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Mid-Atlantic Regional Asthma Network (MARAN)

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Check out our MARAN newsletter.

What Is the Mid-Atlantic Regional Asthma Network (MARAN)?

MARAN is a stakeholder driven network involving a vast array of Mid-Atlantic professionals, organizations and educational institutions with a vested interest in addressing the critical issues in prevention and care of asthma.

The objectives of MARAN are:

Out of MARAN, many partnerships have developed not only among federal agencies but also among various asthma stakeholders from the Mid-Atlantic region. As part of this collaborative effort, MARAN continues to enhance and support existing asthma programs to address indoor and outdoor environmental triggers and the management of asthma. Activities have included a number of special events, media, community outreach, events, public education and communications. Listed below are some MARAN past and present stakeholder programs/projects:

  1. George Washington University’s Department of Environmental and Occupational Health - The goal of the health Asthma Free Homes Project is to improve the quality of life of asthmatic children in the Direct through in-home asthma intervention. Through a cooperative agreement with EPA Region 3, homes with asthmatic children are targeted for in-home asthma intervention, which consist of a health home visit and an asthma management plan component. Experts work with these families to identify and reduce/eliminate indoor environmental asthma triggers and educate families on how to better manage their child’s asthma condition.
  2. Bon Secours Health Care Foundation Exit EPA Click for disclaimerwill impact childhood asthma by providing household trigger identification and caregiver education, including mitigation demonstrations, for children and their families enrolled in the Controlling Asthma in the Richmond Metropolitan Area (CARMA) asthma case management programs.
  3. Children's Hospital of Philadelphia Exit EPA Click for disclaimer- the main goal is to increase the knowledge and understanding of asthma and asthma management in the West, North and South Philadelphia areas. Trained Home Visitors (HV) from the Community Asthma Prevention Program (CAPP) will educate families about asthma.
  4. National Nursing Centers Consortium Exit EPA Click for disclaimer - This project supports the Asthma Safe Kids (ASK) program, an in-home program focused on children who are under the age of 18. The goal of ASK is to increase parents' and caregivers' awareness of asthma triggers in the home and decrease the exposure of asthmatic children to these triggers.


Mid-Atlantic Regional Asthma Initiative Stakeholders

American Lung Association of Maryland

American Lung Association of the Mid-Atlantic

American Lung Association of West Virginia

Asthma & Allergy Foundation Maryland-Greater DC Chapter

Asthma and Allergy Foundation of America, Southeastern PA Chapter

Asthma Control Program

Bethlehem Health Bureau Bethlehem, PA

Baltimore City Health Department - Government

Children's Hospital of Philadelphia

Clean Air Council

Department of Family and Community Medicine, Thomas Jefferson Univ.

Department of Health and Human Services-R3

Department of Health and Mental Hygiene

DC Asthma Now Program (DC CAN)

DC Department of Health

Family Administration - MD

US EPA Region 3 - Office of Children's Health

Health Partners (Philadelphia)

Health Promotion Council (Philadelphia)

Latino Health Initiative - MD

Mid-Atlantic Asthma Foundation

National Nursing Centers Consortium - PA

Pennsylvania Department of Health - Pennsylvania Asthma Partnership (PAP)

Philadelphia Department of Public Health

State of Maryland-Center for Maternal and Child Health - Family Health Administration, Department of Health and Mental Hygiene

St. Andrew Development, Inc.

Virginia Asthma Coalition

West Virginia Asthma Coalition

West Virginia Asthma Education Prevention Program

West Virginia Department of Health and Human Resources

In recognition of the growing body of scientific information demonstrating that America's children suffer disproportionately from an environmental health and safety risk, President Clinton issued Executive Order 13045 - http://yosemite.epa.gov/ochp/ochpweb.nsf/content/Whatwe_fedtask.htm.   This order created the Environmental Health Risks and Safety to Children Task Force. This task force was a combination of governmental agencies, the U.S. Department of Health and Human Services (DHHS), and the U.S. Environmental Protection Agency (EPA). The task force was charged with recommending strategies for protecting children's environmental health and safety. On February 17, 1999, the task force released the "Asthma and the Environment: An Action Plan to Protect Children”– http://yosemite.epa.gov/ochp/ochpweb.nsf/content/fin.htm/$file/fin.pdf. The plan is designed to promote federal action to protect all children with asthma from environmental risks that worsen this disease. Under the Bush Administration, the Order has been extended and the task force re-authorized. The first meeting under the new administration took place on October 24, 2001.


The mission of the MARAI, now MARAN is to combine collaborative efforts with stakeholders to combat the burden of asthma in the Mid-Atlantic Region by focusing on regional goals and translating these goals into specific community based activities.

Overall Goals
The purpose of MARAN is to protect all asthmatic children in the Mid-Atlantic Region from environmental health risk that worsen this insidious disease in collaboration with partners who have a vested interest in the asthma epidemic.

National Strategy
The national strategy is a mandate for action. US EPA, Region III has chosen to aggressively tackle the asthma issue because the region is home to a high concentration of urban areas and as well as a high concentration of academic institutions. The Mid-Atlantic regional offices of EPA and DHHS decided to collaborate their efforts in the commitment to support a regional strategy to reach the national goals. The effort was named the Mid-Atlantic Regional Asthma Initiative, but now it is the Mid-Atlantic Regional Asthma Network.

Should you have any questions, please feel free to contact Janice Bolden, Regional Asthma Program Manager, Air Protection Division, U.S. EPA, at 215-814-2185 or Dr. Dalton Paxman, Regional Health Administrator, Department of Health and Human Services, U.S. DHHS at 215-861-4631.

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