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Environmental Exposures Impact Pediatric Asthma Within the School Environment
Caroline L Mortelliti1, Tina M Banzon1, Carolina Zilli Vieira2
1Boston Children's Hospital, 300 Longwood Avenue, Fegan 6, Boston, MA 02115, USA.
Immunology and Allergy Clinics of North America
|October 20, 2022
Summary
Schools harbor indoor allergens linked to childhood asthma. This review examines environmental factors and school-based interventions to reduce asthma morbidity in children.
Area of Science:
- Environmental Health
- Pediatric Allergy and Immunology
- Public Health
Background:
- Schools are indoor microenvironments with numerous allergens and pollutants.
- Childhood asthma is a prevalent chronic condition with significant morbidity, disproportionately affecting minority communities.
- Existing asthma therapies have limitations, necessitating research into environmental triggers.
Purpose of the Study:
- To review environmental exposures contributing to asthma morbidity in schools.
- To discuss school-based interventions for improving allergy-related asthma outcomes in children.
- To understand multifaceted environmental factors in asthma pathogenesis for guiding interventions.
Main Methods:
- Literature review focusing on school environmental exposures and asthma.
- Analysis of studies on common indoor allergens (cockroach, mouse, cat, dog, dust mite, fungus) and air pollution.
- Examination of school-based intervention strategies for allergy and asthma.
Main Results:
- Strong association found between school allergen exposure and childhood asthma morbidity.
- Multiple environmental factors within schools are implicated in asthma exacerbation.
- Various school-based interventions show promise in mitigating allergy morbidity.
Conclusions:
- Understanding school environmental factors is crucial for managing childhood asthma.
- Targeted interventions in schools can help reduce asthma burden.
- Further research is needed to address the complex interplay of environmental exposures and asthma pathogenesis.
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