Allergy Asthma Immunol Res.  2012 Mar;4(2):62-67. 10.4168/aair.2012.4.2.62.

Asthma and Rhinitis in South America: How Different They are From Other Parts of the World

• Chong Neto HJ
• Rosario NA
• Sole D
• Latin American ISAAC Group

• KMID: 2260358
• DOI: http://doi.org/10.4168/aair.2012.4.2.62

Abstract

Asthma and rhinitis epidemiology has wide variations around the world. The aim of this review was verify the prevalence of asthma and rhinitis in South America and report differences from other regions of the world. We reviewed studies with International Study of Asthma and Allergies in Childhood (ISAAC) methodology in South America, Phases I and III. In South America the ISAAC Phase I ranked four countries among top ten in prevalence of asthma and three countries among top ten in prevalence of rhinoconjunctivitis. ISAAC Phase III showed little changes in asthma and rhinitis prevalence in South American countries. The prevalence increases of asthma and rhinitis in South American centers indicate that the burden of both is continuing to rise, but the differences in prevalence are lessening.

Keyword

Asthma; epidemiology; rhinitis

MeSH Terms

Asthma
Hypersensitivity
Prevalence
Rhinitis
South America

Reference

1. Pearce N. Traditional epidemiology, modern epidemiology, and public health. Am J Public Health. 1996. 86:678–683.

2. ISAAC Steering Committee: ISAAC Website. c1991-2011. Acessed: 17/08/2011. http://isaac.auckland.ac.nz/story/index.html.

3. Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, Mitchell EA, Pearce N, Sibbald B, Stewart AW, Strachan D, Weiland SK, Williams HC. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J. 1995. 8:483–491.

4. Ellwood P, Asher MI, Beasley R, Clayton TO, Stewart AW. The International Study of Asthma and Allergies in Childhood (ISAAC): Phase Three rationale and methods. Int J Tuberc Lung Dis. 2005. 9:10–16.

5. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet. 1998. 351:1225–1232.

6. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Worldwide variations in the prevalence of asthma symptoms: the International Study of Asthma and Allergies in Childhood (ISAAC). Eur Respir J. 1998. 12:315–335.

7. Strachan D, Sibbald B, Weiland S, Aït-Khaled N, Anabwani G, Anderson HR, Asher MI, Beasley R, Björkstén B, Burr M, Clayton T, Crane J, Ellwood P, Keil U, Lai C, Mallol J, Martinez F, Mitchell E, Montefort S, Pearce N, Robertson C, Shah J, Stewart A, von Mutius E, Williams H. Worldwide variations in prevalence of symptoms of allergic rhinoconjunctivitis in children: the International Study of Asthma and Allergies in Childhood (ISAAC). Pediatr Allergy Immunol. 1997. 8:161–176.

8. Mallol J, Solé D, Asher I, Clayton T, Stein R, Soto-Quiroz M. Prevalence of asthma symptoms in Latin America: the International Study of Asthma and Allergies in Childhood (ISAAC). Pediatr Pulmonol. 2000. 30:439–444.

9. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, Williams H. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006. 368:733–743.

10. Pearce N, Aït-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, Robertson C. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2007. 62:758–766.

11. Mallol J, Solé D, Baeza-Bacab M, Aguirre-Camposano V, Soto-Quiros M, Baena-Cagnani C. Regional variation in asthma symptom prevalence in Latin American children. J Asthma. 2010. 47:644–650.

12. Solé D, Wandalsen GF, Camelo-Nunes IC, Naspitz CK. Prevalence of symptoms of asthma, rhinitis, and atopic eczema among Brazilian children and adolescents identified by the International Study of Asthma and Allergies in Childhood (ISAAC) - Phase 3. J Pediatr (Rio J). 2006. 82:341–346.

13. Franco JM, Gurgel R, Sole D, Lúcia França V, Brabin B. Socio-environmental conditions and geographical variability of asthma prevalence in Northeast Brazil. Allergol Immunopathol (Madr). 2009. 37:116–121.

14. Borges WG, Burns DA, Felizola ML, Oliveira BA, Hamu CS, Freitas VC. Prevalence of allergic rhinitis among adolescents from Distrito Federal, Brazil: comparison between ISAAC phases I and III. J Pediatr (Rio J). 2006. 82:137–143.

15. Ferrari FP, Rosário Filho NA, Ribas LF, Callefe LG. Prevalence of asthma in schoolchildren in Curitiba - ISAAC. J Pediatr (Rio J). 1998. 74:299–305.

16. Riedi CA, Rosário NA, Ribas LF, Backes AS, Kleiniibing GF, Popija M, Reisdörfer S. Increase in prevalence of rhinoconjunctivitis but not asthma and atopic eczema in teenagers. J Investig Allergol Clin Immunol. 2005. 15:183–188.

