"When it comes to health care, New England states seem to be ahead of the pack," said Tringale. Indeed, Connecticut tied with Vermont and New Jersey for the top of the asthma and allergy Honor Roll.
Connecticut also hit all but one mark on the gold standard list of 18 essential policies, falling short on the issue of requiring incident records for allergic reactions or asthma attacks.
But to listen to veteran principal Riddile, school officials don't tend to forget asthma attacks.
"When kids have asthma attacks in school, it's really very upsetting," said Riddile.
According to Riddile and the AAFA, indoor air quality can have a lot to do with the rate of asthma attacks. When Riddile's high school moved from an old building to a brand new "green" environmentally friendly building with sophisticated venting, the number of asthma attacks dropped.
"When we were in the old building, we would see it [asthma attacks] almost two or three times a week," said Riddile. After the move, he remembered being struck by the lack of attacks.
"I turned around and said, 'You know, I can't remember the last time I even heard on the school radio a call for that."
Falling shortly behind Connecticut is yet another New England state: Rhode Island.
Rhode Island hit all but two of the 18 gold standard policies. The state sets policies for emergency response to asthma attacks, policies for indoor air quality and tobacco policies.