What allergy is high today in san antonio tx

Fellows starting in

Wendy Gould
Environmental tobacco smoke exposure and its effect on inhaled corticosteroid responsiveness among African American patients with asthma
Support Team: K. Williams and SAPPHIRE members

Wendy Gould
The effects of genetic ancestry and other factors predicting inhaled corticosteroid responsiveness in African American patients with asthma
Support Team: K. Williams and SAPPHIRE team.

Sartaj Ahmed
The associations of gender and atopic status to asthma incidence between age 6 and 18 in a general-risk birth cohort.
Support Team: S Havstad, G Wegienka, E Zoratti.

Fellows starting in

Rana Misiak
An analysis of the concordance of specific allergen sensitization between parents and their young adult offspring in the Detroit Childhood Allergy Study birth cohort.

Support Team: S Havstad, G Wegienka, E Zoratti.

Naveen Sikka
The change in the usage rate of respiratory medication after bariatric surgery.
Support Team: S Havstad, G Wegienka, E Zoratti, J Genaw

Fellows starting in

Minto Porter
The effect of childhood Body Mass Index and asthma risk in young adult participants in a birth cohort study.
Support Team: S Havstad, G Wegienka, C Nageotte, E Zoratti.

Neetu Vasu
Atopic Dermatitis incidence in children and the effect of early life pet exposure.
Support Team: S Havstad, G Wegienka, E Zoratti.

Fellows starting in

Carey Linden
Analysis pet-induced allergy symptoms and the cutpoint of allergen specific IgE to cat and dog in the suburban Detroit Childhood Allergy Study.

Support Team: S Havstad, G Wegienka, R Misiak, E Zoratti

Carey Linden
The effects of early–life environmental tobacco smoke (ETS) exposure on pet allergy at age 18 in the Childhood Allergy Study
Support Team: S Havstad, G Wegienka, R Misiak, E Zoratti

William Hicks
Maternal IgE during pregnancy and the risk of atopic dermatitis in childhood.
Support Team: S Havstad, G Wegienka, C Nageotte, E Zoratti

Fellows starting in

Purvee Shah
Cord Blood IgE Levels as a predictor of atopy and allergic disorders in young adulthood.
Support Team: S Havstad, G Wegienka, E Zoratti.

Reba Johnson
Race-ethnicity, and associations with adherence to inhaled corticosteroids.

(initiated as 3rd year IM resident when accepted into A&I program)
Support Team: K. Williams and the Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-Ethnicity (SAPPHIRE) team.

Reba Johnson
The association of methacholine reactivity at age 6 and lung function at age
Support Team: S Havstad, G Wegienka, E Zoratti

Fellows starting in

Mary Burnett
Fractional Exhaled Nitric Oxide Levels and their association with non-asthma allergic disorders, atopy and allergic biomarkers in Young Adults.(initiated as 3rd year IM resident when accepted into A&I program)
Support Team: S Havstad, G Wegienka, E Zoratti.

Mary Burnett
Relationship of dog and cat specific IgE and IgG4 Levels to self-reported allergic symptoms with pet exposure.

Support Team: S. Havstad, G Wegienka, E Zoratti.

Jennifer Rumpel
The association between African ancestry/admixture to the risk of asthma exacerbations. (pending confirmation of project feasibility)
Support Team: K. Williams and SAPPHIRE team.


    San Antonio has been named as one of five most challenging places in which to live with drop allergies in

    A report released Monday by the Asthma and Allergy Foundation of America ranked San Antonio fourth among the largest cities in the United States due to its high pollen count, rates of prescription medication use, and the number of allergy specialists located in the area.

    In , San Antonio ranked 16th on the list, said Angel Waldron, a consumer health advocate with the Asthma and Allergy Foundation, an education, advocacy, and research nonprofit that aims to improve the quality of life for people with asthma and allergies.

    The organization has published the Allergy Capitals report annually since

    “When we glance at specific data for [San Antonio] compared to final year – the medication usage for people there has not changed and the number of board-certified allergists has not changed, Waldron said. The one thing that did increase from the final report was the pollen count,” which is the primary reason for San Antonios jump in the ranking this year.

    Waldron said during the drop, the South and the Midwest regions of the U.S.

    dominate the Allergy Capitals list, mostly due to large amounts of ragweed and its ability to easily grow and thrive in the area.

    The No. 1 allergy capital for drop is McAllen, Texas, followed by Louisville, Kentucky, and Jackson, Mississippi.

    What allergy is high today in san antonio tx

    Coming in fifth behind San Antonio is Dayton, Ohio.

