Challenges of managing food allergy in the developing world.
Allergens
Developing countries
Diagnosis
Food allergy
Low income
Treatment
Unmet needs
Journal
The World Allergy Organization journal
ISSN: 1939-4551
Titre abrégé: World Allergy Organ J
Pays: United States
ID NLM: 101481283
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
13
05
2019
revised:
30
10
2019
accepted:
30
10
2019
entrez:
25
12
2019
pubmed:
25
12
2019
medline:
25
12
2019
Statut:
epublish
Résumé
Food allergy (FA) is currently a significant health care problem in the developing world. Widely varying study populations and methodologies, the use of surrogate markers such as self report or hospitalization rates due to anaphylaxis rather than objective methods, limits robust estimation of FA prevalence in low income settings. Also, allergy is under-recognized as a clinical specialty in the developing world which compromises the chance for accurate diagnosis. In this review, most published data on food allergens from developing or low income countries are displayed. The diagnostic challenges and limitations of treatment options are discussed. It seems that FA is an under-appreciated health care issue in the developing world, and accurate determination of its burden in low-income settings represents an important unmet need. Multicenter surveillance studies, using standardized methodologies, are, therefore, needed to reveal the true extent of the problem and provide epidemiological clues for prevention. Preventive strategies should be tailored to fit local circumstances in different geographic regions. In addition, studying the gene environment interactions and impact of early life microbiota on the expression of FA in developing communities would be worthwhile. Efforts and resources should be directed toward public health education and training of health care providers dealing with food allergic patients.
Identifiants
pubmed: 31871534
doi: 10.1016/j.waojou.2019.100089
pii: S1939-4551(19)31245-1
pii: 100089
pmc: PMC6909084
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
100089Informations de copyright
© 2019 The Authors.
Déclaration de conflit d'intérêts
The authors report no competing interests to declare in relevance to the article.
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