On October 20, 2004, the Greater Roanoke Valley Asthma and Air Quality Coalition hosted the Virginia Asthma Coalition quarterly meeting. The meeting was held at the Roanoke Higher Education Center. GRVAAQC is a member of the state coalition. VAC bylaws, the state Asthma Summit, coalition networking, and the School Asthma Manual were some of the items discussed. Several GRVAAQC members attended this meeting.