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Madeira—a tourist destination for asthma sufferers

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Abstract

Madeira Island is a famous tourist destination due to its natural and climatic values. Taking into account optimal weather conditions, flora richness and access to various substrates facilitating fungal growth, we hypothesised a very high risk of elevated fungal spore and pollen grain concentrations in the air of Funchal, the capital of Madeira. Concentration levels of the most allergenic taxa were measured from 2003 to 2009, using a 7-day volumetric air sampler, followed by microscopy analysis. Dependence of bioaerosols on the weather conditions and land use were assessed using spatial and statistical tools. Obtained results were re-visited by a comparison with hospital admission data recorded at the Dr. Nélio Mendonça Hospital in Funchal. Our results showed that despite propitious climatic conditions, overall pollen grain and fungal spore concentrations in the air were very low and did not exceed any clinically established threshold values. Pollen and spore peak concentrations also did not match with asthma outbreaks in the winter. Identification of places that are “free” from biological air pollution over the summer, such as Madeira Island, is very important from the allergic point of view.

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References

  • Abu-Dieyeh MH, Barham R, Abu-Elteen K, Al-Rashidi R, Shaheen I (2010) Seasonal variation of fungal spore populations in the atmosphere of Zarqa area, Jordan. Aerobiologia 26:263–276

    Article  Google Scholar 

  • Aira MJ, Rodríguez-Rajo FJ, Jato V (2008) 47 annual records of allergenic fungi spore: predictive models from the NW Iberian Peninsula. Ann Agric Environ Med 15:91–98

    Google Scholar 

  • Aradóttir AL, Robertson A, Moore E (1997) Circular statistical analysis of birch colonization and the directional growth response of birch and black cottonwood in south Iceland. Agric For Meteorol 84:179–186

    Article  Google Scholar 

  • Asthma GIf (2010) Global strategy for asthma prevention. National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda

  • Ataygul E, Celenk S, Canitez Y, Bicakci A, Malyer H, Sapan N (2007) Allergenic fungal spore concentrations in the atmosphere of Bursa, Turkey. J Biol Environ Sci 1:73–79

    Google Scholar 

  • Atkinson RW, Strachan DP, Anderson HR, Hajat S, Emberlin J (2006) Temporal associations between daily counts of fungal spores and asthma exacerbations. Occup Environ Med 63:580–590

    Article  CAS  Google Scholar 

  • Belmonte J, Puigdemunt R, Cuevas E, Alonso S, González R, Poza P et al (2008) Eolo-PAT project: aerobiology and respiratory allergies in Santa Cruz de Tenerife since 2004. Allergy 63:58–611

    Google Scholar 

  • Brito FF, Gimeno PM, Martínez C, Tobías A, Suárez L, Guerra F et al (2007) Air pollution and seasonal asthma during the pollen season. A cohort study in Puertollano and Ciudad Real (Spain). Allergy 62:1152–1157

    Article  CAS  Google Scholar 

  • Brito FF, Mur Gimeno P, Carnés J, Fernández-Caldas E, Lara P, Alonso AM et al (2010) Grass pollen, aeroallergens, and clinical symptoms in Ciudad Real, Spain. J Investig Allergol Clin Immunol 20:295–302

    Google Scholar 

  • Brito FF, Gimeno PM, Carnés J, Martín R, Fernández-Caldas E, Lara P et al (2011) Olea europaea pollen counts and aeroallergen levels predict clinical symptoms in patients allergic to olive pollen. Ann Allergy Asthma Immunol 106:146–152

    Article  Google Scholar 

  • Caillaud D, Martin S, Segala C, Besancenot JP, Clot B, Thibaudon M (2014) Effects of airborne birch pollen levels on clinical symptoms of seasonal allergic rhinoconjunctivitis. Int Arch Allergy Immunol 163:43–50

    Article  CAS  Google Scholar 

  • Camacho IC (2015) Airborne pollen in Funchal city, (Madeira Island, Portugal)—first pollinic calendar and allergic risk assessment. Ann Agric Environ Med 22(4):608–613

    Article  Google Scholar 

  • D’Amato G (2007) Pollen allergy in Europe. The UCB Institute of Allergy 1–12

  • D’Amato G, Liccardi G (1994) Pollen related allergy in the European Mediterranean area. Clin Exp Allergy 24:210–219

    Article  Google Scholar 

  • D’Amato G, Cecchi L, Bonini S, Nunes C, Annesi-Maesano I, Behrendt H et al (2007) Allergenic pollen and pollen allergy in Europe. Allergy 62:976–990