    “We desire to assist folks who live in those climates know what is in their environment, how to manage their disease, and what they can do to reduce exposure,” Waldron said.

    The pollen count rate in San Antonio is 64, well above the average rate of 45, according to the report. McAllen had a entire pollen score of 85 – a few sneezes above No. 2 Louisvilles average rate of

    Local allergist Dr.

    What allergy is high today in san antonio tx

    Joe Diaz told the Rivard Report on Tuesday it is no surprise that San Antonio made a Top 5 list for places with high rates of allergies. “In San Antonio, patients suffer from allergies year-round because of the climate we own, and because there is always mold in the air. It’s a large allergy capital in the U.S.”

    While ragweed is a main cause of drop allergy symptoms across the continental U.S., winter season is the most severe for numerous local allergy sufferers due to high rates of mountain cedar, Diaz said.

    “Mountain cedar, which is really a local and Hill Country tree, pollinates extensively in the middle of the winter.

    Historically, the pollen counts peak around Christmas Day. There is no other pollen in the air at the time, and the northerly winds blowing in from the Hill Country assist cause havoc in San Antonio.”

    Diaz, who has been a practicing allergist in San Antonio for more than 30 years, said the city ranks consistently high on lists of places where people with allergies suffer the most.

    While the foundation report noted that San Antonio has not seen an increase in the number of board-certified allergists since , Diaz said patients often go to primary care providers or non-board-certified practicing allergists for prescriptions, including steroid shots and oral medications.

    “The majority of patients don’t need to go to a specialist,” he explained.

    Asked if San Antonio residents should attempt the “cedar fever cure,” the Texas Hill Country tale suggesting allergy sufferers eat leaves and berries from a mountain cedar tree to build immunity, Diaz said while more controlled version of this homeopathic treatment are available, specialists in the U.S.

    typically do not recommend such treatment as it has not been approved by the Food and Drug istration.

    The best way to treat an allergy, Diaz said, is to avoid exposure by staying indoors during the early morning hours when plants pollinate the most and eliminating indoor allergens including dust mites and pet dander.

    “It’s somewhat impractical to enquire patients to completely avoid pollen exposure, he said, so the next best thing would be to use prescription and over-the-counter medication to responsibly control for symptoms.”

    (ARA) As most allergy sufferers will tell you, allergy symptoms can always be bothersome, turning any time of year into sneezing season.

    A runny nose, itchy eyes and scratchy throat can arise as the days get shorter and the leaves start to change.

    The drop can be especially hard for people who are sensitive to mold and ragweed these seasonal elements aren t the only triggers that can make symptoms worse this time of year. There are also a few lesser known are four things you might not know about drop allergies, courtesy of the American College of Allergy, Asthma and Immunology:

    * Hay Fever? — Hay fever, a term from a bygone era, actually has nothing to do with hay.

    Instead, it s a general term used to describe the symptoms of tardy summer allergies. Ragweed is a common cause of hay fever, which is also known as allergic rhinitis. The plant generally begins to pollenate in mid-August and may continue to be a problem until a hard freeze, depending on where you live. See an allergist for prescription medications to control symptoms or to see if allergy shots may be your best option.

    * Lingering Warm Weather While most people enjoy Indian summer, unseasonably warm temperatures can make rhinitis symptoms final longer.

    Mold spores can also be released when humidity is high, or the weather is dry and windy. Be certain to start taking medications before your symptoms start. Track your allergy symptoms with and visit with your allergist to discover relief.

    * Pesky Leaves — Some folks might discover it hard to hold up with raking leaves throughout the autumn. But for allergy sufferers, raking presents its own problem.

    What allergy is high today in san antonio tx

    It can stir agitating pollen and mold into the air, causing allergy and asthma symptoms. Those with allergies should wear an NIOSH rated N95mask when raking leaves, mowing the lawn and gardening.

    * School Allergens — It s not only seasonal pollen and mold that triggers allergies this time of year. Kids are often exposed to classroom irritants and allergy can include chalk dust and classroom pets. Students with food allergies may also be exposed to allergens in the lunch with exercise-induced bronchoconstriction (EIB) may experience attacks during recess or gym class.

    Assist your kid understand what can trigger their allergies and asthma, and how they can avoid symptoms. Be certain to notify teachers and the school nurse of any emergency medications, such as quick relief inhalers and epinephrine.

    No matter the season, it s significant for those who ponder they may be suffering from allergies or asthma to see a board-certified allergist. An allergist can assist you develop a treatment plan, which caninclude both medication and avoidance techniques.

