Alder pollen season in Poland in 2018

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Alder pollen season in Poland in 218 Piotr Rapiejko 1,8, Małgorzata Puc 2, Małgorzata Malkiewicz 3, Kazimiera Chłopek 4, Katarzyna Dąbrowska-Zapart 4, Krystyna Piotrowska-Weryszko 5, Agata Konarska 5, Grzegorz Siergiejko 6, Ewa M. Świebocka 6, Adam Rapiejko 7,8, Dorota Myszkowska 9, Monika Ziemianin 1, Daniel Kotrych 1, Dariusz Jurkiewicz 1, Andrzej Wieczorkiewicz 7, Ewa Kalinowska 7 1 Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery in Military Institute of Medicine, Warsaw, Poland 2 Department of Botany and Nature Conservation, Faculty of Biology, University of Szczecin, Poland 3 Department of Palaeobotany, Institute of Geological Sciences, University of Wroclaw 4 Faculty of Earth Sciences, University of Silesia 5 Department of Botany, University of Life Sciences, Lublin, Poland 6 Pediatrics, Gastroenterology and Allergology Department, University Children Hospital, Medical University of Bialystok, Poland 7 Allergen Research Center Ltd. Warsaw, Poland 8 Oxford Archaeology Ltd., Oxford, England 9 Department of Clinical and Environmental Allergology, Jagiellonian University Medical College 1 Department of Orthopedics and Traumatology, Pomeranian Medical University of Szczecin, Poland Abstract: Alder pollen grains constitute the important allergen sources in this respect in the Northern Hemisphere. The aim of the study was to investigate the concentration of alder (Alnus spp.) in Bialystok, Bydgoszcz, Cracow, Drawsko Pomorskie, Lublin, Olsztyn, Opole, Piotrkow Trybunalski, Sosnowiec, Szczecin, Warsaw, Wroclaw and Zielona Gora in 218. Measurements were performed by the volumetric method (Burkard and Lanzoni pollen samplers). Seasonal Pollen Index (SPI) was estimated as the annual sum of daily average pollen concentrations. The pollen season of alder in all Polish stations began on the 11 th and 13 th March and the high concentration persisted until the first days of April. The highest, record airborne concentration of 168 pollen grains/m 3 was noted in Lublin on the 13 th March. The peak values of seasonal pollen count occurred between of 11 th March and 4 th April in all cities. In 218 pollen concentration of alder was one of the lowest in all analysed cities. Key words: allergens, pollen count, alder (Alnus), 218 Alder pollen is an early component of the annual atmospheric aerosol in Poland, which causes the first occurrence of allergic symptoms. Clinical symptoms of allergic disease are connected with the high concentration of aeroallergen [1]. Alder with birch and hazel are important sources of allergenic pollen in the temperate climatic zone of the Northern Hemisphere. The threshold value for clinical symptoms for Alnus pollen grains for the majority of patients is visible during exposure to the concentration of 45 pollen grains in 1 m 3 of air. Symptoms were noted in all sensitized patients at the concentration of 85 grains/ m 3 of air [2]. Aim The aim of the study was to analyse the alder pollen seasons in the air of Bialystok, Bydgoszcz, Cracow, Drawsko Pomorskie, Lublin, Olsztyn, Opole, Piotrkow Trybunalski, Sosnowiec, Szczecin, Warsaw, Wroclaw and Zielona Gora in 218. Material and method Measurements of airborne alder pollen were carried out in Bialystok, Bydgoszcz, Cracow, Drawsko Pomorskie, Lublin, Olsztyn, Opole, Piotrkow Trybunalski, Sosnowiec, Szczecin, Warsaw, Wroclaw and Alergoprofil 218, Vol. 14, Nr 1, 27-31 DOI: 1.24292/1.AP.17418 Received: 218.4.15 Accepted: 218.4.17 Copyright by Medical Education 27

Zielona Gora in the year 218. Measurements were performed by the volumetric method (Burkard and Lanzoni as the Hirst type pollen sampler). The results were expressed as the number of pollen grains in 1 m 3 of air per day (P/m 3 ). The total pollen count over this period was expressed by the symbol SPI (Seasonal Pollen Index). On the basis of literature data, the number of days with concentrations of the pollen of the Alnus genus exceeding the threshold values at which the consecutive allergy symptoms develop were determined (tab. 1) [2]. Results and discussion Winter-flowering trees such as the alder (Alnus glutinosa) can survive periods of adverse climatic conditions, entering a period of dormancy in the early fall. The end of dormancy and the start of the pollen season require a period of low temperatures followed by another of warm temperatures [3]. These observations also refer to data from Poland. In 218, the alder pollen season started between 11 th and 13 th March and lasted until the beginning of April. For example in 215 the alder pollen season in most of Poland s area started 9 1 th March. Also in 215 the maximum daily concentration was observed between 8 th and 13 th March [4]. Similarly in 218 in most cities of Poland the dates of maximum concentrations were noted between 12 th and 15 th March or 3 rd April (tab. 1, fig. 1 7). The highest daily pollen count was noted in 218 in Lublin (168 g/m 3 ) (tab. 1) and the highest annual sum of alder pollen grains (SPI) was observed in Lublin, only 479, and it was about two three times lower than in Piotrkow Trybunalski in 216 [5]. The highest alder pollen allergen hazard (above 45 g/m 3 ) occurred in Sosnowiec (26 days). Pollen concentration causing severe clinical symptoms (above Table 1. Characteristics of alder pollen season in 218. Features of pollen season Cracow Drawsko Pomorskie Lublin Olsztyn Opole Piotrkow Trybunalski Bialystok Bydgoszcz Sosnowiec Szczecin Warsaw Wroclaw Zielona Gora Seasonal Polen Index (SPI) (total) 2867 2722 231 3378 479 386 3145 3922 1536 1624 341 4229 3548 Peak value and peak date 576 (3.4) 36 (13.3) 611 (13.3) 266 (15.3) 168 (13.3) 546 (3.4) 436 (14.3) 534 (14.3) 184 (12.3) 124 (15.3) 432 (14.3) 97 (12.3) 546 (13.3) Days 45 g/m 3 [5] Days 85 g/m 3 [5] 16 17 13 19 1 19 18 16 26 11 19 16 2 8 11 8 15 5 14 9 9 16 5 13 12 11 Figure 1. Alder pollen count in Bialystok and Bydgoszcz in 218. 7 6 5 3 Bialystok Bydgoszcz 1 28 Alergoprofil 218, Vol. 14, Nr 1, 27-31 Alder pollen season in Poland in 218

