Skip to main content

Advertisement

Log in

The Impact of Climate Change on Asthma and Allergic-Immunologic Disease

  • Published:
Current Allergy and Asthma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review discusses climate change-related impacts on asthma and allergic-immunologic disease, relevant US public health efforts, and healthcare professional resources.

Recent Findings

Climate change can impact people with asthma and allergic-immunologic disease through various pathways, including increased exposure to asthma triggers (e.g., aeroallergens, ground-level ozone). Climate change-related disasters (e.g., wildfires, floods) disrupting healthcare access can complicate management of any allergic-immunologic disease. Climate change disproportionately affects some communities, which can exacerbate disparities in climate-sensitive diseases like asthma. Public health efforts include implementing a national strategic framework to help communities track, prevent, and respond to climate change-related health threats. Healthcare professionals can use resources or tools to help patients with asthma and allergic-immunologic disease prevent climate change-related health impacts.

Summary

Climate change can affect people with asthma and allergic-immunologic disease and exacerbate health disparities. Resources and tools are available to help prevent climate change-related health impacts at the community and individual level.

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.

Fig. 1

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: •  Of importance ••  Of major importance 

  1. • Centers for Disease Control and Prevention. Agency-wide Climate and Health Task Force: FY 2022 Strategic Framework [cited 2023 Feb 9]. Available from: https://www.cdc.gov/climateandhealth/docs/Agency-Climate-Health-External-Strategic-Framework-508.pdf. This strategic framework was developed to guide the future of climate and health activities across the Centers for Disease Control and Prevention, in coordination with partners, to increase the capacity to prevent, prepare for, and respond to the ongoing and emerging health impacts of climate change.

  2. •• Reidmiller DR, Avery CW, Easterling DR, Kunkel KE, Lewis KLM, Maycock TK, et al. USGCRP, 2018. Impacts, risks, and adaptation in the United States: Fourth National Climate Assessment, Volume II, Washington D.C., U.S.A. [cited 2021 21 Oct]. Available from: https://nca2018.globalchange.gov/. This report synthesizes information about the impacts of climate change in the United States. This report focuses on the human welfare, societal, and environmental elements of climate change and variability for 10 regions and 18 national topics, including chapters on air quality and human health.

  3. Gillespie E, Schramm PJ, Hsu J. Public health response to climate change for allergists-immunologists. Ann Allergy Asthma Immunol. 2022;128(6):626–8.

    PubMed  PubMed Central  Google Scholar 

  4. National Academies of Sciences, Engineering, and Medicine. 2023. Children’s environmental health: proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26848. [cited 2023 Mar 2]. Available from: https://nap.nationalacademies.org/catalog/26848/childrens-environmental-health-proceedings-of-a-workshop.

  5. Lindsay S, Hsu S, Ragunathan S, Lindsay J. The impact of climate change related extreme weather events on people with pre-existing disabilities and chronic conditions: a scoping review. Disabil Rehabil. 2022:1–21.

  6. • Centers for Disease Control and Prevention. EXHALE guide for healthcare professionals [cited 2023 Feb 6]. Available from: https://www.cdc.gov/asthma/exhale/documents/EXHALE-Healthcare-Professionals-Guide-508.pdf. The Centers for Disease Control and Prevention’s (CDC’s) National Asthma Control Program created this guide to assist healthcare professionals in using CDC’s EXHALE strategies to help people with asthma achieve better health outcomes. The EXHALE strategies are a set of six strategies; each of these strategies is proven to reduce asthma-related hospitalizations, emergency department visits, and healthcare costs.

  7. Global Initiative for Asthma. 2022 GINA Report, Global Strategy for Asthma Management and Prevention, Fontana, WI [cited 2023 9 Feb]. Available from: https://ginasthma.org/gina-reports/.

  8. National Asthma Education and Prevention Program. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma—Full Report 2007. NIH Publication No. 07–4051. Bethesda, MD: National Institutes of Health; 2007.

