A new study published yesterday in The Lancet Respiratory Medicine journal concluded that Vitamin D shows promise as a safe and effective treatment for asthma.
The Asthma Center’s Dr. Marc Goldstein reviews this groundbreaking research and what it means for you.
The “Sunshine Vitamin” – Vitamin D
Vitamin D, also known as the “sunshine vitamin” because the sun stimulates the skin to make vitamin D, has been known for years to be important in bone health. Vitamin D is actually a fat-soluble hormone. In addition to Vitamin D receptors on cells in bones and in the small bowel which help with calcium absorption, it turns out that most human cells have Vitamin D receptors. This makes many cell types and tissues vulnerable to the effects of Vitamin D.
The potential beneficial effects of Vitamin D on the immune system are so important that thousands of studies have been conducted on more than 100 different medical disorders from asthma, allergic rhinitis, chronic obstructive pulmonary disease (COPD), cancer, diabetes to multiple sclerosis and depression.
Study Highlights: Promising New Asthma Treatment
The most recent study related to asthma was published October 3, 2017 in The Lancet Respiratory Medicine journal. The study was a review of 7 randomized controlled studies involving 955 subjects with asthma on standard conventional treatments. The study looked at the effect of taking Vitamin D supplements on asthma severity. Three important results were reported from this new research:
People with asthma who took Vitamin D supplements as part of their asthma treatment plan were 50% less likely to go to the emergency room or be admitted to the hospital for asthma flares than those who did not take Vitamin D supplements.
Taking Vitamin D was linked with needing less glucocorticosteroids following an asthma attack (either injection or tablet form).
Patients whose Vitamin D levels were “low” at the beginning of the study experienced the greatest benefit from taking Vitamin D supplements. For these patients, their use of glucocorticosteroids with asthma flares decreased by more than half (55%).
Vitamin D For Asthma Patients
Previous research has demonstrated that low Vitamin D levels in asthma patients are associated with
impaired lung function
increased airways hyperreactivity, and
reduced response to glucocorticosteroids.
Low Vitamin D levels in utero and/or early on in life has been associated with increased risk of developing asthma.
If these new conclusions are reproduced in larger studies, Vitamin D may be an inexpensive and safe over-the-counter (OTC) supplement that may improve asthma severity, improve treatment responsiveness and reduce asthma exacerbations.
Questions to Ask Your Asthma Specialist
Here are a set of questions that we recommend that you discuss with your asthma specialist:
Could Vitamin D deficiency be playing a role in your symptoms of coughing, wheezing, shortness of breath and/or flares of asthma?
Should you be tested for Vitamin D deficiency?
Should you take Vitamin D supplements (are you a candidate to try this new treatment approach)?
What are the best choices for treatment with Vitamin D supplements?
The Asthma Center
The board-certified physicians at The Asthma Center are Delaware Valley’s leading experts on treating patients with asthma. With advanced in-office diagnostics, our asthma specialists are trained to correctly diagnosis and treat symptoms that otherwise limit comfort and health. Working with each patient individually, our asthma specialists can create a personalized asthma treatment plan to propel our patients forward.
The board-certified asthma specialists at The Asthma Center treat patients in 9 convenient locations throughout the Delaware Valley.
For questions or media inquiries, please email Gaille at gwoodlyn@asthmacenter.com. The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
The Asthma Center physicians and staff get flu shots too! In the above picture taken in The Asthma Center’s Woodbury, NJ office, Clinical Supervisor Sandy Richards, RN administers the quadrivalent flu shot to Medical Secretary Michelle Wood! (Courtesy: staffer Shannon Cephas, LPN)
Flu Season 2017 is Here
According to the Centers for Disease Control and Prevention, flu shots are recommended for everyone 6 months and older. The flu vaccine is one of the most important steps you can take to prevent getting the flu. With several different flu vaccines available, here’s a guide to which option is best for you.
Flu FAQ: Not All Flu Shots are Created Equal
Four is Better Than Three(for everyone under age 65)
The Asthma Center highly recommends the quadrivalent (4 strain) influenza vaccine for all patients under the age of 65 years. The quadrivalent vaccine contains the four most common types of the influenza virus versus only three types in the older trivalent (3 strain) vaccine and provides the most complete protection for this age group against the flu this winter.
Three with Extra Power (for everyone age 65 and older)
The Asthma Center highly recommends the high potency trivalent (3 strain – high potency) influenza vaccine for all patients 65 years and older . This is the vaccine administered by our practice because it provides the most complete flu protection for this age group. Note that this is superior to the standard trivalent vaccine.
Buyer Beware – Not All Flu Shots Are The Same
Many local pharmacies and other medical facilities have continued to administer the inferior (less expensive) trivalent influenza vaccine when a patient asks for a “flu shot”. Be sure to ask for the quadrivalent formulation or the high potency trivalent.
What Parents Need to Know
Children are a particularly vulnerable group when it comes to the flu. The Centers for Disease Control and Prevention (CDC) recommends that everyone 6 months and older get the flu shot every flu season.
What about Nasal Spray Flu Vaccines?
Though it is FDA approved, the CDC is not recommending the FDA approved nasal spray vaccine (FluMist) this year because of concerns about how well it works. For the 2017-2018 flu season, the CDC only recommend injectable flu shots!
What if My Child is Afraid of Needles?
The Asthma Center physicians and staff have years of experience in providing the best care including vaccines, allergy shots, and allergy skin testing to children of all ages, including those who are afraid of needles. We know that no two individuals are alike, and we take pride in tailoring and providing personalized care in a safe, comfortable, and compassionate environment.
Experience & Customized Care
At The Asthma Center, we personalize your experience by choosing the form of the influenza vaccine that is right for you – multiple doses for young children (if necessary), preservative-free for those with preservative sensitivities, high-dose for those over 65 years of age and the quadrivalent vaccine for those not requiring alternative formulations. And, most importantly, we are there for you in the unlikely event you experience an adverse reaction to the vaccine.
Did you know that you should wait for 30 minutes after administration of any vaccine so that if an immediate severe reaction (anaphylaxis) occurs, you can be immediately treated?
Can You Have a Reaction to the Flu Shot?
Unlikely, but yes!
At The Asthma Center, our board-certified allergists and highly trained staff are well equipped to handle adverse reactions. All of our physicians and staff are trained to recognize and treat reactions to any vaccine, including the flu shot.
The Asthma Center Flu Shots are Available for Everyone
The Asthma Center provides flu shots available for everyone aged 6 months and older, not just current patients.
For questions regarding flu shots, please email Gaille at gwoodlyn@asthmacenter.com. The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
Coughing, wheezing, shortness of breath or chest tightness while exercising or after? These are all typical symptoms of exercise-induced or sports asthma.
