Your pollen allergies are overwhelming? This might be why | CNN

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Pollen has exploded to eye-watering levels this spring in some parts of the country after warm weather pushed plants out of their winter slumber much earlier than normal.

In Atlanta, the pollen count sky rocketed to “extremely high” in early March and stayed high through much of April, according to the Atlanta Allergy and Asthma physicians practice. Farther north in Washington, DC, allergy sufferers have been dreading the lime-green film of pollen covering that covers windshields and porches and piles up on streets and sidewalks.

But these aren’t isolated trends. As the planet warms, researchers say allergy season is starting earlier and lasting longer. And a study from the journal Nature published last year found that pollen count is projected to increase by 200% by the end of the century if planet-warming pollution continues to rise.

Climate Central, a nonprofit focused on climate news and research, recently analyzed how warmer temperatures have affected allergy season in 203 US cities since 1970.

It found that on average, the growing season – the period between the last freeze in spring to the first freeze of fall – is lasting 16 days longer in the Southeast, 15 days longer in the Northeast and 14 days longer in the South.

In the West, growing season is 27 days longer on average, Climate Central reported. Reno, Nevada, for example, has seen a shocking increase of 99 days.

And a longer growing season means a longer allergy season.

“Because of climate change, we’re now seeing an earlier and longer growing season for plants, which of course make pollen, which is the enemy of many Americans that suffer from pollen allergies – and mold allergies as well,” Lauren Casey, a meteorologist with Climate Central, told CNN. “Pollen can also trigger an asthma attack, which of course is much more serious for people that suffer from asthma.”

When plants reproduce, typically during the spring, many release tiny pollen grains that are carried by wind. The pollen grains are small enough to be inhaled, and some people’s immune systems react very poorly to the miniscule particles.

More than 24 million people in the US have pollen-induced respiratory allergies like hay fever, according to the Centers for Disease Control and Prevention. The center’s data shows that more than one in four adults suffered from seasonal allergies in 2021.

Growing season has lengthened by 34 days in Atlanta, according to a Climate Central analysis.

Growing season has lengthened by 20 days in Washington, DC, according to a Climate Central analysis.

A longer and earlier start to pollen season could trigger a public health emergency, researchers say. As temperatures get warmer in the South and drought plagues the Southwest, pollen from plants like ragweed or poaceae – a plant that typically grows in grasslands or salt-marshes – is projected to be higher across those regions than in the North.

Wind-driven pollen, which plays an important role in plant fertilization, is closely tied to temperature and precipitation changes. So, as spring seasons get warmer earlier due to climate change, plants could pollinate much earlier and for a longer period of time than they currently do.

Plant pollen isn’t the only trigger of seasonal allergies. Mold, a type of fungi that reproduces with tiny airborne spores, can also be allergenic for some people and can exacerbate seasonal allergies, according to the report.

While outdoor mold is not as well-studied as pollen, according to the report, one thing is clear: Warmer and wetter weather – conditions that many locations are seeing more of amid the climate crisis – is favorable for mold development.

“With climate change, we’re seeing increases in warming in all seasons, but particularly the fastest warming season for most locations across the US is the winter season,” Casey said. “So now we’re dealing with mold at a time of year that we typically wouldn’t.”

Casey also pointed out that the climate crisis is making extreme precipitation more likely, which provides that crucial dampness for mold to grow. The report highlights the link between allergens and thunderstorms, which researchers say spread pollen and mold spores through the air more efficiently.

“The problem with pollen grains is that when they get wet, they rupture, and they break into tinier bits called sub-pollen particles,” Casey said. “Those tinier bits are more easily dispersed by the wind when they dry out, and they have an easier time getting into your nasal passages.”

Oak trees are pumping out pollen in the Southeast, contributing to extremely high levels early in the season.

Dr. Mitchell Grayson, chair of the Asthma and Allergy Foundation of America’s Medical Scientific Council and chief of the division of allergy and immunology at Nationwide Children’s Hospital, said he has seen pollen allergies arrive earlier than usual.

“In general, we may be seeing people a little earlier in the spring with symptoms – so mid-February from what might have been early March in the past – but there is significant year-to-year variability in this,” he told CNN. “I haven’t seen worse symptoms, but I’m in a hospital that provides specialist care, and we do see people with all ranges of severity.”

The treatment of allergies won’t change even as the season gets longer, Grayson said. But it’s important to be aware of what you’re allergic to and know where these triggers are in the environment.

Experts recommend:

  • Staying indoors, especially early in the morning or late in the afternoon, when most plants release pollen.
  • Wear masks outdoors when possible to mitigate the effects, Amiji said.
  • Keeping windows closed in your home and car to minimize your exposure to pollen particles.
  • Changing air filters more frequently for your A/C and heating systems in your home and car, according to the manufacturer’s instructions.
  • Preparing early by stocking up on anti-allergy medications. If you use a steroid nasal spray, Grayson said it’s important to start using it one to two weeks before your allergy season and to continue through the full season.

Casey, the meteorologist, also noted that allergy season could be a financial burden on low-income families, especially those whose members have asthma, due to the “billions of dollars spent a year on the medical costs of asthma and allergies.”

She said awareness is key, especially as the world pumps more carbon pollution into the atmosphere, which could worsen allergy seasons.

“You know your own body and are aware of what a typical year is going to look like for you, especially if you’re an allergy sufferer,” she said. “But that whole paradigm is changing with this increase in the growing season, so having awareness that you may be suffering now and going forward in times of the year when you typically wouldn’t, so be prepared for that in your daily life.”



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Should I Get Allergy Shots?

What Are Allergy Shots?

You probably take something to ease your seasonal allergy symptoms. Maybe you’re using more and more medicine over time, or it’s not working that well. You may be thinking about switching to immunotherapy to see if that helps more.

