TY - JOUR
T1 - Impact of weather and climate change with indoor and outdoor air quality in asthma
T2 - A Work Group Report of the AAAAI Environmental Exposure and Respiratory Health Committee
AU - Poole, Jill A.
AU - Barnes, Charles S.
AU - Demain, Jeffrey G.
AU - Bernstein, Jonathan A.
AU - Padukudru, Mahesh A.
AU - Sheehan, William J.
AU - Fogelbach, Guillermo Guidos
AU - Wedner, James
AU - Codina, Rosa
AU - Levetin, Estelle
AU - Cohn, John R.
AU - Kagen, Steve
AU - Portnoy, Jay M.
AU - Nel, Andre E.
N1 - Funding Information:
We thank Sangeetha Vishweswaraiah, PhD, Department of Obstetrics and Gynecology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, for assistance in figure graphic design with images for Fig 1. Images not detailed in the figure legend were obtained from a free-use Web site (pixabay.com). We thank Lisa Chudomelka for assistance in manuscript submission.
Publisher Copyright:
© 2019 American Academy of Allergy, Asthma & Immunology
PY - 2019/5
Y1 - 2019/5
N2 - Weather and climate change are constant and ever-changing processes that affect allergy and asthma. The purpose of this report is to provide information since the last climate change review with a focus on asthmatic disease. PubMed and Internet searches for topics included climate and weather change, air pollution, particulates, greenhouse gasses, traffic, insect habitat, and mitigation in addition to references contributed by the individual authors. Changes in patterns of outdoor aeroallergens caused by increasing temperatures and amounts of carbon dioxide in the atmosphere are major factors linked to increased duration of pollen seasons, increased pollen production, and possibly increased allergenicity of pollen. Indoor air pollution threats anticipated from climate changes include microbial and mold growth secondary to flooding, resulting in displacement of persons and need for respiratory protection of exposed workers. Air pollution from indoor burning of mosquito repellants is a potential anticipatory result of an increase in habitat regions. Air pollution from fossil fuel burning and traffic-related emissions can alter respiratory defense mechanisms and work synergistically with specific allergens to enhance immunogenicity to worsen asthma in susceptible subjects. Community efforts can significantly reduce air pollution, thereby reducing greenhouse gas emission and improving air quality. The allergist's approach to weather pattern changes should be integrated and anticipatory to protect at-risk patients.
AB - Weather and climate change are constant and ever-changing processes that affect allergy and asthma. The purpose of this report is to provide information since the last climate change review with a focus on asthmatic disease. PubMed and Internet searches for topics included climate and weather change, air pollution, particulates, greenhouse gasses, traffic, insect habitat, and mitigation in addition to references contributed by the individual authors. Changes in patterns of outdoor aeroallergens caused by increasing temperatures and amounts of carbon dioxide in the atmosphere are major factors linked to increased duration of pollen seasons, increased pollen production, and possibly increased allergenicity of pollen. Indoor air pollution threats anticipated from climate changes include microbial and mold growth secondary to flooding, resulting in displacement of persons and need for respiratory protection of exposed workers. Air pollution from indoor burning of mosquito repellants is a potential anticipatory result of an increase in habitat regions. Air pollution from fossil fuel burning and traffic-related emissions can alter respiratory defense mechanisms and work synergistically with specific allergens to enhance immunogenicity to worsen asthma in susceptible subjects. Community efforts can significantly reduce air pollution, thereby reducing greenhouse gas emission and improving air quality. The allergist's approach to weather pattern changes should be integrated and anticipatory to protect at-risk patients.
KW - Weather
KW - allergy
KW - asthma
KW - climate
KW - pollen
KW - pollution
UR - http://www.scopus.com/inward/record.url?scp=85063342262&partnerID=8YFLogxK
U2 - 10.1016/j.jaci.2019.02.018
DO - 10.1016/j.jaci.2019.02.018
M3 - Article
C2 - 30826366
AN - SCOPUS:85063342262
SN - 0091-6749
VL - 143
SP - 1702
EP - 1710
JO - Journal of Allergy and Clinical Immunology
JF - Journal of Allergy and Clinical Immunology
IS - 5
ER -