Douglas G Massey1, Bradley E Hope, Roy T Furumizo. 1. Pulmonary Department, Kuakini Medical Center, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI 96816, USA. massey@lava.net
Abstract
BACKGROUND: In Hawai'i, mortality and morbidity from asthma are significant. In the 80's, there had been no local studies of topography folklore. There had been only one report of seasonal variation in house dust mite (HDM) density in Hawai'i, and this showed no significant variation in O'ahu's Manoa Valley but a definite variation in Waikiki. There were no studies of complete replacement of furnishings. OBJECTIVE: In this pilot study, homes in a valley, coastal, and plain sites were investigated for 12 months in 2 homes on O'ahu. A 3rd home was studied prior to and after arrival of furnishings from Denver, Colorado. METHODS: Of the 3 homes, #1 was in Palolo Valley Honolulu, #2 coastal at Pearl Harbor and #3 on the plain at Mililani. House dust samples were taken from 4-5 sites in 2 rooms every 5 weeks. Sampling and determination of density and species were those of Furumizo. RESULTS: They were unsupportive of the topography and seasonal variation folklore. Density surged in the 3rd home to > 12000 mites/ gram of dust within 10-15 weeks with the complete change of low density HDM furnishings. D. pteronyssinus (Dp) was dominant in each home year-round. Minor species of mites made up to 1/3 of total mites in 2 homes. CONCLUSION: The folklore relating improvement in asthma to geography was not supported. 2 of the 3 homes showed minimal seasonal variation in HDM density. Local mites heavily colonized furniture from high altitude Colorado in a surge within 10-15 weeks.
BACKGROUND: In Hawai'i, mortality and morbidity from asthma are significant. In the 80's, there had been no local studies of topography folklore. There had been only one report of seasonal variation in house dust mite (HDM) density in Hawai'i, and this showed no significant variation in O'ahu's Manoa Valley but a definite variation in Waikiki. There were no studies of complete replacement of furnishings. OBJECTIVE: In this pilot study, homes in a valley, coastal, and plain sites were investigated for 12 months in 2 homes on O'ahu. A 3rd home was studied prior to and after arrival of furnishings from Denver, Colorado. METHODS: Of the 3 homes, #1 was in Palolo Valley Honolulu, #2 coastal at Pearl Harbor and #3 on the plain at Mililani. House dust samples were taken from 4-5 sites in 2 rooms every 5 weeks. Sampling and determination of density and species were those of Furumizo. RESULTS: They were unsupportive of the topography and seasonal variation folklore. Density surged in the 3rd home to > 12000 mites/ gram of dust within 10-15 weeks with the complete change of low density HDM furnishings. D. pteronyssinus (Dp) was dominant in each home year-round. Minor species of mites made up to 1/3 of total mites in 2 homes. CONCLUSION: The folklore relating improvement in asthma to geography was not supported. 2 of the 3 homes showed minimal seasonal variation in HDM density. Local mites heavily colonized furniture from high altitude Colorado in a surge within 10-15 weeks.
Authors: L G Arlian; D Bernstein; I L Bernstein; S Friedman; A Grant; P Lieberman; M Lopez; J Metzger; T Platts-Mills; M Schatz Journal: J Allergy Clin Immunol Date: 1992-09 Impact factor: 10.793