Vigorous exercise is one of the most common causes of bronchospasm (difficulty breathing) that can affect individuals of any age and fitness level. Factors contributing to exercise-induced asthma include the intensity of activity, control of underlying chronic asthma, environmental temperature & humidity, and even local air pollution. Though present in adults, sports asthma is most frequently diagnosed in children and young adults, who are more likely to engage in strenuous activity.
Interestingly, the type of exercise directly affects the intensity and duration of an exercised-induced asthma episode. Sustained hyperpnea (deep, rapid breathing during intense, prolonged aerobic activity) – often experienced while running – will be more likely to induce asthma than a sport that produces intermittent bursts of activity, such as baseball or tennis. Activities such as bike-riding and swimming are less likely to induce sports asthma than running. Swimming appears to be the least inducing sport, which may in part be related to the inhalation of humidified air (an exception to this might be exposure to chlorine and other chemicals which may act as a trigger of asthma symptoms). Intense exertion will also produce more severe symptoms when cold air is inhaled – this might occur in outdoor winter sports, like skiing or snowboarding, or in an ice rink.
Do Professional Athletes Have Sports Asthma?
Yes! In fact since 2000, Olympic athletes with asthma have won significantly more medals than athletes without asthma!
According to a 2016 study* published to accompany the Rio Summer Olympics, asthma is the most common chronic condition among Olympic athletes. The rate of asthma has increased in recent decades, especially among endurance sports like athletes who participate in swimming, cycling, rowing, and long-distance running. Olympic athletes have the same risk of developing asthma as the general population.
This recent study found that “…asthma develops in endurance athletes and is believed to be related to daily training sessions and frequent competitions with heavily increased ventilation.” Interestingly, the study also found that in Olympic games since 2000, asthmatic athletes won substantially more medals than athletes without asthma and quoted speculation that “…the harder an athlete trains, the better the performance, simultaneously increasing asthma risk.” In fact, Mount Holly NJ native and swimmer Kelsi Worrell won a gold medal in the 4 x 100 meter medley relay in the 2016 Olympics!
Tips for Athletes with Sports Asthma
For athletes of all ages and skill-levels:
Know your triggers. If symptoms occur most often during strenuous activity in cold, dry air, one may need to exercise indoors during the winter or wear a scarf or warming face mask when exercising outside. Allergen-sensitive individuals should consider adjusting exercise routines during high-pollution and high-allergen days. Do not exercise when you feel fatigued or have a cold or other illness known to trigger your asthma.
Practice prevention. Improved physical conditioning has been shown to decrease the incidence of asthma attacks. For this reason, those with asthma are encouraged to continue exercising. The following measures can help prevent an exercise-induced asthma attack:
Warm up and cool down effectively. Gradually slowing down activity after intense exertion often helps limit post-exercise symptoms of sports asthma.
Drink plenty of fluids throughout the day, not just during exercise.
Utilize indoor practice facilities that offer good ventilation and air conditioning. Especially in extremely cold weather, consider exercising indoors.
If you smoke, quit.
If you have seasonal allergies, schedule practices when pollen counts are lowest (evening is best). And consider immunotherapy (allergy shots) to reduce symptoms.
Avoid air pollution that might be present in ice rinks, swimming pools, indoor facilities.
Regular follow-up examinations with your physician.
Pre-Treatment. The single most important thing to remember is to always keep an inhaler handy. Athletes often use an inhaler 10-20 minutes before exercise. Generally, using an inhaler once before, and once during exercise is no cause for concern. However, using an inhaler more frequently during a session could indicate unstable asthma. Please discuss with your physician.
Special Tips for Parents
Physical activity is especially important for children. Having a Sports Asthma Action Plan is essential to making sure that students and athletes can safely participate in all athletic activities. To avoid potential misunderstandings and/or delay in treatment, make sure there is clear communication of the Sports Asthma Action Plan between children, parents, coaches, teachers, and school nurses. Understanding and communicating the Sports Asthma Action Plan is crucial in managing sports asthma for kids and can include pre-exercise treatment, maintenance treatment, warm-up or cool-down exercises, conditioning, and access to quick-relief medications. Please contact your asthma specialist with any questions.
Asthma is a common problem affecting millions of children. With proper diagnosis and treatment, it’s very manageable!
The Asthma Center Can Help
The board-certified physicians at The Asthma Center are Delaware Valley’s leading experts on treating patients with asthma. We treat many of Philadelphia’s active and retired professional athletes, and we help many of our adult and children patients lead active lifestyles. With advanced in-office diagnostics, our asthma specialists are trained to correctly diagnosis and treat symptoms that otherwise limit performance and comfort. Working with each patient individually, our asthma specialists can create a personalized sports asthma treatment plan to propel our patients forward.
The board-certified asthma specialists at The Asthma Center treat patients in 9 convenient locations throughout the Delaware Valley.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease. For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
The Asthma Center’s Board Certified Allergists Review New Research On How Allergies Impair Driving: Study Published in the August issue of the American Journal of Allergy and Clinical Immunology.
New Study: Allergies Increase the Risk of Driving Accidents
Drowsiness and lack of awareness can affect all drivers with studies revealing that 1 in 5 accidents is related to difficulty staying awake. Allergies can, and often do, impact an individual’s quality of life including problems with sleeping, daytime drowsiness, and trouble focusing. A new study published this August looked at how allergies impair driving and impact the risk of driving accidents.
Allergies Impair Driving
Nearly two-thirds (63.8%) of the patients reported that their allergies affected their driving.
Researchers surveyed more than 3800 people across the United States between the ages of 25 and 53 years old. Of the 63.8% who reported that allergy symptoms had an impact on their driving skills:
Almost 20% reported that allergies had affected their ability to respond to a specific situation (that they did not have the correct reflex)
Just under 15% reported allergies had contributed to an unusual driving error
9.5% reported falling asleep while driving (for a fraction of a second)
17.5% reported needing to pull off to the side of a road
A little more than 15% reported occasions they felt unable to drive
Less than 1% stated they were in a car accident due to allergies
Patients with the most severe allergic symptoms, who were most likely to be taking antihistamines by mouth and as eye drops experienced the most drowsiness and reported the most lack of focus and awareness while driving.
The Asthma Center’s board certified allergists, with more than four decades of experience with treating individuals for allergies, concur with the findings of this new study:
Allergies increase the risk of driving accidents independent of medication
Patients should be informed regarding this risk, and the need for following their personal Allergy Action Plan to minimize the risk. Patients should review their Allergy Action Plan with their board certified allergist every three months so that adjustments can be made as necessary.