    Having your allergies properly identified and treated will assist you and your family enjoy the season.

    To discover an allergist and study more about allergies and asthma, visit

    Research

    The Henry Ford Middle for Asthma, Allergy and Immunology Research (CAAIR) provides allergy fellows with integrated support from researchers athletic in NIH-funded allergy and Immunology research, including members the Henry Ford Department of Biostatistics and Research Epidemiology.

    The recent focus of the Center’s research has been the continuing investigation of two large birth cohort populations uncovering risk factors, Immunologic responses to allergic and environmental exposures and the natural history of asthma and allergic disease.

    State-of- the-art laboratory equipment, accessible corporate databases and support from the Henry Ford Molecular Epidemiology Research Laboratory provides a wide array of research opportunities for trainees.


    Division of Allergy and Immunology faculty– ongoing research projects

    Ami Degala MD
    Inner City Asthma Consortium (AI PI – Busse WW)
    Role: Site Coinvestigator

    Haejin Kim MD
    Inner City Asthma Consortium (AI PI – Busse WW)
    Role: Site Coinvestigator

    1. House dust bioactivities and skin prick test reactivity in children at high risk of allergy in the CCAAPS birth cohort.

      (Manuscript prepared as faculty at Henry Ford – project initiated in fellowship at U Cincinnati).

    2. The relationship of Ancestry Informative Markers to atopic outcomes in the WHEALS birth cohort (grant preparation in progress for internal submission for funding May )

    Rana Misiak MD
    Inner City Asthma Consortium (AI PI – Busse WW) — Site Coinvestigator
    Racial Variation in Food Allergy: Mechanisms and Risk (R21AI, PI Joseph CLMJ)
    Role: Physician Panel Member

    1. Confirmation of food allergy diagnosis in a large, ethnically-diverse birth cohort.

    Christian Nageotte MD

    1. Sponsored Clinical Trial — The Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate-to-Severe Asthma (EXCELS)
      Role: Site Investigator
    2. Racial Variation in Food Allergy: Mechanisms and Risk (R21AI, PI Joseph CLMJ)
      Role: Physician Panel Member (confirmation of food allergy diagnosis in a large, ethnically-diverse birth cohort.)

    Edward Zoratti MD

    1. Early Life Vitamin D, Racial Disparities and Wheezing (R01HL, PI – Wegienka G)
      Role: Coinvestigator
    2. Inner City Asthma Consortium (AI PI – Busse WW)
      Role : Detroit Site PI
    3. Etiology of Pediatric Atopy (Childhood Allergy Study Birth Cohort 18 year followup (RAI, PI – Zoratti, E) (Extension expired in , but analyses ongoing -current manuscript “Opposing polyclonal cytokine profiles among young adults with atopic and non-atopic asthma in a population-based cohort.
      Role: Principal Investigator
    4. Racial Variation in Food Allergy: Mechanisms and Risk (R21AI, PI Joseph CLMJ)
      Role: Coinvestigator
    5. Grant submitted — Pets & the Baby Microbiome: Effects on Immune Maturation & Atopic Asthma (PO1 AIAl, PI Johnson CC) “
      Role: Project Co-Leader

    A&I resident research projects are typically coordinated through the Henry Ford Middle for Allergy, Asthma and Immunology Research (CAAIR).

    The CAAIR’s members are experienced A&I investigators from both the Division of Allergy and Immunology and the Department of Public Health Sciences. In addition to the A&I faculty and residents own been provided with substantial resources for their research projects by working with CAAIR members who are essential members of the Division’s research team. Listed under are the principal investigators and overall goals of key grants where A&I faculty and/or residents own had substantial involvement over the past review cycle.


    Other CAAIR faculty– ongoing allergy-related research projects

    Christine Johnson, PhD (Epidemiology)
    R01A“Early Environmental Hygiene and Pediatric Atopy”(PI-Johnson C)
    The purpose of this project to develop a multi-ethnic cohort of newborns to investigate early environmental hygiene and pediatric atopy.

    Role: Johnson CC PI.

    Ganesa Wegienka, PhD (Epidemiology)
    R21AI “Epidemiology of Regulatory T Cells in Pregnancy and Childhood Atopic Diseases”
    The goal of the project is to study within-woman change in regulatory T cells from the prenatal to the postpartum period and see how they relate to subsequent allergic disease in their children.
    Role Wegienka G – PI.

    R01HL “Early Life Vitamin D, Racial Disparities and Wheezing (PI – Wegienka G)
    The goal of the project is to determine whether early life 25(OH)D levels can explain the higher rates of positive allergen skin prick tests, allergen sIgE, entire IgE, atopic dermatitis and wheeze among African American children compared to White children.
    Role Wegienka G PI.

