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Agache, I.* ; Annesi-Maesano, I.* ; Cecchi, L.* ; Biagioni, B.* ; Chung, K.F.* ; Clot, B.* ; D'Amato, G.* ; Damialis, A.* ; Del Giacco, S.* ; Dominguez-Ortega, J.* ; Galán, C.* ; Gilles, S.* ; Holgate, S.* ; Jeebhay, M.* ; Kazadzis, S.* ; Nadeau, K.* ; Papadopoulos, N.G.* ; Quirce, S.* ; Sastre, J.* ; Tummon, F.* ; Traidl-Hoffmann, C. ; Walusiak-Skorupa, J.* ; Jutel, M.* ; Akdis, C.A.*

EAACI guidelines on environmental science for allergy and asthma: The impact of short-term exposure to outdoor air pollutants on asthma-related outcomes and recommendations for mitigation measures.

Allergy, DOI: 10.1111/all.16103 (2024)

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Free by publisher: Publ. Version/Full Text online available 05/2026

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The EAACI Guidelines on the impact of short-term exposure to outdoor pollutants on asthma-related outcomes provide recommendations for prevention, patient care and mitigation in a framework supporting rational decisions for healthcare professionals and patients to individualize and improve asthma management and for policymakers and regulators as an evidence-informed reference to help setting legally binding standards and goals for outdoor air quality at international, national and local levels. The Guideline was developed using the GRADE approach and evaluated outdoor pollutants referenced in the current Air Quality Guideline of the World Health Organization as single or mixed pollutants and outdoor pesticides. Short-term exposure to all pollutants evaluated increases the risk of asthma-related adverse outcomes, especially hospital admissions and emergency department visits (moderate certainty of evidence at specific lag days). There is limited evidence for the impact of traffic-related air pollution and outdoor pesticides exposure as well as for the interventions to reduce emissions. Due to the quality of evidence, conditional recommendations were formulated for all pollutants and for the interventions reducing outdoor air pollution. Asthma management counselled by the current EAACI guidelines can improve asthma-related outcomes but global measures for clean air are needed to achieve significant impact.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords Asthma ; Environmental Science ; Guidelines ; Outdoor Pollution; Respiratory Symptoms; Lung-function; Pesticide Applicators; Childhood Asthma; Carbon-monoxide; Pollution; Health; Children; Risk; Particles

ISSN (print) / ISBN 0105-4538

e-ISSN 1398-9995

Journal Allergy

Publisher Wiley

Publishing Place 111 River St, Hoboken 07030-5774, Nj Usa

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Environmental Medicine (IEM)