Pollen Allergy Sufferers Research Articles

First comparison of symptom data with allergen content (Bet v 1 and Phl p 5 measurements) and pollen data from four European regions during 2009–2011

BackgroundThe level of symptoms in pollen allergy sufferers and users of the Patient's Hayfever Diary (PHD), does not directly reflect the total amount of pollen in the air. It is necessary to explain the symptom load and thus the development of allergic symptoms and to determine which environmental factors, besides the pollen load, influence variables. It seems reasonable to suspect allergen content because the amount of allergen varies throughout seasons and regions and is not always correlated with the total pollen amount. MethodsData on the allergen content of ambient air (Bet v 1 and Phl p 5) from 2009 until 2011 was used to compare the respective pollen and symptom loads for study regions in Austria, Germany, France and Finland. ResultsOur findings suggest that allergen amount (Bet v 1/Phl p 5) has a strong but regionally dependent impact on the symptom load of pollen allergy sufferers. Peak symptom loads can be traced with peak allergen loads. The influence of other important aeroallergens should also be assessed during the pollen season. ConclusionAllergen concentrations have an impact on pollen allergy sufferers although not as clear as assumed previously. The pattern of pollen load and major allergen content distribution does not directly explain the symptom load pattern, although significant positive correlations were found. Thus, monitoring of symptoms via voluntary crowdsourcing should be considered for future pollen and symptom forecasts in order to support pollen allergy sufferers.

Ten questions about pollen and symptom load and the need for indoor measurements in built environment

Pollen are an important component of outdoor and indoor air. Especially in the perspective of the importance of allergens and pollutants and as a consequence their impact on health, they must be included in air quality assessments. The assessment of pollen concentrations is an important pillar for pollen information and research. Pollen concentrations are point measurements and provide information about the local content of the air. However, there are pitfalls. They range from methodical (measurement device, preparation) over practical (identification) to general (variable significance depending on the topology of a location) deficiencies. Above all it is necessary to deepen the knowledge about the direct impact of pollen concentrations on pollen allergy sufferers. For this purpose a pollen diary (Patient's Hayfever Diary) was developed to create a pool for symptom data. The symptom load (index) is based on this data pool and meets the desire for personalized pollen information. General pollen information should consider that routine measurements are taken out outdoors and not in built environment, where pollen allergy sufferers spend their time as well. Therefore measurements of the indoor burden caused by airborne allergens should be regarded in forecasting besides a tighter connection of pollen with symptom datasets that will lead us on the road to a real symptom forecast with the aim of forecasting the severity allergy symptoms.

Characterization of Allergen Emission Sources in Urban Areas

Pollen released by urban flora-a major contributor to airborne allergen content during the pollen season-has a considerable adverse impact on human health. Using aerobiological techniques to sample and characterize airborne biological particulate matter (BPM), we can identify the main species contributing to the pollen spectrum and chart variations in counts and overall pollen dynamics throughout the year. However, given the exponential increase in the number of pollen allergy sufferers in built-up areas, new strategies are required to improve the biological quality of urban air. This paper reports on a novel characterization of the potential allergenicity of the tree species most commonly used as ornamentals in Mediterranean cities. Values were assigned to each species based on a number of intrinsic features including pollination strategy, pollen season duration, and allergenic capacity as reported in the specialist literature. Findings were used to generate a database in which groups of conifers, broadleaves, and palm trees were assigned a value of between 0 and 36, enabling their allergenicity to be rated as nil, low, moderate, high, or very high. The case study presented here focuses on the city of Granada in southern Spain. The major airborne-pollen-producing species were identified and the allergenicity of species growing in urban green zones was estimated. Corrective measures are proposed to prevent high allergen levels and thus improve biological air quality.

Risk of exposure to airborne Ambrosia pollen from local and distant sources in Europe - an example from Denmark.

Ambrosia artemisiifolia L. is a noxious invasive alien species in Europe. It is an important aeroallergen and millions of people are exposed to its pollen. The main aim of this study is to show that atmospheric concentrations of Ambrosia pollen recorded in Denmark can be derived from local or more distant sources. This was achieved by using a combination of pollen measurements, air mass trajectory calculations using the HYPLIT model and mapping all known Ambrosia locations in Denmark and relating them to land cover types. The annual pollen index recorded in Copenhagen during a 15-year period varied from a few pollen grains to more than 100. Since 2005, small quantities of Ambrosia pollen has been observed in the air every year. We have demonstrated, through a combination of Lagrangian back-trajectory calculations and atmospheric pollen measurements, that pollen arrived in Denmark via long-distance transport from centres of Ambrosia infection, such as the Pannonian Plain and Ukraine. Combining observations with results from a local scale dispersion model show that it is possible that Ambrosia pollen could be derived from local sources identified within Denmark. The high allergenic capacity of Ambrosia pollen means that only small amounts of pollen are relevant for allergy sufferers, and just a few plants will be sufficient to produce enough pollen to affect pollen allergy sufferers within a short distance from the source. It is necessary to adopt control measures to restrict Ambrosia numbers. Recommendations for the removal of all Ambrosia plants can effectively reduce the amount of local pollen, as long as the population of Ambrosia plants is small.