  9. Fann NL, Nolte CG, Sarofim MC, Martinich J, Nassikas NJ. Associations between simulated future changes in climate, air quality, and human health. JAMA Netw Open. 2021;4(1): e2032064.

    PubMed  PubMed Central  Google Scholar 

  10. U.S. Environmental Protection Agency. Ground-level Ozone Basics [cited 2023 Feb 28]. Available from: https://www.epa.gov/ground-level-ozone-pollution/ground-level-ozone-basics#formation.

  11. HEI Panel on the Health Effects of Long-Term Exposure to Traffic-Related Air Pollution. 2022. Systematic review and meta-analysis of selected health effects of long-term exposure to traffic-related air pollution. Special Report 23. Boston, MA: Health Effects Institute. [cited 2023 Feb 28]. Available from: https://www.healtheffects.org/system/files/hei-special-report-23_4.pdf.

  12. Zheng XY, Ding H, Jiang LN, Chen SW, Zheng JP, Qiu M, et al. Association between air pollutants and asthma emergency room visits and hospital admissions in time series studies: a systematic review and meta-analysis. PLoS ONE. 2015;10(9):e0138146.

    PubMed  PubMed Central  Google Scholar 

  13. Baek J, Kash BA, Xu X, Benden M, Roberts J, Carrillo G. Effect of ambient air pollution on hospital readmissions among the pediatric asthma patient population in South Texas: a case-crossover study. Int J Environ Res Public Health. 2020;17(13).

  14. Byers N, Ritchey M, Vaidyanathan A, Brandt AJ, Yip F. Short-term effects of ambient air pollutants on asthma-related emergency department visits in Indianapolis, Indiana, 2007–2011. J Asthma. 2016;53(3):245–52.

    CAS  PubMed  Google Scholar 

  15. Castner J, Guo L, Yin Y. Ambient air pollution and emergency department visits for asthma in Erie County, New York 2007–2012. Int Arch Occup Environ Health. 2018;91(2):205–14.

    CAS  PubMed  Google Scholar 

  16. Winquist A, Grundstein A, Chang HH, Hess J, Sarnat SE. Warm season temperatures and emergency department visits in Atlanta, Georgia. Environ Res. 2016;147:314–23.

    CAS  PubMed  Google Scholar 

  17. Soneja S, Jiang C, Fisher J, Upperman CR, Mitchell C, Sapkota A. Exposure to extreme heat and precipitation events associated with increased risk of hospitalization for asthma in Maryland, USA. Environ Health. 2016;15:57.

  18. Poole JA, Barnes CS, Demain JG, Bernstein JA, Padukudru MA, Sheehan WJ, et al. Impact of weather and climate change with indoor and outdoor air quality in asthma: a work group report of the AAAAI Environmental Exposure and Respiratory Health Committee. J Allergy Clin Immunol. 2019;143(5):1702–10.

    PubMed  Google Scholar 

  19. Schramm PJ, Brown CL, Saha S, Conlon KC, Manangan AP, Bell JE, et al. A systematic review of the effects of temperature and precipitation on pollen concentrations and season timing, and implications for human health. Int J Biometeorol. 2021;65(10):1615–28.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Kitinoja MA, Hugg TT, Siddika N, Rodriguez Yanez D, Jaakkola MS, Jaakkola JJK. Short-term exposure to pollen and the risk of allergic and asthmatic manifestations: a systematic review and meta-analysis. BMJ Open. 2020;10(1):e029069.

    PubMed  PubMed Central  Google Scholar 

  21. Shrestha SK, Lambert KA, Erbas B. Ambient pollen concentrations and asthma hospitalization in children and adolescents: a systematic review and meta-analysis. J Asthma. 2021;58(9):1155–68.

    PubMed  Google Scholar 

  22. Erbas B, Jazayeri M, Lambert KA, Katelaris CH, Prendergast LA, Tham R, et al. Outdoor pollen is a trigger of child and adolescent asthma emergency department presentations: a systematic review and meta-analysis. Allergy. 2018;73(8):1632–41.

