Thunderstorm asthma: an overview of the evidence base and implications for public health advice

被引:47
作者
Dabrera, G. [1 ]
Murray, V. [1 ,2 ]
Emberlin, J. [3 ]
Ayres, J. G. [4 ]
Collier, C. [5 ]
Clewlow, Y. [6 ]
Sachon, P. [6 ]
机构
[1] Hlth Protect Agcy, Extreme Events & Hlth Protect Sect, Ctr Radiat Chem & Environm Hazards, London SW1W 9SZ, England
[2] Hlth Protect Agcy, WHO Collaborating Ctr Mass Gatherings & High Visi, London SW1W 9SZ, England
[3] Meigh Mawbridge & Co, PollenUK, Malvern WR14 1UQ, Worcs, England
[4] Univ Birmingham, Inst Occupat & Environm Med, Birmingham B15 2TT, W Midlands, England
[5] Univ Leeds, Natl Ctr Atmospher Sci, Leeds LS2 9JT, W Yorkshire, England
[6] Met Off, Hlth Team, Exeter EX1 3PB, Devon, England
关键词
GRASS-POLLEN; FUNGAL SPORES; EPIDEMIC; ADMISSIONS; ENGLAND;
D O I
10.1093/qjmed/hcs234
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thunderstorm asthma is a term used to describe an observed increase in acute bronchospasm cases following the occurrence of thunderstorms in the local vicinity. The roles of accompanying meteorological features and aeroallergens, such as pollen grains and fungal spores, have been studied in an effort to explain why thunderstorm asthma does not accompany all thunderstorms. Despite published evidence being limited and highly variable in quality due to thunderstorm asthma being a rare event, this article reviews this evidence in relation to the role of aeroallergens, meteorological features and the impact of thunderstorm asthma on health services. This review has found that several thunderstorm asthma events have had significant impacts on individuals' health and health services with a range of different aeroallergens identified. This review also makes recommendations for future public health advice relating to thunderstorm asthma on the basis of this identified evidence.
引用
收藏
页码:207 / 217
页数:11
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