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Published on: March 2, 2016
Acute infections, infection pressure, and atopy
M Paunio1, H Peltola, M Virtanen
1Department of Health, Ministry of Social Affairs and Health, Helsinki, Finland. mpaunio@worldbank.org
Children with frequent infections, including mumps, rubella, and upper respiratory infections (URIs), showed higher rates of atopy. This suggests atopic individuals may be more susceptible to infections, not that infections prevent allergies.
Area of Science:
- Immunology
- Epidemiology
- Public Health
Background:
- The hygiene hypothesis suggests reduced early childhood infections increase allergy prevalence.
- Concerns exist that vaccinations might indirectly raise atopy rates.
- This study examines infection history, infection pressure, and atopy in a large population-based survey.
Purpose of the Study:
- To investigate the association between acute infections, infection pressure, and atopy.
- To evaluate the hygiene hypothesis in relation to vaccination and allergy development.
- To determine if reduced infections influence allergy prevalence.
Main Methods:
- Surveyed 547,190 Finns (born 1976-1984 and older teens) regarding mumps, rubella, and atopy (eczema, asthma, rhinoconjunctivitis).
- A subsample (37,733) provided data on upper respiratory infections (URIs) and infection pressure (daily child contacts).
- Calculated prevalence ratios of atopy based on infectious disease history and infection exposure.
Main Results:
- Increased daily contacts correlated with higher URI risk and mumps/rubella history, particularly in younger children.
- Atopy was not linked to daily contacts in preschoolers.
- Children with histories of repeated URIs and MMR diseases exhibited significantly more atopy.
Conclusions:
- Atopic individuals appear more susceptible to acute respiratory infections, highlighting the need for immunizations.
- The study does not support the hygiene hypothesis that declining respiratory infections increase atopy prevalence in developed nations.
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