    CAS  PubMed  Google Scholar 

  23. U.S. Environmental Protection Agency. Particle pollution and your patients’ health [updated 2022 Aug 18; cited 2023 Mar 17]. Available from: https://www.epa.gov/pmcourse/learn-about-particle-pollution-and-your-patients-health-course.

  24. Expert Panel Working Group of the National Heart, Lung, and Blood Institute administered and coordinated National Asthma Education and Prevention Program Coordinating Committee; Cloutier MM, Baptist AP, et al. 2020 Focused updates to the asthma management guidelines: a report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. J Allergy Clin Immunol. 2020;146(6):1217–70.

  25. Fan J, Li S, Fan C, Bai Z, Yang K. The impact of PM2.5 on asthma emergency department visits: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2016;23(1):843–50.

  26. Lim H, Kwon HJ, Lim JA, Choi JH, Ha M, Hwang SS, et al. Short-term effect of fine particulate matter on children’s hospital admissions and emergency department visits for asthma: a systematic review and meta-analysis. J Prev Med Public Health. 2016;49(4):205–19.

    PubMed  PubMed Central  Google Scholar 

  27. Chang HH, Pan A, Lary DJ, Waller LA, Zhang L, Brackin BT, et al. Time-series analysis of satellite-derived fine particulate matter pollution and asthma morbidity in Jackson, MS. Environ Monit Assess. 2019;191(Suppl 2):280.

    PubMed  PubMed Central  Google Scholar 

  28. Stowell JD, Geng G, Saikawa E, Chang HH, Fu J, Yang CE, et al. Associations of wildfire smoke PM2.5 exposure with cardiorespiratory events in Colorado 2011–2014. Environ Int. 2019;133(Pt A):105151.

  29. Gan R, Liu J, Ford B, O’Dell K, Vaidyanathan A, Wilson A, et al. The association between wildfire smoke exposure and asthma-specific medical care utilization in Oregon during the 2013 wildfire season. J Expo Sci Environ Epidemiol. 2022;30(4):618–28.

    Google Scholar 

  30. Reid C, Considine E, Watson G, Telesca D, Pfister G, Jerrett M. Associations between respiratory health and ozone and fine particulate matter during a wildfire event. Environment International. 2019;129.

  31. Delfino RJ, Brummel S, Wu J, Stern H, Ostro B, Lipsett M, et al. The relationship of respiratory and cardiovascular hospital admissions to the Southern California Wildfires of 2003. Occup Environ Med. 2009;66(3):189–97.

    CAS  PubMed  Google Scholar 

  32. Mendell MJ, Mirer AG, Cheung K, Tong M, Douwes J. Respiratory and allergic health effects of dampness, mold, and dampness-related agents: a review of the epidemiologic evidence. Environ Health Perspect. 2011;119(6):748–56.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. World Health Organization. WHO guidelines for indoor air quality: dampness and mould [cited 2023 Feb 9]. Available from: https://www.who.int/publications/i/item/9789289041683.

  34. Cowan KN, Pennington AF, Gregory T, Hsu J. Impact of hurricanes on children with asthma: a systematic literature review. Disaster Med Public Health Prep. 2022;16(2):777–82.

    PubMed  Google Scholar 

  35. Arcaya MC, Lowe SR, Rhodes JE, Waters MC, Subramanian SV. Association of PTSD symptoms with asthma attacks among hurricane Katrina survivors. J Trauma Stress. 2014;27(6):725–9.

    PubMed  PubMed Central  Google Scholar 

  36. Landeo-Gutierrez J, Forno E, Miller GE, Celedon JC. Exposure to violence, psychosocial stress, and asthma. Am J Respir Crit Care Med. 2020;201(8):917–22.

    CAS  PubMed  PubMed Central  Google Scholar 

  37. Gao Y, Huang W, Yu P, Xu R, Yang Z, Gasevic D, et al. Long-term impacts of non-occupational wildfire exposure on human health: a systematic review. Environ Pollut. 2023;320:121041.

