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Review
. 2019 May;143(5):1702-1710.
doi: 10.1016/j.jaci.2019.02.018. Epub 2019 Feb 28.

Impact of weather and climate change with indoor and outdoor air quality in asthma: A Work Group Report of the AAAAI Environmental Exposure and Respiratory Health Committee

Affiliations
Review

Impact of weather and climate change with indoor and outdoor air quality in asthma: A Work Group Report of the AAAAI Environmental Exposure and Respiratory Health Committee

Jill A Poole et al. J Allergy Clin Immunol. 2019 May.

Abstract

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.

Keywords: Weather; allergy; asthma; climate; pollen; pollution.

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Conflict of interest statement

Disclosure of interest: Intellectual property developed by AN and others was licensed to Westwood Bioscience by the Regents of the Univertity of California. AN is co-founder, equity holder, and SAB chair of Westwood Bioscience, Inc. All others authors confirm that they have no conflicts of interest to disclose. This report is submitted by the AAAAI EERH Working Group and has been approved by the AAAAI Board of Directors.

Figures

Figure 1.
Figure 1.
Overview figure summarizing impact of weather and climate change with indoor and outdoor air quality in asthma. Fungus on indoor home wall image following Hurricane Katrina in New Orleans, Louisiana, 2005, and image of pollen releasing content due to osmotic stress (Amaranthus retroflexus releasing starch granules) are courtesy of Rosa Codina.

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