The evidence from a large number of studies indicates that exposures t
o current out-door air pollution increase respiratory morbidity in chi
ldren. Children with asthma, and those with asthma-like symptoms but w
ithout a diagnosis of asthma, are considered be at highest risk of exp
eriencing short and/or longer-term adverse health effects. Many outdoo
r air pollutants readily, penetrate indoors. Indoor air quality can de
teriorate quickly when persistent and uncontrolled emissions occur and
the ventilation/air exchange rate is reduced. It has been estimated t
hat children spend 90% of their time indoors, including in school buil
dings, vehicles and public indoor environments. Environmental tobacco
smoke is a well-recognized persistent indoor air contaminant with adve
rse health effects in children of all ages. Uncontrolled moisture in t
he indoor environment is increasingly recognized to significantly incr
ease the risk of respiratory morbidity in children. The evidence: that
air pollutants singly and in combination with other environmental fac
tors elicit; adverse health responses in asthmatic and non-asthmatic c
hildren and adolescents, appears irrefutable.