    CAS  PubMed  Google Scholar 

  38. Charlson F, Ali S, Benmarhnia T, Pearl M, Massazza A, Augustinavicius J, et al. Climate change and mental health: a scoping review. Int J Environ Res Public Health. 2021;18(9).

  39. Mirabelli M, Vaidyanathan A, Pennington A, Ye D, Trenga C. Wildfire smoke and symptoms affecting mental health among adults in the U.S. State of Oregon. Prev Med. 2022.

  40. Centers for Disease Control and Prevention. Manage your asthma during disasters [cited 2023 Mar 2]. Available from: https://blogs.cdc.gov/yourhealthyourenvironment/2022/08/03/manage-your-asthma-during-disasters/.

  41. Brusselle GG, Koppelman GH. Biologic therapies for severe asthma. N Engl J Med. 2022;386(2):157–71.

    CAS  PubMed  Google Scholar 

  42. U.S. Food and Drug Administration. Highlights of prescribing information: Fasenra (benralizumab) [cited 2023 Feb 9]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/761070s000lbl.pdf.

  43. U.S. Food and Drug Administration. Highlights of prescribing information: Xolair (omalizumab) [cited 2023 Feb 15]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/103976s5225lbl.pdf.

  44. U.S. Food and Drug Administration. Highlights of prescribing information: Cinqair (reslizumab) [cited 2023 Feb 15]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/761033lbl.pdf.

  45. U.S. Food and Drug Administration. Highlights of prescribing information: Dupixent (dupilumab) [cited 2023 Feb 15]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/761055s044lbl.pdf.

  46. U.S. Food and Drug Administration. Highlights of prescribing information: Tezspire (tezepelumab-ekko) [cited 2023 Feb 15]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/761224s000lbl.pdf.

  47. Saha S, Vaidyanathan A, Lo F, Brown C, Hess JJ. Short Term physician visits and medication prescriptions for allergic disease associated with seasonal tree, grass, and weed pollen exposure across the United States. Environ Health. 2021;20(1):85.

    PubMed  PubMed Central  Google Scholar 

  48. Manangan A, Brown C, Saha S, Bell J, Hess J, Uejio C, et al. Long-term pollen trends and associations between pollen phenology and seasonal climate in Atlanta, Georgia (1992–2018). Ann Allergy Asthma Immunol. 2021;127(4):471–80.e4.

    PubMed  PubMed Central  Google Scholar 

  49. Anderegg WRL, Abatzoglou JT, Anderegg LDL, Bielory L, Kinney PL, Ziska L. Anthropogenic climate change is worsening North American pollen seasons. Proc Natl Acad Sci U S A. 2021;118(7).

  50. Barnes H, Lu J, Glaspole I, Collard HR, Johannson KA. Exposures and associations with clinical phenotypes in hypersensitivity pneumonitis: a scoping review. Respir Med. 2021;184: 106444.

    PubMed  Google Scholar 

  51. Chew G, Saha S. Impacts of climate change on indoor allergens. In: Breggs P, editor. Impacts of climate change on allergens and allergic diseases. Cambridge, UK: Cambridge University Press; 2016.

  52. Centers for Disease Control and Prevention. Food for thought: what Hurricane Sandy can teach us about food allergy preparedness [cited 2023 Mar 3]. Available from: https://blogs.cdc.gov/publichealthmatters/2019/05/food-allergies/.

  53. Food Allergy Research and Education. Food allergy emergency and disaster preparedness [cited 2023 Mar 3]. Available from: https://www.foodallergy.org/resources/food-allergy-emergency-and-disaster-preparedness.

  54. Philipsborn RP, Sheffield P, White A, Osta A, Anderson MS, Bernstein A. Climate change and the practice of medicine: essentials for resident education. Acad Med. 2021;96(3):355–67.

