Asthmatic attacks with sudden onset of dyspnea in children could disturb their normal growth and development and cause burdens to their parents. The parents were asked to answer the questionnaires on the relationship between asthmatic attacks and psycho-social factors, the character of asthmatic children, family-social environment, other psychosomatic diseases (PSD) and the life change units and their doctors answer the questions about the treatment and psychosomatic relationship. Eight questions to differentiate PSD and non-PSD could diagnose PSD in asthmatic children. The parents of asthmatic children answered the quality of Life (QOL) questionnaire to clarify the QOL on both asthmatic children and their parents. From these data, we could use both questionnaires on PSD and QOL in order to see the different aspects of psycho-social elements in asthmatic children and their parents.

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To investigate an actual condition of allergic disease in day nurseries, we did a questionnaire mainly on food allergy to 160 authorized day nurseries in Kitakyusyu City and 15339 guardians of the registered children. The collection rate of the questionnaire was 100% and 92.2% respectively. In the questionnaire for the guardians allergic disease prevalence was 26.2% and food allergy prevalence was 5.3%. Although children who have dietary restriction at home were 68.7%, children who have restricted in the same way in day nurseries were 68.6%. There was a difference in the ratio of children who was doing dietary restriction in the home and day nurseries. 78.3% of the directions person of dietary restriction was a doctor. However, the doctor who directed the method of dietary restriction in detail was 73.7%. In the questionnaire for day nurseries, more than a half kept medicine for some allergic diseases. Day nurseries where allergic symptoms occurred in children were 35.6%. Although there was no serious case, such as anaphylactic shock, day nurseries that anxiously to correspondence were 20% or more. In the future it is necessary such as enlightenment activity of appropriate allergic guidance and good quality information for the guardians and furthermore an education for day nurseries.

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Food allergic children require special support as food allergic reactions may occur in kindergartens. However, information regarding kindergarten readiness for children with food allergies is not well known. To identify prevention and treatment policies for food allergic children at kindergartens, we mailed a questionnaire to kindergarten teachers and parents to assess the prevalence of food allergies among children, their management plan for lunches, the types of reaction that occur, and staff awareness of food allergies.
One hundred and seventy-three kindergartens and 1, 148 parents from eight kindergartens completed the questionnaire. Of 29, 106 children, 2.4% had a food allergy. Sixty percent of food allergic children required food elimination at kindergarten.
Fourteen percent (100/699) of food allergic children experienced food allergic reactions at kindergartens. Reactions were reported to egg (25/61), milk (9/61), fish (including shellfish) (7/61), and peanuts (6/61). The symptoms were mostly skin symptoms (38 children; 62%), but, wheezing was seen in four (7%), and hypotension was seen in one child.
Finally, only 3% of kindergartens had received instructions from physicians regarding management at kindergarten. Furthermore, kindergarten teachers were found to have a poor understanding of food allergies.
To keep food allergic children safe in kindergartens, there appears to be a need to educate staff about food allergies. Moreover, detailed instructions from the physicians of children in case of emergencies and for prevention are required.

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