Climate and children with bronchial asthma: a case study for the Russian Far East

Elena A. Grigorieva, Evgeniy N. Suprun


Bronchial asthma (BA) continuously increases during the last century, and to date, has reached 15% of the world’s child population. Respiratory system and bronchial asthma morbidity are the fi rst in the list of climate-sensitive diseases, and children compound a climate-high-risk group of the population. In recent years, there has been a steady growth of BA among children and teenagers of the Khabarovsk Krai, Russia; among teenagers, this number has doubled in the last ten years. The aim of the current study is to carry a comprehensive analysis covering climatic factors for bronchial asthma in children and teenagers, at the southern part of the Russian Far East (FE). The study area is located in monsoon climate of temperate latitudes characterized by extreme annual air temperature amplitude, with cold Siberian winter and tropically hot and sultry summer. Assessment of weather impact on children with BA in Khabarovsk, administrative center of the FE, for period 2013–2014 shows that the BA visits have a seasonal regime with peaks in spring (March – April) and in autumn – early winter (November – December), when day-to-day changes in temperature are large, and in summer (July) due to a large number of allergens (fl owering plant-allergens), when various allergic diseases exacerbate. At the same time, huge peaks in BA visits have been found in November, 2013 and in April, 2014, that can be estimated as consequences of catastrophic fl ooding at the Amur River in August-September, 2013.

Ключевые слова

bronchial asthma; children and teenagers; monsoon climate; air temperature; fl ooding; Khabarovsk

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Akhbari M, Kneale D, Harris KM, Pike KC (2018) Interventions for autumn exacerbations of asthma in children: a systematic review. Arch Dis Child 103(Suppl 1): 188. Doi: 10.1136/archdis-child-2018-rcpch.448.

Byers N, Ritchey M, Vaidyanathan A, Brandt AJ, Yip F (2016) Short-term effects of ambient air pollutants on asthma related emergency department visits in Indianapolis, Indiana, 2007–2011. J Asthma 53(3): 245–252.

Davis RE, Enfield KB (2018) Respiratory hospital admissions and weather changes: a retrospective study in Charlottesville, Virginia, USA. Int J Biometeorol 62(6): 1015–1025.

de Freitas CR, Grigorieva EA (2015) Role of acclimatization in weather related human mortality during the transition seasons of autumn and spring in a thermally extreme mid-latitude continental climate. Int J Environ Res Public Health 12(12): 14974–14987.

Don Hayes J, Collins PB, Khosravi M, Lin R-L, Lee L-Y (2012) Bronchoconstriction triggered by breathing hot humid air in patients with asthma. Am J Respir Crit Care Med 185(11): 1190–1196.

Driessen JM, van der Palen J, van Aalderen WM, de Jongh FH, Thio BJ (2012) Inspiratory airflow limitation after exercise challenge in cold air in asthmatic children. Respir Med 106: 1362–1368. Doi: 10.1016/j.rmed.2012.06.017.

Emo B, Hu L-W, Yang B-Y, et al. (2018) Housing characteristics, home environmental factors, and pulmonary function deficit in Chinese children: Results from the Seven Northeast Cities (SNEC) Study. FACETS 3: 242–259. Doi: 10.1139/facets-2017-0036.

Evseeva GP, Holodok GN, Morozova NV, Suprun EN, et al. (2016) Epidemiology of bronchopulmonary diseases in children and teenagers of Khabarovsk Kray. Bull Physiol Pathol Respirat 61: 31–35 (in Russian).

Grigorieva EA (2017) Climatic conditions of the Far East as a factor in the development of respiratory diseases. Reg Problems 20(4): 79–85 (in Russian).

Grigorieva EA, de Freitas CR (2014) Temporal dynamics of precipitation in an extreme mid-latitude monsoonal climate. Theor Appl Climatol 116(1): 1–9. Doi: 10.1007/s00704-013-0925-x.

Grigorieva EA, Kityantseva LP (2016) Cardiorespiratory morbidity caused by seasonal weather changes and measures for its prevention. Health Nation Life Environ 2(275): 7–10 (in Russian).

Hasunuma H, Yamazaki S, Tamura K, et al. (2018) Association between daily ambient air pollution and respiratory symptoms in children with asthma and healthy children in western Japan. J Asthma 55(7): 712–719. Doi: 10.1080/02770903.2017.1369988.

Liu Y, Guo Y, Wang C, et al. (2015) Association between Temperature Change and Outpatient Visits for Respiratory Tract Infections among Children in Guangzhou, China. Int J Environ Res Public Health 12: 439–454.

Norbдck D, Lu C, Wang J, Zhang Y, et al. (2018) Asthma and rhinitis among Chinese children – Indoor and outdoor air pollution and indicators of socioeconomic status (SES). Environment Int 115: 1–8. Doi: 10.1016/j.envint.2018.02.023.

Suprun EN, Efimenko MV, Pivkina TV, Azovtseva YuG, Evstigneeva AV (2016) The influence of flooding in 2013 on frequency of mold allergen sensibilisation in children with bronchial asthma at the Russian Far East Russian J Perinatol Pediatrics 4: 176–147 (in Russian).

Xu Z, Crooks JL, Davies JM, et al. (2018) The association between ambient temperature and childhood asthma: a systematic review. Int J Biometeorol 62: 471–481. Doi: 10.1007/s00484-017-1455-5.


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