    PubMed  Google Scholar 

  55. Fonseca C, Philipsborn R. Climate change, extreme weather & children: what families need to know [cited 2023 Feb 15]. Available from: https://www.healthychildren.org/English/safety-prevention/all-around/Pages/climate-change-extreme-weather-and-children-what-families-need-to-know.aspx.

  56. U.S. Food and Drug Administration. Highlights of prescribing information: Kalbitor (ecallantide) [cited 2023 Mar 3]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/125277s071lbl.pdf.

  57. U.S. Food and Drug Administration. Highlights of prescribing information: Asceniv (immune globulin intravenous, human-sira) [cited 2023 Feb 15]. Available from: https://www.fda.gov/media/122525/download.

  58. U.S. Food and Drug Administration. Highlights of prescribing information: Bivigam (immune globulin intravenous, human-sira) [cited 2023 Mar 6]. Available from: https://www.fda.gov/media/84782/download.

  59. Centers for Disease Control and Prevention. Most recent asthma data [cited 2023 Mar 17]. Available from: https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm.

  60. •• Davis CM, Apter AJ, Casillas A, Foggs MB, Louisias M, Morris EC, et al. Health disparities in allergic and immunologic conditions in racial and ethnic underserved populations: A Work Group Report of the AAAAI Committee on the Underserved. J Allergy Clin Immunol. 2021;147(5):1579–93. This report reviews current evidence regarding health disparities in asthma, allergic rhinitis, and other allergic-immunologic diseases, as well as primary immune deficiency disease.

    PubMed  Google Scholar 

  61. Pate CA, Zahran HS, Qin X, Johnson C, Hummelman E, Malilay J. Asthma surveillance - United States, 2006–2018. MMWR Surveill Summ. 2021;70(5):1–32.

    PubMed  PubMed Central  Google Scholar 

  62. •• Burbank AJ, Hernandez ML, Jefferson A, Perry TT, Phipatanakul W, Poole J, et al. Environmental justice and allergic disease: A Work Group Report of the AAAAI Environmental Exposure and Respiratory Health Committee and the Diversity, Equity and Inclusion Committee. J Allergy Clin Immunol. 2023;151(3):656–70. This report was developed to improve allergy-immunology specialists’ awareness of environmental injustice, its roots in systemic racism, and its impact on health disparities in allergic-immunologic disease.

    PubMed  Google Scholar 

  63. U.S. Environmental Protection Agency. Climate change and social vulnerability in the United States: a focus on six impacts. Appendix D: air quality [cited 2023 Apr 17]. Available from: https://www.epa.gov/system/files/documents/2021-09/appendix-d_air-quality.pdf.

  64. Liu J, Clark LP, Bechle MJ, Hajat A, Kim SY, Robinson AL, et al. Disparities in air pollution exposure in the United States by race/ethnicity and income, 1990–2010. Environ Health Perspect. 2021;129(12):127005.

    CAS  PubMed  PubMed Central  Google Scholar 

  65. Collins TW, Grineski SE. Racial/ethnic disparities in short-term PM2.5 air pollution exposures in the United States. Environ Health Perspect. 2022;130(8):87701.

  66. Colmer J, Hardman I, Shimshack J, Voorheis J. Disparities in PM2.5 air pollution in the United States. Science. 2020;369(6503):575–8.

  67. Alexander D, Currie J. Is it who you are or where you live? Residential segregation and racial gaps in childhood asthma. J Health Econ. 2017;55:186–200.

    PubMed  PubMed Central  Google Scholar 

  68. Maantay J. Asthma and air pollution in the Bronx: methodological and data considerations in using GIS for environmental justice and health research. Health Place. 2007;13(1):32–56.

    PubMed  Google Scholar 

  69. Martenies SE, Milando CW, Williams GO, Batterman SA. Disease and health inequalities attributable to air pollutant exposure in Detroit, Michigan. Int J Environ Res Public Health. 2017;14(10).

