1. Why have uncontrolled asthma?
1.1. Malnutrition
1.1.1. Obesity
1.1.1.1. Lack of access to nutritious food
1.1.1.1.1. Food desert
1.1.1.1.2. Food prices
1.1.1.1.3. Low income
1.1.1.1.4. Increasing CO2
1.1.1.2. Lack of physical activity
1.1.1.2.1. school policies/ funding for PE
1.1.1.2.2. no safe outlets for play
1.1.1.2.3. Poorly controlled asthma
1.1.2. Vit D deficiency
1.1.2.1. Limited sun exposure
1.1.2.1.1. Long working hours/Job inside
1.1.2.1.2. Lack of safe places to go outside
1.1.2.1.3. Limited green space in neighborhood
1.2. Not taking medication
1.2.1. Unable to afford meds
1.2.1.1. Policy on med pricing
1.2.1.1.1. Campaign finance laws (lack of)
1.2.1.1.2. For-profit healthcare system
1.2.1.2. Policy on generic meds
1.2.1.3. No health insurance
1.2.1.3.1. unemployed
1.2.1.3.2. Policy on universal healthcare
1.2.2. low health literacy
1.2.2.1. clinic scheduling policies
1.2.3. fear of side effects
1.2.3.1. discriminatory education policies
2. Why have an attack? Exposed to triggers
2.1. Increase in pollen
2.1.1. Lack of air conditioner
2.1.2. Warmer weather. longer growing season
2.1.2.1. climate change
2.1.2.1.1. fossil fuels
2.2. Wildfire smoke
2.3. Pests in home
2.3.1. Poor upkeep/maintenance
2.3.1.1. Landlord refuses to fix things
2.3.1.1.1. Gentrification
2.4. Dust
2.4.1. Sleeps with stuffed animals
2.4.1.1. Needs comfort at night
2.4.2. Carpeted floors
3. Why have asthma? Impaired lung development
3.1. Exposed to pollutants
3.2. Premature delivery
3.2.1. Maternal stress
3.2.1.1. Lack of social supports
3.2.1.1.1. historical trauma
3.2.1.1.2. Income inequality
3.2.1.2. Unplanned pregnancy
3.2.1.2.1. Lack of access to contraception
3.2.1.3. Racism
3.2.1.3.1. Implicit bias in physicians
3.2.1.3.2. biological racism pseudoscience
3.3. Exposed to tobacco smoke
4. Why have asthma? Exposed to asthmagens
4.1. chemicals in the home
4.1.1. EPA policies
4.1.2. City Planning
4.1.2.1. Redlining
4.2. Occupational exposures brought home
4.3. Chemicals in toys
4.3.1. Policy: No Precautionary Principle
4.4. Chemicals in cleaning supplies
4.5. Prenatal and early life social stressors
4.5.1. Exposure to air pollution
4.5.1.1. Lives close to highway
4.5.1.2. School is close to a highway
4.5.2. Exposure to tobacco smoke
4.5.3. Acetaminophen (Oxidative stress)
4.5.3.1. Many febrile illnesses
4.5.3.1.1. Early daycare attendance
4.5.3.2. Fever phobia