Miami-Dade County Public Schools is the fourth largest school district in the United States, comprised of 392 schools, 345,000 students and over 40,000 employees. Located at the southern end of the Florida peninsula, the school district stretches over 2,000 square miles of diverse and vibrant communities ranging from rural and suburban to urban cities and municipalities. A truly global community, district students speak 56 different languages and represent 160 countries.
Superintendent Alberto M. Carvalho has led the school district since the fall of 2008. During his tenure, the district has received state and national recognition for unprecedented increases in student achievement and graduation rates.
Chronic, persistent asthma should be treated according to the National Asthma Education and Prevention Program guidelines. 2 In athletes with confirmed EIB, a reasonable approach is to start with a short-acting beta 2 agonist before exercise ( Figure 1 ) . If regular dosing of a short-acting beta 2 agonist is needed, or if EIB is not controlled with short-acting beta 2 agonists, a second-line agent (., leukotriene receptor antagonist, mast cell stabilizer, inhaled corticosteroid with or without a long-acting beta 2 agonist) can be added. Inhaled corticosteroids and leukotriene receptor antagonists are the preferred agents in persons with underlying asthma. Leukotriene receptor antagonists are preferred in persons with allergic rhinitis. When prescribing medications to high-level athletes (., those who participate in the National Collegiate Athletic Association or the Olympics), physicians should be aware of which medicines require a waiver ( Table 4 32 , 33 ) . Patients should be reassessed periodically; if a satisfactory response is not achieved, the diagnosis of EIB should be reconsidered. Enlarge Print
If one has Lyme – it is likely one has not been detoxing mercury well, and so starting at very low levels of zinc supplemetation is advised, like 15 to 30 mg only a few days a week to start, and building up. This is mostly to avoid detoxing mercury too fast. A binder needs to be used as well – like charcoal, clay, chlorella. blue green algae, etc. to avoid bouncing mercury through out the body. Some practitioners, such as Dr Klinghardt are saying with Lyme strive for zinc / copper balance and thus advise taking small amounts of copper with zinc to assist. However Dr Walsh seems to advise to supplement zinc well and high enough levels, especially where HPU (Pyrrole) is involved, which also is often the case with infection.