Sensitization characteristics in allergic rhinitis and transport pathway for Artemisia pollen in northern Beijing, China

The allergenic content of the atmosphere varies according to climate, geography and vegetation. Data on the presence and prevalence of allergenic airborne pollens, obtained from both aerobiological studies and allergological investigations, make it possible to design pollen calendars with the approximate flowering period of the plants in the sampling area. In this way, even though pollen production and dispersal from year to year depend on the patterns of preseason weather and on the conditions prevailing at the time of anthesis, it is usually possible to forecast the chances of encountering high atmospheric allergenic pollen concentrations in different areas. Aerobiological and allergological studies show that the pollen map of Europe is changing also as a result of cultural factors (for example, importation of plants such as birch and cypress for urban parklands), greater international travel (e.g. colonization by ragweed in France, northern Italy, Austria, Hungary etc.) and climate change. In this regard, the higher frequency of weather extremes, like thunderstorms, and increasing episodes of long range transport of allergenic pollen represent new challenges for researchers. Furthermore, in the last few years, experimental data on pollen and subpollen-particles structure, the pathogenetic role of pollen and the interaction between pollen and air pollutants, gave new insights into the mechanisms of respiratory allergic diseases.

The prevalence of sensitization in patients with asthma and rhinitis in mainland China remains unclear. Our aim was to estimate the prevalence of allergy in patients with respiratory allergic diseases such as asthma and/or rhinitis attending respiratory clinics within mainland China. The study also investigated regional and annual differences in the prevalence and pattern of sensitization among the patients in China. A cross-sectional survey was performed in 6304 patients suffering from asthma and/or rhinitis in 17 cities from 4 regions of China. Patients completed a standardized questionnaire asking for the presence of respiratory and allergic symptoms. They also underwent skin prick tests with 13 common aeroallergens. Among the 6304 patients, 4545 (72.1%) had at least one positive skin prick reaction. The overall prevalence of positive skin prick responses was 59.0% for Dermatophagoides farinae, 57.6% for Dermatophagoides pteronyssinus, 40.7% for Blomia tropicalis, 16.1% for American cockroach, 14.0% for dog, 11.5% for Blatella germanica, 11.3% for Artemisia vulgaris, 10.3% for cat, 6.5% for Ambrosia artemisifolia, 6.3% for mixed mould I, 4.4% for mixed mould IV, 3.5% for mixed grass pollen and 2.2% for mixed tree pollen. Sensitizations to common allergens varied widely between geographical areas and demonstrated unique pattern in patients by stratification with age groups, with asthma and/or rhinitis. Severity of rhinitis and asthma was significantly correlated with skin index of reactivity to Artemisia vulgaris, Ambrosia artemisifolia and to D. pteronyssinus, D. farinae and Blomia tropicalis respectively (P < 0.001). Positive reactivity to the tested allergens and concomitant reactivity to multiple allergens including to house dust mites and Blomia tropicalis was markedly increased in patients with both asthma and rhinitis. House dust mites were the most prevalent allergens in patients with asthma and/or rhinitis in China. There were significant differences in patterns of sensitizations in patients from different geographical areas, age groups as well as asthma and/or rhinitis.

This paper considers the feasibility of numerical simulation of large-scale atmospheric transport of allergenic pollen. It is shown that at least small grains, such as birch pollen, can stay in the air for a few days, which leads to a characteristic scale for their transport of approximately 10(3) km. The analytical consideration confirmed the applicability of existing dispersion models to the pollen transport task and provided some reference parameterizations of the key processes, including dry and wet deposition. The results were applied to the Finnish Emergency Dispersion Modelling System (SILAM), which was then used to analyze pollen transport to Finland during spring time in 2002-2004. Solutions of the inverse problems (source apportionment) showed that the main source areas, from which the birch flowering can affect Finnish territory, are the Baltic States, Russia, Germany, Poland, and Sweden-depending on the particular meteorological situation. Actual forecasting of pollen dispersion required a birch forest map of Europe and a unified European model for birch flowering, both of which were nonexistent before this study. A map was compiled from the national forest inventories of Western Europe and satellite images of broadleaf forests. The flowering model was based on the mean climatological dates for the onset of birch forests rather than conditions of any specific year. Utilization of probability forecasting somewhat alleviated the problem, but the development of a European-wide flowering model remains the main obstacle for real-time forecasting of large-scale pollen distribution.