Skip to main content
Log in

An epidemiological approach investigating respiratory disease response in sensitive individuals to indoor and outdoor pollen exposure in Tucson, Arizona

  • Published:
Aerobiologia Aims and scope Submit manuscript

Summary

We conducted this study during the early spring to demonstrate direct response between increases in atmospheric pollen concentrations and symptom prevalence in a general population. We examined pollen concentrations indoors, outdoors and regionally in 31 households with similar background vegetation, pollen concentration, TSP and pollulant gas levels. Indoor pollen concentrations were low but persistent (X=16 grains/m3 air); local outdoor concentrations were 3 times greater. Regional daily mean pollen values of grasses, ragweed, mulberry and total pollen were compared with symptom scores using X2 contingency tests. We obtained daily symptom scores and measures of peak expiratory flow from 121 individuals characterized as «normal», «atopic» or «peak flow responsive». In atopic individuals, prevalence of nasal symptoms increased with pollen concentration increases for ragweed, mulberry and total pollen exposure. No significant response was found with spring grasses whose atmospheric pollen concentration was limited in the selected cluster. Decrease of lung function in the peak flow responsive population was found associated with mulberry pollen only. The small pollen grain size may result in greater tracheo-bronchial deposition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Barbee R.A., Lebowitz M.D., Thompson H.C., Burrows B., (1976) —Immediate skin-test reactivity in a general population sample. Ann. Intern. Med.84:129–133.

    CAS  Google Scholar 

  • Frasani F., Gorini M., (1987) —Airborne pollens and symptoms score in allergic patients undergoing immunotherapy. G. Boehm, Leuschner R.M. (eds), Advances in Aerobiology, Experientia Supplementum,51:89–92.

  • Horak F., Jäger S., (1980) —Der biologische Expositionstest: Eine Testmethode bei Pollinose unter Ausnutzung der naturlichen Exposition. Federal Environmental Agency (eds), «First International Conference on Aerobiology-Proceeding», Erich Schmidt Verlag, Berlin, p. 355–359.

    Google Scholar 

  • Holberg C.J., O'Rourke M.K., Lebowitz M.D., (1987) —Multivariate analysis of ambient environmental factors and respiratory effects. Int. J. of Epidemiol.16:399–410.

    CAS  Google Scholar 

  • Käpylä M., Penttinen A., (1981) —An evaluation of the microscopical counting methods of the tape in Hirst-Burkard pollen and spore trap. Grana20:131–141.

    Google Scholar 

  • Kneist W., Düngemann H., Gehrken H., Borelli S., (1987)Relationship of airborne pollens and spores to symptoms on the skin and mucous membranes of patients in the high altitude climate in Davos. In: G. Boehm and R.M. Leuschner (eds)), Advances in Aerobiology, Experientia Supplementum51:81–85.

  • Kumer E., Mandrioli P., Tampieri F., (1980) —A comparison between the concentration of airborne pollens and the clinical symptomatology in allergic subjects under treatment with hyposensitizing agents. In: Federal Environmental Agency (eds), First International Conference on Aerobiology-Proceeding. Erich Schmidt Verlag, Berlin, p. 348–354.

    Google Scholar 

  • Lebowitz M.D., Quackenboss J.J., (1988) —Identification of sensitivity and susceptibility in subjects and evaluation of their empirical responses to air pollution. APCA Symposium Volume Paper 88-124-2.

  • Lebowitz M.D., Collins L., Holberg C.J., (1987) —Time series analysis of respiratory responses to indoor and outdoor environmental phenomena. Env't. Res.43:332–341.

    Article  CAS  Google Scholar 

  • Lebowitz M.D., Quackenboss J.J., Camilli A.E., Bronnimann D., Holberg C.J., Boyer B., (1987) —The epidemiological importance of intraindividual changes in pulmonary responses. Euro. J. Epidemiol.3:390–398.

    Article  CAS  Google Scholar 

  • Lucking J.C., Benjamin A.C., Everson D.A., Monroe N.L., (1988) —Arizona Statistical Review, 44th Annual Edition, Valley National Bank of Arizona, pp. 89.

  • O'Rourke M.K., (1982) —Composition and distribution of urban vegetation. J. Arid Envir.5:235–248.

    Google Scholar 

  • O'Rourke M.K., (1986) —The implications of atmospheric pollen rain for fossil pollen profiles in the arid southwest. Ph.D. Dissertation, University of Arizona, Tucson, 169 pp.

    Google Scholar 

  • O'Rourke M.K., Lebowitz M.D., (1984) —A comparison of regional atmospheric pollen types at and near homes. Grana23:55–64.

    Google Scholar 

  • Quackenboss J.J., Lebowitz M.D., Boyer-Pfersdorf P., Lanand S., Monroe S., Sells M., Winburn J., (1988) —An update on the Tucson community study of indoor/outdoor air pollution and respiratory responses. APCA Symposium Volume, Paper 88-124-2.

  • Quackenboss J.J., Lebowitz M.D., Michaud J.P., Bronnimann D., (1989a) —Formaldehyde exposure and acute health effects study. In press, Envir. Int.15:169–176.

    Article  CAS  Google Scholar 

  • Quackenboss J.J., Lebowitz M.D., Crutchfield C.D., (1989b).Indoor-outdoor relationships for particulate matter: exposure classifications and health effects. In press, Envir. Int.15:353–360.

    Article  CAS  Google Scholar 

  • Quackenboss J.J., Lebowitz M.D., Hayes C., (1989c) —Epidemiological study of respiratory responses to indoor/outdoor air quality. In press, Envir. Int.15:493–502.

    Article  CAS  Google Scholar 

  • Spieksma F.Th., (1983) —Airborne pollen concentration in Leiden, The Netherlands, 1977–1981, I. Trees and shrubs flowering in the spring. Grana 22:119–128.

    Article  Google Scholar 

  • Spieksma F.Th., Van Den Assem A., Collette B.J., (1985) —Airborne pollen concentration in Leiden, The Netherlands, 1977–1981, II. Poaceae (grasses), variations and relation to hay fever. Grana24:99–108.

    Google Scholar 

  • SPSSInc. (1988) — SPSS/PC V. 2.0Base Manual, SPSS Inc., Chicago, Illinois.

    Google Scholar 

  • Solomon W.R., (1988) —Aerobiology and inhalant allergens. Allergy Principles and Practice. E. Middleton, C.E. Reed, E.F. Ellis, N.F. Adkinson Jr., J.W. Yunginger (eds). C.F. Mosby Company, Washington, D.C. Chapter 16, p. 312–372.

    Google Scholar 

  • WHOReport, (1988) —Biological contaminants in indoor air. EURO Reports and Studies, 42 pp.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

O'Rourke, M.K., Quackenboss, J.J. & Lebowitz, M.D. An epidemiological approach investigating respiratory disease response in sensitive individuals to indoor and outdoor pollen exposure in Tucson, Arizona. Aerobiologia 5, 104–110 (1989). https://doi.org/10.1007/BF02486508

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02486508

Key words

Navigation