Further research should be pursued to more clearly define the relationship between allergies, drowsiness, and lack of focus and driving accidents
If one is driving, or planning in the short term to drive, avoiding sedating medications like over-the-counter Benadryl, chlorpheniramine, and others is essential.
Allergy injections are a non-sedating option and the most effective way to treat allergies and avoid the use of sedating medications.
A Board-Certified Allergist Can Help with Allergies
Board-certified allergists and pediatric allergists help patients minimize allergies, asthma, and sinus problems. Using minimally invasive in-house diagnostics, like allergy skin testing, needle-free allergy skin testing, and breathing tests, and knowledge of local allergy triggers like pollen, ragweed and mold, our allergists develop personalized plans that treat not only the symptoms but also the cause of allergies. Several treatment options, including allergy immunotherapy, are effective and non-drowsy solutions.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
Philadelphia, PA – August 8, 2017 – “As the Lone Star tick population continues to grow in metropolitan Philadelphia and Southern New Jersey, so will the incidence of red meat allergy rise in our community. Red meat allergy also must be considered for our residents who have severe life-threatening reactions (anaphylaxis) with an unknown cause.” Dr. George Belecanech, Board-Certified Allergist at The Asthma Center
Update on Red Meat Allergy and the Lone Star Tick in Metro Philly and Southern NJ
With the last of summer vacations and spending more time outdoors, we are all more susceptible to tick bites. By now, most of us are familiar with Lyme disease from deer ticks. But did you know that another tick variety prevalent in our area, the Lone Star tick, can trigger red meat allergy?
This red meat allergy is also known as alpha-gal allergy. Alpha-gal is a carbohydrate found in red meat including beef, pork, lamb and venison. Since 2009, Lone Star tick bites have been linked to the development of delayed allergic symptoms (usually 3-6 hours) following the ingestion of red meat. Individuals bitten by Lone Star ticks may develop allergy (IgE) antibodies to alpha-gal. Upon ingesting mammalian meat containing alpha-gal (red meat), delayed allergic symptoms can develop.
Interestingly, a typical allergic reaction to a food occurs in minutes, yet the red meat allergic reactions may take as long as three to six hours to set in. While the allergic reaction can be triggered by alpha-gal in red meat, it is also important to note that the alpha-gal reaction can be triggered by gelatins, cow’s milk, and Cetuximab, which is a treatment of colon cancer. However, the Alpha-gal carbohydrate is not found in poultry, such as chicken and turkey, or fish.
It is thought that individuals with blood types A or O are at increased risk of alpha-gal sensitization. However, the alpha-gal allergy has been seen among other blood types, as well. People of all blood types should exercise caution to avoid ticks and prevent this allergy from developing
Red meat allergy is generally considered to be uncommon in the United States, and was only recently recognized in 2009. However, the increased population of Lone Star ticks in our region increases the threat of red meat allergy. An essential part of any food allergy treatment program is avoidance, and triggers can be particularly difficult to identify. This is particularly true with Lone Star tick bites and red meat allergy because the allergic reaction is often delayed, thereby “hiding” the true cause of the allergic reactions.
The Asthma Center Board-Certified Allergists have put together the following guides to help recognize the signs and symptoms of red meat allergy caused by Lone Star tick bites.
Lone Star Tick Bite Facts
The Lone Star female adult tick has a distinctive white dot. The Lone Star adult male, on the other hand, has markings similar to those of a “deer tick.”
Lone Star tick bites often cause an extremely itchy rash around the bite within 7 days. Note: Tick bites related to Lyme Disease and other illness by contrast, may also develop a rash that feel warm to the touch but generally are not itchy.
Some individuals may be unaware that they have experienced a tick bite.
Lone Star tick bites do not usually cause Lyme Disease; however, Lone Star ticks feed on warm blooded mammals which may have Lyme Disease and other tick-borne illnesses. In rare cases, the Lone Star tick can become a “carrier” of these illnesses.
Lone Star Tick Bites and Food Allergy Symptoms
After a Lone Star tick bite, the following food allergy symptoms can occur with the ingestion of red meat (including beef, pork, lamb or venison):
At The Asthma Center, our allergists and pediatric allergists help our patients manage their food allergies by first determining what foods cause symptoms. Commercially available allergy skin tests for red meat (beef, pork, and lamb) are usually negative, but skin tests to fresh meat may be positive. When a meat allergy is causing any of the above symptoms, and a Lone Star tick bite is suspected, a blood test can help diagnosis this condition. Many cases of what has previously been diagnosed as “idiopathic anaphylaxis (where the cause is unknown) may actually be cases of red meat allergy. The delayed reaction caused by red meat allergy (which can occur 3-6 hours after eating red meat) is often misleading since most allergic food reactions occur within one hour of ingestion of the culprit food.
Avoidance of foods that trigger symptoms is a key part of living with red meat food allergy. The Asthma Center allergists pair these results and any other testing results which may apply to an individual’s unique history and set of symptoms to identify specific triggers. The Asthma Center allergists also help our patients find relief of symptoms with antihistamines and corticosteroids, and prepare for anaphylaxis by carrying epinephrine auto-injector to reverse severe reactions to any unforeseen exposure or accidental ingestion of a triggering food.
Tips for Tick Bite Avoidance
No tick bite is a “good” tick bite.
With a greater than usual tick population predicted for our region, increases in Lyme Disease which is spread by the “deer tick” (black legged tick) are not the only concern. It has been widely reported that a small percentage of deer ticks may also carry the Powassan virus.
Avoid Tick bites:
Use repellent that contains 20 percent or more DEET, picaridin, or IR3535 on exposed skin for protection that lasts several hours
Walk in the center of trails and avoid wooded and grassy areas
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com.
Ragweed pollen is considered the biggest trigger of fall allergies. Ragweed pollen will floodthe air in metropolitan Philadelphia and Southern New Jersey over the next few weeks, according to Dr. Donald Dvorin, the region’s only official pollen, ragweed, and mold spore counter. Dr. Dvorin is watching the ragweed plants in the Delaware Valley mature. Based on more than two decades of historical data as well as ideal growing conditions (this summer’s hot and rainy weather conditions) a robust ragweed pollen season is expected.
August marks the beginning of the end of summer. For many it is a time for relaxing, “last chances” for summer fun with family, and vacations. August also brings ragweed pollen and the onset of fall allergies. The Asthma Center Board-Certified Allergists recommend taking 3 Key Steps nowto prevent suffering (and sneezing) through fall allergy season!
3 Key Steps to Prevent Fall Allergies
Implement your personal Allergy Action Plan now.
Be sure to begin your allergy and asthma medications before your symptoms start (including the use of intranasal corticosteroid sprays). This is one of the most important measures you can take to minimize seasonal allergy symptoms.
