Ziska Lewis H
Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Allergy Asthma Immunol Res. 2020 Sep;12(5):771-782. doi: 10.4168/aair.2020.12.5.771.
There are a number of implications of climate change in regard to human health. Among these, the role of rising carbon dioxide (CO₂) and temperature in aeroallergen exposure and associated changes in the start, duration and intensity of the pollen season, and associated consequences in aeroallergens and allergic disease are a primary concern. This review is intended to provide a synopsis of CO₂ and climate factors associated with likely changes in aeroallergen biology (indoor and outdoor), including changes in the demography of flowering plants, pollen seasonality, aeroallergen production, and potential biotic and abiotic interactions. These factors, in turn, are compared to clinical trials that have linked aeroallergens to allergic disease and associated health impacts. Finally, suggestions to address unmet needs and critical knowledge gaps are offered. Such recommendations are not meant to be inclusive, but to serve as a spur for the additional research and resources that will be necessary to acquire a better understanding of climate change, CO₂, aeroallergens and associated allergic diseases. Such resources will be critical to derive time-relevant scientific and policy solutions that will minimize public health consequences in a changing climate.
气候变化对人类健康有诸多影响。其中,二氧化碳(CO₂)浓度上升和气温升高在空气过敏原暴露方面的作用,以及花粉季节开始时间、持续时间和强度的相关变化,以及空气过敏原和过敏性疾病的相关后果是主要关注点。本综述旨在概述与空气过敏原生物学(室内和室外)可能变化相关的CO₂和气候因素,包括开花植物种群变化、花粉季节性、空气过敏原产生以及潜在的生物和非生物相互作用。反过来,将这些因素与将空气过敏原与过敏性疾病及相关健康影响联系起来的临床试验进行比较。最后,针对未满足的需求和关键知识空白提出了建议。这些建议并非包罗万象,而是旨在刺激开展更多研究并投入更多资源,以便更好地理解气候变化、CO₂、空气过敏原及相关过敏性疾病。此类资源对于得出与时间相关的科学和政策解决方案至关重要,这些解决方案将在不断变化的气候中尽量减少对公众健康的影响。