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Environmental Control for Indoor Allergens

Environmental Control for Indoor Allergens

House dust contains a variety of allergens such as insect parts, animal dander, and dust mites. Furthermore, mold may also be present in homes. It is important to eliminate as much allergen as possible from the home in order to derive maximum benefit from your treatment.

House Dust Mite is probably the most important allergen in most homes. Controlling house dust mite exposure will decrease symptoms in allergic patients and may decrease the risk of developing dust mite allergy in patients not yet sensitized. Dust mites are tiny microscopic creatures that thrive in warm, moist climates. Upholstery (particularly the bed) is the ideal habitat for dust mites because they need the protection of the padding and a food supply (shed human skin) to survive. They cannot thrive on non-porous surfaces or in cool dry climates.

There are simple things you can do to minimize dust mite exposure:

  • You should concentrate on the bedroom (particularly the bed) because this is where you spend most of your time. In fact, when you are sleeping, you are breathing with your mouth and nose inches from a whole army of dust mites. The bedroom should be clutter free.
  • Dusting should be done frequently with a damp cloth.
  • The humidity in the bedroom should be kept below 50%. In Central Oklahoma this generally requires only air condition, but may require a de-humidifier. Humidifiers encourage dust mite and mold growth and should be avoided.
  • The mattress, box spring and pillow should be encased in dust mite proof encasements. All items on the bed should be washed in hot water (140 degrees) every one to two weeks. Stuffed animals should be removed from the bed.
  • Upholstered furniture and wall to wall carpet contain dust mites and should be avoided if possible, but these are not nearly as important as the bed.
  • Air filters, expensive vacuum cleaners, and duct cleaning help only minimally. When vacuuming, a HEPA filter or double bag should be used to minimize dust mites being stirred up and released into the air.

Cockroaches are now recognized as important indoor allergens. Other insects such as lady bugs, spiders, and crickets have recently been implicated. Keep the home clean and dry and fix any leaks or drips. It may be necessary to have an exterminator treat the home periodically.

Animal dander, generally from cats and dogs (but sometimes from gerbils, hamster, guinea pigs, mice, etc.) is a very important source of allergen in dust. Contrary to popular belief, animal hair is not the problem. Rather, it is a protein in the urine, saliva and dander of animal that provokes allergy. There are no “nonallergenic” furred pets. Some individual animals produce more allergen than others but there are no “safe” breeds.

  • The best thing you can do if you are allergic is to eliminate the pet.
  • Keeping the animal outside is only a partial solution because people who handle the animals outside will bring the allergen in on their clothes.
  • If you cannot eliminate the pet, try to keep the pet in non-upholstered areas and never let the pet in the bedroom. A HEPA filter in the bedroom may provide some protection.
  • Bathing the animals weekly may decrease the amount of allergen they produce.
  • After the animal has been removed, it can take as long as a year for allergen levels in the home to drop significantly, so a good thorough cleaning of the home is necessary after eliminating the animal.

Recently some information has come to light which suggests that if you are not already allergic it may actually be helpful to have cats or dogs in the home. However, if you are already pet allergic having the pets around will only worsen your allergic symptoms.

Indoor Mold can also cause significant allergic respiratory symptoms. Homes with high humidity and/or leaks have a high likelihood of having significant indoor molds. Once these issues have been fixed, it is generally easy to eliminate molds, but if you continue to have problems with water leaks or high humidity, you will have a hard time cleaning up your mold. Use a cleaning solution containing 5% bleach and a small amount of detergent to clean up moldy areas. Performing house dust control measures will help as well.

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Food Allergies and Theme Parks

By Eve Chen, USA TODAY

There’s a lot more to theme park food than funnel cakes and turkey legs. Many parks pride themselves on their array of dining options for guests, but not just for flavor. More than 6% of Americans have a food allergy, according to the Centers for Disease Control and Prevention’s National Center for Health Statistics. The most common food allergens are milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, soybeans and sesame, according to the U.S. Food and Drug Administration. With those, allergy-safe options can be a matter of life and death.