Advisory for current patients of The Asthma Center: We recommend reviewing and updating your Allergy Action Plan with your board-certified allergist every three months.
2. Know your level of pollen sensitivity and monitor pollen levels.
To find out if you are allergic to ragweed, Allergy Skin Testing is one of the most reliable methods to determine allergy sensitivity, particularly when correlated with your personal history. Free subscribers of The Asthma Center’s daily email receive pollen, mold, and ragweed counts direct to their inbox.
Advisory for current patients of The Asthma Center: Sensitivity to pollen and molds (including ragweed) can change over time. We recommend reviewing your allergic sensitivity with your board-certified allergist every three months and testing for allergies every two years.
3. Keep pollen and mold spores out of your nose, eyes, ears, lungs and home.
Wear long sleeves and long pants when mowing the grass or raking leaves. Be sure to shower & wash your hair afterwards.
Limit time outdoors during the early morning hours when the most pollen is released. Be mindful that molds release mold spores throughout the day. Learn more
Sleep with windows closed and drive with windows up.
Wear wrap-around sunglasses or glasses outdoors to limit exposure of pollen to your eyes.
Avoid wearing contact lenses, or switch to daily disposable contacts to avoid allergens building up on the lenses.
Beware of tracking pollen and mold spores into your home from overlooked sources that may “sneak” in on kids’ shoes and clothing, pets especially after playing outside in the grass and leaves, and on morning newspaper sleeves.
Shower and wash your hair after extended outdoor exposure. Wash your hands and face frequently, including eyebrows.
Change your pillowcase often.
A Board-Certified Allergist Can Help with Ragweed and Fall Allergies & Allergic Asthma
At The Asthma Center, our allergists and pediatric allergists help our patients manage their ragweed pollen and fall allergies and allergic asthma by determining what weed pollen and molds cause symptoms. For example, we identify whether ragweed pollen and or which local molds (including Cladosporium, Ascosopres, Alternaria, Basidiospores, and Epicoccum) trigger allergy and asthma symptoms by using minimally invasive in-house diagnostics, like allergy skin testing, needle free allergy skin testing and breathing tests. Pairing these results with local knowledge of allergy triggers like pollen, ragweed and mold, our allergists develop personalized plans that treat not only the symptoms but also the cause of allergies. And because allergy and asthma symptoms often spike with pollen, ragweed, and mold spore counts, we know exactly when to adjust medications – providing more relief when conditions are bad and less medication every time else.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
Over the past thirty years, numerous researchers have confirmed that “thunderstorm asthma – allergies” (increases in asthma and allergy symptoms following thunderstorms) are real.
The “dog days of summer,” those hot and humid days in late July and August present the perfect conditions for unsettled weather which can “break” the humidity with rain and cooler temperatures. Many individuals who have asthma and allergies expect these weather changes to also usher in a break from symptoms. The Asthma Center’s board certified allergists and pediatric allergists also confirm that thunderstorms can have the opposite effect by triggering more allergic asthma and respiratory allergy symptoms.
What Is Thunderstorm Asthma – Allergies?
Most people think of a “thunderstorm” as any storm with rain, thunder and lightning. Thunderstorms are very common, and according to the National Oceanic and Atmospheric Administration (NOAA), at any given moment, somewhere around the world, approximately 2,000 thunderstorms are in progress. While thunderstorms may seem simple, each event is a complicated interaction of air, water, and electricity.
Thunderstorm Asthma – Allergies occurs when thunderstorm activity triggers flares in asthma (coughing, wheezing, shortness of breath or chest congestion) and/or allergies.
The connection between thunderstorms and increased asthma and allergy symptoms was first recognized in the 1980s. Over the ensuing years, a number of researchers have confirmed this phenomenon including increased emergency room visits for asthma following thunderstorms. In fact, deaths due to increased asthma after thunderstorm activity occurred in Melbourne, Australia (9 deaths in November 2016) and in Kuwait (5 deaths in December 2016.)
Most recently, findings published in the American Meteorological Society’s Journal of Applied Meteorology and Climatology explored the complicated relationship of thunderstorm activity with increased pollen, thunderstorm asthma and respiratory allergy.
Thunderstorms Bring More Pollen, More Mold Spores & More Symptoms
For more than two decades, The Asthma Center’s official pollen, ragweed and mold spore counter, Dr. Donald Dvorin has observed first hand the increase of pollen, ragweed, and mold spore counts following thunderstorm activity in metropolitan Philadelphia and Southern New Jersey. As Dr. Dvorin has stated on many occasions, weather conditions play an important and complex role in the volume of pollen, ragweed, and mold spores that fill the air each day. Rain and falling temperatures can clear the air and can even disturb the pollen process. Thunderstorms on the other hand, which are accompanied by lightning, winds and heavy rains–affect the process differently. First, winds lift, carry, and toss pollen about, sometimes violently. Lightning indicates a change in the movement of atmospheric electrical charges which may cause further anomalies in pollen release; when combined with winds, this can result in more pollen in the air with all of it traveling further.
The most recent published findings suggest that pollen molecules may actually absorb water in the atmosphere before “exploding” and releasing pollen particles with great force and density.
Molds thrive with increased moisture. It is no surprise, then, that there is a connection between increased mold allergy symptoms and storms, which include thunderstorms, rain, tropical storms, and hurricanes.
In fact, in April, 2017, a study in the Journal of Environmental and Public Health reported findings from two researchers on the connections between Hurricane Irene in 2011 and Hurricane Sandy in 2012 and positive reactions to allergy skin testing to molds. The researchers reviewed the medical records of several hundred individuals living in New Jersey, and found that post-hurricane allergy skin tests revealed an increased allergic reaction to molds.
Three Ways To Reduce Thunderstorm Asthma – Allergies
Minimize Time Outdoors Before and After Thunderstorms
While thunderstorms can “pop up” at any time without warning, cloud formations, darkening sky, lightning, and abrupt changes in wind gusts are all clues that a thunderstorm may be forming. The rhyme “Red sky at night, sailors’ delight; Red sky in morning, sailors’ warning” is another clue. As seen in this photo (courtesy The Asthma Center’s friend, Bill Fluehr) which captures the morning sun along the Delaware River, a “red sky at morning” is caused when the sun hits clouds in our region.
2. Monitor Pollen, Ragweed, and Mold Spore Counts
Knowing the pollen, ragweed, and mold spore counts before and after thunderstorms can be invaluable in planning daily activities and reducing the impact of exposure to your specific allergy triggers. In the Delaware Valley, The Asthma Center’s official pollen, ragweed, and mold spore counts are available via free subscriptionemail, on our website, and social media.
