sthma is a leading cause of chronic illness among Canadian children. Quantifying the relative contributions of modifiable exposures to the development of Canadian childhood asthma may identify the most effective targets for individual and societal intervention and suggest future research targets. Our objective was to determine the population attributable fraction (PAF) of childhood asthma in Canada due to modifiable environmental exposures, including particulates, nitrogen dioxide (NO 2), environmental tobacco smoke (ETS), cat, dog, mouse, cockroach, dust mites, moisture and mould, in order to estimate their relative contributions to childhood asthma development. The PAF, or proportion of childhood asthma in Canada that may be attributed to these exposures, was calculated using Canadian childhood asthma incidence, Canadian pollutant exposure prevalence, and international estimates of the risk of asthma development associated with exposure. METHODS Inclusion and exclusion criteria Canadian Childhood Asthma Incidence Estimates of asthma incidence among Canadian children were obtained from representative national surveys-the National Longitudinal Survey of Children and Youth (NLSCY) 1 and the National Population Health Survey (NPHS) 2-and population or administrative databases. 3,4 Canadian Exposure Prevalence Canadian environmental pollutant and allergen exposure prevalences were estimated from websites of government agencies and published studies. Cut points for airborne pollutant levels contributing to asthma development have not been defined; therefore, we used the 2005 World Health Organization Air Quality Standards, 5 which have been associated with cardio-respiratory problems [PM 10 50 μg/m 3 , PM 2.5 25 μg/m 3 , NO 2 21 parts per billion (ppb), O 3 47 ppb, and SO 2 7.1 ppb]. The Canada-Wide Air Quality Standard 6 was used for CO (11 parts per million) in the absence of a WHO Standard. The prevalence of environmental tobacco smoke (ETS) exposure was obtained from the Canadian Tobacco Use Monitoring Survey. 7 Pet, pest, moisture and mould exposures were selfreported, observed, or determined using allergen levels associated with asthma symptom development (cat >8μg/g, dog >10μg/g, mouse >1.6μg/g, cockroach >8U/g and dust mites >10μg/g).