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Biomedical subjects

S M Hasnain

Publications and source records attributed to S M Hasnain.

7 recordsLinked to original sources

Increased prevalence of asthma in Saudi Arabia.

BACKGROUND: Bronchial asthma is among the most common chronic illnesses of childhood. A number of reports in the recent past suggest that the prevalence of asthma is increasing globally. OBJECTIVE: To investigate the changing prevalence of asthma in the Kingdom of Saudi Arabia. SUBJECTS AND METHODS: Two populations of schoolchildren between the ages of 8 and 16 years were studied using an internationally designed protocol in 1986 and 1995. The questionnaire used in these studies was very similar to the one used in the International Study of Allergy and Asthma in Childhood. A total of 2,123 school-children in 1986 (Jeddah and Riyadh) and 1,008 schoolchildren in 1995 (Hail and Gizan) were enrolled in the surveys. These cross-sectional studies of randomly selected schoolchildren were statistically analyzed using ANOVA and a Z test. RESULTS: The comparison of data between Riyadh versus Hail (inland desert dry environment) and Jeddah versus Gizan (coastal humid environment) revealed that the prevalence of asthma in the similar populations increased significantly from 8% in 1986 to 23% in 1995 (P < .0001). Likewise, the prevalence of allergic rhinitis also increased from 20% to 25% (P < .003) since 1986. However, no significant change in the prevalence of eczema (from 12% to 13%) was noted between 1986 and 1995. CONCLUSIONS: The study indicates that there was a significant increase in the prevalence of bronchial asthma and, to a lesser extent, in the prevalence of allergic rhinitis in the Kingdom of Saudi Arabia during this 9-year period. The study also revealed increased exposure to environmental factors such as tobacco smoke and indoor animals in Saudi houses. It seems that the continuing changes in contemporary life may well have contributed to the increased prevalence of asthma in the country.

Adolescent↗

Airborne viable fungi in Riyadh and allergenic response of their extracts.

The allergenicity and antigenicity of various airborne fungi isolated from the atmosphere of Riyadh were studied. Protein nitrogen contents were estimated and found to range from 0.9 mg ml(-1) for Cladosporium to 2.1 mg ml for Aspergillus extracts. Sodium dodecyl sulphate-polyacrylamide gel electrophoresis analysis for those extracts exhibited a number of protein bands of higher molecular weight between 13 and 80 kDa for Alternaria, Ulocladium, Penicillium, Aspergillus and Cladosporium. Extracts in both aqueous and lyophilized forms were sterilized and tested for diagnostic skin prick test in 100 consecutive patients having bronchial asthma and allergic rhinitis. Overall, 13% of patients reacted positively to fungal extracts, revealing allergic sensitization to these fungi. These findings necessitate further investigation as regards the purification and characterization of these local extracts for better diagnostic use in patients in Saudi Arabia.

Air Microbiology↗

Seasonal incidence of airborne fungal allergens in Riyadh, Saudi Arabia.

Aerobiological studies to evaluate allergenic fungal spores in the atmosphere of Riyadh were conducted. Burkard personal volumetric sampler were operated as volumetric 'viable' spore traps at two different sites (Al-Batha, a more developed area in the south and Al-Ulia, a less developed area in the north) in Riyadh. Twice a week samplings were carried out over a period of 12 month. The seasonal fluctuations of the most frequent fungi were plotted as 'major' components. The dominant species at the two sites were members of the genera Alternaria, Aspergillus, Cladosporium, Penicillium and Ulocladium. Drechslera, Fusarium, Rhizopus and Stachybotrytis species were minor components or sporadic. Seasonal variations of the total colonies were significantly (p < 0.05) different. They showed higher concentrations in the winter season and the lowest in summer. The Al-Batha site was always higher in spore concentrations than the Al-Ulia site. The results provide valuable information for the diagnosis and prophylaxis of allergic diseases due to airborne fungi.

Air Microbiology↗

An aerobiological survey of allergens in al Khobar, Saudi Arabia.

A nationwide aerobiologic study is in progress in Saudi Arabia using Burkard 7-day volumetric spore traps to determine the major airborne allergens and their seasonal patterns. Eights months readings have been completed at Al-Khobar, an important coastal city on the Arabian Gulf. Pollen levels showed a double season. An autumnal peak reached its maximum in October rising sharply from the low summer values before falling during the short winter then rising again in springtime. Both local and imported flora were represented with chenopodiaceae, grasses and Ambrosia as the most common botanical groups, identification of the most significant individual species is still in progress. Fungal spores also show distinctive seasonal patterns. In descending rank order from the most common genera were Cladosporium, Ustilago, Alternaria, with Chaetomium and Ulocladium as consistent but minor components. Basiodiospores and Ascospores represented less than 10% of the total spore population, indicative of the dry nature of the climate. Desert dust added an important irritant to the Saudi atmosphere but a major contaminating factor to the aerobiological material being analysed.

Aerosols↗

The basidiomycete ganoderma and asthma: collection, quantitation and immunogenicity of the spores.

Ganoderma fungal spores are a major component of the Auckland air-spora. Previous studies of ganoderma involvement in allergic asthma and rhinitis were extended by locating the sporophores (fruiting bodies) in the Auckland area and systematically collecting the ejected spores. Maximum production by one sporophore was 5 gram dry weight of spores in one week, equivalent to 11 billion spores. We have estimated that between 400 and 1200 sporophores would account for previously reported levels of ganoderma spores collected from the air by Burkhard spore traps. Both whole spores and extracts of spores were strongly immunogenic in rabbits. Of the 115 asthma patients who were skin prick tested with a variety of fungal extracts, 32 (28%) were positive to one or more fungi. Of these, 18 (16%) reacted positively to ganoderma extracts. A theory proposing how ganoderma might contribute to allergic hyperreactivity in susceptible patients is developed.

Air Microbiology↗

Allergy to basidiospores: immunologic studies.

Fruiting bodies of larger basidiomycetous fungi were collected over a 15 month period from natural habitats and a total of 67 different antigenic extracts were prepared from spores or tissue, in buffered saline, pH8, and standardised at 1:50 and 1:10 (W/V) concentrations. A number of heterogeneous and diagnosed allergic patients were tested by skin prick test method with the extracts of either individual species or mixtures of related species. Up to 22% patients reacted positively, indicating their possible IgE mediated reactions and the allergenic potency of the species involved. The potential allergenicity of many of these genera and/or species has not been reported previously. The findings suggest that basidiospores could be a possible major factor for the high respiratory allergy incidence in the Auckland region and necessitate further investigation.

Adolescent↗

Fungal allergy and respiratory disease.

An aerobiological study of three different localities of the Auckland region using Burkard volumetric spore traps was conducted for a 12 month period from September 1979 to August 1980. High counts were recorded of various types of fungal spores of both unknown and recognised potential allergens but the basidiospore group was dominant at all sites forming greater than 50% of the total air spora. Seasonal periodicities as well as regional variations in spore concentrations of five generic group viz Ganoderma, Leptosphaeria, Cladosporium, Alternaria and Aspergillus-Penicilium were recorded. These exhibited summer and/or autumn peaks. The diel periodicities recorded for Ganoderma and Leptosphaeria were of nocturnal type. Cladosporium was diurnal and Aspergillus-Penicillium did not display any clear periodicity. The hospital admissions of acute asthma sufferers were recorded for the period January 1979 to December 1980. The seasonal pattern of airborne basidiospores of the region and the pattern of acute asthma admissions indicate a close relationship between the two.

Acute Disease↗