3. Activate your Asthma & Allergy Action Plan
A personalized Asthma & Allergy Action Plan will include both a routine, day-to-day plan for individuals with asthma and allergies as well as a written plan to follow in the case an asthma attack or flare up in allergy symptoms. The Asthma Center allergists work with each patient to customize each individual’s Asthma & Allergy Action plan so that patients know when to adjust medications – providing more relief when conditions are bad (after thunderstorm activity when pollen, ragweed, and mold spores may dramatically increase) and less medications when environmental triggers are absent.
Special Note for Individuals with Thunderstorm Asthma: Carry Your Rescue Inhaler At All Times
A Board-Certified Allergist Can Help with Thunderstorm Asthma – Allergies
At The Asthma Center, our allergists and pediatric allergists help our patients manage increases in symptoms after thunderstorms by first determining what causes an individuals asthma and allergy symptoms. For example, we identify which local pollen, ragweed, and molds trigger allergy and asthma symptoms by using minimally invasive in-house diagnostics, like allergy skin testing including needle free allergy skin testing and breathing tests. Pairing these results with local knowledge of allergy triggers like pollen, ragweed and mold, our allergists develop personalized plans that treat not only the symptoms but also the cause of allergies. And because allergy and asthma symptoms often spike after thunderstorms, we know exactly when to adjust medications – providing more relief when conditions are bad and less medication every time else.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
Travel with Allergies & Asthma: Tips to Avoid Symptom Detours
Summer is a special time for making memories including travel and vacations. It might be a daytrip, a weekend getaway, a family vacation or reunion, a road trip across the United States (or to a particular landmark or region), a longer trip abroad, or a “bucket list” cruise or adventure. While some diversions can add to the fun of traveling, detours caused by flare ups in allergies, asthma, and sinus problems can cause misery for everyone. The Asthma Center’s board certified Allergists have created the following Travel with Allergies & Asthma checklist to help you and your family enjoy healthy and safe outings, travel and vacations!
Before Travel: Allergies & Asthma Checklist
Visit your specialist. The board certified Allergists & staff of The Asthma Center can help you get ready by reviewing your personal Action Plan & special travel needs. For example, individuals with asthma may be unaware that nebulizers are available in extremely small, lightweight, battery-operated, & tubeless units, which can fit into a purse or small travel bag, such as the Omron MicroAir nebulizer. We can help you find the unit that’s right for you.
Prepare a list of current medical conditions (including food & medication allergies) & medications.
Prepare & pack sufficient quantities of prescription & over-the-counter medications including all back up medications. Check expiration dates.
Research accommodations. AllerPassMD (edited & analyzed by a board certified allergist provides listings and ratings for hotel rooms & staterooms) is one resource providing hotel ratings on Indoor & Outdoor Allergens as well as Contactants (hair & body products.) Request smoke free rooms with air filters & dust mite proof bedding when booking your lodging.
Research your vacation location regarding, air quality & environment, language, nearest medical facility, and pharmacy locations.
Check your insurance policy regarding coverage and, if applicable, purchase and review extra travel medical benefits.
For those with severe allergy/anaphylaxis, consider purchasing an Allergy Medic Alert Bracelet. When engraving, be as specific as possible in identifying your allergies.
Review pre flight instructions to prevent or lessen Eustachian Tube Dysfunction (problems related to ear pressure such as pain, fullness, hearing difficulties) – An exampleof The Asthma Center Allergists’ Pre Flight Instructions for Eustachian Tube Dysfunction might include:
Afrin drops when seated – repeat on descent if flight is greater than 4 hours.
Mucinex D the morning of the Flight.
“Ear Planes.”
Swallow water or chew gum on ascent and descent.
Prednisone.
The above instructions are only an example. The use of Afrin, decongestants, and/or prednisone must be discussed with a board certified Allergist. Schedule an Appointment
Dodge Detours: Avoiding Allergies & Asthma With Travel
Carry your list of conditions, medications, and emergency medications everywhere you go.
Avoid tobacco smoke exposure and always ask for smoke-free hotel room with air filter and dust mite proof bedding
Use hand sanitizer and wash your hands frequently
Know the closest emergency services or hospital locations
No Place Like Home: Allergies & Asthma De-Briefing Guide
Visit your specialist for follow-up care if you experienced any allergic reactions, asthma flares, and/or anaphylaxis while traveling and if necessary make adjustments to your Action Plan.
When unpacking, ensure you returned home with all your medications and refill medications as needed.
Note what was successful and/or unsuccessful on this trip regarding your asthma, allergies and/or sinus problems. If applicable, write online review of restaurants and/or hotel accommodations to share your experiences with others who have allergies and asthma.
Travel with Epinephrine (EpiPen or AuviQ)
Visit your specialist if you require special documentation and to review your personal Action Plan
When flying, request that your epinephrine be visually inspected, not scanned
Always carry your epinephrine (do not pack in luggage which will be checked because it will be handled by others and may be lost, delayed or damaged )
Check the effective date of your epinephrine.
Know the closest emergency services or hospital locations
A Board-Certified Allergist Can Help Travel and Allergies, Asthma and Sinus Problems
At The Asthma Center, our allergists and pediatric allergists help our patients plan for travel to minimize allergies, asthma, and sinus problems. For example, we identify which local pollen and molds trigger allergies, asthma, and sinus symptoms by using minimally invasive in-house diagnostics, like allergy skin testing and breathing tests. Pairing these results with local knowledge of allergy triggers like pollen, ragweed and mold, our allergists develop personalized plans that treat not only the symptoms but also the cause of allergies. And because allergy and asthma symptoms often spike with mold spore counts, we know exactly when to adjust medications – providing more relief when conditions are bad and less medication every time else.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
Mold Spores Galore: Extreme Mold Allergies in Delaware Valley
Mold allergy, allergic reactions to mold spores, are on the rise in the United States causing misery for perhaps one in three individuals with allergies and/or allergic asthma. Last week in the Delaware Valley alone, Dr. Dvorin reported extreme outdoor mold counts for several consecutive days, with nearly 9000 mold spores per cubic meters of air / 24 hours. The reported high mold counts may provoke severe allergic and asthma symptoms for people in Philadelphia and South Jersey.
Drawing on decades of expertise in identifying, evaluating and treating the common and uncommon manifestations of mold allergy, The Asthma Center’s board-certified allergists present Mold Spores Galore: Extreme Mold Allergies in Delaware Valley.
Mold Allergy Symptoms
Virtually no environment is without molds which release mold spores. Too small to be seen by the naked eye, mold spores are found in every breath we inhale, and may also enter the body through the eyes, ears, mouth, and skin.