    Article  Google Scholar 

  • D’Amato G, Holgate ST, Pawankar R, Ledford DK, Cecchi L, Al-Ahmad M et al (2015) Meteorological conditions, climate change, new emerging factors, and asthma and related allergic disorders. A statement of the world allergy organization. World Allergy Organ J 8:25

    Article  Google Scholar 

  • Dales RE, Cakmak S, Burnett RT, Judek S, Coates F (2000) Influence of ambient fungal spores on emergency visits for asthma to a regional children’s hospital. Am J Respir Crit Care Med 162:2087–2090

    Article  CAS  Google Scholar 

  • Damialis A, Mohammad AB, Halley JM, Gange AC (2015) Fungi in a changing world: growth rates will be elevated, but spore production may decrease in future climates. Int J Biometeorol 59:1157–1167

    Article  Google Scholar 

  • Dixit A, Lewis W, Baty J, Crozier W, Wedner J (2000) Deuteromycete aerobiology and skin-reactivity patterns. Grana 39:209–218

    Article  Google Scholar 

  • EC (2003) Global land cover 2000 database. In: Joint Research Centre EC, editor, Ispra

  • Emberlin J, Detandt M, Gehrig R, Jaeger S, Nolard N, Rantio-Lehtimäki A (2002) Responses in the start of Betula (birch) pollen seasons to recent changes in spring temperatures across Europe. Int J Biometeorol 46:159–170

    Article  CAS  Google Scholar 

  • Fisher NI (1993) Statistical analysis of circular data. University Press, Cambridge

    Book  Google Scholar 

  • Florido JF, Delgado PG, de San Pedro BS, Quiralte J, de Saavedra JM, Peralta V et al (1999) High levels of Olea europaea pollen and relation with clinical findings. Int Arch Allergy Immunol 119:133–137

    Article  CAS  Google Scholar 

  • Frankland AW, Davies RR (1965) Allergy to mold spores in England. Poumon Coeur 21:11–31

    CAS  Google Scholar 

  • Galán C, Tobías A, Banegas JR, Aránguez E (2003) Short-term effects of air pollution on daily asthma emergency room admissions. Eur Respir J 22:802–808

    Article  Google Scholar 

  • Galán C, Cariñanos P, Alcázar P, Dominguez E (2007) Spanish aerobiology network (REA): management and quality manual. Universidad de Córdoba, Córdoba

    Google Scholar 

  • Ghosh D, Chakraborty P, Gupta J, Biwas A, Roy I, Das S et al (2012) Associations between pollen counts, pollutants, and asthma-related hospital admissions in a high-density Indian metropolis. J Asthma 49:792–799

    Article  CAS  Google Scholar 

  • Gioulekas D, Damialis A, Papakosta D, Spieksma F, Giouleka P, Patakas D (2004) Allergenic fungi spore records (15 years) and sensitization in patients with respiratory allergy in Thessaloniki-Greece. J Invest Allerg Clin 14:225–231

    CAS  Google Scholar 

  • Global Asthma Network. The global asthma report 2014. 2014 [cited; Available from: http://www.globalasthmareport.org/resources/Global_Asthma_Report_2014.pdf

  • Gonianakis M, Neonakis I, Darivianaki E, Gonianakis I, Bouros D, Kontou-Fili K (2005) Airborne Ascomycotina on the island of Crete: seasonal patterns based on an 8-year volumetric survey. Aerobiologia 21:69–74

    Article  Google Scholar 

  • Héguy L, Garneau M, Goldberg MS, Raphoz M, Guay F, Valois M-F (2008) Associations between grass and weed pollen and emergency department visits for asthma among children in Montreal. Environ Res 106:203–211

    Article  Google Scholar 

  • Hodder R, Lougheed MD, Rowe BH, Fitzgerald JM, Kaplan AG, McIvor RA (2010) Management of acute asthma in adults in the emergency department: nonventilatory management. CMAJ 182:E55–E67

    Article  Google Scholar 

  • Humperson-Jones FM, Phelps K (1989) Climatic factors influencing spore production in Alternaria brassicae and Alternaria brassicicola. Ann Appl Biol 114:449–458

    Article  Google Scholar 

  • Kasprzyk I (2008) Non-native Ambrosia pollen in the atmosphere of Rzeszow (SE Poland). Evaluation of the effect of weather conditions on daily concentrations and starting dates of the pollen season. Int J Biometeorol 52:341–351

    Article  Google Scholar 

  • Kiotseridis H, Cilio CM, Bjermer L, Tunsäter A, Jacobsson H, Dahl Å (2013) Grass pollen allergy in children and adolescents symptoms, health related quality of life and the value of pollen prognosis. Clin Transl Allergy 3:19

