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  Seniors and Asthma

Pets and allergies: minimizing the reaction
By Clifford W. Bassett, MD, FAAAAI
June 2007

Almost 70% of U.S. households have one or more domestic pets, equally divided between cats and dogs, accounting for 100 million pets. Americans form strong attachments to their pets, including the millions of older adults in the country who enjoy their pets' comfort and companionship. Although pets can help alleviate "empty nest syndrome," older adults who are among the almost 10 million pet owners who are allergic to their animals must take extra precautions when opening their homes to a furry friend.

Allergic owners suffer from reactions to their pet's dander, skin flakes, saliva and urine. Hair or fur also can collect pollens, mold spores and other outdoor allergens. A recent Japanese study found that one in four patients with pet allergies continue to keep a pet despite allergy- and asthma-related problems.

In addition, the study indicated approximately 80 percent of the pet owners surveyed kept their pets inside the home most of the time. These findings may explain why allergy symptoms, such as itchy and watery eyes, sneezing, coughing, wheezing and hives in allergic children and adults, worsen with continued exposure to pets.

The presence of allergic dander in cats and dogs is not affected by length of hair or fur, and there are no truly "hypoallergenic breeds." According to another study I conducted at The Long Island College Hospital in Brooklyn, NY, the color of a cat's hair may influence true allergic symptoms in people exposed to the dander. Preliminary data from a self-administered questionnaire of 400 households with pet cats indicated a significantly greater amount of allergy-related symptoms (such as sneezing, runny nose, watery eyes and itchy skin) with exposure to dark cat hair. As expected, the severity of allergy symptoms also was greater in owners who permitted their pets unlimited access to the bedroom.

Keeping animals outdoors is only a temporary solution since pet dander will eventually accumulate in the house, carried inside on clothing. Even the type of clothing worn can affect the transportation of pet dander. A recent study at the University of Sydney found people who wore wool sweaters were exposed to more than 10 times the amount of cat dander than individuals wearing no upper body clothing. People who wore freshly washed T-shirts were exposed to the least amount of cat dander. Researchers also found cat dander levels on non-cat owners' clothing increased at the end of the workday due to an individual's exposure to coworkers who own cats.

Taking Control
Keeping pets out of the bedroom can reduce unnecessary suffering since people spend approximately one-third of each day in this room. The presence of cats and dogs on owners' beds contributes greatly to the amount of airborne allergens in the home. Exposure to airborne allergens, which also are spread by air currents, can be reduced by restricting the pet's presence in bedrooms, dens or living rooms with upholstered furniture. And, as hard as it may be, pet owners should consider removing pets from their homes if they wish to avoid allergic reactions.

Because pet dander is quite light and buoyant, and floats freely in the indoor air, electrostatic or HEPA air cleaners can be a big help in removing unwanted allergenic particles, especially cat dander. The size of the space determines the size filter necessary, and units are available as tabletop models or can be adapted to central air conditioning systems. Placing a screen or filter over room vents may keep dander from traveling through the heating and air conditioning system. Bear in mind that it may take six months or more to completely rid the home of cat dander particles even after the pet is removed.

There are a variety of other measures that can be utilized to minimize contact with pet allergens:

  • Avoid hugging and kissing pets if you are allergic to them.
  • Remove litter boxes from direct contact with allergy sufferers and place them away from areas of air filtration intake vents in homes with central heating and air-conditioning.
  • Wash hands after handling or touching a pet to help avoid spreading the dander.
  • Consider placing plastic covers on the couch or other upholstered furniture (which may harbor pet allergens) where the pet sleeps or rests.
  • Wash your pet on a weekly basis. Recent studies have indicated that some significant reduction in the amount of pet allergens occurs with weekly washing of dogs and cats. This activity appears to reduce the amount of dander that causes allergy symptoms. A number of shampoo products are available in pet stores that may neutralize or inactivate allergens present on the skin of cats and dogs.
  • A non-allergic individual should brush the pet regularly, outside of the home.
  • Speak with your pet's veterinarian to get a well balanced diet for your pet. This change in diet may help to minimize hair loss for the pet and this can reduce dander indoors.
  • Use a double or micro-filter bag in the vacuum to augment the filtration of the vacuum cleaner and, in turn, reduce the amount of pet allergen present in carpeting that leaks back into the room air.
  • A number of chemical solutions are available that may remove allergens present in carpeting. However, removing carpeting and rugs is the best way to reduce exposure.
  • Finally, for those allergy sufferers who want to keep their pets, look into the administration of allergy shots (immunotherapy) by your allergist/immunologist to reduce the unnecessary suffering associated with having a pet in the home.

Clifford W. Bassett, MD, is a Fellow of the AAAAI and Vice Chair of the AAAAI Public Education Committee, and is an Assistant Clinical Professor of Medicine at The Long Island College Hospital, Brooklyn, NY and a Clinical Instructor at NYU School of Medicine.

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