Addressing Asthma Challenges in Detroit: Strategies to Help Children Breathe Easier

Detroit faces significant hurdles when it comes to childhood asthma, with data showing that kids 17 and under are nearly three times more likely to be hospitalized for asthma compared to other Michigan children. According to the Michigan Department of Health and Human Services, between 2019 and 2023, the asthma hospitalization rates among Detroit children remained alarmingly high. Moreover, the asthma-related death rate in Detroit during this period was over four times the state average, highlighting the urgent need for targeted interventions.

The city was ranked among the top challenging places to live with asthma by the Asthma and Allergy Foundation of America in 2025, ranking third among the 100 largest U.S. cities. Contributing factors include a high percentage of low-income residents and significant air pollution levels, both of which can exacerbate asthma symptoms and increase the risk of severe attacks.

Even mild asthma symptoms, such as coughing or congestion, can severely impact daily routines, affecting children's schooling and families' work schedules. During peak months like September, children are more vulnerable to triggers such as mold, pollen, and respiratory viruses, which can worsen asthma symptoms.

As a pediatric nurse practitioner working with community health initiatives, efforts focus on developing personalized care plans and promoting awareness. Proper management involves understanding asthma medications, including the difference between inhalers, nebulizers, and oral steroids. Parents are encouraged to create an asthma action plan with healthcare providers, ensuring readiness for emergencies both at home and school.

Schools play a vital role by having emergency plans in place and ensuring inhalers are properly labeled and accessible. Up-to-date vaccinations for flu and COVID-19 are crucial in reducing complications. Home environments can also influence asthma control; reducing indoor allergens by vacuuming regularly, removing outdoor shoes, washing hair, and maintaining good hygiene can help prevent attacks.

Ultimately, addressing environmental and social determinants is key to improving outcomes. Collaborative efforts involving healthcare providers, schools, and families are essential to make breathing easier for Detroit’s children and reduce the city’s high asthma burden.