    Article  Google Scholar 

  • Knox RB, Taylor P, Smith P, Hough T, Ong EK, Suphioglu C et al (1993) Pollen allergens, botanical aspects. In: Kraft D, Sehon A (eds) Molecular biology and immunology of allergens. CRC Press, Boca Raton, pp 31–34

    Google Scholar 

  • Koskela HO (2007) Cold air-provoked respiratory symptoms: the mechanisms and management. Int J Circumpolar Health 66(2):91–100

    Article  Google Scholar 

  • Leblanc A, Silva R, Dias de Castro E (2013) Asthmatic admissions in a central hospital emergency department. Rev Port Imunoalergologia 21:275–282

    Google Scholar 

  • Lee CC, Sheridan SC, Lin S (2012) Relating weather types to asthma-related hospital admissions in New York State. EcoHealth 9:427–439

    Article  Google Scholar 

  • León-Ruiz E, Alcázar P, Domínguez-Vilches E, Galán C (2010) Study of Poaceae phenology in a Mediterranean climate. Which species contribute most to airborne pollen counts? Aerobiologia 27:37–50

    Article  Google Scholar 

  • Loureiro G, Blanco B, São Braz M, Pereira C (2003) Reactividade cruzada a aeroalergénios numa população alérgica da Cova da Beira. Rev Port Imunoalergologia 11:107–116

    Google Scholar 

  • Makra L, Puskás J, Matyasovszky I, Csépe Z, Lelovics E, Bálint B, Tusnády G (2015) Weather elements, chemical air pollutants and airborne pollen influencing asthma emergency room visits in Szeged, Hungary: performance of two objective weather classifications. Int J Biometeorol 59(9):1269–1289

    Article  Google Scholar 

  • Masoli M, Fabian D, Holt S, Beasley R (2004) The global burden of asthma: executive summary of the GINA Dissemination Committee Report. Allergy 59:469–478

    Article  Google Scholar 

  • May L, Carim M, Yadav K (2011) Adult asthma exacerbations and environmental triggers; a retrospective review of ED visits using an electronic medical record. Am J Emerg Med 29:1074–1082

    Article  Google Scholar 

  • McGregor G, Walters S, Wordley J (1999) Daily hospital respiratory admissions and winter air-mass types, Birmingham UK. Int J Biometeorol 43:21–30

    Article  CAS  Google Scholar 

  • Negrini AC, Voltolini S, Troise C, Arobba D (1992) Comparison between Urticaceae (Parietaria) pollen count and hay fever symptoms: assessment of a «threshold-value». Aerobiologia 8:325–329

    Article  Google Scholar 

  • Newson R, Strachan D, Corden J, Millington W (2000) Fungal and other spore counts as predictors of admissions for asthma in the Trent region. Occup Environ Med 57:786–792

    Article  CAS  Google Scholar 

  • Nilsson S, Persson S (1981) Tree pollen spectra in the Stockholm region (Sweden), 1973–1980. Grana 20:179–182

    Article  Google Scholar 

  • Nunes C, Ladeira S (2012) Long-term efficacy of specific immunotherapy in rhino-conjunctivitis to pollens. Rev Port Imunoalergologia 20:253–261

    Google Scholar 

  • Oliveira P, Pereira PT (2008) Who values what in a tourism destination? The case of Madeira Island. Tour Econ 14:155–168

    Article  Google Scholar 

  • Puc M, Bosiacka B (2011) Effects of meteorological factors and air pollution on urban pollen concentrations. Pol J Environ Stud 20:611–618

    CAS  Google Scholar 

  • Quintal R (2007) Quintas, Parques e Jardins do Funchal - Estudo fitogeográfico. Lisboa: Esfera do Caos Editores

  • Ranta H, Pessi A-M (2006) Pollen bulletin summary 2005. Finn Pollen Bull 30:1–12

    Google Scholar 

  • Rapiejko P, Stankiewicz W, Szczygielski K, Jurkiewicz D (2007) Threshold pollen count necessary to evoke allergic symptoms. Otolaryngol Pol 61:591–594

    Article  Google Scholar 

  • Ribeiro H, Oliveira M, Ribeiro N, Cruz A, Ferreira A, Machado H, Reis A, Abreu I (2009) Pollen allergenic potential nature of some trees species: a multidisciplinary approach using aerobiological, immunochemical and hospital admissions data. Environ Res 109(3):328–333

    Article  CAS  Google Scholar 

  • Rivas-Martínez S (2001) Bioclimatic map of Europe—thermotypes. University of Léon, Léon

