Featured Research

from universities, journals, and other organizations

NIAID Study: Cockroaches Important Cause of Asthma Morbidity Among Inner-City Children

Date:
May 8, 1997
Source:
National Institute of Allergy and Infectious Diseases
Summary:
A large NIAID-supported study has conclusively demonstrated that the combination of cockroach allergy and exposure to the insects is an important cause of asthma-related illness and hospitalizations among children in U.S. inner-city areas.

A large study supported by the National Institute of Allergy andInfectious Diseases (NIAID) has conclusively demonstrated that the combination of cockroach allergy and exposure to the insects is an important cause of asthma-related illness and hospitalizations among children in U.S. inner-city areas.

The report from NIAID's National Cooperative Inner-CityAsthma Study (NCICAS), and an accompanying editorial, appear in the May 8, 1997, issue of The New England Journal of Medicine.

"Some of the most vulnerable of our citizens, children in thepoorest neighborhoods of our large cities, suffer disproportionately from asthma," says Anthony S. Fauci, M.D., NIAID director. "Allergy and exposure to cockroach allergen clearly play an important role in the alarming rates of asthma-related sickness among these children."

"Reducing exposure to cockroach allergen, as part of a multi-faceted approach to asthma management, may be a cost-effective way of reducing the burden of this serious disease," says Daniel Rotrosen, M.D., acting director of NIAID's Division of Allergy, Immunology and Transplantation. "Simple and relatively low-cost interventions that have been explored in the NCICAS, such as patient education, roach traps and child-safe insecticides, are potentially important adjuncts to previously established medical therapies that can help asthmatic patients."

The first five-year phase of the NCICAS, recently completed,enrolled more than 1,500 children with asthma, ages 4 to 11, living in eight major metropolitan areas: The Bronx, N.Y.; East Harlem, N.Y.; St.Louis, Mo.; Washington, D.C.; Baltimore, Md.; Chicago, Ill.; Cleveland, Ohio; and Detroit, Mich.

In the current analysis, David L. Rosenstreich, M.D., of theAlbert Einstein College of Medicine in the Bronx, N.Y., and hisNCICAS colleagues studied 476 of these children. Most of thechildren were either African-American (78 percent) or Hispanic (16 percent). The researchers measured levels of cockroach, dust mite and cat allergens in the children's homes, and determined with allergy skin tests that 37 percent of the children were allergic to cockroaches, 35 percent to dust mites, and 23 percent to cats. The investigators then assessed the severity of the children's asthma over 12 months.

They found that children who were both allergic to cockroaches and exposed to high cockroach allergen levels were hospitalized for their asthma 3.3 times more often than children who were allergic but not exposed to high levels of cockroach allergen, orchildren who were exposed to high levels of cockroach allergen but who were not allergic.

Children who were both allergic and heavily exposed tocockroach allergen also missed school more often, needed nearly twice as many unscheduled asthma-related medical visits, and suffered through more nights with lost sleep. In addition, the activities of the adults who cared for these children werefrequently disrupted.

In contrast, neither the combination of allergy to dust mitesand high exposure to mites, nor the combination of allergy to cats and high exposure to cats was associated with more severe asthma among the 476 children in the study sample.

Despite the availability of effective asthma therapies, asthma-related deaths among individuals younger than 25 in theUnited States increased 118 percent between 1980 and 1993.

"These disturbing trends, which are especially pronounced inminority populations, underscore the importance of the Institute'sresearch into understanding, preventing and treating asthma," says Dr. Fauci.

NIAID, a component of the National Institutes of Health (NIH),conducts and supports research aimed at preventing, diagnosing and treating illnesses such as AIDS and other sexually transmitted diseases, tuberculosis, asthma and allergies. NIH is an agency of the U.S. Department of Health and Human Services. ###References:Platts-Mills TA and Carter MC. Asthma and indoor exposure toallergens. New Engl J Med 1997;336:1382-1384.

Rosenstreich DL, et al. The role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma. New Engl J Med 1997;336;1356-63.

NIAID press releases, fact sheets and other materials areavailable on the Internet via the NIAID home page athttp://www.niaid.nih.gov.


Story Source:

The above story is based on materials provided by National Institute of Allergy and Infectious Diseases. Note: Materials may be edited for content and length.


Cite This Page:

National Institute of Allergy and Infectious Diseases. "NIAID Study: Cockroaches Important Cause of Asthma Morbidity Among Inner-City Children." ScienceDaily. ScienceDaily, 8 May 1997. <www.sciencedaily.com/releases/1997/05/970508075100.htm>.
National Institute of Allergy and Infectious Diseases. (1997, May 8). NIAID Study: Cockroaches Important Cause of Asthma Morbidity Among Inner-City Children. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/1997/05/970508075100.htm
National Institute of Allergy and Infectious Diseases. "NIAID Study: Cockroaches Important Cause of Asthma Morbidity Among Inner-City Children." ScienceDaily. www.sciencedaily.com/releases/1997/05/970508075100.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How 'Yes Means Yes' Defines Sexual Assault

How 'Yes Means Yes' Defines Sexual Assault

Newsy (Sep. 29, 2014) Aimed at reducing sexual assaults on college campuses, California has adopted a new law changing the standard of consent for sexual activity. Video provided by Newsy
Powered by NewsLook.com
Scientists May Have Found An Early Sign Of Pancreatic Cancer

Scientists May Have Found An Early Sign Of Pancreatic Cancer

Newsy (Sep. 29, 2014) Researchers looked at 1,500 blood samples and determined people who developed pancreatic cancer had more branched chain amino acids. Video provided by Newsy
Powered by NewsLook.com
Colo. Doctors See Cluster of Enterovirus Cases

Colo. Doctors See Cluster of Enterovirus Cases

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com
Dr.'s Unsure of Cause of Fast-Spreading Virus

Dr.'s Unsure of Cause of Fast-Spreading Virus

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins