J Korean Med Assoc Search

CLOSE


J Korean Med Assoc > Volume 54(2); 2011 > Article
Kim and Yoon: Climate change and respiratory allergic diseases

Abstract

There is a firm consensus that Earth's climate has been changed and will be changed in further future due to increasing greenhouse gas emissions. Climate change affects human health and respiratory allergic diseases, such as asthma and allergic rhinitis, in various ways. The increase in both the incidence of asthma and global surface temperature in the same period suggests that climate change is a plausible explanation for the asthma epidemic. Additionally, climate change could influence also the severity and acute exacerbation of asthma. Several mechanisms were suggested to explain the effects of climate change on respiratory allergic diseases: increased exposure to pollens and molds spores, aggravated air pollutions, direct effects of extreme weather and thunderstorm and changes in respiratory infections. However, data and evidences are lacking to answer what the net effects of climate on asthma and allergic rhinitis and its mechanisms are. Great efforts and active roles are required for the physicians in developing strategies to mitigate climate change and adaptation to its effects on respiratory allergic diseases.

References

1. Solomon S, Qin D, Manning M, Chen Z, Marquis M, Averyt KB, Tignor M, Miller HL. Climate change 2007: the physical science basis. Contribution of working group I to the fourth assessment report of the Intergovernmental Panel on Climate Change 2007;New York: Cambridge University Press. 996.

2. Trenberth KE. Climate variability and global warming. Science 2001;293:48-49.

3. McMichael AJ, Woodruff RE, Hales S. Climate change and human health: present and future risks. Lancet 2006;367:859-869.

4. Beggs PJ. Adaptation to impacts of climate change on aeroallergens and allergic respiratory diseases. Int J Environ Res Public Health 2010;7:3006-3021.

5. Eder W, Ege MJ, von Mutius E. The asthma epidemic. N Engl J Med 2006;355:2226-2235.

6. Lee SI. Prevalence of childhood asthma in Korea: international study of asthma and allergies in childhood. Allergy Asthma Immunol Res 2010;2:61-64.

7. Linneberg A, Jorgensen T, Nielsen NH, Madsen F, Frolund L, Dirksen A. The prevalence of skin-test-positive allergic rhinitis in Danish adults: two cross-sectional surveys 8 years apart. The Copenhagen Allergy Study. Allergy 2000;55:767-772.

8. Strachan DP. Family size, infection and atopy: the first decade of the "hygiene hypothesis". Thorax 2000;55:Suppl 1. S2-S10.

9. Beggs PJ, Bambrick HJ. Is the global rise of asthma an early impact of anthropogenic climate change? Environ Health Perspect 2005;113:915-919.

10. Beggs PJ. Impacts of climate change on aeroallergens: past and future. Clin Exp Allergy 2004;34:1507-1513.

11. Min YG. The pathophysiology, diagnosis and treatment of allergic rhinitis. Allergy Asthma Immunol Res 2010;2:65-76.

12. Holgate ST. Pathogenesis of asthma. Clin Exp Allergy 2008;38:872-897.

13. Wayne P, Foster S, Connolly J, Bazzaz F, Epstein P. Production of allergenic pollen by ragweed (Ambrosia artemisiifolia L.) is increased in CO2-enriched atmospheres. Ann Allergy Asthma Immunol 2002;88:279-282.

14. Frei T, Gassner E. Climate change and its impact on birch pollen quantities and the start of the pollen season an example from Switzerland for the period 1969-2006. Int J Biometeorol 2008;52:667-674.

15. Björkstén F, Suoniemi I. Time and intensity of first pollen contacts and risk of subsequent pollen allergies. Acta Med Scand 1981;209:299-303.

16. D'Amato G, Cecchi L, Bonini S, Nunes C, Annesi-Maesano I, Behrendt H, Liccardi G, Popov T, van Cauwenberge P. Allergenic pollen and pollen allergy in Europe. Allergy 2007;62:976-990.

17. Ahlholm JU, Helander ML, Savolainen J. Genetic and environmental factors affecting the allergenicity of birch (Betula pubescens ssp. czerepanovii [Orl.] Hamet-ahti) pollen. Clin Exp Allergy 1998;28:1384-1388.

18. Cecchi L, D'Amato G, Ayres JG, Galan C, Forastiere F, Forsberg B, Gerritsen J, Nunes C, Behrendt H, Akdis C, Dahl R, Annesi-Maesano I. Projections of the effects of climate change on allergic asthma: the contribution of aerobiology. Allergy 2010;65:1073-1081.

19. Wolf J, O'Neill NR, Rogers CA, Muilenberg ML, Ziska LH. Elevated atmospheric carbon dioxide concentrations amplify Alternaria alternata sporulation and total antigen production. Environ Health Perspect 2010;118:1223-1228.

20. Fisk WJ, Lei-Gomez Q, Mendell MJ. Meta-analyses of the associations of respiratory health effects with dampness and mold in homes. Indoor Air 2007;17:284-296.

21. Jaakkola MS, Laitinen S, Piipari R, Uitti J, Nordman H, Haapala AM, Jaakkola JJ. Immunoglobulin G antibodies against indoor dampness-related microbes and adult-onset asthma: a population-based incident case-control study. Clin Exp Immunol 2002;129:107-112.

