Pioneers Memorial Healthcare District.

Asthma is a chronic condition, and affects a significant number of individuals in Imperial County. The area not only has some of the highest incidences of asthma in the State of California, but the problem is further exacerbated by a disproportionate number of hospitalizations due to asthma attacks, which is particularly true for young children. For example, in 2010 the number of child asthma hospitalizations in the county was three times higher than that of the rest of California. Therefore the rationale for the Commission’s support for an asthma management and education program is clearly warranted. The program offers asthma education and case management for parents of children 0-5 years of age that have been diagnosed with asthma and/or asthma-like symptoms through home visitations.  Program staff monitors emergency room visits and pediatric hospitalizations for children at two local hospitals, as well as supporting efforts to increase standards of care by working to ensure that admitting physicians refer the families of children less than 5 years of age for asthma case management.  The Project as worked this year to incorporate a component that highlights the importance of diet and how it affects asthma by offering information relevant to nutrition and fitness to support healthy functioning.

Parents can expect support relevant to asthma education and awareness through case management services that a) defining what Asthma is and how it affect the child; b) help identify medications that are available; c) provide information on how to prepare for medical appointments and how to collaborate with medical provider in order to maximize treatment; d) coach demonstrate how to use an inhaler, nebulizer and other devices; e) show how to limit asthma triggers in the child’s environment; f) how to recognize early symptoms and what to do when they are getting worse and how to use an asthma action plan.

Since the inception of the Child Asthma Project the County has benefited from the countless hours of services provided by Community Healthcare Workers and the Registered Nurse overseeing the Project.

For more information please contact Aide Fulton, Child Asthma Project Coordinator RN at (760) 482-0978.

Child Asthma Project website: www.ivcap.org