reference : Increasing insect reactions in Alaska: Is this related to changing climate?

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reftype Journal Article
Abstract In 2006, Fairbanks, AK, reported its first cases of fatal anaphylaxis as a result of Hymenoptera stings concurrent with an increase in insect reactions observed throughout the state. This study was designed to determine whether Alaska medical visits for insect reactions have increased. We conducted a retrospective review of three independent patient databases in Alaska to identify trends of patients seeking medical care for adverse reactions after insect-related events. For each database, an insect reaction was defined as a claim for the International Classification of Diseases, Ninth Edition (ICD-9), codes E9053, E906.4, and 989.5. Increases in insect reactions in each region were compared with temperature changes in the same region. Each database revealed a statistically significant trend in patients seeking care for insect reactions. Fairbanks Memorial Hospital Emergency Department reported a fourfold increase in patients in 2006 compared with previous years (1992-2005). The Allergy, Asthma, and Immunology Center of Alaska reported a threefold increase in patients from 1999 to 2002 to 2003 to 2007. A retrospective review of the Alaska Medicaid database from 1999 to 2006 showed increases in medical claims for insect reactions among all regions, with the largest percentage of increases occurring in the most northern areas. Increases in insect reactions in Alaska have occurred after increases in annual and winter temperatures, and these findings may be causally related. Copyright © 2009, OceanSide Publications, Inc.
Author Demain, J. G.; Gessner, B. D.; McLaughlin, J. B.; Sikes, D. S.; Foote, J. T.
DOI 10.2500/aap.2009.30.3231
Database Provider CCII Scopus
ISSN 10885412 (ISSN)
Issue 3
Journal Allergy and Asthma Proceedings
Keywords Alaska; Anaphylaxis; Climate change; Global warming; Hymenoptera; Stinging insect; Temperature increase; Wasp; Yellow jacket; article; controlled study; emergency ward; human; insect allergy; international classification of diseases; major clinical study; medical care; patient care; United States; animal; climate; emergency health service; factual database; hypersensitivity; immunology; insect; insect bite; medical record; retrospective study; statistics; Animals; Databases, Factual; Emergency Service, Hospital; Humans; Insect Bites and Stings; Insects; Medical Records; Retrospective Studies
Notes Cited By (since 1996):8 Export Date: 7 November 2013 Source: Scopus CODEN: AAPRF PubMed ID: 19549424 Language of Original Document: English Correspondence Address: Demain, J. G.; Department of Pediatrics, Allergy, Asthma and Immunology, Center of Alaska, University of Washington, Ankorage, AK, United States; email:
Pages 238-243
Research Notes CCII Unique - Use Quosa
Title Increasing insect reactions in Alaska: Is this related to changing climate?
Volume 30
Year 2009
Bibliographic identifiers
_record_number 6605
_uuid f7eba8ba-3174-4915-af97-5a2fe731a31e