Immunotherapy for allergies exposes you to a tiny amount of your allergy trigger so that over time, your body learns to handle it better. This can make a big difference in your allergy symptoms. 

“A lot of patients now are looking for more natural treatment options and minimizing the amount of medications they’re needing,” says Kara Wada, MD, an assistant professor of allergy and immunology at the Ohio State University Wexner Medical Center.

If you’ve got asthma, it must be under good control before you start this type of treatment because exposure to your allergy trigger has the potential to cause a flare-up.

Allergy shots are one form of immunotherapy for allergies. You get the shots in a doctor’s office. They can make a big difference and may even get rid of your symptoms. But it may take years for them to take full effect.

Sublingual immunotherapy is another form. It uses tablets. (“Sublingual” means that the medicine goes under your tongue.) Sublingual treatments haven’t been studied as much as allergy shots. They haven’t been shown to work as well as allergy shots. But if you’re up for the commitment of taking the medicine day in, day out, as prescribed, it might be an option to explore for the specific allergies it targets.

If you’re interested in allergy shots or sublingual immunotherapy, you first need to visit your allergist and get tested to pinpoint exactly what you’re allergic to, if you haven’t done this already.

How Often Do You Get Allergy Shots?

With allergy shots, your allergist creates a shot formulation that’s based on your test results. You’ll need to get a shot from your allergist once or twice a week for 3-6 months. You’ll get the shot in your upper arm. It’ll contain a tiny amount of the thing you’re allergic to — pollen, pet dander, mold, dust mites, or bee venom, for example.

Each week, your doctor will raise the amount of allergens in the shot until you reach a maintenance dose. Your doctor might recommend that you take an antihistamine before you get each treatment.

Once you reach the maintenance dose, you can usually cut back on your visits (and shots) to every 2-4 weeks, a schedule you keep for 3-5 years or until your symptoms improve. “There seems to be some point within that window when the immune response changes,” Wada says.

You’ll need to wait in your allergist’s office for about half an hour after each allergy shot to make sure you don’t have a serious reaction.

With sublingual immunotherapy, your treatment will probably start 12-16 weeks before pollen season begins and last through pollen season. You take the first dose in the allergist’s office and the rest at home.

How Soon Do Allergy Shots Help My Symptoms?

The most obvious drawback for allergy shots is the time commitment. You must stick to a weekly schedule of allergist visits for months, and it could be years of monthly follow-ups before you see significant improvement.

That said, symptoms generally start to improve within the first year of treatment and often continue to get better during the second year. By the third to fifth year, most people are free of allergy symptoms and may be able to stop getting shots.

If your symptoms don’t improve after a year of shots, talk with your doctor about other treatment options.

Allergy Shots Side Effects

Aside from time, there’s the potential for a reaction to the treatment, since it has small amounts of the things you’re allergic to. For instance, you may have redness or swelling around the injection site if you get a shot, or you may have other symptoms.

“Sometimes, patients report an increase in nose or eye symptoms, such as stuffy nose, runny nose, or itchy eyes,” says allergy immunologist Kathleen Dass, MD, of the Michigan Allergy, Asthma & Immunology Center. 

It’s rare, but it’s also possible to have anaphylaxis, which is a severe allergic reaction involving hives, swelling, trouble breathing, dizziness, and loss of consciousness. That’s why you need to get the treatment in your allergist’s office and wait there for a while after each shot, Dass says.

Sublingual immunotherapy treatments often cause mouth and throat irritation, Wada says. But they’re less likely to lead to anaphylaxis, research shows. 

Does Insurance Cover Allergy Shots?

Allergy shots can be expensive, but they’re generally covered by insurance. Check your plan. If you have a high-deductible health plan, you may have to pay out of pocket until you hit your deductible each year.

If you’re thinking about sublingual treatment, you can get it only for allergies to ragweed, certain grasses, and dust mites. So if you’re having reactions to a different type of allergen, it’s not an option.

How Well Do Allergy Shots Work?

If you stick with allergy shots long enough, there’s a good chance you’ll see improvement or even an end to your allergy symptoms. About 85% of people with hay fever who get this type of treatment say their allergy symptoms get better.

“That’s one of the things I find pretty neat as an allergist,” Wada says. “Typically, a lot of the treatments we have are geared toward treating the symptoms. This is one of the few things we have toward the root of the problem.”

How Should I Prepare for Allergy Shots?

You may want to avoid exercise or doing anything strenuous for 2 hours before and after your appointment. Exercise boosts blood flow to the tissues and may cause the allergens to spread throughout your body faster. It’s not likely to cause a serious problem, but it’s best to be safe.

Tell your doctor about any other medicines or herbs and supplements you take. Some medications interfere with the treatment or raise the risk of side effects. You may need to stop allergy shots if you take these medications.

If you’re pregnant or planning to get pregnant, ask your doctor whether you should continue to get allergy shots.

What Should I Expect After Getting Allergy Shots?

Usually, you’ll stay at the doctor’s office for about 30 minutes after you get an allergy shot. That’s to make sure you don’t get side effects like itchy eyes, shortness of breath, a runny nose, or a tight throat. If you get these symptoms after you leave, go back to your doctor’s office or to the nearest emergency room.

Redness, swelling, or irritation right around the site of the injection is normal. These symptoms should go away in 4 to 8 hours.

When Should I Call My Doctor?

Get on the phone and go to the nearest emergency room if you have shortness of breath, a tight throat, or any other symptoms that worry you after getting your shot.

Who Should Not Get Allergy Shots?

They may be more risky for people with heart or lung disease, or who take certain medications. Tell your allergist about your health and any medicines you take, so you can decide if allergy shots are a good option for you.

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