Pest and allergen exposure and abatement in inner-city asthma: A Work Group Report of the American Academy of Allergy, Asthma & Immunology Indoor Allergy/Air Pollution Committee
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Our work group report details the importance of pest allergen exposure in inner-city asthma. We will focus specifically on mouse and cockroach exposure. We will discuss how exposure to these pests is common in the inner city and what conditions exist in urban areas that might lead to increased exposure. We will discuss how exposure is associated with allergen sensitization and asthma morbidity. Finally, we will discuss different methods of intervention and the effectiveness of these tactics.
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Cockroach infestations are common across the United States, and allergen levels are highest in low-income urban areas.
“Cockroach infestations are widespread across the United States, with allergen levels highest in low-income urban areas (30,31,32).”
From Indoor Allergen Interventions in Homes and Schools for Managing Asthma (2025) · cites this paper as [32]
The Distribution and Epidemiology section reports frequent cockroach allergen detection and evidence of cockroaches in homes across several US cities, but does not establish how widespread infestations are nationwide. That section reports higher cockroach allergen levels in inner-city than suburban homes in one comparison, and the Risk Factors section associates lower income with greater exposure; neither establishes that levels are highest in low-income urban areas across the United States. Page numbers were not provided in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPoorly maintained housing, indicated by wall and door cracks, mouse sightings, and cockroach presence, is associated with higher mouse allergen levels.
“Poorly maintained housing, characterized by wall and door cracks, sighting of mice, and the presence of cockroaches has been linked to increased levels of mouse allergens (32,43,44).”
From Indoor Allergen Interventions in Homes and Schools for Managing Asthma (2025) · cites this paper as [32]
The Risk Factors for Pest Allergen Exposure section (page unavailable) links deteriorating housing and cracks or holes in walls to higher mouse exposure. The Distribution and Epidemiology section (page unavailable) links reported mouse infestation to mouse allergen. The copy does not specifically identify door cracks or establish that cockroach presence is associated with higher mouse allergen levels. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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- [76]Phipatanakul W Cronin B Wood RA Eggleston PA Shih MC Song L Effect of environmental intervention on mouse allergen levels in homes of inner-city Boston children with asthma Ann Allergy Asthma Immunol 2004 92 420 425 15104193 PMC1360245
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Mouse sensitivity is an independent risk factor for rhinitis in children with asthma
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Self-citationMouse and cockroach exposure in rural Arkansas Delta region homes
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Indoor Allergen Interventions in Homes and Schools for Managing Asthma
Beheshti, R., Phipatanakul, W., DiMango, E., & Grant, T. L. (2025) · The Journal of Allergy and Clinical Immunology: In Practice · doi:10.1016/j.jaip.2025.04.027 · Cited by 6 · see citing works
Self-citation
- Authors
- Sheehan, W. J., Rangsithienchai, P. A., Wood, R. A., Rivard, D., Chinratanapisit, S., Perzanowski, M. S., Chew, G. L., Seltzer, J. M., Matsui, E. C., & Phipatanakul, W.
- Affiliations
- Boston Children's Hospital (US)
- Northwestern University (US)
- Johns Hopkins University (US)
- Columbia University (US)
- ORCID
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 125
- Issue
- 3
- Pages
- 575-581
- ISSN
- 0091-6749 (ISSN-L)
- PMC
- PMC2862381
- OpenAlex
- W2011411454
- Cited by
- 97
- References
- 76
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 6
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (U10HL098102)
- National Institute of Allergy and Infectious Diseases (AI-073964, R01AI073964, T32AI007512)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Keywords
- inner-city asthma, indoor allergens, house dust mites, cockroach allergens, allergen sensitization, asthma morbidity, urban housing conditions
- MeSH terms
- Allergens, Animals, Asthma, Cockroaches, Environmental Exposure, Humans, Hypersensitivity, Urban Health, Urban Population, Air Pollution, Indoor, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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