Calexico — Eight-year-old Marco Cisneros only gets to play in the yard of his home in Calexico for a few minutes each day. He suffers from chronic asthma.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Calexico — Marco Cisneros uses an oxygen mask to help him breathe.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Calexico — Marco Cisneros relaxes on the sofa while his mom, Susana, watches over him.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Calexico — Susana Tolentino holds her 8-year-old son Marco Cisneros. Experts are baffled at the high rates of ER visits and hospitalizations in Imperial County for asthma patients.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Calexico — For children with asthma in California, there is no place worse than Imperial County. They are far more likely than children in any other county to end up in the emergency room or hospitalized. Kids go the ER for asthma at a rate three times higher than the state’s average, according to the Department of Public Health.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Imperial County — Nurse-Practitioner Kim Calderon at the Clinicas De Salud Del Pueblo in Brawley sees a high number of children with asthma in her daily rounds.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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EL CENTRO — Norma Valenzuela, right, cares for her own children as well as her nieces and nephews, in their cramped one-story El Centro home. All of Norma's children suffer from varying forms of asthma, most of whom are confined to the indoors.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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EL CENTRO — Teenager Jose Valenzuela plays the guitar in his El Centro home, unable to run around like most people his age because chronic asthma condition.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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EL CENTRO — Norma Valenzuela holds a basket filled with the medications of just one of her children who suffers from asthma.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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EL CENTRO — Brothers Esteban and Angel Valenzuela stand their dirt-covered yard.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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Imperial County — Doctors and public health officials said that a combination of whipping winds, pesticide-tinged farmland dust and large numbers of low-income families lacking health insurance contribute to high rates of asthma hospitalizations and ER visits.
PHOTOGRAPH BY: Mark Boster / Los Angeles Times
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