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As a parent, when you think about preparing for a new school year, the first thing that most often pops into your mind is probably school supplies - books, folders, backpacks, clothes, etc. But as a parent of a child with allergies or asthma, a return to school can involve a whole different type of preparation.

School children with allergies and asthma must learn how to manage their environments before the environment takes control of their health.

While at home, allergies and asthma can be better managed because you can take control of the surroundings by ensuring the carpets are regularly vacuumed, furniture dusted, filters changed, mold killed, foods eliminated, etc. But at school, you can't always protect your child from the allergens that might induce an allergy or asthma attack.

So what can you do to safely prepare your child for a return to school? I offer the following suggestions:

- Meet with the school nurse, administrator and teacher to make sure they understand the health and educational needs of your child. Bring along a letter from your allergist explaining your child's asthma and/or allergies in detail, what precautions need to be followed, and the prescribed medication and treatment plans. Make copies of this letter for your child's file, the nurse and his teachers. You have the right to ask that potted plants be removed from classrooms (they grow mold), class pets be avoided (pets can trigger attacks), or that windows be closed while the grass is being mowed.

- If your child has food allergies, request a meeting with the cafeteria manager, as well. Provide the school with written instructions for response to any allergic reaction, administration of medications, and phone numbers to use in case of emergency. Make sure all involved understand the severity of food allergies. If your child has nut allergies, request a "peanut free" lunch table.

Peanut allergies are also something you can discuss with classmates and parents.

 Thanks to a law passed in 2005, children are now allowed to carry inhalers and Epi-pens with them, instead of having to store them in the school office. Still, be sure the teacher and school nurse understand how to use these in case the child cannot administer on his own.

- Ask school administrators to inform you in advance of renovation or construction repairs, such as new carpeting, painting, removing ceiling tiles, resurfacing the parking areas or tarring the roof. Fumes and dust from these activities can be overwhelming to even the healthiest of lungs and nasal passages; however, to a child with asthma or allergies, the irritants can trigger the inflammatory process and bring on days or weeks of ill health.

- If your child suffers from exercise induced asthma, meet with the physical education teacher. A doctor's note can also be on file excusing the child from exercise, if necessary, under certain conditions.

If the child is old enough, he/she can also take an active role in controlling his/her allergies at school. Allow the child to be in charge of packing his own lunch. Also make sure plenty of "allowable" food is included so he can share with friends. This way the child can feel his food is appealing.

When snacks or treats are brought into school, allow your child to bring his own treat so he can also take part. However, if the parents and classmates are aware of the child's food allergy, they are usually good about bringing something the child can also eat.

Children with asthma miss more than 10 million school days a year in the U.S. When you add allergies to the equation, the numbers soar even higher. However, with the right precautions, the school environment should be a healthy place for your child to learn and grow.