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Association Between Airborne Pollen Counts and Sensitization Rate in Elementary School Children in Ulsan

울산지역 초등학교 학생에서 대기중 꽃가루 비산 수준과 흡입 알레르겐 감작률과의 관련성

  • Oh, Yeonsuh (Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Choi, Seung Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Oh, Inbo (Environmental Health Center, University of Ulsan College of Medicine) ;
  • Lee, Jiho (Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Sim, Chang Sun (Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Bang, Jin-Hee (Environmental Health Center, University of Ulsan College of Medicine) ;
  • Kim, Yangho (Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 오연서 (울산대학교 의과대학, 울산대학교병원 직업환경의학과) ;
  • 최승원 (울산대학교 의과대학, 울산대학교병원 내과) ;
  • 오인보 (울산대학교 의과대학, 환경보건센터) ;
  • 이지호 (울산대학교 의과대학, 울산대학교병원 직업환경의학과) ;
  • 심창선 (울산대학교 의과대학, 울산대학교병원 직업환경의학과) ;
  • 방진희 (울산대학교 의과대학, 환경보건센터) ;
  • 김양호 (울산대학교 의과대학, 울산대학교병원 직업환경의학과)
  • Received : 2020.11.20
  • Accepted : 2020.12.17
  • Published : 2020.12.31

Abstract

Objectives: The aim of this study was to investigate airborne pollen counts, inhalant allergen sensitization rate, and allergic disease prevalence among elementary school children in Ulsan, South Korea during 2012-2018. Methods: Burkard samplers for pollen were installed on rooftops in suburban and urban areas in Ulsan. A 24-hour sampling of airborne allergens was conducted six days/week from January 1, 2013 to November 31, 2018. Skin prick tests were done with a total of 4,246 primary school students residing in urban and suburban areas in 2012, 2014, 2016, and 2018. This study examined sensitization to 20 major inhalant allergens. Results: The highest monthly counts of airborne pollen were observed in April and September each year. Among the pollen identified over the six years, pine showed the highest pollen counts (44.3%), followed by oak (22.3%), alder (6.3%) and Japanese hops (4.3%). Tree pollen predominated from March to June, and weed pollen predominated from August to October. Higher sensitization rates for inhalant allergens were observed in Dermatophagoides farinae (42.4%), Dermatophagoides pteronyssinus (43.6%), cat fur (12.1%), birch (9.9%), oak (9.6%), and alder (8.7%). The inhalant allergen sensitization rate was highest in the group with comorbidity (asthma and/or rhinitis and atopic dermatitis), and respiratory allergic disease (asthma and/or rhinitis) was higher than that of atopic dermatitis. Conclusion: Both the counts of tree pollen in the air and the sensitization rate for tree pollen were high in Ulsan. The temporal change in respiratory allergic diseases was similar to that for the sensitization rate of tree pollen, such as oak. In the future, it is considered that additional continuous research on various inhalant allergens and pollen should be conducted.

Keywords

Acknowledgement

본 연구는 환경부 환경보건센터 재원에 의해 이루어졌습니다.

