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al (McKewen et al., 1998) report a case study of 22 African American inner city children aged 5 to 12years managed twice daily at their school clinic and treated with inhaled anti-inflammatory medications.The program incorporated regular inhaled anti-inflammatory medication and was found to reduce the needfor inhaled bronchodilators, improve peak flow readings and reduce complaints of nocturnal asthmasymptoms. Limitation in the collection and interpretation of absenteeism data precluded findings onabsenteeism in this study (McKewen et al., 1998). Christiansen. et al., (Christiansen et al., 1997) reportthat their five-session bilingual, interactive curriculum teaching about asthma in a school setting didenhance peak flow meter technique and inhaler technique and reduce asthma symptom scores among the27 intervention students compared to the 15 control asthmatics. While the research on school-basedasthma programs is limited by issues of design and sample size, the findings suggest promise formanagement of asthma symptoms and savings in health care utilization.E-19