17. Solé D, Yamada E, Vana AT, Werneck G, Solano de Freitas L, Sologuren MJ, Brito M, Rosário Filho NA, Stein RT, Mallol J. International Study of Asthma and Allergies in Childhood (ISAAC): prevalence of asthma and asthma-related symptoms among Brazilian schoolchildren. J Investig Allergol Clin Immunol. 2001. 11:123–128.

18. Solé D, Melo KC, Camelo-Nunes IC, Freitas LS, Britto M, Rosário NA, Jones M, Fischer GB, Naspitz CK. Changes in the prevalence of asthma and allergic diseases among Brazilian schoolchildren (13-14 years old): comparison between ISAAC Phases One and Three. J Trop Pediatr. 2007. 53:13–21.

19. Kuschnir FC, Cunha AJ, Braga Dde A, Silveira HH, Barroso MH, Aires ST. Asthma in 13-14-year-old schoolchildren in the city of Nova Iguaçu, Rio de Janeiro State, Brazil: prevalence, severity, and gender differences. Cad Saude Publica. 2007. 23:919–926.

20. Kuschnir FC, Alves da Cunha AJ. Environmental and socio-demographic factors associated to asthma in adolescents in Rio de Janeiro, Brazil. Pediatr Allergy Immunol. 2007. 18:142–148.

21. Neto AC, Annes RD, Wolff NM, Klein AP, Dos Santos FC, Dullius JL, Gressler M, Muller LS, Angonese CF, Menna-Barreto S. Prevalence and severity of asthma, rhinitis, and atopic eczema in 13- to 14-year-old schoolchildren from southern Brazil. Allergy Asthma Clin Immunol. 2006. 2:3–10.

22. Britto MC, Bezerra PG, Brito RC, Rego JC, Burity EF, Alves JG. Asthma in schoolchildren from Recife, Brazil. Prevalence comparison: 1994-95 and 2002. J Pediatr (Rio J). 2004. 80:391–400.

23. De Britto MC, Bezerra PG, Ferreira OS, Maranhao IC, Trigueiro GA. Asthma prevalence in schoolchildren in a city in north-east Brazil. Ann Trop Paediatr. 2000. 20:95–100.

24. Casagrande RR, Pastorino AC, Souza RG, Leone C, Solé D, Jacob CM. Asthma prevalence and risk factors in schoolchildren of the city of São Paulo, Brazil. Rev Saude Publica. 2008. 42:517–523.

25. Lima RG, Pastorino AC, Casagrande RR, Sole D, Leone C, Jacob CM. Prevalence of asthma, rhinitis and eczema in 6 - 7 years old students from the western districts of São Paulo City, using the standardized questionnaire of the "International Study of Asthma and Allergies in Childhood" (ISAAC)-phase IIIB. Clinics (Sao Paulo). 2007. 62:225–234.

26. Mallol J, Aguirre V, Aguilar P, Calvo M, Amarales L, Arellano P, Palma R. Changes in the prevalence of asthma in Chilean school age children between 1994 and 2002. International Study of Asthma and Allergies in Childhood (ISAAC)--Chile phases I and III. Rev Med Chil. 2007. 135:580–586.

27. Garcia E, Aristizabal G, Vasquez C, Rodriguez-Martinez CE, Sarmiento OL, Satizabal CL. Prevalence of and factors associated with current asthma symptoms in school children aged 6-7 and 13-14 yr old in Bogotá, Colombia. Pediatr Allergy Immunol. 2008. 19:307–314.

28. Björkstén B, Clayton T, Ellwood P, Stewart A, Strachan D. Worldwide time trends for symptoms of rhinitis and conjunctivitis: Phase III of the International Study of Asthma and Allergies in Childhood. Pediatr Allergy Immunol. 2008. 19:110–124.

29. Aït-Khaled N, Pearce N, Anderson HR, Ellwood P, Montefort S, Shah J. Global map of the prevalence of symptoms of rhinoconjunctivitis in children: The International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three. Allergy. 2009. 64:123–148.

30. Lee HB. Lessons learned from the prevalence of childhood asthma in Korea. Allergy Asthma Immunol Res. 2011. 3:1–2.

31. Solé D, Mallol J, Camelo-Nunes IC, Wandalsen GF. Prevalence of rhinitis-related symptoms in Latin American children - results of the International Study of Asthma and Allergies in Childhood (ISAAC) phase three. Pediatr Allergy Immunol. 2010. 21:e127–e136.

32. Solé D, Camelo-Nunes IC, Wandalsen GF, Rosário Filho NA, Naspitz CK. Prevalence of rhinitis among Brazilian schoolchildren: ISAAC phase 3 results. Rhinology. 2007. 45:122–128.

33. Kwon JW, Kim BJ, Song Y, Seo JH, Kim TH, Yu J, Kim HB, Lee SY, Kim WK, Kim KW, Ji HM, Kim KE, Kim H, Hong SJ. Changes in the prevalence of childhood asthma in Seoul from 1995 to 2008 and its risk factors. Allergy Asthma Immunol Res. 2011. 3:27–33.