an expert has said that new generation anti-histamine drugs to treat
them are safe, effective and do not produce sedative effect.
In an interview with The Hindu in connection with a prestigious global
medical conference being hosted atHyderabad International Convention
Centre (HICC) here by the World Allergy Organisation (WAO), Dr. Ruby
Pawankar, the first woman to head the 35,000-member body has dismissed
as non-scientific the treatment of fish medicine to treat asthma.
'Severe allergies, Severe Asthma: New Strategies forOptimal Treatment
and Prevention' is the theme ofthe four-day event beginning on
December 6. Superior infrastructure facilities at HICC and the
presence of a number of good hospitals has enabledHyderabad to bag the
event over three other cities, according to Dr. Pawankar. Around 2,500
delegates, including 70 world-renowned experts, are expected to attend
the conference. A medical graduate of the Armed Forces Medical
College, Pune, she is living in Japan since 20 years. Excerpts:
Q: Which is the most common form of allergy
Around 400 million people across the globe suffer from nasal allergy,
followed by 300 million from asthma and 200 million are affected by
food allergies. We presumethe number of those affected by asthma is
under-estimated. All over the world around 2.5 lakh people die of
asthma annually. The other types of allergies are those relating to
skin, insects andoccupation among others.
What are the reasons for rise in asthma cases
Asthma cases are indeed increasing. An internationalstudy of asthma
and allergies in children found that there was a doubling of asthma in
developing countries. Allergies are becoming more complex and severe.
Causes could be many, including genetic,lifestyle-related, food
allergy and environmental and what is called "hygiene hypothesis".
Allergens are increasing due to global warming. Climate change and
global warming is having an impact on migration of allergens.
Your views on the treatment protocol for allergies
First generation anti-histamine drugs whichcause sedation are no
longer recommended. We recommend second generation drugs which don't
have sedative effect. They are safe and effective.Nasal and skin
allergies arecontrolled by these drugs. Also the newer inhalers
containing steroids are safe.
What is WAO's role in combating various types ofallergies?
WAO is leveraging internationally with various ministries of health,
the UN and WHO to bring allergies on the agenda of Non-Communicable
Diseases (NCDs) along with diabetes, cancer, cardiovascular and other
ailments. More resources could be garnered if it is declared as an
NCD. Deaths due to allergies and asthma are unwarranted. We have to
partner to make a reduction in burden of allergic diseases.
How well-developed is the discipline of allergies treatment in India?
It is not well-developed in India. WAO is working closely with Union
Ministry of Health to make this a full-fledged specialty. WAO has
prepared a position paper on the syllabus for post-graduate and
under-graduate courses.
What is your view on fish medicine treatment for asthma?
I have heard about it and feel it is absolutely non-scientific and has
no scientific basis. Let someone furnish scientific data on how it
cures asthma and I will then believe it.
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