Adults and children with mold allergies may experience the typical symptoms of allergy such as sneezing, nasal congestion, and/or itching of the nose, itchy and watery eyes, itchy ears and/or hives (skin rash.) Exposure to mold spores can also provoke flares of asthma, chronic sinusitis, and headaches, including migraines. Less common, severe allergies to mold spores include allergic bronchopulmonary aspergillosis (ABPA) and allergic fungal sinusitis (AFS.)
Mold Allergy and Outdoor Mold Counts
Molds, also known as fungi, produce spores and other fungal particles. Outdoor mold spores play a major role in causing most mold allergy symptoms. Like pollen, mold spores are airborne and become abundant in the warmer weather months. Unlike pollen, which typically is released in the greatest numbers early in the day, mold spore release depends three factors: 1) type of mold present, 2) heat and 3) humidity. “Dry air” spores (xenophilic) such as Cladosporium or Alternaria release the most spores during the afternoon hours when the weather conditions are hot and dry. “Wet air” spores (hydrophilic), such as Ascospores and Basidiospores release the largest numbers of spores during pre-dawn hours when there is high humidity.
Delaware Valley’s Outdoor Mold Spore Counts
Pollen and mold spore particles have distinct shapes and are easy to distinguish from each other under the microscope. However, mold spores and other fungal particles are very small and can be challenging to differentiate between the species. The Asthma Center’s Dr. Donald Dvorin’s training, experience and certification by the National Allergy Bureau (NAB) combine to bring the Delaware Valley the only official mold spore count for metropolitan Philadelphia and Southern New Jersey.
For those with mold allergies, knowing the daily mold count is essential in order to reduce the impact of exposure to outdoor mold spores, for planning daily activities and following Allergy & Asthma Action Plans (increasing or decreasing medications.) In the Delaware Valley, The Asthma Center’s official pollen, ragweed, and mold spore counts are available via email, on our website, and social media.
In metropolitan Philadelphia and Southern New Jersey, molds appear in the early spring and persist throughout the summer and fall seasons. There is no “peak season” for mold spores. Dr. Dvorin has observed that the highest levels of mold spores, which may provoke extreme symptoms, occur from midsummer through the late fall. During winter months, outdoor mold spores reduce significantly – especially if snow covers the ground.
Dr. Dvorin’s historical mold data reveals that Cladosporium is the predominant mold spore in our region’s air. Other common molds for our region include Ascospores, Alternaria, Basidiospores, and Epicoccum.
Dr. Dvorin also notes that the unusual mold spores of Aspergillus and Penicillium are frequently present in the air of the Delaware Valley. These mold spores can cause severe allergic reactions in the lungs (allergic bronchopulmonary aspergillosis [ABPA] ) and sinuses (allergic fungal sinusitis [AFS.] ). When Aspergillus and Penicillium mold spores are elevated, The Asthma Center issues an Unusual Mold Alert for metropolitan Philadelphia and South Jersey. Subscribe to receive these alerts with daily mold spore counts direct to your inbox!
Other molds species observed in our region by Dr. Dvorin include Botrytis, Cercospora, Curvularia, Drechslera, Fusarium, Nigrospora, Oidium, Periconia, Pithomyces, Polythrincium, Rusts, Smuts, Stemphylium, and Torula.
Top 5 Ways to Reduce Mold Spore Exposure & Mold Allergies
Avoid uncut fields and piles of damp leaves if possible.
Make sure water drains away from your home (not toward the basement or foundation). Vent dryers to the outside-not indoors!
Monitor indoor humidity levels and make your home less mold-friendly by using dehumidifiers and air conditioners. Keep indoor humidity between 35% and 50%. (Inexpensive meters for measuring humidity in a home can be purchased at a hardware store.)
Identify the source of mold and remove it before it spreads. If you spot mold in your home on a hard surface –such as glass, plastic or tile—clean it with a bleach solution, soap and water, or a commercial product. For mold on drywall, seek professional advice.
Do not procrastinate! Acting promptly is a critical component of mold prevention. If a spill or leak leaves a rug wet, dry it within 48 hours to keep mold from growing. Be sure to not delay from cleaning gutters, because the damp leaves serve as a breeding ground for mold.
Lawn Allergy: Mold & Cut Grass
Mowing your lawn to reduce grass pollination and limiting your exposure to grass pollen are both important steps in avoiding the misery of allergies. In addition to grass pollen triggering allergy symptoms, many individuals experience typical allergy symptoms such as sneezing, itchy watery eyes, nasal congestion, and even wheezing when exposed to the smell of freshly cut grass. Allergic reactions triggered by the smell of freshly cut grass are likely from the non-pollen parts of the grass, which also contain allergenic proteins or outdoor molds, which have been stirred up by the mowing process. Concentrations of these allergy triggers dramatically escalate for a short period of time during and immediately after mowing. For more tips on reducing exposure to outdoor molds when mowing the lawn, read The Asthma Center’s Allergy-Friendly Lawn & Grass Guide.
Outdoor Mold Prevention Tip: If you are seeing mold growing on your mulch, be sure to check the thickness of the layer of mulch. Mulch layered thicker than 3 cm allows for molds to grow, repelling water from reaching the roots under the mulch.
Storms Kick Up Mold Allergies
Molds thrive with increased moisture. It is no surprise, then, that there is a connection between increased mold allergy symptoms and storms, which include thunderstorms, rain, tropical storms, and hurricanes.
In fact, in April, 2017, a study in the Journal of Environmental and Public Health reported findings from two researchers on the connections between Hurricane Irene in 2011 and Hurricane Sandy in 2012 and positive reactions to allergy skin testing to molds. The researchers reviewed the medical records of several hundred individuals living in New Jersey, and found that post-hurricane allergy skin tests revealed an increased allergic reaction to molds.
Mold Triggers Allergic Asthma
Mold allergy is recognized as an important trigger for Allergic Asthma. A board-certified Allergist plays a crucial role in identifying which molds provoke asthma symptoms in order to develop a personalized Asthma Action Plan. A comprehensive evaluation for mold allergy and allergic asthma includes, but is not limited to, allergy skin testing, review of environmental exposures, specialized pulmonary function testing, and a physical examination.
Aspergillus & Penicillium
What is ABPA (Allergic bronchopulmonary aspergillosis)?
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction in the lung to Aspergillus fumigatus. Reactions to this fungus are rare in individuals with normal immune systems. Individuals with asthma or cystic fibrosis are among those commonly affected by ABPA. If you have asthma, one of the first noticeable symptoms may be a progressive worsening of your asthma symptoms including coughing, wheezing, and shortness of breath. Other allergic conditions which may be present include nasal allergies (allergic rhinitis), sinusitis, and skin allergies (atopic dermatitis/eczema and urticaria/hives). Treatment usually includes oral corticosteroids and sometimes oral anti-fungal treatments. Individuals with ABPA are usually followed closely by their physician.