  70. Zablotsky B, Black LI, Akinbami LJ. Diagnosed allergic conditions in children aged 0–17 years: United States, 2021. NCHS Data Brief. 2023;459:1–8.

    Google Scholar 

  71. Ng AE, Boersma P. Diagnosed allergic conditions in adults: United States, 2021. NCHS Data Brief. 2023;460:1–8.

    Google Scholar 

  72. Mahdavinia M, Fox SR, Smith BM, James C, Palmisano EL, Mohammed A, et al. Racial differences in food allergy phenotype and health care utilization among US children. J Allergy Clin Immunol Pract. 2017;5(2):352–7 e1.

  73. Konsur E, Rigg L, Moore D, Patel M, Batra PS, Mahdavinia M. Race and ethnicity define disparate clinical outcomes in chronic rhinosinusitis. Ann Allergy Asthma Immunol. 2022;129(6):737–41.

    PubMed  Google Scholar 

  74. Kuhar HN, Ganti A, Eggerstedt M, Mahdavinia M, Gattuso P, Ghai R, et al. The impact of race and insurance status on baseline histopathology profile in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2019;9(6):665–73.

    PubMed  Google Scholar 

  75. Levine CG, Casiano RR, Lee DJ, Mantero A, Liu XZ, Palacio AM. Chronic rhinosinusitis disease disparity in the South Florida Hispanic population. Laryngoscope. 2021;131(12):2659–65.

    PubMed  Google Scholar 

  76. Soler ZM, Mace JC, Litvack JR, Smith TL. Chronic rhinosinusitis, race, and ethnicity. Am J Rhinol Allergy. 2012;26(2):110–6.

    PubMed  PubMed Central  Google Scholar 

  77. Duerson W, Lafer M, Ahmed O, Bandler I, Wang B, Lieberman S, et al. Health care disparities in patients undergoing endoscopic sinus surgery for chronic rhinosinusitis: differences in disease presentation and access to care. Ann Otol Rhinol Laryngol. 2019;128(7):608–13.

    PubMed  Google Scholar 

  78. Hrabok M, Delorme A, Agyapong VIO. Threats to mental health and well-being associated with climate change. J Anxiety Disord. 2020;76:102295.

    PubMed  Google Scholar 

  79. Cardoza JE, Gronlund CJ, Schott J, Ziegler T, Stone B, O’Neill MS. Heat-related illness is associated with lack of air conditioning and pre-existing health problems in Detroit, Michigan, USA: a community-based participatory co-analysis of survey data. Int J Environ Res Public Health. 2020;17(16).

  80. Guirguis K, Basu R, Al-Delaimy WK, Benmarhnia T, Clemesha RES, Corcos I, et al. Heat, disparities, and health outcomes in San Diego County’s diverse climate zones. Geohealth. 2018;2(7):212–23.

    PubMed  PubMed Central  Google Scholar 

  81. U.S. Environmental Protection Agency. Climate change and social vulnerability in the United States: a focus on six impacts [cited 2023 Feb 15]. Available from: https://www.epa.gov/system/files/documents/2021-09/climate-vulnerability_september-2021_508.pdf.

  82. Centers for Disease Control and Prevention. CDC Environmental Health Nexus: climate change and human health webinar [cited 2023 Feb 9]. Available from: https://www.cdc.gov/nceh/ehsp/ehnexus/learn/documents/climate-and-health-webinar_april-14-2021-508.pdf.

  83. U.S. Environmental Protection Agency. Climate change and social vulnerability in the United States: a focus on six impacts. Appendix C: inputs and projections [cited 2023 Feb 15]. Available from: https://www.epa.gov/system/files/documents/2021-09/appendix-c_inputs-and-projections.pdf.

  84. Schramm PJ, Cordero A, Protzel-Berman P, McCoy T, Gaines C, Svendsen E, Malilay J, Yip F, Sarisky J, Allwood P, Breysse P. Building a comprehensive approach in CDC’s National Center for Environmental Health to address the health effects of climate change. The Journal of Climate Change and Health. 2021;4:100071.

