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Allergy Asthma Respir Dis. 2019 Oct;7(4):192-198. Korean.
Published online Oct 30, 2019.  https://doi.org/10.4168/aard.2019.7.4.192
© 2019 The Korean Academy of Pediatric Allergy and Respiratory Disease; The Korean Academy of Asthma, Allergy and Clinical Immunology
A study on the correlation between outbreak of allergic rhinitis and airborne pollen in September
Jong Seok Kim,1 Hye Joo So,2 Jeong Hee Kim,1,2 and Dae Hyun Lim1,2
1Department of Pediatrics, School of Medicine, Inha University, Incheon, Korea.
2Environmental Health Center of Allergic Diseases, Inha University Hospital, Incheon, Korea.

Correspondence to: Dae Hyun Lim. Department of Pediatrics, Inha University Hospital, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea. Tel: +82-32-890-2843, Fax: +82-32-890-2844, Email: dhyunlim@inha.ac.kr
Received Jul 16, 2019; Revised Sep 04, 2019; Accepted Sep 04, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).


Abstract

Purpose

Various studies have investigated factors related to the prevalence of allergic rhinitis (AR). We studied the correlation between the outbreaks of AR and airborne pollen in September.

Methods

According to data from the National Health Insurance Service, the number of AR cases was increased from 2012 to 2016. During the same period, the number of patients with upper respiratory tract infection, respiratory virus detection rate, air pollutants, and concentration of airborne pollen were correlated with the occurrence of AR in correlation analysis.

Results

The number of patients with AR showed increasing biphasic patters in the spring and fall with the peak reached in September (278,487±12,894), while April marked the fifth-highest figure with 241,570±132,677. The concentration of airborne pollen was highest at 4,450 grains/m3 in May, followed by 3,597 grains/m3 in April, marking its peak in the spring. September marked the third-highest level at 1,619 grains/m3. According to the monthly correlation between the number of patients with AR and pollen, Seoul and Daejeon showed correlations of ρ=0.929 (P=0.022) and ρ=0.955 (P=0.011), respectively, in September. There were no significant correlations among AR, air pollutants, and respiratory virus detection rate.

Conclusion

Based on this study, the monthly number of patients with AR was the highest in September. In September, we found the correlation between allergic rhinitis and pollen, although there are regional limitations, regarding outbreaks in the number of patients with AR. Further research and attention are needed to prepare measures against airborne weed pollen during the fall.

Keywords: Allergic rhinitis; Pollen; Environment

Figures


Fig. 1
The number of patients of allergic rhinitis from National Health Insurance Service during 2012–2016. The group of allergic rhinitis patients where the actual treatment was performed show a marked increase in spring and fall, with the highest average prevalence in September.
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Fig. 2
The number of patients of upper respiratory tract infection (URI) from National Health Insurance Service during 2012–2016. The number of URI patients also shows a biphasic pattern, which increases the rate in spring and winter and the lowest in summer. Compared to allergic rhinitis, the largest number of patients is in March.
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Fig. 3
The monthly air pollutants concentration during 2012–2016. The peak monthly concentration of air pollutants was different from allergic rhinitis (AR) and was not correlated with AR.
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Fig. 4
The airborne pollen concentration during 2012–2016. The monthly concentration of airborne pollen counts consisting of trees, grasses, weeds reached a peak in April and May, and then again increased in September.
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Fig. 5
The respiratory virus detection rate during 2012–2016. The detection rate of respiratory viruses was the highest in February. It was the lowest in August and the second lowest in September.
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Notes

This research was supported by the Ministry of Environment.

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