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DC EXHALE Asthma: Implementing EXHALE Strategies to Advance Health Equity In DC

Award Number: NUE1EH001500
ORGANIZATION: NATIONAL CENTER FOR ENVIRONMENTAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/01/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2028

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DC EXHALE Asthma: Implementing EXHALE Strategies to Advance Health Equity In DC - Asthma presents a significant public health burden due to high morbidity, particularly in children. In the District, 9.7% of children (ages 0-17) and 11.6% of adults currently have asthma, higher than the national averages (6.5% and 9.7% respectively) (BRFSS, 2021). An overwhelming majority of outpatient emergency department visits and hospitalizations due to asthma were among Non-Hispanic Black/African American District residents. Nearly 88% of all pediatric and adult asthma related emergency department visits in 2021 were among Black residents (CPPE, 2021). Additionally, the largest proportion of asthma hospitalizations between 2017 - 2022 were among adults and children living in Wards 7 & 8, representing predominantly Black populations. Unmanaged asthma can limit everyday activity and quality of life, including missed school attendance, decreased recreational activities, increased time away from work, and decreased mental health. Ultimately, unmanaged asthma can lead to increased emergency department visits, inpatient hospitalizations and death. DC Health supports implementation of evidenced based strategies and interventions to reduce the number of deaths, hospitalizations, emergency department visits, and limitations on activity due to asthma. Over the past five years, DC Health has focused on reducing the number of asthma-related emergency department visits among children experiencing the highest burden of asthma by; 1) Increasing achievement of adherence to guidelines based medical management strategies for asthma control. 2) Supporting the expansion and use of a population-level asthma surveillance system to inform development of policies to address the environmental factors of asthma management and identification of patients at highest risk of unmanaged asthma. DC Health is seeking to expand on our current work by increasing the use of policy, system and environmental change approaches across the District to decrease the burden of asthma among racial and ethnic minority youth and adults with asthma in Wards 7 & 8 with low household incomes. The proposal specifically aims to increase implementation of asthma prevention and control activities using CDC’s EXHALE strategies within communities at highest risk, promoting use of home visitors and increasing capacity of stakeholders to effectively implement asthma strategies. Key to this work are cross sector collaborations with local government agencies, health care systems, and community-based organizations to assess current activities/resources, establish strategic priorities for collective action and update and implement the District’s Asthma Control Plan to promote statewide reach and maximize impact. Throughout the funding period, DC Health will form an Asthma Leadership Workgroup, implement policy, systems and environmental change strategies, increase utilization of insurance covered asthma control medication and services, evaluate program effectiveness/impact and enhance and disseminate data to improve asthma outcomes among DC residents at highest risk.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	01	2	1/12/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$449,728
2026	2025	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	02	2	1/23/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$449,728
2026	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	01	2	1/12/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	02	1	1/13/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$449,728
2026	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	02	2	1/23/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	03	1	1/22/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$449,728
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $449,728 )
2025	2025	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	00	2	9/11/2025	NON-COMPETING CONTINUATION	$449,728
2025	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	01	1	10/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	00	2	9/11/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $449,728

Issue Date FY: 2024 ( Subtotal = $449,728 )
2024	2024	DISTRICT OF COLUMBIA, GOVERNMENT OF	2201 SHANNON PL SE	WASHINGTON	DC	20020	DISTRICT OF COLUMBIA	USA	Environmental Public Health and Emergency Response	00	1	7/10/2024	NEW	$449,728
														Subtotal = $449,728

Grand Total All Awards = $899,456

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DC EXHALE Asthma: Implementing EXHALE Strategies to Advance Health Equity In DC

Award Number: NUE1EH001500

ORGANIZATION: NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/01/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2028

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