    Google Scholar 

  • Rodríguez-Rajo FJ, Astray G, Ferreiro-Lage JA, Aira MJ, Jato-Rodríguez MV, Mejuto JC (2010) Evaluation of atmospheric Poaceae pollen concentration using a neural network applied to a coastal Atlantic climate region. Neural Netw 23:419–425

    Article  Google Scholar 

  • Rosado-Pinto J, Gaspar A, Morais-Almeida M (2006) Épidémiologie de l’asthme et des allergies dans les pays de langue portugaise. Revue Française d’allergologie et d’immunologie Clinique 46:305–308

    Article  Google Scholar 

  • Rosas I, McCartney HA, Payne RW, Calderón C, Lacey J, Chapela R et al (1998) Analysis of the relationships between environmental factors (aeroallergens, air pollution, ad weather) and asthma emergency to a hospital in Mexico City. Allergy 53:394–401

    Article  CAS  Google Scholar 

  • Royé D, Taboada JJ, Martín A, Lorenzo MN (2015) Winter circulation weather types and hospital admissions for respiratory diseases in Galicia, Spain. Int J Biometeorol. doi:10.1007/s00484-015-1047-1

    Google Scholar 

  • Ruffoni G, Passalacqua G, Ricciardolo F, Furgani A, Corrado Negrini A, De Amici M et al (2013) A 10-year survey on asthma exacerbations: relationships among emergency medicine calls, pollens, weather, and air pollution. Rev Fr Allergol 53:569–575

    Article  Google Scholar 

  • Sabariego S, Díez A, Gutiérrez M (2007) Monitoring of airborne fungi in Madrid (Spain). Acta Bot Croat 66:117–126

    Google Scholar 

  • Sadyś M, Kennedy R, Skjoth CA (2015a) An analysis of local wind and air mass directions and their impact on Cladosporium distribution using HYSPLIT and circular statistics. Fungal Ecol 18:56–66

    Article  Google Scholar 

  • Sadyś M, Kennedy R, West JS (2015b) Potential impact of climate change on fungal distributions: analysis of 2 years of contrasting weather in the UK. Aerobiologia

  • Santos FD, Valente MA, Miranda PMA, Aguiar A, Azevedo EB, Tomé AR et al (2004) Climate change scenarios in the Azores and Madeira islands. WRR 16:473–491

    Google Scholar 

  • Singh AB, Mathur C (2012) An aerobiological perspective in allergy and asthma. Asia Pac Allergy 2:210–222

    Article  Google Scholar 

  • Sousa L, Camacho I, Grinn-Gofroń A, Camacho R (2015) Monitoring of anamorphic fungal spores in Madeira region (Portugal), 2003–2008. Aerobiologia 31:1–13

    Article  Google Scholar 

  • To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA et al (2012) Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health 12:1–8

    Article  Google Scholar 

  • Tormo-Molina R, Gonzalo-Garijo MA, Silva-Palacios I, Muñoz-Rodríguez AF (2010) General trends in airborne pollen production and pollination periods at a Mediterranean site (Badajoz, Southwest Spain). J Investig Allergol Clin Immunol 20:567–574

    CAS  Google Scholar 

  • Tosunoglu A, Bicakci A (2015) Seasonal and intradiurnal variation of airborne pollen concentrations in Bodrum, SW Turkey. Environ Monit Assess 187:167

    Article  Google Scholar 

  • Urbano R, Palenik B, Gaston CJ, Prather KA (2011) Detection and phylogenetic analysis of coastal bioaerosols using culture dependent and independent techniques. Biogeosciences 8:301–309

    Article  CAS  Google Scholar 

  • Veriankaitė L, Siljamo P, Sofiev M, Šaulienė I, Kukkonen J (2010) Modelling analysis of source regions of long-range transported birch pollen that influences allergenic seasons in Lithuania. Aerobiologia 26:47–62

    Article  Google Scholar 

  • WHO. Asthma, http://www.who.int/topics/asthma/en/, 2015

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Acknowledgments

We would like to thank the Unit of Management of Patients and Statistic of Hospital Central of Funchal, the Portuguese Society of Allergology and Clinical Immunology (SPAIC) and the Meteorological Observatory of Funchal for their help and support in the aerobiological study.

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Correspondence to Irene Camacho.

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Camacho, I., Grinn-Gofroń, A., Camacho, R. et al. Madeira—a tourist destination for asthma sufferers. Int J Biometeorol 60, 1739–1751 (2016). https://doi.org/10.1007/s00484-016-1163-6

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  • DOI: https://doi.org/10.1007/s00484-016-1163-6

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