Allergy
Capital
Avoiding Hay fever
and Asthma Triggers

Grass, weed and tree pollen
are the most common trigger of seasonal hay fever. Wattle (far
right photograph) and flowering plants (which are usually insect
pollinated) rarely do so.
Why take medication
when you can avoid the causes of allergy, asthma or hay fever?
Here are a few practical
tips.
Revised 1 February 2003




IMPORTANT The information provided is of a general
nature and should not be used as a substitute for professional
advice. If you think you may suffer from an allergic or other
disease that requires attention, you should discuss it with your
family doctor.
Mold spores
Molds reproduce spores that blow around like pollens. They break
down organic matter (like leaf mulch) into compost. To reduce
exposure:
- Keep the house well ventilated
- Use exhaust fans in the kitchen
- Get rid of obvious indoor mold and remove
indoor pot-plants
- Empty water pans below refrigerators regularly
Grass, weed and tree pollens
Grass pollens blow long distances and
are difficult to avoid. To reduce exposure:
- Wear sunglasses on windy days
- Drive your car with the windows up and air
conditioner on
- Dry your bedding inside or in the dryer during
Spring & Summer to avoid collecting pollen
- Stay inside on high pollen days, and keep
the windows closed
- Wear a mask and sunglasses when you mow the
lawns and have a shower afterwards to remove allergen
Animal allergens
The allergens in animals (animal danders)
are derived from the oily secretions of the skin and sometimes
saliva. That means that even if they do not shed hair, the allergen
becomes attached to dust particles, walls, carpets, and soft furnishings.
The amount of allergen shed will vary from animal to animal,
but the actual allergen is the same. Furthermore, allergen
persists in the environment for many months, even after the animal
is removed. There are no hypoallergenic animals!
Pets should never be in the bedroom,
and are best banned from the house completely. Washing animals
frequently will only partially reduce the amount of allergen that
is shed into the environment. It is important to note that around
50 % of allergic patients will eventually become allergic to any
indoor animal that they live with. The implication is that allergic
patients are best to never buy animals in the first place, because
of the risk of increasing symptoms and need for medication. To
remove allergen from the environment requires you to hot wash
bedding, clean curtains, wash down walls and hard surfaces with
hot soapy water, steam clean carpets and clean out air-conditioning
and heating ducts.
Some animal allergies are dangerous
When animal allergy is severe, serious allergic reactions (such
as acute asthma attacks or even anaphylaxis) can occur. The most
common triggers are cats and horses.. Even minor exposure can
sometimes trigger symptoms. Affected people need to be very cautious
about visiting houses where animals are kept or riding in cars
where animals have travelled. Taking an antihistamine before anticipated
exposure may reduce the severity of mild allergic reactions, but
is unlikely to prevent serious allergic reactions.
House dust mite
Dust mite lives off dead human and
animal skin. The allergen is contained in its droppings or "poo".
It likes warmth and humidity, and particularly the bed.
Simple measures will reduce exposure.
- Vacuuming only removes a small amount of
allergen from carpets, and removes almost no allergen from bedding.
- Hard flooring is better than carpet
- Hot wash linen at around 55 degrees centigrade
to kill the mite
- Having cotton and synthetic bedding will
make it easier to wash and dry the bedding
- Dust Mite covers for pillows and mattresses
and doonas will allow moisture to pass, but not the mite droppings.
These need to be removed and hot-washed every 6-8 weeks
- Recent research suggests that feather/down
doonas (quilts) may not be as bad as previously thought. If the
doona is old, consider having it "renovated" by taking
it to a bedding shop and having the filling removed, cleaned
and replaced.
- Minimize the number of soft toys. Sending
the favorite toy to the freezer overnight will kill the mites.
Dust Mite Covers
There are 3 major brands of dust mite covers on the market in
Australia.
- Allersearch (DAC covers) are available through
pharmacies.
- Mite Guard is available via mail order via
AusPharm, Level 1, 10 James St, Waterloo, NSW 2017, Tel 02-9699
5144 or 1800 688 148.
- AllergEnd Tel 03-9817 7582.
References
- Custovic A et al. Allergen avoidance in the treament of asthma
and atopic disorders. Thorax 1998; 53: 63-72.
- Tovey E. Methods and effectiveness of environmental control.
J Allergy Clin Immunol 1999; 103; 179-191.
- Platts-Mills TAE et al. The role of intervention in established
allergy: Avoidance of indoor allergen in the treatment of chronic
allergic disease. J Allergy Clin Immunol 2000; 106: 787-804.
- Roost HP et al. Role of current and childhood exposure to
cat and atopic sensitization. J Allergy Clin Immunol 1999; 104:
941-7.
