Asthma "Hot Spots" 2004

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2004: America's Asthma 'Hot Spots' Identified

The U.S. Asthma Capitals™ rankings are identified each year by the Asthma and Allergy Foundation of America as part of our ongoing public awareness campaign about asthma. These rankings indicate the worst cities in America for people with asthma, based on 15 individual factors measured and compared each year, including:

	Prevalence Factors, such as asthma morbidity and mortality;
	Risk Factors, such as air quality, smoking laws and inhaler access laws; and,
	Medical Factors: such as number of prescriptions and asthma specialists per capita.

From Knoxville to San Francisco, asthma has a significant impact on every major city in the United States, yet most people are not aware of the most common form of asthma – allergic asthma. To educate the public about allergic asthma this year, AAFA has joined with the American Academy of Allergy Asthma and Immunology (AAAAI) to develop a new educational campaign, “Is Your Asthma Allergic? Know Your IgE.”

More than 20 million Americans suffer from asthma, and 12 million have allergic asthma.
Yet, awareness of this disease remains low; in fact, a recent survey showed that only 37% of asthma sufferers surveyed had heard of allergic asthma. To enable asthma patients to better recognize whether or not they may suffer from allergic asthma, AAAAI has created a simple self-screener, available at www.aaaai.org/allergicasthma

2004 Ranking	Metropolitan Area	Total Score	Subtotal: Prevalence Factors	Subtotal: Risk Factors	Subtotal: Medical Factors
1	Knoxville, TN	100.00	90.29	90.35	100.00
2	Little Rock, AR	87.02	100.00	92.26	61.90
3	St. Louis, MO	86.37	93.91	100.00	64.72
4	Madison, WI	83.32	90.50	62.93	84.93
5	Louisville, KY	82.32	88.86	87.16	68.20
6	Memphis, TN	82.13	98.25	81.96	55.39
7	Toledo, OH	82.08	89.74	61.68	82.91
8	Kansas City, MO	81.96	90.77	88.72	62.76
9	Nashville, TN	81.69	90.68	78.75	68.69
10	Hartford, CT	81.67	92.45	57.88	79.57
11	Buffalo-Niagra Fall, NY	81.53	90.84	65.15	76.92
12	Johnson City, TN	81.51	91.72	56.27	81.32
	Allentown-Bethlehem-Easton, PA	81.51	87.98	86.91	67.11
14	Springfield, MA	80.99	91.34	65.93	73.79
15	Pittsburgh, PA	80.97	89.80	87.42	61.95
16	Milwaukee-Waukesha, WI	80.68	93.62	51.86	78.32
17	Chattanooga, TN	80.39	90.64	58.89	77.62
18	Detroit, MI	80.23	94.11	62.56	68.87
19	Dayton-Springfield, OH	80.04	91.82	66.61	69.34
20	Indianapolis, IN	79.71	86.43	76.37	70.74
21	Columbus, OH	79.70	89.61	74.51	66.64
22	Fresno, CA	79.60	87.24	72.38	71.68
23	Wichita, KS	79.42	88.54	68.00	71.82
24	Harrisburg-Lebanon-Carlisle, PA	78.96	89.99	75.82	62.68
25	Lexington, KY	78.95	90.50	56.28	74.79
26	Albany-Schenedtady-Troy, NY	78.95	89.67	50.08	79.89
27	Philadelphia, PA	78.45	91.34	61.14	68.52
28	Greensboro-Winston Salem-High Point, NC	78.26	88.37	87.02	55.57
29	Oklahoma City, OK	78.12	90.09	67.24	65.42
30	Syracuse, NY	78.03	90.84	49.81	75.48
31	Lansing-East Lansing, MI	77.88	92.68	57.02	67.13
32	Scranton-Wilkes Barre-Hazleton, PA	77.85	89.99	66.16	65.41
	New York, NY	77.85	89.26	70.74	63.58
34	Columbia, SC	77.65	89.63	84.87	52.87
35	Grand Rapids-Muskegon-Holland, MI	77.56	92.94	66.21	59.50
36	Birmingham, AL	77.36	94.45	71.69	52.65
37	Jackson, MS	77.31	98.12	66.82	49.62
	Omaha, NE	77.31	90.06	66.57	63.21
39	Minneapolis-St. Paul, MN-WI	77.30	90.12	71.05	60.10
40	Kalamazoo-Battle Creek, MI	77.26	94.06	54.90	64.18
41	Tusla, OK	77.24	89.83	74.03	58.39
42	Cincinnati, OH	77.10	90.74	74.70	55.96
43	Des Moines, IA	77.03	85.70	59.73	74.12
44	Baltimore, MD	77.01	96.05	61.03	55.93
45	Phoenix-Mesa, AZ	76.80	87.99	80.27	55.84
46	Charlotte-Gastonia-Rock Hill, NC-SC	76.71	89.00	83.63	51.61
47	Atlanta, GA	76.56	91.39	76.12	52.13
48	Canton-Massillon, OH	76.46	90.54	67.20	59.16
49	Raleigh-Durham-Chapel Hill, NC	76.44	87.98	71.65	60.40
50	Washington, DC	76.18	99.83	64.40	44.63

