Indianapolis Pollen Counts for Monday August 21st and Tuesday August 22nd, 2017

High levels for weeds and particularly ragweed. Weed counts were 176 on Monday and 118 for Tuesday. The weeds (other than ragweed) continue to be chenopods and nettle.

Weed pollen august 21 and 22

 

 

 

 

 

Ragweed again, as expected was the predominant weed with a count of 170 for Monday and 109 for Tuesday. The NAB chart has high counts for weeds when the numbers are between 50-499. At 500 we would have ‘really high counts’.

Ragweed pollen August 21 -22

 

 

 

 

 

 

FEL 8/22/2017

August 22, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Pollen Counting- Indianapolis, Ragweed Pollen Counts, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Friday August 18th through Sunday August20th, 2017

It was a rough weekend for those who have weed/ragweed induced allergic rhinitis.

Counts for weeds were high all three days at 141, 116, and 88. The weeds were ragweed, nettle, and the chenopods.

Weed Pollen 8-18-8-20

 

 

 

 

 

 

Specific counts for the most important weed, ragweed, were high at 109, 87, and 64.

Ragweed Pollen 8-18-8-20

 

 

 

 

 

 

FEL 8/21/2017

August 21, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Pollen Counting- Indianapolis, Ragweed Pollen Counts, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Thursday August 17th, 2017

More activity today. The total weed count was moderate at 45. A high count would be over 50. The ragweed count was 33. Most of the weed pollens were ragweed.

Weed Pollen 8-17

 

 

 

 

 

 

Ragweed Pollen 8-17

 

 

 

 

 

 

FEL 8/17/2017

August 17, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Pollen Counting- Indianapolis, Ragweed Pollen Counts, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Wednesday August 16th, 2017

A good sampling day. The rods had an array of weed pollen and mold spores.

Weed pollens were moderate (total number of ragweed, nettle, and chenopods).

Weed pollen 8-16

 

 

 

 

 

Ragweed pollen made up almost 50% of the pollen out there today. The count was also moderate at 13.

Ragweed pollen 8-16

 

 

 

 

 

 

FEL 8/16/2017

August 16, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Pollen Counting- Indianapolis, Ragweed Pollen Counts, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts 7/25-8/15/2017

I knew I was behind on posting- never realized how far, but a few things to share. First, there has not been much out there to report. Second, I had a wonderful staycation week with the grandkids. Third, we have had a few days of electric problems. Power washing caused the circuit to short- so the counter was not spinning and today either the same malfunction with the counter or there were no pollens or anything circulating. The ‘electrics’ checked out okay so hopefully better performances will be forthcoming.

Weeds have been out there since May- plantain continued until July  31st. Nettle and the chenopod weeks are out there still with levels low to moderate. For only 6 of the last 21 days the weed count was in the moderate range. The highest was 34 on August 13th.  The weed count does include ragweed.

Weed 7-25-8-15-17

 

 

 

 

 

 

Ragweed was first seen on July 29th and so far there has only been one day (August 13th) when the level was moderate at 18. Ragweed weed was seen on the pollen rods for 11 days since its first appearance.

Ragweed July 25 to Aug 15

 

 

 

 

 

 

FEL 8/15/2017

August 15, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Pollen Counting- Indianapolis, Ragweed Pollen Counts, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

School Forms

The phone at the office has been ‘ringing off the hook’. The calls are almost all about school forms.

August 1, 2017 · fleickly · No Comments
Posted in: Uncategorized

Finding A Path To Safety In Food Allergy- a Summation of a review

Critical Issues in Food Allergy- Summarizing a review.

Recently, the National Academies of Sciences, Engineering, and Medicine hosted an effort to look at key issues surrounding the public health problem of food allergy. A report, ‘Finding a Path to Safety in Food Allergy: Assessment of the Global Burden, Causes, Prevention, Management, and Public Policy’ was created.

A very nice summation of this work appeared in the journal Pediatrics written by Scott Sicherer, Katrina Allen, Gideon Lack, Steve Taylor, Sharon Donovan, and Maria Oria.

Key points from the review;

