The most common referral to Pediatric Respirology is a ‘cough’ and the most common diagnosis is asthma.

Asthma affects up to almost 1 in 5 younger children and almost as many older children. It accounts for the most Pediatric hospital admissions and the most likely reason for parents to miss work. Children’s hospital has inpatient, outpatient clinics in London as well as outreach clinics to Windsor, Exeter and Goderich. A total of approximately 4000 visits are made per year. Clinics specialize in the diagnosis, management and ongoing care. Services include spirometry, end-expiratory nitric oxide and skin testing for those allergens that trigger asthma.

Cystic Fibrosis is a more deadly disease and affects 1/3000 children. Since April 2008 the Ontario government has screened all newborns in Ontario. CHWO is the regional centre for those positive screens and Dr. April Price interest both clinically and research is CF newborn screening. The clinic has (approximately) 100 patients with transitioned care to the adult program also here in London. The prognosis of CF patients has considerably improved over the last 30 years from an expected lifespan of 15 years to about 45 years. Children’s hospital is one of the clinics that network across Canada with support both from the CF Foundation as well as LHSC and the Department of Paediatrics’.

Although asthma and CF form the bulk of referred patients, there is expertise in the diagnosis and management of congenital malformations, immune deficiency, aspiration, assisted ventilation as well as those in need of bronchoscopy and supplemental oxygen with close association with the Departments of ENT, Allergy and Immunology, Cardiology, Infectious Disease and Neurology.

The Team


  • In Patient Clinics
  • Asthma
  • Cystic Fibrosis
  • Neuromuscular Clinic (Thames Valley Children’s Center)
  • Assisted Ventilation Clinic
  • Bronchoscopy

Outpatient Clinics

Asthma: London, Windsor, Exeter, Goderich


Clinical Management of asthma and CF