Influence of air pollution on extrinsic childhood asthma.

A crossed comparative study was done with 248 extrinsic asthmatic children living either in polluted or non-polluted areas (mean emission per year of sedimentary material greater than or less than 300 mg/m2/day, respectively) to establish the influence of air pollution on childhood extrinsic asthma. The mean number of wheezing crises per year was significantly higher for the children living in polluted areas (10.4 versus 7.69). In addition, incidence of severe asthma (types II, III, and IV) in children living in polluted areas was markedly increased whereas the slight form of asthma (type I) was more frequent in children living in non-polluted areas. No correlation, however, between the wheezing episodes and levels of atmospheric contaminants (fumes and SO2) was detected when a group of 84 extrinsic asthmatic children living in polluted areas was studied longitudinally for a year. The data indicate that air pollution, as an isolated agent, plays a transient role in the appearance of wheezing episodes in subjects with extrinsic asthma. Results also suggest that the air pollution may potentiate wheezing episodes via alternative mechanisms.

Serum levels of total IgE in non-allergic children. Influence of genetic and environmental factors.

The purpose of this study was to establish the range of total serum IgE in a healthy population lacking personal and family history of allergy, as well as the influence of genetic factors (family history of allergy), environmental factors (degree of air pollution), age, and sex on the serum IgE levels. Using a commercial enzyme immunoassay (Phadezym IgE Prist) the mean serum level of IgE was determined in 363 non-atopic children from 0 to 12 years of age. The geometric mean of serum IgE increased according to age, indicating a positive correlation between both. Higher mean values of serum IgE were found for children with a family history of allergy, than for children without (27.82 and 14.49 U/ml respectively). The percentage of variation due to age was about 94.5% in children with no family history of allergy. The mean value of serum IgE increased with the degree of air pollution in the living area (15.49 U/ml in non-polluted areas, 20.78 U/ml in very polluted areas). However, the influence of air pollution was smaller than the influence of family history on the mean values of serum IgE. The mean value of serum IgE was not modified by sex.