Thunderstorm asthma: a review, risks for Aotearoa New Zealand, and health emergency management considerations

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dc.citation.issue1557
dc.citation.volume135
dc.contributor.authorStewart C
dc.contributor.authorYoung NL
dc.contributor.authorKim ND
dc.contributor.authorJohnston DM
dc.contributor.authorTurner R
dc.coverage.spatialNew Zealand
dc.date.accessioned2023-02-02T22:44:11Z
dc.date.accessioned2023-09-04T01:38:48Z
dc.date.available2022-07-01
dc.date.available2023-02-02T22:44:11Z
dc.date.available2023-09-04T01:38:48Z
dc.date.issued2022-07-01
dc.descriptionCopyright and source must be acknowledged
dc.description.abstractAIM: To provide an up-to-date review of thunderstorm asthma (TA), identifying causative factors, and to discuss implications for management of TA in New Zealand. METHODS: A literature search was carried out to identify articles that investigate the characteristics and causative factors of TA. Nine electronic databases were searched, yielding 372 articles, reduced to 30 articles after screening for duplication and relevance. RESULTS: TA is globally rare, with 29 reported events since 1983, but is expected to increase in frequency as Earth warms. Triggers include both pollen (particularly ryegrass pollen) and fungal spores. Individual risk factors include outdoor exposure, sensitivity to triggering allergens and history of seasonal allergic rhinitis. History of asthma is not a strong risk factor but is associated with severity of outcome. Limited data on demographic characteristics suggests that individuals aged between 20 and 60 and (in Australasia) of Asian/Indian ethnicity are at higher risk. A single TA event has been reported in New Zealand to date, but much of New Zealand may be at risk of future events given that ryegrass pastures are widely distributed, and summer thunderstorms can occur anywhere. CONCLUSIONS: We recommend developing rapidly deployable public messaging to support the health emergency management response to future TA events, together with the instigation of routine aeroallergen monitoring.
dc.description.publication-statusPublished online
dc.format.extent49 - 63
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/35772112
dc.identifier.citationN Z Med J, 2022, 135 (1557), pp. 49 - 63
dc.identifier.eissn1175-8716
dc.identifier.elements-id454419
dc.identifier.harvestedMassey_Dark
dc.identifier.urihttp://hdl.handle.net/10179/19812
dc.languageeng
dc.publisherNew Zealand Medical Association
dc.relation.isPartOfN Z Med J
dc.relation.urihttps://journal.nzma.org.nz/journal-articles/thunderstorm-asthma-a-review-risks-for-aotearoa-new-zealand-and-health-emergency-management-considerations-open-access
dc.rights(c) NZMA
dc.subjectAdult
dc.subjectAllergens
dc.subjectAsthma
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectNew Zealand
dc.subjectPollen
dc.subjectRhinitis, Allergic, Seasonal
dc.subjectYoung Adult
dc.subject.anzsrc11 Medical and Health Sciences
dc.titleThunderstorm asthma: a review, risks for Aotearoa New Zealand, and health emergency management considerations
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/School of Health Science
pubs.organisational-group/Massey University/College of Humanities and Social Sciences
pubs.organisational-group/Massey University/College of Humanities and Social Sciences/Joint Centre for Disaster Research
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