Original Article
 

The Effect of Preventive Immunization on the Incidence of Allergic Conditions

Abstract

The purpose of this study was to assess the effect of preventive immunization on the incidence of allergies in Poland.18617 (53.8% female, 24.2% 6-7 years old, 25.4% 13-14 years old, 50.4% 20–44 years old) were selected by stratified cluster sampling method in 8 cities and 1 rural area. 4783 of whom underwent objective outpatient screening assessments. Study subjects were evaluated for any association  between  preventive  immunization  against  rubella,  measles,  typhoid  fever, smallpox and incidence of atopic dermatitis, allergic rhinitis, and asthma.There was no increased risk of allergy incidence in the majority of vaccinated subjects against rubella, measles, typhoid  fever, or smallpox (OR  from 0.42 (ppppp=0.005), varicella (OR=1.18; p=0.003); rhinitis and AR following vaccination against measles (respectively OR=1.22; pp=0.0002).  No  higher risk of allergic  diseases  was  demonstrated  in vaccinated individuals diagnosed by doctor in an outpatient setting.These data do not demonstrate a causal relationship between vaccinations and allergic conditions.

1. Sybilski AJ, Raciborski F, Lipiec A, Tomaszewska A, Lusawa A, Samel-Kowalik P, et al. Epidemiology of atopic dermatitis in Poland according to Epidemiology of Allergic Disorders in Poland (ECAP) study J Dermatol 2015; 42(2):140-7.

2. Subbarao P, Mandhane PJ, Sears MR. Asthma:epidemiology, etiology and risk factors. CMAJ 2009;181(9):E181-90.

3. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006; 368(9537):733-43.

4. Odent MR, Culpin EE, Kimmel T. Pertussis vaccination and asthma: is there a link? JAMA 1994;272(8):592–3.

5. Sánchez-Solis M, García-Marcos L. Do vaccines modify the prevalence of asthma and allergies? Expert Rev. Vaccines 2006; 5(5):631-40.

6. Spycher BD, Silverman M, Egger M, Zwahlen M, Kuehni CE. Routine Vaccination Against Pertussis and the Risk of Childhood Asthma: A Population-Based Cohort Study. Pediatrics 2009; 123(3):944-50.

7. Arnoldussen DL, Linehan M, Sheikh A. BCG vaccination and allergy: A systematic review and meta- analysis. J Allergy Clin Immunol 2011; 127(1): 246-53

8. Datau EA, Mewengkang H, Matheos JC, Purnawan I, Wibisono M, Wongdjaja K, et al. Clinical Efficacy and Laboratory Improvement of Bacillus Calmette-Guerin Vaccination on Adult Atopic Asthma. World Allergy Organ J 2008; 1(4):63-9.

9. El-Zein M, Parent ME, Benedetti A, Rousseau MC. Does BCG vaccination protect against the development of childhood asthma? A systematic review and meta- analysis of epidemiological studies. Int J Epidemiol 2010;39(2):469-86.

10. Linehan MF, Frank TL, Hazell ML, Francis HC, Morris JA, Baxter DN, et al. Is the prevalence of wheeze in children altered by neonatal BCG vaccination? J Allergy Clin Immunol 2007; 119(5):1079-85.

11. Martignon G, Oryszczyn MP, Annesi-Maesano I. Does childhood immunization against infectious diseases protect from the development of atopic disease? Pediatr Allergy Immunol 2005; 16(3):193–200.

12. Czarkowski MP, Cielebąk E, Kondej B, Staszewska E Biuletyn Szczepienia Ochronne, Warszawa: PZH, 1999-2010.

13. Ellis RW. Douglas RG. New vaccine technologies.JAMA 1994; 271(12):929-31.

14. Koppen S, de Groot R, Neijens HJ, Nagelkerke N, van Eden W, Rümke HC. No epidemiological evidence for infant vaccinations to cause allergic disease. Vaccine 2004; 22(25-26):3375-85.

15. Mommers M, Weishoff-Houben M, Swaen GM, Creemers H, Freund H, Dott W, et al. Infant Immunization and the Occurrence of Atopic Disease in Dutch and German Children. Pediatr Pulmonol 2004;38(4):329-34.

16. Grüber C, Warner J, Hill D, Bauchau V. EPAAC Study Group. Early atopic disease and early childhood immunization-is there a link? Allergy 2008; 63(11):1464-72.

17. Arnoldussen DL, Linehan M, Sheikh A. BCG vaccination and allergy: a systematic review and meta-analysis. J Allergy Clin Immunol 2011; 127(1):246-53.

18. Balicer RD, Grotto I, Mimouni M, Mimouni D. Is childhood vaccination associated with asthma? A meta- analysis of observational studies. Pediatrics 2007;120(5):e1269-77.

19. Flohr C, Nagel G, Weinmayr G, Kleiner A, Williams HC, Aı¨t-Khaled N, et al. Tuberculosis, bacillus Calmette– Gue´ rin vaccination, and allergic disease: Findings from the International Study of Asthma and Allergies in Childhood Phase Two. Pediatr Allergy Immunol 2012;23(4):324–31.

20. Miyake Y, Arakawa M, Tanaka K, Sasaki S, Ohya Y.Tuberculin reactivity and allergic disorders in schoolchildren, Okinawa, Japan. Clin Exp Allergy 2008;38(3):486-92.

21. de Andrade CR, da Cunha SS, Alvim CG, Fontes MJ,

Bedran R, Binato HA, et al. Does BCG revaccination protect against the development of asthma? Respir Med2013; 107(2):317-9.

22. McDonald KL, Huq SI, Lix LM, Becker AB, Kozyrskyj AL. Delay in diphtheria, pertussis, tetanus vaccination is associated with a reduced risk of childhood asthma. J Allergy Clin Immunol 2008; 121(3):626-31.

23. Spycher BD, Silverman M, Egger M, Zwahlen M, Kuehni CE. Routine vaccination against pertussis and the risk of childhood asthma: a population-based cohort study. Pediatrics 2009; 123(3):944-50.

24. Variations in the prevalence of respiratory symptoms, self-reported asthma, and use of asthma medication in the European Community Respiratory Health Survey (ECRHS). Eur Respir J 1996; 9:687-95.

25. Burney P. The changing prevalence of asthma? Thorax 2002; 57(Suppl 2):36-9.

Files
IssueVol 14, No 4 (2015) QRcode
SectionOriginal Article(s)
Keywords
Allergy Immunization Measles Rubella Smallpox Vaccination

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Dulny G, Sybilski A, Zalewska M, Raciborski F, Komorowski J, Piekarska B, Lipiec A, Samoliński B. The Effect of Preventive Immunization on the Incidence of Allergic Conditions. Iran J Allergy Asthma Immunol. 2015;14(4):402-409.