1
|
Carli T, Locatelli I, Košnik M, Kukec A. The Prevalence of Self-Reported Systemic Allergic Reaction to Hymenoptera Venom in Beekeepers Worldwide: A Systematic Literature Review and Meta-Analysis. Zdr Varst 2024; 63:152-159. [PMID: 38881633 PMCID: PMC11178027 DOI: 10.2478/sjph-2024-0020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 05/19/2024] [Indexed: 06/18/2024] Open
Abstract
Background Beekeepers represent a high-allergic risk population group due to their unavoidable seasonal or persistent exposure to the elicitors of Hymenoptera venom allergy, bees in particular. A systematic literature review and meta-analysis aimed to estimate the prevalence of self-reported systemic allergic reaction to Hymenoptera venom among beekeepers worldwide. Methods We rigorously reviewed and conducted meta-analysis on observational studies retrieved from seven electronic databases (MEDLINE via PubMed, Web of Science Core Collection, Scopus, Academic Search Complete, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature, Zoological Record), spanning data from inception to August 1, 2023. The Joanna Briggs Institute Prevalence Critical Appraisal Tool was employed to assess the risk of bias. A meta-analysis was conducted to synthesize evidence. Results Out of 468 studies, eight original articles met the inclusion criteria. The estimated overall lifetime and one-year prevalence of self-reported systemic allergic reaction to bee venom were 23.7% (95% CI: 7.7-53.4) and 7.3% (95% CI: 5.8-9.2), respectively. The estimated lifetime prevalence of self-reported systemic allergic reaction to bee venom for grades III-IV (severe systemic allergic reaction) was 6.0% (95% CI: 3.0-11.7). In general, substantial heterogeneity and a high risk of bias were observed across the majority of studies. The impact of geographical location and climate differences on the estimated lifetime prevalence is suggestive for severe systemic allergic reaction. Conclusions Future observational cross-sectional studies should employ rigorous study designs, using validated questionnaires, and thoroughly report the observed health outcomes, verified by physicians.
Collapse
Affiliation(s)
- Tanja Carli
- University of Ljubljana, Faculty of Medicine, Vrazov trg 2, 1000 Ljubljana, Slovenia
- National Institute of Public Health, Trubarjeva cesta 2, 1000 Ljubljana, Slovenia
| | - Igor Locatelli
- University of Ljubljana, Department of Biopharmaceutics and Pharmacokinetics, Faculty of Pharmacy, Aškerčeva cesta 7, 1000 Ljubljana
| | - Mitja Košnik
- University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia
- University of Ljubljana, Faculty of Medicine, Chair of Internal Medicine, Zaloška cesta 7, 1000 Ljubljana, Slovenia
| | - Andreja Kukec
- National Institute of Public Health, Trubarjeva cesta 2, 1000 Ljubljana, Slovenia
- University of Ljubljana, Chair of Public Health, Zaloška cesta 4, 1000 Ljubljana, Slovenia
| |
Collapse
|
3
|
Hymenoptera allergy and anaphylaxis: are warmer temperatures changing the impact? Curr Opin Allergy Clin Immunol 2020; 20:438-444. [PMID: 32842036 DOI: 10.1097/aci.0000000000000660] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE OF REVIEW Climate change has brought about many changes in our ecosystem. Prolongation of pollen seasons has been reported, related to earlier frost off in the spring and later onset of frost on in the fall. This review considers recent global evidence that stinging insects are redistributing toward the poles, thereby potentially increasing human exposure and risk of sting events. RECENT FINDINGS With changing climate, particularly climate warming, range expansion of insects is occurring in both the Northern and Southern Hemispheres. Likewise, stinging insects, such as Hymenoptera and Lepidoptera, are also expanding range. Though there is scant data on associated increase of insect-related anaphylaxis, increased insect-human interaction is certain. SUMMARY It is likely that climate change will continue to alter the distribution and population of Hymenoptera and other insects. As temperatures warm and regions become suitable for nesting and establishment of colonies, many insects will expand their territory. As already reported in Alaska, one would anticipate expansion of range, especially toward the poles, thereby increasing the probability of human encounters and likewise anaphylaxis.