“I had my first reaction when I was a baby to nuts, and I’ve had serious reactions since that have brought me to the ER – thankfully not too many in recent years,” said Allie Bahn, who helps travelers with food allergies through her Miss Allergic Reactor website and Allergy Travels Facebook group. Bahn has four of the top nine food allergies and other specific allergens, like potatoes. “It can be certainly life-threatening, so it’s different than avoiding foods just because of something bothering your stomach.”

Here are seven ways travelers with food allergies can safely navigate theme parks and what parks are doing to help:

Do your research.

Some parks flag top allergens on their websites and apps.

“It’s listed by restaurant, by item, and it talks about each item what would be the allergen that could be present in that item … A lot of folks who have been living with allergies know what they can and can’t eat, and they’re just looking for a map of ‘Where can I get what I need?’ ” said Cedar Fair corporate chef Charles Walker, who helped roll out new dietary guides for guests earlier this year. As someone with food allergies himself and family members with food allergies, Walker added, “This was near and dear to my heart to really make sure this guest-facing platform was very user-friendly.”

For more personalized help, Cedar Fair’s parks and many others have phone lines and email addresses listed on their websites just for guests with special dietary needs.

“I’m a big fan of contacting places ahead of time,” Bahn said.

Don’t go hungry.

Bahn recommends eating a hearty meal before heading to the park. “So you already have something nice and warm in your stomach, hoping that you’ll be able to find something (else) when you’re there,” she said. She also recommends having plans for a meal after leaving the park, so at least those two meals are covered.

Pack snacks. Not all parks allow outside food, but when permitted, Bahn recommends packing snacks for backup. “Don’t make assumptions that you definitely can’t eat. I think there’s always the ability to try to do as much research ahead of time and then see how it goes once you get there, but having a plan in place is always really helpful,” she said.

Always carry medication or epinephrine. Bahn says she’s carried an epinephrine auto-injector with her for as long as she can remember. “Don’t lock it up in a locker where you can’t quickly access it in case of an emergency,” she said. “It should be on you at all times.”

Ask questions.

“Ask if they have ingredients that you can see,” Bahn said. Some park restaurants have binders of ingredients guests can look at, but it’s best to confirm everything is up to date with chefs, who are happy to speak with guests with food allergies. Sometimes, when creating menus, chefs will intentionally avoid using common allergens like peanuts to make foods more accessible. Chefs can also sometimes adjust dishes for allergies.

“Our festival chefs will go through (the menu) and make sure, based off of the dietary needs, if a dish is safe, if there’s anything (the guest) can have from those kiosks, or if there’s a way, we can make that dish for them safe,” said Kevin Downing, executive chef of EPCOT Festivals at Walt Disney World. Cedar Fair’s Walker echoed, “If you have a very, very specific allergy, we’ll do whatever we can to accommodate.”

Advocate for yourself.

“Explain your food allergies. Advocate for yourself,” Bahn said. She recommends carrying a Chef Card that can be given to chefs, stating each allergy, its severity, and the need for clean utensils and surfaces to be used in food preparation to avoid possible cross-contamination. “It makes everybody’s life, I think, a lot easier and really gets the point across that this is a severe food allergy and not just dietary preference,” she said.

When an allergy-related order comes into Connections Eatery kitchen at EPCOT, Chef Scott Tosh said. “It prints up special, so the special diets-trained cast member will prepare that food. We put an allergy pick in it. If there’s two items – one’s allergy, one’s not – we serve them with separate trays.” Bahn said Disney parks have always been great with her needs, even when she was a kid and people were generally less aware of food allergies.

Trust your gut.

Bahn recommends double-checking all food before digging in.

“I think I have been able to sort of save myself from some potential reactions because of advocating and double checking, trusting my gut,” Bahn said of no place in particular. “There’s plenty of times where I’ve decided not to eat, even if I’ve ordered something because I just felt like I didn’t get all my questions answered in a way that I felt was safe. And that’s OK too. Being able to politely and kindly decide not to eat and walk away and make a different plan is OK, as well. It’s your safety. It’s your health.”

https://www.usatoday.com/story/travel/experience/theme-parks/2023/12/14/food-allergies-theme-park-tips/70911517007/

The post Food Allergies and Theme Parks appeared first on Oklahoma Allergy and Asthma Clinic.

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