What is AFS (Allergic fungal sinusitis)?
Allergic fungal sinusitis (AFS) is the most common fungal infection associated with chronic sinusitis. This condition often occurs in people with nasal polyps and sinus disease. It is usually resistant to conventional medical and surgical treatments. Tissue within the sinuses is often covered with characteristic thick gel-like discolored mucus filled with allergy cells (eosinophils). This gel is often described as “allergic mucin” and often contains fungal elements when properly stained and examined microscopically. Treatment of allergic fungal sinusitis includes surgery, oral and nasal corticosteroids, allergy injection therapy, leukotriene modifiers, antihistamines and oral decongestants. Unfortunately, oral antifungal treatment is usually not effective.
Indoor Mold Allergens
Mold allergens associated with mold spores and other fungal elements can be a major source of indoor allergens, particularly in home where damp or wet areas exist. Areas of mold growth are often difficult to detect, hiding under floors or behind walls.
The mixture of mold spores seen indoors includes Penicillium, Aspergillus, and Cladosporium. Unique molds like Stachybotrys may be found in some indoor settings where extensive water damage has occurred. If molds are suspected, special culture techniques and air sampling specimens may be done. A thorough inspection may be required by experts in environmental contamination and mold remediation.
There have been many claims made regarding connections between damp environments and health effects. Possible reasons for these connections include: allergic reactions, direct irritation by fungal mold elements, toxins released from molds (Aspergillus, Fusarium, Penicillium, Stachybotrys): volatile organic compounds (VOCs), or other immune responses stimulated by mold. Individuals with exposure to damp environments often present with symptoms of congestion, coughing, mucous discharge, headache, shortness of breath, eye itching, dizziness, restless legs, fatigue and abdominal pain. Most individuals with exposure to mold contaminates do not have typical allergic symptoms. Whether all indoor molds produce health problems beyond allergic reactions is still widely debated. Therefore, the presence of mold or mold derived toxins in an indoor environment does not necessarily mean there are associated effects on health.
A Board-Certified Allergist Can Help with Mold Allergy & Allergic Asthma
At The Asthma Center, our allergists and pediatric allergists help our patients manage their mold allergies and allergic asthma by determining what molds cause symptoms. For example, we identify which local molds (including Cladosporium, Ascosopres, Alternaria, Basidiospores, and Epicoccum) trigger allergy and asthma symptoms by using minimally invasive in-house diagnostics, like allergy skin testing and breathing tests. Pairing these results with local knowledge of allergy triggers like pollen, ragweed and mold, our allergists develop personalized plans that treat not only the symptoms but also the cause of allergies. And because allergy and asthma symptoms often spike with mold spore counts, we know exactly when to adjust medications – providing more relief when conditions are bad and less medication every time else.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com
Summer Camp for Kids with Allergies and Asthma: Blueprint for Fun
It’s time for Summer Camp! The Asthma Center’s board-certified allergists have prepared the following guide, Summer Camp for Kids with Allergies and Asthma, to help parents and kids in the Delaware Valley get camp-ready for summer fun and making memories with friends.
Allergy & Asthma Action Plan
Preparationis the foundation of any summer camp experience, but this is especially true for children with allergies and asthma. No two children are alike, so pre-camp planning needs to be tailored to each child’s unique history and diagnoses. Our board-certified pediatric allergists meet with parents and children every year to help them create an appropriate Allergy & Asthma Action Plan in order to ensure a happy and safe summer camp experience for kids who may have:
other insect sting allergies and reactions to insect bites
poison Ivy, Oak, & Sumac reactions
The first step in creating an Asthma & Allergy Action Plan is identifying and listing your child’s triggers, symptoms and conditions. A written plan should cover not only current medication and allergies but also what instructions to follow in the event of an escalation of symptoms or an emergency.
Walking through an allergist-approved Action Plan with summer camp medical staff and camp leaders ensures that the camp staff understand how best to react in an emergency situation, and allows you as the parent to have confidence in the medical care available to your child while they are away from home. For example, if your child carries an epinephrine auto-injector (Epi-Pen, Jr; Auvi-Q), review your child’s Anaphylaxis Action Plan carefully with camp staff, and ask if which staff members are trained to administer epinephrine (and/or other emergency medical care.) Finally, it also can be useful to inquire how the camp has handled allergies, asthma, and reactions to foods or bee stings in the past.
Pre-Camp Medication Tip for Parents:
Summer is not the time to take a break from allergy and asthma medications. Visit your allergist well in advance to review medications. Before a child leaves for camp, make sure sufficient quantities of medications are available and check expiration dates.
Summer Camp for Kids with Allergies to Pollen, Molds, and/or Dust
For kids with allergies to pollen, molds, and/or dust, avoiding exposure to triggers that may cause allergy symptoms to flare can be challenging with outdoor activities while at summer camp. A board-certified pediatric allergist can identify a child’s specific allergy triggers through allergy skin testing, and provide a written Allergy Action Plan for both kids and camp staff. Ask what measures, if any, are followed to reduce allergen exposure. For example, are mold-inhibitors used to keep sleeping areas such as tents and cabins free of mold growth? What measures are used to keep dust exposure at a minimum?
Summer Camp Pollen and Mold Count Tip for Parents:
Ask if medical staff follow pollen, ragweed and mold spore counts for it’s geographic area. Knowing the daily pollen, ragweed, and mold spore counts can be invaluable in planning daily activities and following a child’s Allergy Action Plan (increasing or decreasing medications) and reducing the impact of exposure to a child’s allergy triggers. In the Delaware Valley, The Asthma Center’s official pollen, ragweed, and mold spore counts are available via email, on our website, and social media.
Summer Camp for Kids with Asthma
An Asthma Action Plan will include both a routine, day-to-day plan for kids with asthma and a written plan to follow in the case of an asthma flare. The Asthma Center specialists meet each summer with both parents and kids to discuss asthma action plans including the best ways to prevent asthma attacks while away from home and addressing any questions from children (or parents.) Talking with children who have asthma and answering any questions ahead of time may help “settle their nerves” so they can enjoy their summer experience.
Parents who are concerned about the capability of a specific camp in meeting their child’s asthma needs can also consult with their specialists regarding options, alternatives and “Asthma Camps.” (See list of local Asthma Camps at the end of this blog.)
Summer Camp Asthma Tip for Parents:
Be sure that camp staff know how to contact your child’s asthma specialist in the event of an emergency or asthma flare.
At The Asthma Center, one of our specialists is always on call – if your child needs help, a doctor who knows their medical history will be able to assist remotely.
