Seasonal advice, treatment and prevention
Allergy Adviser - Seasonal Update  FALL
Limiting Exposure to Allergens in the Home 
Prevention of Allergy and Asthma in Children
Treatment of Allergy and Asthma
Skin Testing and Allergy Injection Treatment
Inhalers for Asthma
Spacers for Asthma Inhalers
Inhalers for Rhinitis
Tricks for - children to swallow pills
                  - eyedrops
Mexican Medications

Allergy Adviser for Southern Arizona*
Fall
September 23 - December 21. 

*and the Greater Phoenix area.  For specific information on weather in the Tucson area  and the Phoenix area  see the National Weather Service site.

What's Blooming    Over the next 3 months, there is a considerable increase in pollen counts, mainly from Bermuda grass and weeds that grow during and after the summer "monsoon."   This year  summer rain has again produced a heavy growth of a variety of weeds and grasses, which are expected to contribute to high pollen counts.  In the late fall Desert Broom releases enormous numbers of white fluffy seeds that fly in the wind and are probably not allergenic.  However its invisible pollen,  released from the plant weeks before the fluffy seeds fly, may be an allergen for some people.  Plants that contribute to the pollen count, in order of importance are:

Grasses
Pigweed family and Russian Thistle
Ragweeds
Sunflower family
Sagebrush
Tamarix (Salt Cedar)

Mold Spores 

• Atmospheric mold counts, particularly Alternaria, rise progressively after the monsoon is over in mid September, reaching the the highest levels in the year.

Outdoor Pollution 

• Temperature inversions in the fall increase air pollution, mainly from increased levels of particulates.  In hot weather during the early fall, ozone levels may be high in the afternoons. 

Indoor Environment 

• Evaporative cooling becomes efficient again in the dry weather, but if the cooler was on during the monsoon the pads should be changed because they will be loaded with algae and mold.

Seasonal Disease 

• Allergic rhinitis increases in severity in the fall, due to increased pollen counts.  
• Asthma also increases in the fall soon after children go back to school in early September and viral respiratory infections begin.  Asthma in the fall may also result from increase in the counts of airborne mold spores and pollen. 

Recommendations 

• Take your prescribed medications regularly.  If you have asthma you have probably been prescribed anti-inflammatory preventive or controller medicines (inhaled steroids such as Alvesco, Pulmicort, Asmanex, Flovent, QVAR and Aerobid, combination drugs such as Advair and Symbicort, other controller drugs such as Tilade, Intal, Singulair, Accolate).  If you thought that you did not need them because of seasonal improvement, it is time to be sure that they are taken regularly.  If your asthma is moderately severe, ask your doctor for a a supply of prednisone to keep handy in case of a sudden attack that needs immediate treatment.  Children over age 6 months with asthma and asthmatic adults should get the standard influenza and swine flu vaccines each year, usually available in October.
• Fertilize and water Bermuda grass lawns liberally.  Cut the lawn once a week. 
• Remove weeds that grow during the monsoon.  For advice on how to do this see article on winter weeds in the Arizona Daily Star 8/15/99 page H3, or go to the University of Arizona Cooperative Extension Center for details on how to do this (Tucson phone (520) 626-5161, Phoenix phone (602) 470-8086 ext 323).
• If you have moderate or severe allergy to pollen, wear a dust/pollen mask (obtainable in pharmacies) when working outdoors.
• Stay indoors during windy weather.
• Change pads and water once a month during evaporative cooler operation. 
• If you have refrigerated air conditioning,  consider obtaining an air purifier with a HEPA filter for the bedroom. 
• For control of indoor allergens at any time of the year, see Limiting Exposure to Allergens in the Home.
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Disclaimer:   This site is for educational purposes only.  Any information that you have found in this web site is not intended to replace medical care or advice given to you by your own physicians. You should consider consulting your local medical library and other web sites for additional information. 

Comments and suggestions welcome!   Email: schumach@u.arizona.edu
Content Owner:  Michael J. Schumacher, MB, FRACP, The University of Arizona
Updated  9/2009