As children with asthma return to school, parents should be aware that cold and flu season is beginning as well. Seasonal influenza poses a special health risk to children with asthma, as these kids often experience more severe symptoms. The National Foundation for Infectious Diseases also reports influenza is linked to a higher number of fatalities in children with asthma than in kids without lung disease.

"Good hygiene is the best and first line of defense against any type of cold or flu," said Norman H. Edelman, MD, American Lung Association Chief Medical Officer. "This includes frequent hand washing and covering your mouth when coughing or sneezing."

The Lung Association also strongly recommends that all children, especially those with asthma be immunized against seasonal influenza. Yet, the Centers for Disease Control and Prevention (CDC) reports that at most, only one-third of children with asthma are vaccinated annually against seasonal influenza.

"Vaccination against seasonal influenza needs to be a higher priority in this country," added Dr. Edelman "Influenza is a serious disease with deadly consequences. Parents need to know that the best way to protect their kids against seasonal influenza is to ensure their child is vaccinated each and every year."

The Lung Association notes that the potential severity of the H1N1 virus (swine flu) this fall remains uncertain at this time. Parents of children with asthma should be on the lookout for guidance from public health officials. Special recommendations, including possible H1N1 vaccination guidelines, may be issued by the Centers for Disease Control and Prevention (CDC) for children who are at greater risk for complications from influenza. These recommendations and updates can be accessed online by visiting: http://www.cdc.gov/h1n1flu/.

"If a child has a fever or other flu-like symptoms, they should stay home," Dr. Edelman cautioned. "Children should not return to school for at least 24 hours after their fever or signs of fever are no longer present."

In preparation for the school year ahead, the American Lung Association also urges parents who have children with asthma to complete the following checklist:

Schedule Asthma Check-up Doctor's Appointment

Even if your child's asthma is well managed, scheduling a check up with your pediatrician is critical to ensuring your child's asthma continues to be effectively controlled. This is also an opportunity to evaluate medications and physical activity restrictions.

Vaccinate Yourself and Your Child Against Seasonal Influenza

The CDC recommends caregivers and household contacts of anyone in a risk group including children with asthmas should be vaccinated. By protecting yourself against seasonal influenza, you also help further protect your child.

Know About Prescription Assistance Services

No one should have to do without their asthma medications because of financial need. Three organizations are available to help: 1.) The Partnership for Prescription Assistance can be reached by calling 1-888-4PPA-NOW. 2.) Rx Outreach also provides information on their website: http://www.rxoutreach.com. 3.) Patient Services Incorporated details eligibility criteria at http://www.uneedpsi.org/cms400min/index.aspx.

Asthma Action Plan

All students with asthma should have a written Asthma Action Plan that details personal information about the child's asthma symptoms, medications, any physical activity limitations and provides specific instructions about what to do if an asthma attack does not improve with prescribed medication.

Visit Your Child's School Nurse and Teachers

All of the student's teachers, coaches, as well as the school nurse and/or office should have a current copy of their Asthma Action Plan. Discuss with your child's teachers specific triggers and typical symptoms so that they can be prepared to effectively assist your child should an asthma attack occur during the school day.

Advocate for Your Child

It is also important to learn if your child's school allows students to carry and independently administer their asthma medication. Some schools require students to carry a note from their doctor. Learn what steps need to be taken to have your child carry and use their inhaler if recommended by their doctor.

Know Your School's Asthma Emergency Plan

Ensure that your child's school knows how to contact you in case of an emergency. It is also important for parents to know the school's past history of dealing with asthma episodes. Parents should confirm that school staff- including after-school coaches and bus drivers have been trained in responding to asthma emergencies.

For additional information on asthma and children, visit http://www.lungusa.org or call 1-800-LUNG-USA.