J Allergy Clin Immunol Pract. 2013 Mar;1(2):137-41. doi: 10.1016/j.jaip.2012.07.002.
Climate change is a constant and ongoing process. It is postulated that human activities have reached a point at which we are producing global climate change. It provides suggestions to help the allergist/environmental physician integrate recommendations about improvements in outdoor and indoor air quality and the likely response to predicted alterations in the earth's environment into his or her patient's treatment plan. It incorporates references retrieved from Pub Med searches for topics, including:climate change, global warming, global climate change, greenhouse gasses, air pollution, particulates, black carbon, soot and sea level, as well as references contributed by the individual authors. Many changes that affect respiratory disease are anticipated.Examples of responses to climate change include energy reduction retrofits in homes that could potentially affect exposure to allergens and irritants, more hot sunny days that increase ozone-related difficulties, and rises in sea level or altered rainfall patterns that increase exposure to damp indoor environments.Climate changes can also affect ecosystems, manifested as the appearance of stinging and biting arthropods in new areas.Higher ambient carbon dioxide concentrations, warmer temperatures, and changes in floristic zones could potentially increase exposure to ragweed and other outdoor allergens,whereas green practices such as composting can increase allergen and irritant exposure. Finally, increased energy costs may resultin urban crowding and human source pollution, leading to changes in patterns of infectious respiratory illnesses. Improved governmental controls on airborne pollutants could lead to cleaner air and reduced respiratory diseases but will meet strong opposition because of their effect on business productivity. The allergy community must therefore adapt, as physician and research scientists always have, by anticipating the needs of patients and by adopting practices and research methods to meet changing environmental conditions.
气候变化是一个持续不断的过程。据推测，人类活动已经达到了一个临界点，我们正在引发全球气候变化。本文提供了一些建议，帮助过敏症专家/环境医师将改善室外和室内空气质量的建议以及对地球环境变化的可能反应纳入患者的治疗计划中。本文纳入了从 Pub Med 检索到的主题参考文献，包括：气候变化、全球变暖、全球气候变化、温室气体、空气污染、颗粒物、黑碳、烟尘和海平面，以及各位作者提供的参考文献。许多影响呼吸道疾病的变化都在预期之中。气候变化的应对措施包括对家庭进行节能改造，这可能会影响过敏原和刺激物的暴露；更多炎热晴朗的天气会增加与臭氧相关的困难；海平面上升或降雨模式改变会增加对潮湿室内环境的暴露。气候变化还会影响生态系统，表现为刺虫和叮咬节肢动物出现在新的地区。环境中二氧化碳浓度升高、气温升高和植物区系变化可能会增加豚草和其他室外过敏原的暴露，而堆肥等绿色实践则会增加过敏原和刺激物的暴露。最后，能源成本的增加可能导致城市拥挤和人为污染源增加，从而改变传染性呼吸道疾病的模式。对空气污染物的更好的政府控制可能会导致空气更清洁和呼吸道疾病减少，但会因对企业生产力的影响而遭到强烈反对。因此，过敏症社区必须像医生和研究科学家一样适应，预测患者的需求，并采用实践和研究方法来应对不断变化的环境条件。