Figure 2. Alder pollen count in Cracow and Drawsko Pomorskie in 218. 7 6 5 Cracow 3 Drawsko Pomorskie 1 Figure 3. Alder pollen count in Sosnowiec and Lublin in 218. 1 1 8 6 Sosnowiec Lublin Figure 4. Alder pollen count in Olsztyn and Opole in 218. 6 5 3 Olsztyn Opole 1 Alder pollen season in Poland in 218 Alergoprofil 218, Vol. 14, Nr 1, 27-31 29

Figure 5. Alder pollen count in Piotrkow Trybunalski and Szczecin in 218. 6 5 3 Piotrkow Trybunalski Szczecin 1 Figure 6. Alder pollen count in Warsaw in 218. 5 45 35 3 25 15 Warsaw 1 5 Figure 7. Alder pollen count in Wroclaw and Zielona Gora in 218. 1 9 8 7 6 5 Wroclaw Zielona Gora 3 1 3 Alergoprofil 218, Vol. 14, Nr 1, 27-31 Alder pollen season in Poland in 218

85 g/m 3 ) was noted also in Sosnowiec (16 days). The comparison with alder pollen seasons in previous years revealed that in 218 alder pollen concentrations in all cities compared in this paper were much lower than in 216 [4]. In 218 pollen concentration of alder was one of the lowest in all analysed cities, as in 217 [6]. Conclusions In 218, the alder pollen season in all the analysed cities began in the second decade of March. The highest concentrations of alder pollen were recorded in Lublin, whereas the lowest concentrations were noted for Szczecin and Sosnowiec. In all the cities, the maximum concentrations of alder pollen in 218 were recorded on a similar date (March 12 16 th or 3 rd April). The greatest number of days with pollen concentrations exceeding the threshold value was recorded in Sosnowiec. References: 1. Rodriguez-Rajo FJ, Dopazo A, Jato V. Environmental factors affecting the start of pollen season and concentrations of airborne Alnus pollen in two localities of Galicia (NW Spain). Ann Agric Environ Med 4, 11(1): 35-44. 2. Rapiejko P, Stankiewicz W, Szczygielski K, Jurkiewicz D. Threshold pollen count necessary to evoke allergic symptoms. Otolaryngol Pol 7, 61(4): 591-594. 3. González-Parrado Z, Fuertes-Rodríguez CR, Vega-Maray AM et al. Chilling and heat requirements for the prediction of the beginning of the pollen season of Alnus glutinosa (L.) Gaertner in Ponferrada (León, Spain). Aerobiologia 6, 22(1): 47-53. 4. Lipiec A, Puc M, Rapiejko P et al. Alder pollen in the air of selected Polish cities in 215. Alergoprofil 215, 11(2): 45-52. 5. Puc M, Rapiejko P, Lipiec A et al. The analysis of alder pollen season in northern Poland in 216. Alergoprofil 216, 12(2): 92-96. 6. Puc M, Lipiec A, Kotrych D et al. Alder pollen season in northern Poland in 217. Alergoprofil 217, 2(13): 77-8. Authors contributions: Rapiejko P: 5%; Puc M: 2%; and other Authors: 2,3% each. Conflict of interests: The authors declare that they have no competing interests. Financial support: Does not occur. Ethics: The contents presented in this paper are compatible with the rules the Declaration of Helsinki, EU directives and standardized requirements for medical journals. Research in Bialystok, Bydgoszcz, Drawsko Pomorskie, Olsztyn, Opole, Warsaw and Zielona Gora funded by Allergen Research Center Ltd. (Ośrodek Badania Alergenów Środowiskowych Sp. z o.o.). Corresponding author: Piotr Rapiejko, MD, PhD Allergen Research Center Ltd 1-934 Warsaw, ul. Kalinowej Łąki 8 e-mail: piotr@rapiejko.pl Alder pollen season in Poland in 218 Alergoprofil 218, Vol. 14, Nr 1, 27-31 31