Pollen information consumption as an indicator of pollen allergy burden.

The Austrian pollen information service distributes pollen forecasts and offers various options (webpages, a mobile "Pollen" app, interviews for newspapers, radio, TV and information for the press agency) to support and inform pollen allergy sufferers in Austria in the best way to help to avoid their allergen. These services are well received and user numbers have increased, especially in recent years. Herein, we unravel for the first time the user pattern over time on a monthly basis and compare it to the major pollen seasons in Austria as well as to the allergic burden. The symptom load conforms to the web page user numbers and shows the same peaks from the study period of 2012 until 2014. The highest impact in user numbers and allergy burden occurred during the birch pollen season, although similar values were approached during the grass pollen season in 2014. Pollen loads during the respective pollen seasons of birch, grasses and herbs (mugwort and ragweed) mirrored the pattern as well, although to a minor extent, because different plant taxa have a different distribution within Austria and produce different amounts of pollen. This study provides evidence that pollen information consumption can be seen as an indicator of the burden of pollen allergy sufferers as well as an indicator of the main flowering periods of the main plants inducing pollen allergies in Austria.

Unusually early flowering of alder in Vienna: first report of Alnus × spaethii in Austria, combined LM and SEM study of alder species and impact on pollen allergy sufferers

Different species of alder cause hay fever symptoms in pollen allergy sufferers within Europe: Alnus glutinosa (black alder), A. incana (grey alder), A. viridis (green alder) and more recently A. × spaethii (japonica × subcordata; Spaeth’s alder). In Austria, the alder pollen season usually lasts from January to April (until June in the mountains due to later flowering of A. viridis). The pollen season started very early in 2014, namely by the end of December 2013 in Vienna with the first pollination of alder. Such an early flowering around Christmas is known for A. × spaethii and was first recognized as problem in Switzerland. Up to now, this alder species was not reported in Austria. A sample including twigs, leaves, catkins and pollen from Switzerland was compared with an unusually early flowering alder in Vienna. The pollen of these (Alnus × spaethii) and in addition from black and green alder was analysed by light microscopy and scanning electron microscopy to find possible morphological differences or similarities in their pollen morphology. The general morphology revealed that A. × spaethii is present in Austria (planted in a park) and was responsible for the first burden on pollen allergy sufferers during the alder pollen season in Vienna, although pollen data revealed no significant alder pollen concentrations. The results emphasize the importance of monitoring phenology for pollen information.

Individual pollen exposure measurements: are they feasible?

The purpose of the recent review is to give insight into recent attempts to measure individual pollen exposure and to give advice for interpreting such data. It is well recognized that there are various challenges in monitoring the atmospheric content of pollen in the air. Although pollen data gathered by Hirst type spore traps and evaluated by human expertise are of inestimable value because of long-time data series and as the basic foundation for pollen information services as well as for diagnosis and therapy of pollen allergies, there is a need for more precise information for individual pollen allergy sufferers. Different types of individual pollen exposure measurement samplers are presented, and estimates are offered. Further developments, especially standardization of personal pollen samplers, are needed. Improvements should lead to more usability. Because of a variety of factors, a pollen count will always stay a pollen count, and a pollen forecast is not a symptom forecast, something pollen allergy sufferers actually desire. Thus, a different promising path to individualized pollen information was recently chosen: personal pollen information is now possible based on personal symptom data and regional pollen data. In future, personal pollen data could complete this achievement.

Development of a symptom load index: enabling temporal and regional pollen season comparisons and pointing out the need for personalized pollen information

This study describes the development of an index, the symptom load index, to compare the severity of pollen seasons for pollen allergy sufferers during different seasons in different geographical regions. This is done by comparing symptom data with pollen data. This study is based on symptom data of the Patients’ Hayfever Diary (PHD) and on pollen data from the European Aeroallergen Network (EAN). The PHD allows objective assessment of the season severity. Season length calculated on the basis of pollen data from the EAN and all records of users in a specific region are included in calculation of the symptom load index. It is thus not influenced by pollen counts during the season. Its application to pollen seasons of the three important pollen types birch, grass and ragweed in Austria and Germany from 2009 to 2013 proved that the impact of a pollen season on allergy sufferers is not correlated with total pollen loads. The possibility to calculate the pollen season in the allergy sufferers’ point of view is a novelty that inaugurates new pathways for the future of pollen information. Furthermore, such an index will be of value for the establishment of personalized pollen information and for calculations of pollen thresholds.

