The nasal mucociliary clearance was measured in 71 subjects with nasal allergy (NA) (56 subjects without sinusitis and 15 with sinusitis), 12 subjects with bronchial asthma (BA) (7 without, 5 with) and 7 subjects with aspirin induced asthma (AIA) using a saccharin test. The results were compared with those obtained in a control group of 15 healthy subjects. The saccharin time (ST) values for both NA and BA subjects without sinusitis (16.9 ± 9.9 and 20.1 ± 9.4 min, respectively) did not differ from that of the healthy subjects (16.3 ± 5.3 min). However, ST values in NA and BA subjects with sinusitis (37.6 ± 22.9 and 57.0 ± 6.7 min, respectively) were significantly higher than those of healthy subjects (p < 0.01). The ST value of AIA subjects (13.0 ± 5.4 min) showed no significant difference compared with that of the control group. These results suggest that allergic reactions do not influence the nasal mucociliary clearance and that the property of mucus complicated with sinusitis is important. Also, sinusitis observed in AIA may be somewhat different from ordinary sinusitis complicated with NA and BA.

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Despite increasing pediatric allergy related disease, school staff support appears to be poor. We examined the prevalence and status of allergic diseases, using an Osaka Medical Association questionnaire focusing on allergic rhinitis AR and allergic conjunctivitis AC. Questionnaires returned by 113 school nurses indicated a 7 2% AR and 4 2% AC prevalence. Children with AR and/or AC reporting problems in school totaled 26%. These included nervous caused by allergy symptoms, sleepiness and study difficulties due to side effects of medication, and the worsening of symptoms. School nurses apparently did not address antigen avoidance sufficiently, however a trend particularly apparent in school nurses not experiencing AR. It is thus clear that school staff mush cooperate more extensively with health care professionals to implement a system of support for allergic children.