    Keoki Williams, MD, MPH
    R01AI Pharmacogenetics of inhaled corticosteroid responsiveness in patients with asthma. (PI — Williams LK)
    This study seeks to quantify the response to ICS therapy in African American and white patients, as well as glance for genetic markers that predict treatment response.

    Christine Joseph, PhD (Epidemiology)
    R21AI “Racial Variation in Food Allergy: Mechanisms and Risk” (PI -Joseph, CLM)
    The study’s objective in to investigate differences in the rate and potential mechanisms leading to relatively higher rates of food allergy among African Americans


    Dr.

    William Endless MD

    Dr. William Endless is an allergist and immunologist who grew up in Belton.

    What allergy is high today in san antonio tx

    He received his undergraduate degree from Baylor University and graduated from Texas Tech University School of Medicine after which he completed a residency at Brooke Army Medical Middle in San Antonio. He completed his pediatric and adult Allergy, Asthma and Immunology Fellowship at Fitzsimons Army Medical Middle and National Jewish Hospital in Denver. Dr. Endless served as the chief of the allergy, asthma and immunology service at Tripler Army Medical Middle in Honolulu before returning to central Texas to practice. Dr. Endless was activated with the th U.S. Army Hospital for Desert Storm and Operation Joint Endeavor during the Bosnia Peace Effort.

    He retired from the US Army Reserves and now enjoys spending time with his family, church activities, boating, flying, scuba diving and watching Baylor sports. Dr. William is seeing patients at SW H K Dodgen Loop, Temple, TX


  1. Recent peer-review allergy and immunology research publications

    Morman S, Zoratti EM. Environmental Control of Respiratory Irritants and Allergens. Chapter in Allergic Diseases 3rd Edition, Springer Publishing.

    What allergy is high today in san antonio tx

    Editors Lieberman P, Anderson JA.,

    Williams LK, Joseph CL, Peterson EL, Moon C, Krajenta R, Johnson R, Wells K, Booza JC, Tunceli K, Lafata JE, Johnson CC, Ownby DR, Enberg R, Pladevall M Race-ethnicity, crime, and other factors associated with adherence to inhaled corticosteroids. J Allergy Clin Immunol. ;

    Wegienka G, Havstad S, Shue L, Zoratti E, Ownby DR, Johnson CC. Birth Order and Cord Immunoglobulin E: Results Using a High-Sensitivity Immunoglobulin E Protocol. Int Arch Allergy Immunol. ;

    Paris J, Peterson EL, Wells K, Pladevall M, Burchard EG, Choudhry S, Lanfear DE, Williams LK Relationship between recent short-acting beta-agonist use and subsequent asthma exacerbations.

    Ann Allergy Asthma Immunol. ;PMID:

    Aichbhaumik N, Zoratti EM, Strickler R, Wegienka G, Ownby DR, Havstad S, Johnson CC. Prenatal exposure to household pets influences fetal immunoglobulin E production. Clin Exp Allergy.

    Misiak R, Wegienka G, Havstad S, Ownby DR, Johnson CC, Zoratti EM Specific Allergic Sensitization in Parents and Their 18 year-old Offspring in the Suburban Detroit Childhood Allergy Study J Allergy Clin Immunol ;

    Sikka N, Wegienka G, Havstad S, Genaw, J, Zoratti E. Respiratory Medication Use before and after Bariatric Surgery .

    Ann Allergy Asthma Immunol ;

    Gould W, Peterson EL, Karungi G, Zoratti A, Gaggin J, Toma G, Yan S, Levin AM, Yang JJ, Wells K, Wang M, Burke RR, Beckman K, Popadic D, Land SJ, Kumar R, Seibold MA, Lanfear DE, Burchard EG, Williams LK. Factors predicting inhaled corticosteroid responsiveness in African American patients with asthma. J Allergy Clin Immunol. Dec;(6) PMID:

    Shah PS, Wegienka G, Havstad S, Johnson CC, Ownby DR, Zoratti EM. The relationship between cord blood immunoglobulin E levels and allergy-related outcomes in young adults. Ann Allergy Asthma Immunol. Mar;(3) PMID:

    Linden CC, Misiak RT, Wegienka G, Havstad S, Ownby DR, Johnson CC, Zoratti EM Analysis of allergen specific IgE cut points to cat and dog in the Childhood Allergy Study.

    .

