Rentrées des classes….retour de l'asthme

After schools open in September, epidemics of acute, sometimes severe, asthma begin, resulting in emergency room admissions for numerous pre-school and school-age children. Known as “September asthma epidemics”, they have been described in many countries (Canada, the USA, the United Kingdom, Australia, Finland, etc.) although they are still generally unknown in France, even though they have been described and reported there. They involve mainly school-aged children between 5 and 10 years of age. At the end of the summer, asthma control must be evaluated, and standard treatment reinforced if control is not optimal. It is then often necessary to re-start the basic treatment in children whose therapy had been stopped for the summer in order to improve global treatment compliance during the course of the coming year. In no case should a break in the basic therapy coincide with the return to school because of the risk of rapidly losing the benefit of the decreasing treatment.