    Google Scholar 

  85. U.S. Environmental Protection Agency. Wildfire smoke and your patients’ health [cited 2023 Feb 15]. Available from: https://www.epa.gov/wildfire-smoke-course.

  86. The Medical Society Consortium on Climate and Health. For health professionals [cited 2023 Mar 17]. Available from: https://medsocietiesforclimatehealth.org/educate/healthprofessionals/.

  87. Columbia Mailman School of Public Health. Global consortium on climate and health education [cited 2023 Mar 17]. Available from: https://www.publichealth.columbia.edu/research/global-consortium-climate-and-health-education.

  88. Harvard T.H. Chan School of Public Health. Climate MD [cited 2023 Mar 17]. Available from: https://www.hsph.harvard.edu/c-change/research/climate-md/.

  89. U.S. Environmental Protection Agency. AirNow [cited 2023 Feb 9]. Available from: https://www.airnow.gov/.

  90. U.S. Environmental Protection Agency. AirNow Mobile App [cited 2023 Feb 15]. Available from: https://www.airnow.gov/airnow-mobile-app/.

  91. Rosser F, Han YY, Rothenberger SD, Forno E, Mair C, Celedon JC. Air Quality Index and emergency department visits and hospitalizations for childhood asthma. Ann Am Thorac Soc. 2022;19(7):1139–48.

    PubMed  PubMed Central  Google Scholar 

  92. Centers for Disease Control and Prevention. Ready Wrigley prepares for wildfires and smoke [cited 2023 Feb 9]. Available from: https://www.cdc.gov/cpr/readywrigley/documents/CDC_CPR_RW_Prepares-for-Wildfires_FINAL.pdf.

  93. Centers for Disease Control and Prevention. Ready Wrigley, CDC’s preparedness pup, inspires our youngest partners [cited 2023 Feb 15]. Available from: https://www.cdc.gov/cpr/partnerships/readywrigley.htm.

  94. Centers for Disease Control and Prevention. Flooding and mold [cited 2023 Feb 15]. Available from: https://www.cdc.gov/cpr/readywrigley/documents/17_279940_Ready_Wrigley_mold_508_1.pdf.

  95. Centers for Disease Control and Prevention. Listo Calixto se prepara para los incendios forestales y el humo [cited 2023 Feb 15]. Available from: https://www.cdc.gov/cpr/readywrigley/documents/CDC_CPR_RW_Prepares-for-Wildfires_FINAL_esp.pdf.

  96. Centers for Disease Control and Prevention. Las inundaciones y el moho [cited 2023 Feb 15]. Available from: https://www.cdc.gov/cpr/readywrigley/documents/17_279940_Ready_Wrigley_Mold_508_SP_1.pdf.

  97. Senay E, Sarfaty M, Rice MB. Strategies for clinical discussions about climate change. Ann Intern Med. 2021;174(3):417–8.

    PubMed  Google Scholar 

  98. Wellbery CE, Lewandowski A, Holder C. Climate change and the local environment: communicating with your patients about health impacts. Am Fam Physician. 2021;104(5):526–30.

    PubMed  Google Scholar 

  99. Parker CL, Wellbery CE, Mueller M. The changing climate: managing health impacts. Am Fam Physician. 2019;100(10):618–26.

    PubMed  Google Scholar 

  100. Ragavan MI, Marcil LE, Garg A. Climate change as a social determinant of health. Pediatrics. 2020;145(5).

Download references

Acknowledgements

The authors thank Jim Walters (CDC) for his contributions to this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joy Hsu.

Ethics declarations

Conflict of Interest

None

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Disclaimer

The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention (CDC).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kelly, G., Idubor, O.I., Binney, S. et al. The Impact of Climate Change on Asthma and Allergic-Immunologic Disease. Curr Allergy Asthma Rep 23, 453–461 (2023). https://doi.org/10.1007/s11882-023-01093-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11882-023-01093-y

Keywords

Navigation