Summer Camp for Kids with Food Allergies & Oral Allergy Syndrome
Food allergy symptoms can occur within several seconds or hours following food injection, although most reactions occur within the first 2 hours. The following symptoms can occur singly or in combination: Hives; swelling; eczema; itching of the mouth, throat, skin, palms, soles, or genitals; feeling of warmth; feeling of doom; vomiting; diarrhea; abdominal pain; cramping; nasal congestion; shortness of breath; chest tightness; cough; congestion (It is uncommon to see respiratory symptoms alone without gastrointestinal or skin symptoms.), dizziness, feeling faint, and passing out. Aside from the physical reactions, food allergies clearly affect the quality of life of affected individuals and their psychological welfare, especially of children. The “Big 8” (most common) triggers of food allergy are:
milk
eggs
fish
crustacean shellfish
tree nuts
peanuts
wheat
soybean.
Oral Allergy Syndrome is a type of food allergy which occurs in children (and adults) who have seasonal hayfever (allergy) symptoms and experience allergic symptoms in and around the mouth after eating certain foods including vegetables, nuts, seeds, and/or fresh fruits.
A board-certified allergist can help identify the specific triggers of both food allergies and/or oral allergy syndrome. Once a triggering food is identified, the best prevention isavoidance. However, for kids with food allergies, a Food Allergy Action Plan is essential for summer camp. A Food Allergy Action Plan, signed by a physician, should:
outline step-by-step treatment recommendations for allergic reactions and/or anaphylaxis in the case of accidental exposure; and
include emergency contact information.
To minimize stress while kids with food allergies are away from home at summer camp, provide multiple copies of your child’s Food Allergy Action Plan to the camp, and to your child, and discuss the plan with both camp staff and your child.
Summer Camp Food Allergy Tip for Parents:
If your child’s allergy requires an epinephrine auto-injector (EpiPen, Jr; Auvi-Q), and they are old enough to carry it with them, make sure they understand how to use it – and in what situation.
Stinging Stuff: Allergies to Bee Stings, Insects & Insect Bites
Insects such as bees, wasps, yellow jackets, hornets, and fire ants inject venom into the skin by “stinging” while other insects such as mosquitoes, fleas, black flies and ticks, use their saliva or bodies to produce reactions by “biting” and contact with skin. While most reactions to stinging and biting are mild to moderate, some adults and children experience sudden, severe and life-threatening reactions from stinging insects. Children who have been diagnosed with severe reactions to stinging insects should have an Anaphylaxis Action Plan, carry an epinephrine auto-injector, and wear an ID bracelet, anklet or necklace which identifies he/she as allergic to stinging insects.
Top 5 Ways to Reduce Risk of Insect Stings and Bites
Wear shoes outside at all times.
Wear white, green, tan, or khaki colors. Bright colored clothing is more likely to attract insects.
Wear fitted clothing. Insects may become trapped in over-sized or loose, flowing clothes.
Stay still when an insect is approaching. Never slap at an insect. Insects will not sting unless frightened or antagonized, so stay as calm and relaxed as possible.
Avoid wearing scents, such as perfumes, hair sprays, and suntan lotion, which often attract insects. Keep foods and/or drinks covered while outside as these aromas may also attract insects.
If Attacked by Stinging Insects:
Cover face with arms, and if possible, run and find shelter. Kids should find an adult or counselor immediately.
Do not grab or squeeze any stinger attached to skin because this may cause more venom to inject into the wound.
Remove a stinger and/or “venom sac” carefully by scraping the spot with your fingernail.
Wash the area of the sting thoroughly with soap and water, and apply an antiseptic.
Use cold compresses to the the site of sting for 15-20 minutes followed by Calamine lotion to reduce swelling and irritation.
An oral antihistamine may be required to reduce itching.
Seek medical attention immediately if you notice signs of an allergic reaction such as widespread swelling, chest tightness, or dizziness.
Bee Sting Allergy Tip:
The Asthma Center’s board certified allergists recommend that any individuals who are sensitive to insect venom should be treated with venom injections, which has been proven to be effective in greater than 95% of individuals.
Avoid the Itch: Poison Ivy, Poison Oak, and Poison Sumac Reactions
Exposure to poison ivy, poison oak, or poison sumac plants can cause an itchy, red rash at the base of contact. The rash may be in multiple areas, and it can be contained to either a small or large area, depending on its severity. Skin reactions to these plants are caused by the urushiol resin contained in the leaves, berries, twigs, branches, stems, and roots of these allergic plants. This oil penetrates the skin within minutes and causes an allergic reaction.
The best way to prevent these skin rashes, which can cause mild to severe discomfort, is to be able to recognize and avoid all contact with these plants.
Poison ivy can be a low plant, vine, or high shrub. It has glossy green leaves in leaflets of three and produces clusters of small, whitish-green flowers in the spring that mature into white berries.
Poison oak has three leaflets but has rounded lobes instead of pointed edges. This plant can be found in California and the southeast.
Poison sumac grows in wet places in the eastern US and is usually in the form of small trees or small shrubs with 7-13 leaflets. The white berries help distinguish it from nonpoisonous sumacs.
Top 5 Ways to Reduce the Misery of Poison Ivy, Oak or Sumac Reactions
Wet compresses or a cool bath may reduce swelling and itching.
DO NOT apply strong chemicals, alcohols or other solvents. Nonprescription hydrocortisone creams are too weak to relieve the irritation. Topical anesthetics and antihistamines are not effective and may make symptoms worse.
Do not pop blisters if they develop.
Within 30 minutes of exposure, use over the counter products such as Zanfel Poison Ivy Wash, Tecnu Outdoor Skin Cleanser, and Ivy X skin cleanser to minimize reactions.
Seek medical care with a board certified allergist if itching lasts more than a few days or is severe, if the rash covers a large area of skin, and/or if the rash involves the hands, face, eyes or gentitals.
Tip for managing poison ivy, oak, & sumac reactions:
Oils from these plants can “sneak” indoors on shoes and clothes, firewood, and pet fur. Be sure to remove shoes and clothing after exposure and/or contact with these plants and wash with ordinary detergent.
At The Asthma Center, our allergists and pediatric allergists help our patients and their parent prepare for summer camp by reviewing medications, avoidance measures and Action Plans.
The health information contained in this article is meant for basic informational purposes only. It is not intended to serve as medical advice, substitute for a doctor’s appointment or to be used for diagnosing or treating a disease.
For interviews and tours of the Delaware Valley’s only National Allergy Bureau (NAB) certified pollen, ragweed, and mold spore counting stations in Philadelphia, PA and Mt. Laurel, NJ, please email gwoodlyn@asthmacenter.com.
NJ: 
NJ: (856) 235-8282