  1. Food Allergy involves an immune response and is one of many ways a food can cause a problem.
  2. The true prevalence of food allergy is not known. Best estimates are 1-10% of the population.
  3. Many foods can cause an allergic reaction however the most common responsible for the most serious reactions are cow’s milk, hen’s egg, peanut, tree nuts, and seafood.
  4. It was recommended that physicians use evidence-based standardized procedures as the basis for food allergy diagnosis and avoid Nonstandardized and unproven procedures.
  5. When food allergy is suspected, the patient should be evaluated by someone who has the training and experience to select and interpret appropriate diagnostic tests.
  6. Note the misconception and misunderstanding of widely available tests for food allergy- do not equate a positive skin test or blood test result as having an allergy to the food. These tests ONLY detect IgE antibody. These tests are not intrinsically diagnostic of a food allergy.
  7. The medical history is the key to the diagnosis. Food allergy should be considered when allergic symptoms occur within minutes to hours after the ingestion of a specific food, especially when they have occurred more than once.
  8. Large skin test response or elevated specific IgE levels correlate with higher risks of allergy, but sensitivity and specificity of these tests are often inadequate to confirm a diagnosis.
  9. The oral food challenge, especially when done in a double-blind fashion, is the gold standard for the diagnosis.
  10. Additional tests were not recommended and were considered unproven or non-standardized tests for food allergy include;
    • Allergen specific IgG, IgG4, or IgA
    • Provocation neutralization
    • Immune complexes
    • Human leukocyte antigen screening
    • Lymphocyte stimulation
    • Facial thermography
    • Gastric juice analysis
    • Endoscopic allergen provocation
    • Hair analysis
    • Applied kinesiology
    • Cytotoxic assays
    • Electrodermal testing
    • Mediator release assays
    • Bioresonance
    • Iridology
  11. Since sensitization alone is not diagnostic of allergy, panels of food tests should not be ordered without a rationale.
  12. Early introduction may help prevent the development of food allergy.
  13. There is limited evidence to support or discourage eliminating allergenic foods from the diet of pregnant or lactating women.
  14. Studies on the effects of partially or extensively hydrolyzed infant formulas for preventing food allergy are inconsistent and have flaws in the methods with which they were performed.
  15. Studies on the use of pre or pro biotics also have limits due to the methods used leading to the conclusion that there is no evidence to their use to decrease the risk of a food allergy.
  16. Emergency management focuses on recognition of a situation and the prompt use of epinephrine.
  17. Nutritional monitoring for children with food allergy is a major emphasis.
  18. Attention to the psychosocial part of food allergy is a major emphasis.
  19. The needs to be a major awareness campaign to dispel the myths and misconceptions regarding food allergy.
  20. Food labels need to more helpful and definitive.
  21. Schools and early child care facilities need to be included in efforts to better manage food allergy.
  22. Research needs
    • Determine the actual prevalence of food allergy
    • What is the cost of food allergy?
    • Diagnosis and prognosis
    • Risk factors
    • Prevention
    • Management in health care settings, food establishments, schools, and travel
    • Curative therapies
    • Best modalities for family and physician education about management.
    • Look to barriers to proper testing
    • Educational approaches
  23. Six Major Actions to Achieve Food Allergy Safety
    • Better information on prevalence which in turn is critical to knowing the scope of the problem
    • Improve the quality of diagnosis and provide evidence-based care
    • Evidence-based prevention strategies
    • Improved education and training to recognize, manage, and prevent reactions
    • Develop policies and related practices to help prevent and treat severe reactions
    • Most critical- address research priorities regarding diagnosis, mechanisms, risk determinants,and management. Identifying safe and effective therapies as the ultimate goal.

 

The original work was very detailed. The Consensus report whittles the details down to key learning points. My summary of the summary is intended for the reader to look further into this.

We have a FARE Center of Clinical Excellence and we have an active FARE Community Engagement Council. There are many action points here wanting for solutions. We are looking for help to make a difference.

FEL 7/25/2017

July 27, 2017 · fleickly · No Comments
Posted in: Uncategorized

Indianapolis Pollen Counts for Thursday July 20th through Monday July 24th, 2017

We are still in that pollen hiatus: that time between the end of the grass season and the beginning of the ragweed season.

Weed counts for the past 5 days have been low ranging from 1-5 grains of weed pollen per cubic meter of air sampled for the day. The weeds are mostly the same nettle and plantain that have been out there for weeks. Recently, a few chenopod weeds have shown themselves.

Pollen Counts 7-20 to 7-24

 

 

 

 

 

 

FEL 7/25/2017

July 25, 2017 · fleickly · No Comments
Tags: , ,  · Posted in: Pollen Counting- Indianapolis, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Tuesday July 18th and Wednesday July 19th, 2017

Not much to sneeze at for the past two days. Tuesday the weed count was 3 (low) and today it was 1 grain of weed pollen per cubic meter of air sampled for the day. Tuesday was a mix of nettle and plantain and today it was just a few pollen of the weed plantain.

Weed 7-18 & 7-19

 

 

 

 

 

 

Grass was barely detectable on Tuesday at 0.7 grains of grass pollen per cubic meter of air sampled and today there were no grass pollens at all. Of note the grass season ended last year on July 19th.

 

FEL 7/19/2017

July 19, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Grass Pollen Counts Indianapolis, Pollen Counting- Indianapolis, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis

Indianapolis Pollen Counts for July 14 through 17, 207

Low levels for both grass and weed pollen Friday through Monday.

Weed pollen;

  • Friday 4
  • Saturday 4
  • Sunday 3
  • Monday 1

The weeds were still plantain and nettle.

Weed Pollen 7-14-7-17

 

 

 

 

 

 

Grass pollen;

  • Friday 4
  • Saturday 2
  • Sunday 1
  • Monday 3

Grass 7-14 to 7-17

 

 

 

 

 

 

FEL 7/17/2017

 

July 17, 2017 · fleickly · No Comments
Tags: , , ,  · Posted in: Grass Pollen Counts Indianapolis, Pollen Counting- Indianapolis, Seasonal Allergies-Pollen Counts, weed pollen counts Indianapolis