Collapse
|
4
|
Senthilkumaran S, Balamurugan N, Karthikeyan N, Thirumalaikolundusubramanian P. Honey Bee Stings: Historical, Clinical, Toxicological, and Environmental Aspects. Am J Med 2020; 133:e321. [PMID: 32532377 DOI: 10.1016/j.amjmed.2020.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 01/21/2020] [Indexed: 11/18/2022]
|
7
|
Patella V, Florio G, Magliacane D, Giuliano A, Crivellaro MA, Di Bartolomeo D, Genovese A, Palmieri M, Postiglione A, Ridolo E, Scaletti C, Ventura MT, Zollo A. Urban air pollution and climate change: "The Decalogue: Allergy Safe Tree" for allergic and respiratory diseases care. Clin Mol Allergy 2018; 16:20. [PMID: 30214380 PMCID: PMC6134633 DOI: 10.1186/s12948-018-0098-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 08/27/2018] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND According to the World Health Organization, air pollution is closely associated with climate change and, in particular, with global warming. In addition to melting of ice and snow, rising sea level, and flooding of coastal areas, global warming is leading to a tropicalization of temperate marine ecosystems. Moreover, the effects of air pollution on airway and lung diseases are well documented as reported by the World Allergy Organization. METHODS Scientific literature was searched for studies investigating the effect of the interaction between air pollution and climate change on allergic and respiratory diseases. RESULTS Since 1990s, a multitude of articles and reviews have been published on this topic, with many studies confirming that the warming of our planet is caused by the "greenhouse effect" as a result of increased emission of "greenhouse" gases. Air pollution is also closely linked to global warming: the emission of hydrocarbon combustion products leads to increased concentrations of biological allergens such as pollens, generating a mixture of these particles called particulate matter (PM). The concept is that global warming is linked to the emission of hydrocarbon combustion products, since both carbon dioxide and heat increase pollen emission into the atmosphere, and all these particles make up PM10. However, the understanding of the mechanisms by which PM affects human health is still limited. Therefore, several studies are trying to determine the causes of global warming. There is also evidence that increased concentrations of air pollutants and pollens can activate inflammatory mediators in the airways. Our Task Force has prepared a Decalogue of rules addressing public administrators, which aims to limit the amount of allergenic pollen in the air without sacrificing public green areas. CONCLUSIONS Several studies underscore the significant risks of global warming on human health due to increasing levels of air pollution. The impact of climate change on respiratory diseases appears well documented. The last decades have seen a rise in the concentrations of pollens and pollutants in the air. This rise parallels the increase in the number of people presenting with allergic symptoms (e.g., allergic rhinitis, conjunctivitis, and asthma), who often require emergency medical care. Our hope is that scientists from different disciplines will work together with institutions, pharmaceutical companies and lay organizations to limit the adverse health effects of air pollution and global warming.
Collapse
Affiliation(s)
- Vincenzo Patella
- Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, “Santa Maria della Speranza” Hospital, Battipaglia, Salerno, Italy
- Postgraduate Program in Allergy and Clinical Immunology–University of Naples Federico II, Naples, Italy
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
| | - Giovanni Florio
- Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, “Santa Maria della Speranza” Hospital, Battipaglia, Salerno, Italy
- Postgraduate Program in Allergy and Clinical Immunology–University of Naples Federico II, Naples, Italy
| | - Diomira Magliacane
- Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, “Santa Maria della Speranza” Hospital, Battipaglia, Salerno, Italy
| | - Ada Giuliano
- Laboratory of Environmental Analysis, Department of Public Health, ASL Salerno, Salerno, Italy
| | - Maria Angiola Crivellaro
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy
| | - Daniela Di Bartolomeo
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Association of International Culture, Athena of Paestum, Capaccio-Paestum, Salerno, Italy
| | - Arturo Genovese
- Postgraduate Program in Allergy and Clinical Immunology–University of Naples Federico II, Naples, Italy
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
| | - Mario Palmieri
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Former Primary of Unit of Pediatry, Hospital of Eboli, Salerno, Italy
| | - Amedeo Postiglione
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- International Court of the Environment Foundation (ICEF), Rome, Italy
| | - Erminia Ridolo
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Cristina Scaletti
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Unit of Internal Medicine, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Maria Teresa Ventura
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Department of Interdisciplinary Medicine, University of Bari, Bari, Italy
| | - Anna Zollo
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Department of Studies and Researches, Movimento Ecologista Europeo FareAmbiente, Rome, Italy
| | - Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC)
- Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, “Santa Maria della Speranza” Hospital, Battipaglia, Salerno, Italy
- Postgraduate Program in Allergy and Clinical Immunology–University of Naples Federico II, Naples, Italy
- Air Pollution and Climate Change Task Force of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), Milan, Italy
- Laboratory of Environmental Analysis, Department of Public Health, ASL Salerno, Salerno, Italy
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy
- Association of International Culture, Athena of Paestum, Capaccio-Paestum, Salerno, Italy
- Former Primary of Unit of Pediatry, Hospital of Eboli, Salerno, Italy
- International Court of the Environment Foundation (ICEF), Rome, Italy
- Department of Medicine and Surgery, University of Parma, Parma, Italy
- Unit of Internal Medicine, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- Department of Interdisciplinary Medicine, University of Bari, Bari, Italy
- Department of Studies and Researches, Movimento Ecologista Europeo FareAmbiente, Rome, Italy
| |
Collapse
|