    What allergy is high today in san antonio tx

    Ann Allergy Asthma Immunol. Feb;(2) PMID:

    Hicks WB, Nageotte CG, Wegienka G, Havstad S, Johnson CC, Ownby DR, Zoratti EM The association of maternal prenatal IgE and eczema in offspring is restricted to non-atopic mothers.. Pediatr Allergy Immunol. Nov;22(7) PMID:

    Porter M, Wegienka G, Havstad S, Nageotte C, Johnson CC, Ownby DR, Zoratti EM. Relationship between body mass index in childhood and asthma as a young adult.

    J Peds – (under review March ).


    Fellow abstracts and presentations at international scientific meetings

    In addition, fellows also present their research locally (at Henry Ford Residency Research Forum) and/or regionally (at Michigan Allergy and Asthma Society and Michigan State Medical Society meetings.)

    Misiak RT, Wegienka G, Havstad S, Ownby DR, Johnson CC, Zoratti EM Association of Parental Gender and Allergic Sensitization with the Patterns of Sensitization in 18 year-old Offspring in the Detroit Area Childhood Allergy Study Presented at International Conference of the American Academy of Allergy, Asthma & Immunology, San Diego , February

    Sikka N, Wegienka G, Havstad S, Genaw J, Zoratti E.

    Respiratory Medication Use before and after Bariatric Surgery Presented at International Conference of the American Thoracic Society, San Francisco, CA. May

    Johnson R, Havstad S, Wegienka G, Johnson CC, PhD, Ownby DR, Zoratti EM.. Association of methacholine challenge at age 6 and lung function at age American College of Allergy, Asthma and Immunology, Seattle WA November

    Shah PS, Wegienka G, Havstad SL , Johnson CC, Ownby DR, Zoratti EM. The Relationship between Cord Blood IgE Levels and Atopic Outcomes at Age American Academy of Allergy, Asthma & Immunology San Antonio Tx.

    February

    Linden CC, Wegienka G, Havstad S, Ownby DR, Johnson CC, Misiak RT, Zoratti EM. The effects of early–life environmental tobacco smoke (ETS) exposure on pet allergy at age 18 in the Childhood Allergy Study. American Academy of Allergy, Asthma & Immunology, Washington DC, March

    Linden CC, Misiak RT, Wegienka G, Havstad S, Ownby DR,Johnson CC, Zoratti EM. Analysis of allergen specific IgE cutpoints to cat and dog in the suburban Detroit Childhood Allergy Study.

    American College of Allergy, Asthma and Immunology, Miami FL, November

    Hicks W, Nageotte C, Wegienka , Havstad S, Johnson CC, Ownby DR, Zoratti EM. Maternal Prenatal IgE is Associated with Atopic Dermatitis in Offspring. American College of Allergy, Asthma and Immunology, Miami FL, November

    Ahmed S, Wegienka G, Havstad S, Ownby D, Johnson C, Nageotte C, Zoratti E. Asthma incidence after age 6 years by gender and atopic status in the Childhood Allergy Study.

    American Academy of Allergy, Asthma & Immunology, New Orleans, February

    Gould W, Peterson EL, Karungi G, Gaggin J, Campbell J, Zoratti A, Yang M, Williams LK. Environmental tobacco smoke exposure and its effect on inhaled corticosteroid responsiveness among African American patients with asthma. American Thoracic Society New Orleans, LA. May

    Porter M, Wegienka G, Havstad S, Nageotte C, Johnson CC, Ownby DR, Zoratti EM. Relationship Between Childhood Body Mass Index and Asthma in Young Adults. American Academy of Allergy Asthma and Immunology San Francisco, CA. March

    Burnett M, Wegienka G, Havstad S, Ownby, DR Johnson CC, Zoratti EM.

    What allergy is high today in san antonio tx

    The Relationship of Fractional Exhaled Nitric Oxide Levels to Allergy and Asthma Biomarkers in Young Adults. American Academy of Allergy Asthma and Immunology San Francisco, CA. March (Began project as 3rd year IM resident)

    Vasu N, Wegienka G, Havstad, Johnson CC, Zoratti EM.

    What allergy is high today in san antonio tx

    The Risk of Atopic Dermatitis in Children Exposed to Pets During Pregnancy. World Allergy Organization, Cancun Mexico, December

    Burnett M, Wegienka G, Havstad S, Ownby, DR Johnson CC, Zoratti EM. The Relationship Of Dog And Cat Specific IgE And IgG4 Levels To Allergic Symptoms Upon Pet Exposure. Accepted for presentation at American Thoracic Society International Conference in San Francisco, CA, May


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