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Allergies in Young Children: Effects of Exposure to Multiple Air Pollutants During Prenatal and Early Life
Dec10

Allergies in Young Children: Effects of Exposure to Multiple Air Pollutants During Prenatal and Early Life

By Roberta Attanasio The frequency of allergies in children keeps rising rapidly worldwide, but it’s not clear why. However, it is acknowledged that developing even one type of allergy early in life is almost like turning on a switch—it can start children on a path to more. “The progression of skin allergies to asthma and allergic rhinitis is called the allergic or atopic march. Atopic dermatitis is an itchy, inflammatory skin allergy that, before 1960, affected fewer than 3% of children; by the 2000s it had increased to around 20%. A child with atopic dermatitis is more likely to develop other allergic conditions or symptoms. For example, about 70% of people with severe atopic dermatitis have asthma, whereas in those without atopic dermatitis, only about 8% have asthma—a nearly 9-fold difference.” According to the American Academy of Allergy, Asthma & Immunology, atopy refers to the genetic tendency to develop allergic diseases such as allergic rhinitis, asthma and atopic dermatitis (eczema). Atopy is typically associated with heightened immune responses, more specifically with excessive IgE production in response to common allergens, especially inhaled allergens and food allergens. Photo by Glenn Carstens-Peters on Unsplash Atopicn diseases (eczema, asthma and rhinoconjunctivitis) are clinical syndromes each defined by a group of symptoms and signs. Not all children with atopy will have atopic disease or develop symptoms after exposure to an allergen. Both genetic and environmental factors determine the development of atopic disease. Now, results from a new study show that there is a significant association between multiple prenatal and early life exposures to indoor pollutants and the degree of allergic sensitivity in 2 year old children. Now, results from a new study show that there is a significant association between multiple prenatal and early life exposures to indoor pollutants and the degree of allergic sensitivity in 2 year old children. For the study, researchers followed 108 mother-child pairs from birth to 2 years of age. They obtained data on the exposure to air fresheners, candles, mold, cats, dogs, carpet and environmental tobacco smoke during the prenatal, 6-month, 1-year, and 2-year timepoints. Then, they performed a skin prick test on both the mother and the 2-year-old child. A skin prick test, also called a puncture or scratch test, checks for immediate allergic reactions to as many as 40 different substances at once. This test is usually done to identify allergies to pollen, mold, pet dander, dust mites and foods. In adults, the test is usually done on the forearm, whereas children may be tested on the upper back. The researchers found that exposure to candles during the prenatal window, cats during the 6 month window, and environmental tobacco smoke at 2 years significantly increased the risk of a positive...

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Childhood Asthma and Traffic-Related Air Pollution
Oct15

Childhood Asthma and Traffic-Related Air Pollution

By Roberta Attanasio “I explain it to people like you are breathing through a coffee stirrer straw, and you just can’t get enough breath. The attacks can happen so quickly and out of nowhere, so I feel like I’m really not in control of my own body. Not being able to breathe in and out the way my body is designed to do is quite scary” says one of the 19 million adults who currently have asthma in the US. Asthma is a chronic disorder that causes swelling and inflammation in the lungs—the airways narrow and produce extra mucus, making breathing difficult and causing coughing, shortness of breath and wheezing, a high-pitched whistling sound made while breathing. Asthma attacks, in absence of appropriate treatment, can be life-threatening. Exposure to various irritants and substances that trigger allergies—as for example pollen, dust mites, mold spores, pet dander, smoke and certain medications—can also trigger signs and symptoms of asthma. However, asthma triggers are different from person to person. Photo by Laith Abdulkareem on Unsplash According to the National Center for Health Statistics, asthma also affects 6.2 million children in the US. Indeed, childhood asthma is the most common serious chronic disease in infants and children. Alarmingly, asthma is now the most commonly reported non-communicable disease among children worldwide. Children are especially vulnerable to air pollution, one of the major triggers of asthma attacks. Research indicates that air pollutants suppress genes that regulate the immune system’s ability to differentiate harmless substances from dangerous viruses or bacteria. The immune system then sets up an inflammatory response which leads to asthma. Notably, results from a recent study show that millions of children worldwide develop asthma annually due to a specific type of pollution—traffic-related air pollution. The study, based on data from 2010 to 2015, focuses on a particular type of traffic-related pollutant—nitrogen dioxide, or NO2—and estimates that 64 percent of these new cases of asthma occur in urban areas. NO2 is one of a group of gases called nitrogen oxides. While all of these gases are harmful to human health and the environment, NO2 is of greater concern. It forms from emissions from cars, trucks and buses, power plants, and off-road equipment, and irritates airways in the human respiratory system. For the study, researchers used a method that takes into account high NO2 exposures occurring near busy roads. They were then able to estimate the number of new pediatric asthma cases attributable to NO2 pollution in 194 countries and 125 major cities worldwide. Of the 125 major cities, the highest traffic-related air pollution effects on asthma were found in Lima, Peru; Shanghai, China: Bogota, Colombia; Beijing,...

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