Guidelines for allergy prevention in Hong Kong

Aw, Chan; Jk, Chan; Ay, Tam; Leung, T. C.; Lee, Tak H.

doi:10.12809/hkmj154763

Cited by 23 publications

(34 citation statements)

References 139 publications

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“…1 In 2016, a public hospital recruited a paediatrician who had already completed his medical, paediatric, and allergy/immunology training in the United States. Nonetheless he is now required to spend a further 4 to 5 more years fulfilling the requirements of the Medical Registration Ordinance and specialty registration before he is recognised as a PIID specialist in Hong Kong.…”

Section: Can Hong Kong Take Advantage Of the Recent Advances In Allermentioning

confidence: 99%

“…Major opportunities have been identified recently to prevent allergic disorders including the early introduction of allergenic foods to infants [1][2][3][4][5][6][7][8][9] and immunotherapy. 10,11 Breast feeding is still strongly encouraged, but new evidence suggests that the avoidance of allergenic foods in infancy to delay the onset of allergic diseases may have sustained rather than prevented food allergies and eczema.…”

Section: Introductionmentioning

confidence: 99%

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Can Hong Kong take advantage of recent advances in allergy prevention?

Lee

Leung

2017

Hong Kong Med J

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Section: Can Hong Kong Take Advantage Of the Recent Advances In Allermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can Hong Kong take advantage of recent advances in allergy prevention?

Lee

Leung

2017

Hong Kong Med J

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“…The evidence for the association of lack of physical activity with allergic diseases in both adults and children is interesting [1][2][3][4] but the results were obtained mainly through population-based crosssectional studies. Although there may be a true association between a decrease in physical activity and more atopic tendencies, one cannot exclude reverse causality of decreased physical activity in these groups of atopic patients, for instance an exacerbation of eczema after sweating; heat and dermatographic stimulation; or shortness of breath in exercise-induced asthma.…”

Section: Authors' Replymentioning

confidence: 99%

Physical activity is also an allergy prevention measure

Hofmeister¹

2016

Hong Kong Med J

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“…The findings suggest that despite some progress, Hong Kong is currently still unlikely to be able to fully deliver the marked changes required to implement international guidelines on preventing allergies. [3][4][5][6] Hong Kong's experience may parallel those of other Asian Pacific countries, many of which face similar challenges.…”

Section: Introductionmentioning

confidence: 99%

The unmet provision of allergy services in Hong Kong impairs capability for allergy prevention – implications for the Asia Pacific region

Lee

Leung

Wong

et al. 2017

Asian Pac J Allergy Immunol

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There is a high and rising prevalence of many allergic diseases in the Asia Pacific, including Hong Kong, which is unmatched by a commensurate provision of clinical allergy services. In the last 3 years, the allergy profile in Hong Kong has increased due to greater public engagement and more frequent educational activities, scientific outputs and publication of local guidelines on allergy prevention, diagnosis and treatment. Two new drug allergy clinics have been established in public hospitals, and for the first time in 20 years, Hong Kong has its first trainee in adult allergy. The current ratio of allergists per head of population has improved slightly from 1:1.46 (in 2014) to 1:1.17 million, but it is still low compared to many countries. The Hong Kong community is well supported by allergy-related professional societies and patient organisations. While the recent developments indicated some progress, Hong Kong remains inadequately equipped to take advantage of the new discoveries that may prevent allergic diseases and improve public health. There are also 5-fold more paediatric allergists than adult allergists per head of population. If this unbalance remains uncorrected, continuing care for allergic children as they grow into adulthood will be an increasing problem. This review provides recommendations to improve allergy service provision and training, including the creation of Centres of Excellence in allergy to drive the growth of this specialty.

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Guidelines for allergy prevention in Hong Kong

Cited by 23 publications

References 139 publications

Can Hong Kong take advantage of recent advances in allergy prevention?

Can Hong Kong take advantage of recent advances in allergy prevention?

Physical activity is also an allergy prevention measure

The unmet provision of allergy services in Hong Kong impairs capability for allergy prevention – implications for the Asia Pacific region

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