2004 Ranking	Metropolitan Area	Total Score	Subtotal: Prevalence Factors	Subtotal: Risk Factors	Subtotal: Medical Factors
51	Cleveland-Lorain-Elyria, OH	76.17	89.78	64.40	44.63
52	Richmond-Petersburg,VA	75.95	91.48	70.17	53.94
53	Albuquerque, NM	75.74	88.15	75.66	55.10
54	Greenville-Spartanburg-Anderson, SC	75.58	89.63	70.13	55.80
55	Rochester, NY	75.50	90.84	49.37	67.37
56	Chicago, IL	75.27	93.10	60.19	55.59
57	Youngstown-Warren, OH	75.14	90.54	69.12	53.48
58	Fort Wayne, IN	74.63	86.17	63.13	63.05
59	Boston, MA	74.49	86.71	50.10	70.38
60	Augusta-Aiken, GA	74.44	91.13	66.25	52.09
61	Bakersfield, CA	74.40	87.76	84.14	45.65
62	Tuscon, AZ	74.28	87.02	65.03	59.21
63	Las Vegas, NV	73.76	85.72	77.51	51.32
64	Charleston-North Charleston, SC	73.70	89.63	70.15	49.53
65	Modesto, CA	73.26	87.59	56.44	59.72
66	Mobile, AL	73.09	93.80	67.56	42.25
67	Lancaster, PA	72.91	89.99	53.86	57.15
68	Spokane, WA	72.08	87.59	56.44	56.65
69	Baton Rouge, LA	71.78	92.25	73.94	36.22
70	New Orleans, LA	71.09	93.42	53.11	45.87
71	Orlando, FL	70.95	86.94	59.85	51.72
72	Dallas-Fort Worth, TX	70.91	85.07	66.99	49.91
73	Denver, CO	70.65	85.76	70.56	45.52
74	Salt Lake City-Ogden, UT	70.19	86.39	74.08	40.59
75	Colorado Springs, CO	69.99	88.62	61.79	44.40
76	Tampa-St. Petersburg-Clearwater, FL	69.43	86.09	48.78	55.44
77	Norfolk-Virginia Beach-Newport News, VA	69.29	90.48	57.65	41.73
78	Jacksonville, FL	69.19	88.50	51.28	48.95
79	Sacramento, CA	69.11	85.81	55.47	50.35
80	Austin-San Marcos, TX	68.80	84.16	62.87	47.15
81	San Antonio, TX	68.54	85.33	59.92	46.31
82	Stockton-Lodi, CA	68.39	87.24	39.87	55.98
83	Boise City, ID	67.73	85.66	52.69	47.87
84	Providence, RI	67.37	85.93	26.85	63.44
85	Los Angles-Long Beach, CA	67.08	85.70	66.37	36.51
86	Mcallen-Edinburg-Mission, TX	66.85	85.83	49.60	46.72
87	El Paso, TX	66.60	86.76