References

  1. Lee SI, Shin MH, Lee HB, Lee JS, Son BK, Koh YY, et al. Prevalences of symptoms of asthma and other allergic diseases in korean children: a nationwide questionnaire survey. Journal of Korean medical science. 2001; 16(2): 155-164. https://doi.org/10.3346/jkms.2001.16.2.155
  2. Lee J, Oh I, Kim M-h, Bang JH, Park SJ, Yun SH, et al. Change in the Prevalence of Allergic Diseases and its Association with Air Pollution in Major Cities of Korea-Population under 19 Years Old in Different Land-use Areas. Journal of Environmental Health Sciences. 2017; 43(6): 478-490.
  3. Hwang SH, Jung SY, Lim DH, Son BK, Kim JH, Yang J-M, et al. Epidemiology of allergic rhinitis in Korean children. Allergy, Asthma & Respiratory Disease. 2013; 1(4): 321-332. https://doi.org/10.4168/aard.2013.1.4.321
  4. Oh JW, Lee HR, Kim JS, Lee KI, Kang YJ, Kim SW, et al. Aerobiological study of pollen and mold in the 10 states of Korea. Pediatric Allergy And Respiratory Disease. 2000; 10(1): 22-33.
  5. Kwon JW, Seo JH, Yu J, Kim BJ, Kim HB, Lee SY, et al. Relationship between the prevalence of allergic rhinitis and allergen sensitization in children of Songpa area, Seoul. Pediatric Allergy and Respiratory Disease. 2011; 21(1): 47-55. https://doi.org/10.7581/pard.2011.21.1.47
  6. Jung YH, Hwang KH, Yang SI, Lee E, Kim KH, Kim MJ, et al. Changes of aeroallergen sensitization in children with asthma or allergic rhinitis from a tertiary referral hospital in Seoul over 10 years. Allergy, Asthma & Respiratory Disease. 2014; 2(2): 97-102. https://doi.org/10.4168/aard.2014.2.2.97
  7. Sung M, Kim SW, Kim JH, Lim DH. Regional Difference of Causative Pollen in Children with Allergic Rhinitis. Journal of Korean Medical Science. 2017; 32(6): 926-932. https://doi.org/10.3346/jkms.2017.32.6.926
  8. Heinzerling L, Burbach G, Edenharter G, Bachert C, Bindslev-Jensen C, Bonini S, et al. GA2LEN skin test study I: GA2LEN harmonization of skin prick testing: novel sensitization patterns for inhalant allergens in Europe. Allergy. 2009; 64(10): 1498-1506. https://doi.org/10.1111/j.1398-9995.2009.02093.x
  9. Ahn SC, Kim DS, Yu HY, Kwon YM, Zoo DH. A study on the allergen skin test prevalence in the residents of a non-industrial area. Journal of Environmental Health Sciences. 2012; 38(5): 398-406.
  10. Lee JH, Kim YH, Moon KW. Assessment of the Environmental Conditions in Patient's Houses with Allergy by Use of a Fungal Index-A Case Study. Journal of Environmental Health Sciences. 2010; 36(1): 27-32.
  11. Park SH, Lim DH, Son BK, Kim JH, Song YE, Oh IB, et al. Sensitization rates of airborne pollen and mold in children. Korean Journal of Pediatrics. 2012; 55(9): 322. https://doi.org/10.3345/kjp.2012.55.9.322
  12. Wüthrich B. Epidemiology of the allergic diseases: are they really on the increase? International Archives of Allergy and Immunology. 1989; 90(Suppl. 1): 3-10. https://doi.org/10.1159/000235067
  13. Buck P, Levetin E. Airborne pollen and mold spores in a subalpine environment. Annals of allergy. 1985; 55(6): 794-801.
  14. Oh JW. The impact of climate change on pollen allergy in Korea. Allergy, Asthma & Respiratory Disease. 2018; 6(Suppl 1): S31-S9. https://doi.org/10.4168/aard.2018.6.S1.S31
  15. Park KJ, Kim H, Kim KR, Oh JW, Lee SY, Choi YJ. Characteristics of regional distribution of pollen concentration in Korean Peninsula. Korean Journal of Agricultural and Forest Meteorology. 2008; 10(4): 167-176. https://doi.org/10.5532/KJAFM.2008.10.4.167
  16. Choi SH, Jung IY, Kim DY, Kim YH, Lee JH, Oh IB, et al. Seasonal distribution of airborne pollen in Ulsan, Korea in 2009-2010. Journal of Ecology and Environment. 2011; 34(4): 371-319. https://doi.org/10.5141/JEFB.2011.039
  17. Oh IB, Kim Y, Choi KR, Lee JH. Relationship between pollen concentration and meteorological condition in an urban area. Journal of Korean Society for Atmospheric Environment. 2013; 29(6): 780-788. https://doi.org/10.5572/KOSAE.2013.29.6.780
  18. Oh I, Kim KR, Bang JH, Lim YK, Cho C, Oh J-W, et al. A high-resolution numerical simulation and evaluation of oak pollen dispersion using the CMAQ-pollen model. Journal of Korean Society for Atmospheric Environment. 2017; 33(1): 31-44. https://doi.org/10.5572/KOSAE.2017.33.1.031
  19. Oh JW, Kang IJ, Kim SW, Kook MH, Kim BS, Shin KS, et al. The correlation between increased sensitization rate to weeds in children and the annual increase in weed pollen in Korea. Pediatric Allergy and Respiratory Disease. 2006; 16(2): 114-121.
  20. Sung MS, Park YJ, Park GH, Oh JW, Kim SW. The correlation between allergy sensitization rate in pediatric and aerobiological study for airborne pollen in Busan for 15 years. Allergy, Asthma & Respiratory Disease. 2014; 2(1): 38-47. https://doi.org/10.4168/aard.2014.2.1.38
  21. Park HJ, Lee JH, Park KH, Kim KR, Han MJ, Choe H, et al. A six-year study on the changes in airborne pollen counts and skin positivity rates in Korea: 2008-2013. Yonsei Medical Journal. 2016; 57(3): 714-720. https://doi.org/10.3349/ymj.2016.57.3.714