22. Chen KS, Ho YT, Lai CH, Tsai YA, Chen SJ. Trends in concentration of ground-level ozone and meteorological conditions during high ozone episodes in the Kao-Ping Airshed, Taiwan. J Air Waste Manag Assoc 2004;54:36-48.

23. Uysal N, Schapira RM. Effects of ozone on lung function and lung diseases. Curr Opin Pulm Med 2003;9:144-150.

24. Ren C, Williams GM, Mengersen K, Morawska L, Tong S. Does temperature modify short-term effects of ozone on total mortality in 60 large eastern US communities? An assessment using the NMMAPS data Environ Int 2008;34:451-458.

25. Ebi KL, McGregor G. Climate change, tropospheric ozone and particulate matter, and health impacts. Environ Health Perspect 2008;116:1449-1455.

26. Valavanidis A, Loridas S, Vlahogianni T, Fiotakis K. Influence of ozone on traffic-related particulate matter on the generation of hydroxyl radicals through a heterogeneous synergistic effect. J Hazard Mater 2009;162:886-892.

27. Bartra J, Mullol J, del Cuvillo A, Davila I, Ferrer M, Jauregui I, Montoro J, Sastre J, Valero A. Air pollution and allergens. J Investig Allergol Clin Immunol 2007;17:Suppl 2. 3-8.

28. Khalaj B, Lloyd G, Sheppeard V, Dear K. The health impacts of heat waves in five regions of New South Wales, Australia: a case-only analysis. Int Arch Occup Environ Health 2010;83:833-842.

29. Michelozzi P, Accetta G, De Sario M, D'Ippoliti D, Marino C, Baccini M, Biggeri A, Anderson HR, Katsouyanni K, Ballester F, Bisanti L, Cadum E, Forsberg B, Forastiere F, Goodman PG, Hojs A, Kirchmayer U, Medina S, Paldy A, Schindler C, Sunyer J, Perucci CA. PHEWE Collaborative Group. High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med 2009;179:383-389.

30. Delfino RJ, Brummel S, Wu J, Stern H, Ostro B, Lipsett M, Winer A, Street DH, Zhang L, Tjoa T, Gillen DL. The relationship of respiratory and cardiovascular hospital admissions to the southern California wildfires of 2003. Occup Environ Med 2009;66:189-197.

31. Taylor PE, Jonsson H. Thunderstorm asthma. Curr Allergy Asthma Rep 2004;4:409-413.

32. Packe GE, Ayres JG. Asthma outbreak during a thunderstorm. Lancet 1985;2:199-204.

33. D'Amato G, Liccardi G, Frenguelli G. Thunderstorm-asthma and pollen allergy. Allergy 2007;62:11-16.

34. Pulimood TB, Corden JM, Bryden C, Sharples L, Nasser SM. Epidemic asthma and the role of the fungal mold Alternaria alternata. J Allergy Clin Immunol 2007;120:610-617.

35. Ayres JG. Seasonal pattern of acute bronchitis in general practice in the United Kingdom 1976-83. Thorax 1986;41:106-110.

36. Fleming DM, Cross KW, Sunderland R, Ross AM. Comparison of the seasonal patterns of asthma identified in general practitioner episodes, hospital admissions, and deaths. Thorax 2000;55:662-665.

37. Gatherer D. The Little Ice Age and the emergence of influenza A. Med Hypotheses 2010;75:359-362.

38. Ayres JG, Forsberg B, Annesi-Maesano I, Dey R, Ebi KL, Helms PJ, Medina-Ramon M, Windt M, Forastiere F. Environment and Health Committee of the European Respiratory Society. Climate change and respiratory disease: European Respiratory Society position statement. Eur Respir J 2009;34:295-302.

39. Kim CW, Lee JH, Jung HW, Choi SR, Cheong JW, Park JW, Hong CS. Changing patterns of skin reactivity to inhalant allergens in asthmatic patients. J Asthma Allergy Clin Immunol 2001;21:205-215.

40. Kim TB, Kim KM, Kim SH, Kang HR, Chang YS, Kim CW, Bahn JW, Kim YK, Kang HT, Cho SH, Park HS, Lee JM, Choi IS, Min KU, Hong CS, Kim NS, Kim YY. Sensitization rates for inhalant allergens in Korea: a multi-center study. J Asthma Allergy Clin Immunol 2003;23:483-493.

41. Shea KM, Truckner RT, Weber RW, Peden DB. Climate change and allergic disease. J Allergy Clin Immunol 2008;122:443-453.

Table 1
The suggested mechanisms of the impact of climate change on respiratory allergic diseases
jkma-54-161-i001-l.jpg


ABOUT
ARTICLE CATEGORY

Browse all articles >

ARCHIVES
FOR CONTRIBUTORS
Editorial Office
37 Ichon-ro 46-gil, Yongsan-gu, Seoul
Tel: +82-2-6350-6562    Fax: +82-2-792-5208    E-mail: jkmamaster@gmail.com                

Copyright © 2024 by Korean Medical Association.

Developed in M2PI

Close layer
prev next