Air Pollution and Allergic Airway Diseases: Social Determinantsand Sustainability in the Control and Prevention
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Air pollution, global warming and climate change are the major contributing factors in causing the increase prevalence of allergic airway diseases like asthma and allergic rhinitis and they will be the defining issues for health system in the twenty-first century. Asthma is an early onset non-communicable environmental disease with global epidemic and contributes a greatest psycho socio economic burden. Nearly 8 million global deaths are from air pollution. Over one billion population are the sufferers during 2015 and will increase to 4 billion by 2050. Air pollution not only triggers the asthma episodes but also changes the genetic pattern in initiating the disease process. Over the years our concept of management of allergic airway disease has changed from control of symptoms to prevention of the disease. To achieve this we need positive development on clean air policies with standard norms, tracking progress, monitoring and evaluation, partnership and conventions with local and global authorities. We do have challenges to overcome like rapid urbanization, lack of multisectorial policy making, lack of finance for research and development and lack of monitoring exposure to health burden from air pollution. We need to prioritize our strategy by sustainable, safe, human settlement, cities, sustainable energy, industrialization, and research. The measures to be adopted are highlighted in this review article. With effective measures by all stake holders we can reduce air pollution and prevent the global warming by 2030, along with 194 countries as adopted by WHO in May 2015.
KeywordsAsthma Allergic rhinitis Air pollution Climate change and prevention Global warming
Compliance with Ethical Standards
Conflict of Interest
- 1.Reducing Global Health Risks Through Mitigation of Short-Lived Climate Pollutants- Scoping Report for Policy Makers. W.H.O 2015. Available at http://www.who.int./ISBN - 978 924 1565080.
- 2.Paramesh H. Scenario of respiratory ailments in children with particular reference to asthma in Bangalore. In: Agashe SN, editor. Recent trends in aerobiology, allergy and immunology. New Delhi: Oxford and IBH; 1994. p. 207–16.Google Scholar
- 4.Etzel RA, Balk SJ. Pediatric Environmental Health. 2nd ed. Elk Grow Village: USAAAP; 2003. p. 721.Google Scholar
- 5.Paramesh H, Agashe D, Paramesh EC. (H P Foundation) State of Environmental Report and Action Plan - 2003, Department of Forest, Ecology and Environment, Government of Karnataka. World Banak Project, vol. 217–226. Bangalore: Abhiman Publication; 2004. p. 76–8.Google Scholar
- 6.National Commission on Macroeconomics and Health, Burden of Diseases in India. Background papers. New Delhi: Govt. of India; 2005. p. 251–8.Google Scholar
- 7.Nongkynrih B, et al. JAPI 2004;52:118–23.Google Scholar
- 9.Paramesh H. Outdoor and indoor air pollution on respiratory health. In: Shankar PS, editor. Advances in Respiratory Medicine, Academy in Respiratory Medicine. 2013. p. 1–10.Google Scholar
- 10.Paramesh H. Asthma and environment. Indian J Pediatr. 2006;73:S51–5.Google Scholar
- 15.Sanofi India United Airways Disease Expert Conclave. Printed Sanofi House CTS No. 117-B, L&T Business Park, Saki Vihar Road, Powai, Mumbai – 400072, SAINFEX 16/10/1281. 2016.Google Scholar
- 16.Paramesh H, Sukumaran TU, Nagaraju K, Ahmed A, Vijayasekaran D, Raman EV. Allergic rhinitis and comorbidities training module (ARCTM). IAP Allergic Immunology Chapter. 2011.Google Scholar
- 17.Paramesh H, Sukumaran TU, Jayakumar C, et al. Sleep training module. Johnson and Johnson and Central India Academy of Pediatrics. 2012.Google Scholar
- 18.The Visual Guide to Understanding Climate and Environment. Mauna Loa Observatory, Carbon Dioxide, Information Analysis Center. Earth system Research Laboratory-2007. MCT.Google Scholar
- 19.Matricardi PM. Charite1 Medical University Berlin. The Allergy Epidemic. Global Atlas of Allergy – 2014 Published by European Academy of Allergy Clinical Immunology. Available at: www.eaaci.org.
- 20.Dash SK, Hunt JCR. Variability of climate change in India. Curr Sci. 2007;93:782–8.Google Scholar
- 21.Statistics Related to Climate Change in India. Ministry of Statistics and Programme implementation. November 2013.Google Scholar
- 26.Paramesh H, Cherian E. Pediatrics allergies. In: Shaik WA, editor. Epidemiology and management principles and practice of tropical allergy and asthma. Mumbai: Vikas Medical Publishers; 2006. p. 603–14.Google Scholar
- 27.Body Burden. Down to earth. 2015;94–106.Google Scholar
- 28.Paramesh H. Environment and child health. In: Parthasarathy A, editor. IAP textbook of pediatric pulmonology. 6th ed. New Delhi: Jaypee; 2016. p. 1183–9.Google Scholar
- 29.Chiu AM, Paramesh H. Allergy. In: Marcdante KJ, Kliegman RM, Mishra OP, Prabhu SS, Singh S, editors. Nelson essentials of pediatrics. Section 14. First South Asia edition. India: Elsevier; 2016. p. 266–83.Google Scholar
- 31.Paramesh H. The unmet challenges in child health environment. New Indian J Pediatr. 2014;3:115–22.Google Scholar
- 33.Baena-Cagranic, Maharashur A, Jawad J, et al. Unmet needs of allergic rhinitis (ISMAR-2 study) WISC 2014 6–9 Dec Rio-de-Janiero Poster no 2034.Google Scholar
- 34.Strong Future Forecast for Renewable Energy, April 2015. Available at: www.scientificamerica.com. Accessed 19 Sep 2017.
- 35.The self-driving concept electronic wonders give you a peek into the future mobility. Technic Times of India Feb-2, 2017.Google Scholar
- 36.Tesla’s Mission is to Accelerate the World’s Transition to Sustainable Energy, 2014. Available at: https://www.tesla.com. Accessed 19 Sep 2017.
- 37.Jacobson MZ, Delucchi MA. A plan to power 100% of the planet with renewables, http://www.scientificamerican.com/article/a-path-to-sustainable-energy-by-2030/. Accessed 19 Sep 2017.
- 39.Behera D, Jindal SK. Effect of yogic exercises on bronchial asthma. Lung India. 1990;4:187–9.Google Scholar
- 40.Murthy KJR, Sahay BK, Staram Raju P, et al. Effect of Pranayam on Asthma. Lung India. 1984;2:187–91.Google Scholar
- 43.Bloom DE, Cafiero ET, Jane-Llopis E, Abrahams – Gessel S, Bloom L.R. FathimaS, et al. The global economic burden of non-communicable diseases; January 2012; PGDA Working Paper No 87. Available at: http://www.hsph.harvard.edu/pgda/working.hmt. Accessed 30 Sep 2017.
- 44.Paramesh H, Island PE. Health Promotion Declaration –Charlottetown, Canada: Health Promotion for Sustainable Development. Alliance for Health Promotion Geneva: NIJP Guest Editorial 2016;5.4:180–2.Google Scholar