Increasing trends in allergic respiratory diseases may be linked to climate changes affecting pollen levels. This study aimed to investigate the temporal trends in seasonal indexes of 9 allergenic pollen types in the Veneto Region, Northern Italy. Available daily data from 20 monitoring stations covered 2001–2022 for Corylaceae, Cupressaceae, Poaceae, Oleaceae, and Urticaceae (pollen families), and 2006–2022 for Alnus, Betula, Ambrosia, and Artemisia (pollen genera). The 95-percentage method was used to identify the start/end dates of pollen seasons annually, and the seasonal cumulative pollen concentration (Seasonal Pollen Integral, SPIn) was calculated. The non-parametric Theil-Sen median slope method was used to examine trends in pollen seasons’ start day, duration, and SPIn in the whole region and for climatic areas (alpine, subcontinental eastern, subcontinental western). The results showed a clear upward trend in SPIn for several pollens, with median slopes ranging from 326 (Alnus) to 1089 p/m3 per 10yrs (Corylaceae); exceptions were Artemisia, whose SPIn decreased over time (−26 p/m3 per 10yrs), and Ambrosia, Betula, and Urticaceae, which did not show a clear trend. For families, pollen seasons showed a trend for anticipation (from −4.7, Urticaceae, to −13.5 days/10yrs, Oleaceae) and extended duration (from 8.3, Cupressaceae, to 13.3 days/10yrs, Oleaceae). An evident heterogeneity across the climatic areas was seen for the SPIn, with the subcontinental western area exhibiting the highest loads and most prominent increases over time. In conclusion, increased levels and prolonged seasons for several pollen taxa observed in the Veneto Region, particularly in subcontinental areas, suggest increasing risks for individuals with pollen allergies. Addressing this issue requires measures of mitigation and adaptation to climate-driven changes in pollen exposure.
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