  22. Choi SW, Lee JH, Kim Y, Oh IB, Choi KR. Association between the sensitization rate for inhalant allergens in patients with respiratory allergies and the pollen concentration in Ulsan, Korea. Korean Journal of Medicine. 2014; 86(4): 453-461. https://doi.org/10.3904/kjm.2014.86.4.453
  23. Lee J, Kim JK, Kim KS, Rhee CS. Optimization of allergen panels for diagnosis of allergic rhinitis. Korean Journal of Otorhinolaryngology-Head and Neck Surgery 2019; 62(11): 609-616. https://doi.org/10.3342/kjorl-hns.2019.00451
  24. Oh JW, Kang IJ, Kim SW, Kook MH, Kim BS, Cheong JT, et al. The association between the concentration of pollen and outbreak of pollinosis in childhood. Pediatric Allergy and Respiratory Disease. 2009; 19(1): 4-11.
  25. Lee HR, Kim KR, Choi YJ, Oh JW. Meteorological impact on daily concentration of pollens in Korea. Korean Journal of Agricultural and Forest Meteorology. 2012; 14(3): 99-107. https://doi.org/10.5532/KJAFM.2012.14.3.099
  26. Kim KR, Park KJ, Lee HR, Kim M, Choi YJ, Oh JW. Development and evaluation of the forecast models for daily pollen allergy. Korean Journal of Agricultural and Forest Meteorology. 2012; 14(4): 265-268. https://doi.org/10.5532/KJAFM.2012.14.4.265
  27. Oh JW, Lee HB, Kang IJ, Kim SW, Park KS, Kook MH, et al. The revised edition of Korean calendar for allergenic pollens. Allergy, asthma & immunology research. 2012; 4(1): 5-11. https://doi.org/10.4168/aair.2012.4.1.5
  28. Kim HY, Seo JH, Jung YH, Lee E, Yang SI, Ha M, et al. Sensitization rates to inhalant allergens in children and adolescents of Incheon and Asan area and the relationship between polysensitization and prevalence of allergic diseases. Allergy, Asthma & Respiratory Disease. 2013; 1(1): 41-49. https://doi.org/10.4168/aard.2013.1.1.41
  29. Niederberger V, Pauli G, Gronlund CH, Froschl a R, Rumpold H, Kraft D, et al. Recombinant birch pollen allergens (rBet v 1 and rBet v 2) contain most of the IgE epitopes present in birch, alder, hornbeam, hazel, and oak pollen: A quantitative IgE inhibition study with sera from different populations. Journal of allergy and clinical immunology. 1998; 102(4): 579-591. https://doi.org/10.1016/S0091-6749(98)70273-8
  30. Biedermann T, Winther L, Till S, Panzner P, Knulst A, Valovirta E. Birch pollen allergy in Europe. Allergy. 2019; 74(7): 1237-1248.
  31. Yoon MG, Kim M, Jin HJ, Shin YS, Park HS. Identification of immunoglobulin E binding components of two major tree pollens, birch and alder. Allergy, Asthma & Respiratory Disease. 2013; 1(3): 216-220. https://doi.org/10.4168/aard.2013.1.3.216
  32. Yang HJ, Jeon YH, Min TK, Son BS, Park KJ, Moon JY, et al. The impact of climate change on aeroalleregen and pediatric allergic diseases. Journal of the Korean Medical Association. 2011; 54(9): 971. https://doi.org/10.5124/jkma.2011.54.9.971
  33. Shin JY, Han MJ, Cho C, Kim KR, Ha JC, Oh JW. Allergenic pollen calendar in Korea based on probability distribution models and up-to-date observations. Allergy, Asthma & Immunology Research. 2020; 12(2): 259-273. https://doi.org/10.4168/aair.2020.12.2.259
  34. MARSH DG. Allergens and the genetics of allergy. The antigens: Elsevier; 1975. p.271-359.
  35. Choi YJ. The study for revision of threshold levels for pollen allergy risk grade in Korea. Seoul: Graduate School of Hanyang University; 2019.
  36. Lee JW, Choi GS, Kim JE, Jin HJ, Kim JH, Ye YM, et al. Changes in sensitization rates to pollen allergens in allergic patients in the southern part of Gyeonggi province over the last 10 years. Korean Journal of Asthma, Allergy and Clinical Immunology. 2011; 31(1): 33-40.
  37. Lee HS, Hong SC, Kim JH, Kim JW, Lee KH, Lee J. A cross-sectional epidemiological study on trends in the prevalence of allergic diseases among children and adolescents in the Jeju Area in 2008 and 2013. Journal of Korean Academy of Community Health Nursing. 2015; 26(2): 160-168. https://doi.org/10.12799/jkachn.2015.26.2.160
  38. Godish T. Indoor environmental quality. 1st Edition ed. Boca Raton: CRC press; 2016. p.162-163.
  39. Fromme H, Heitmann D, Dietrich S, Schierl R, Korner W, Kiranoglu M, et al. Air quality in schools-classroom levels of carbon dioxide (CO2), volatile organic compounds (VOC), aldehydes, endotoxins and cat allergen. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)). 2008; 70(2): 88-97. https://doi.org/10.1055/s-2008-1046775
  40. Kim YJ, Yoon SA, Woo SI. Relation of allergic rhinitis, allergen sensitization, and air pollutants in preschool children. Allergy, Asthma & Respiratory Disease. 2018; 6(4): 197-205. https://doi.org/10.4168/aard.2018.6.4.197
  41. Lee HS, Kim JS, Pyun BY. Changes of the prevalence and the allergens of atopic dermatitis in children: In between the year of 1992 and 2002. Pediatric Allergy and Respiratory Disease. 2002; 12(4): 263-271.
  42. Oranje AP. Atopic dermatitis: review 2000 to January 2001. Current Opinion in Pediatrics. 2002; 14(4): 410-413. https://doi.org/10.1097/00008480-200208000-00009