Airborne pollen of allergenic herb species in Toledo (Spain)

This study analysed airborne pollen counts for allergenic herb taxa in Toledo (central Spain), a major tourist city receiving over 2 million visitors per year, located in the region of Castilla-La Mancha. The taxa selected were Chenopodiaceae-Amaranthaceae, Plantago, Poaceae and Urticaceae, all of which produce allergenic pollen giving rise to serious symptoms in pollen-allergy sufferers. Aerobiological data were recorded over a 6-year period (2005 to 2010) using the sampling and analysis procedures recommended by the Spanish Aerobiology Network. The abundance and the temporal (annual, daily and intradiurnal) distribution of these pollen types were analysed, and the influence of weather-related factors on airborne pollen counts was assessed. Pollen from herbaceous species accounted for 20.9% of total airborne pollen in Toledo, the largest contributor being Poaceae, with 8.5% of the total pollen count; this family was also the leading cause of respiratory allergies. Examination of intradiurnal variation revealed three distinct distribution patterns: (1) peak daily counts for Chenopodiaceae-Amaranthaceae and Plantago were recorded during the hottest part of the day, i.e. from 1400 to 1600 hours; (2) Urticaceae displayed two peaks (1400-1600 and 2200 hours); and (3) Poaceae counts remained fairly stable throughout the day. Two main risk periods were identified for allergies: spring, with allergies caused by Urticaceae, Plantago and Poaceae pollen, and summer, due to Chenopodiaceae-Amaranthaceae pollen.

Allergenicity of the ornamental urban flora: ecological and aerobiological analyses in Córdoba (Spain) and Ascoli Piceno (Italy)

Comparative ecological and aerobiological analyses of ornamental urban flora in the cities of Cordoba (Spain) and Ascoli Piceno (Italy) identified a group of plants with allergenic pollen whose behaviour is influenced by a number of factors. The geographical position and the resulting climate of both cities favoured the presence of Mediterranean species. In Cordoba, strongly allergenic evergreens introduced during the Moorish period predominated (Cupressus sempervirens, among others), while in the urban area of Ascoli Piceno, Pinaceae were abundant. In both cities, many species of American origin have been introduced for aesthetic reasons, contributing to an increase in the overall allergenicity of urban greenery. The pollen spectrum differed between the two cities: airborne Oleaceae and Cupressaceae pollen abounded in Cordoba, whilst allergenic pollen from surrounding natural environments (Corylaceae) predominated in Ascoli Piceno. These results pointed to a large number of potentially allergenic species in cities, thus highlighting the importance of greater ecological and aerobiological knowledge of allergenic species of urban ornamental flora. Avoidance of more allergenic species when planning new urban green areas could ensure healthier environments for pollen-allergy sufferers.

Airborne pollen of ornamental tree species in the NW of Spain

This study analyzed airborne pollen counts for the tree taxa most widely used for ornamental purposes in the northwestern Iberian Peninsula (Platanus, Cupressaceae, Olea, Myrtaceae, Cedrus, and Casuarina) at four sites (Vigo, Ourense, Santiago, and Lugo), using aerobiological data recorded over a long period (1993-2007). The abundance and the temporal and spatial distribution of these pollen types were analyzed, and the influence of weather-related factors on airborne pollen counts was assessed. Platanus (in Ourense) and Olea (in Vigo) were the taxa contributing most to pollen counts. In general terms, the results may be taken as indicators of potential risk for pollen-allergy sufferers and therefore used in planning future green areas.

Analysis of the particles transported with dust-clouds reaching Cordoba, southwestern Spain.

Dust-cloud episodes were detected in summer 1999 in the city of Cordoba, southwestern Spain, with a higher frequency than usual. Solid airborne particles were collected using a suction volumetric sampler and analyzed to determine both their nature and their origin. Nonbiological material was mostly identified as mineral sand and partially burned remains of hydrocarbons and stubble. Amounts were estimated in terms of the percentage of microscopic field of view covered. Biological materials, in this case pollen grains, were identified and classified as belonging to either autochthonous or remote flora; in the latter case, the possibility was examined that they might originate in North Africa. Some pollen types were also used as tracers to chart the path followed by the sand clouds within the Iberian Peninsula. Meteorological conditions on the days in which episodes occurred were analyzed. In all cases, very dry southwesterly winds were recorded, at moderate to high speeds, together with temperatures of over 35 degrees C. The increase in airborne pollen detected, together with the large amount of particles collected, could have an adverse effect on health, particularly in pollen allergy sufferers, for whom dust-clouds represent an added risk.

Influence of meteorological parameters on Olea pollen concentrations in Córdoba (south-western Spain).

The influence of meteorological parameters on the dispersion of airborne pollen has been studied by several authors. Olive pollen is the major cause of allergy in southern Spain, where a large part of the arable surface area is given over to olive cultivation. Daily pollen forecasts provide important information both for pollen-allergy sufferers and for agronomists trying to achieve a better biological understanding of variations in airborne olive pollen levels. The main purpose of this paper is to study, by means of short-term statistical analysis, the effect of meteorological parameters on airborne olive pollen concentrations in the city of Cordoba (south-western Spain). Twenty-one-year (1982-2002) aerobiological and meteorological databases were used. Correlation and multiple regression analyses were used to study the relationships between olive pollen levels and several meteorological parameters. Statistical analysis was applied both to the whole pollen season and to the pre-peak period. Daily meteorological parameters, such as accumulated mean temperature, accumulated sunlight hours, and accumulated rainfall were used as independent variables in both statistical analyses. Accumulated meteorological variables were of the greatest value in most regression analysis equations, heat-related variables being the most important.