Set-up Directions:
A computer with internet access and Excel for each group is best. If this is not possible data can be shown with a projector and/or printed out.
If possible, register for BRFSS before this activity. (you can use one login and password simultaneously on a number of computers)
G raphing program or graph paper with colored pencils.
GIS software can be used if available.
HEAVY BREATHING ESSAY RUBRIC
Teacher Presentation & Motivation:
In this lesson students will access asthma data and add it to the maps they made on Day 2 with GIS software, or they will add it to their graphs from Day 2. Use data only for counties for which you gathered air pollution data.The asthma data are just a percentage of adults who have ever had asthma and so far more straighfoward than the air pollution data (although no easier to access). Students can add the asthma data to the data tables they have from day 2. The mechanics of accessing the data are a little tricky, so that can be done as a class. Asthma data can be displayed within the BRFSS as a graph or a map, see directions in Activity 1. The color coded map tends to interest students to in a way which a data table does not.
Once they have recorded the data, they should relate it to the air pollution data. Do any of the air pollution parameters correlate with asthma?
Stress that any pattern possibly, but does not necessarily mean causation, but not necessarily. It is certainly a place to begin a further investigation. Lack of a pattern doesn't necessarily mean there is no correlation, we just may not be looking correctly, eg air pollution may be localized and so might asthma, and county data is on too large a scale.
Take this opportunity to examine the ozone test strips and particulate matter measurements done on day one. Discuss what the results tell you about local air quality. Given your findings, can you predict anything about asthma prevalence locally?
Students will (possibly for homework) use their data to make a decision of where they could comfortably live if they had asthma. This will allow them to review all they have learned in the lesson.
Activity 1 - Asthma Statistics
Now that students know what asthma is and what causes it, they will see how prevalent it is in different locations. Remind students that the first part of the video says about 1 out of every 10 people has asthma. Ask students if they think that some areas will have more asthma than others, and to offer possible explanations for differences in asthma rates if they do. Review air pollution data, and ask students to hypothesize how that may impact asthma prevalence.
Students will use the computer to view asthma statistics by county in Maryland over four years (see detailed instructions below) and record them in an Excel table. They can add to the table they created on Day 2. They should record the percentage of people with asthma in each of the counties you examined with respect to air pollution in each of the years available (currently 2001-2004).
Once students access the website:
1. They will need to register and login. It will make the process easier if you have registered them in advance and they only need to login. The system asks for a phone number and email address. You can give the school's.
2. Once logged in they will have to look at the left hand column: Data Collection Status.Under this column they should click on BRFSS 2004 results, to open those results.
3. Under Column variable they should use the drop down menu to choose: ASTHMA (not Adult Asthma) :EVER BEEN TOLD BY A DOCTOR, NURSE OR HEALTH PROFESSIONAL YOU HAVE ASTHMA?
4. Under Row variable they should use the drop down menu to choose: DEMOGRAPHICS:COUNTY
5. Make sure all counties and 2004 are selected under choose county and choose year respectively.
6. Click on Run Tabulate.
7. Students will want to look at the % yes in each county and put each year's value in an Excel table.
Scroll down to the bottom of the table. You can view a graph or a map of the table. You an also download the table to Excel.
8. Repeat for other years.
The entire class can work on the table together, each group do one year, or you can hand them the data already in table form.
Focus for Media Interaction
Focus for Media Interaction: The focus for media interaction is a specific task to complete and/or information to identify during or after viewing of video segments, Web sites or other multimedia elements.
Students will record the percentages of adults who have ever been told they have asthma from 2001 to 2004(the same years that were done with pollution) in each county in Maryland. this can be done in groups or as a class.
Viewing Activities
What will your students be responsible for while viewing this piece of multi-media or video?
The students should add the data they gather to the tables they created on Day 2.
Post Viewing Activities
How will students utilize the information they gathered while viewing the multi-media or video?
Students will use these data to visualize the relative prevalence of asthma in the different counties in Maryland.
If graphing, graph the asthma data for the appropriate counties and years alongside the air pollution data.
Wrap Up:
Once students have generated their asthma/air pollution prevalence maps or graphs you can try to examine if there are areas that tend to have a higher prevalence of asthma. Look at the air pollution data. Does the asthma data correlate with ozone, particulate matter, or air quality? Stress again that this doesn't mean cause and effect, but certainly something that should be investigated further.
Other questions that can be discussed:
Is the relative prevalence of asthma in the various counties the same for all the years studied? What about air pollution levels, do they remain relatively constant from county to county?
Are there noticeable trends over the years in terms of increase or decrease in asthma prevalence overall? in specific areas? Has air pollution increased or decreased noticeably over the years studied?
Explain to students that they should imagine that they have severe asthma but want to live in Maryland. They should choose a county to live in and explain the following:
What asthma is and why it is enough to make you move.
Which county you chose and why in terms of air quality index, ozone levels and particulate matter levels. Explain what each of these is and why it is important to your decision.
Does your decision relate to the asthma level in that county?
They should hand in their maps or graphs along with their essays.
The students will be graded on their answer according to the HEAVY BREATHING ESSAY RUBRIC.
If the students haven't gathered enough data to answer these questions the assessment can be modified. A simplified version is to have students write a reflection on asthma and air pollution (including ozone and particulate matter). They can also discuss the results of their investigations any data they found on the computer (or were given) and from the hands on activities.