Alexander Frean, Education Editor
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Nearly three quarters of students taking hay fever medication can expect to drop a grade in their exams this year as ingredients in the most popular remedies interfere with their ability to concentrate, research suggests.
Even hay fever sufferers not taking any medication face a 40 per cent risk of achieving lower grades than expected as a result of their condition, the study by the Education for Health charity has found.
The study was funded by the drug firm Shering-Plough, which makes several hay fever remedies.
Samantha Walker, the charity’s director of research and the lead author of the study, said that for too long hay fever had been regarded as a trivial condition.
“Hay fever peaks between the ages of 14 and 24. This is precisely the time when many people are doing life-changing exams and we need to take it seriously,” she said.
She hoped that the study, based on the exam performance of 1,834 15 to 17-year-olds, would open a discussion on how to “remove the bias operating against those with hay fever” by shifting the examination season to a time that does not coincide with the peak pollen count.
Dr Walker said she also hoped that the study, the first to analyse the impact of the condition on exam performance, would help students to manage their hay fever symptoms better by directing them towards the most appropriate, nonsedating medication.
The study compared the exam performance of participants in mock and final GCSE exams for maths, English or science.
The normal expectation is that most children will achieve the same grade achieved in their mocks, or with increased effort, improve on them when sitting the exam. Any drop in grade is therefore unexpected.
But the study found that those who had hay fever symptoms on an exam day were 40 per cent more likely to drop a grade between their mock and their final exam.
This increased to 70 per cent if they were on a sedating aller-gy medication at the time of their exam.
Teenagers with severe hay fever, and a history of symptoms in previous years, were twice as likely to drop a grade.
Michelle Cox, 18, sneezed her way through her English literature A Level paper on Monday and fears that it may well have cost her a grade.
Ms Cox, from Bexleyheath, South London, had a similar experience when she sat her GCSE maths paper. “I was sneezing and my nose really hurt and I was so tired. I got a grade D, but had been expected to get a C,” she said.
She takes hay fever medication every day, but was not aware that it might be making her drowsy. She is hoping that things will improve for her remaining three A level papers.
Some 28 per cent of students on hay fever medication were on a sedating antihistamine. This is despite the wide availability of effective nonsedating treatments and guidelines recommending their use.
Dr Walker said that the sedating treatments, containing the drug chlorpheniramine and most usually sold under the name Piriton, adversely affected exam performance.
Students who fear that hay fever has interfered with their results can apply to the Joint Council for Qualifications, for their condition to be taken into account.
When pollen counts
Hay fever affects an estimated 15 million people in Britain. Its incidence has tripled over the last 20 years
It affects 30-40 per cent of children. The peak age of onset is in adolescence
Grass pollen counts are at their highest between mid-May and end of June
600,000 GCSE students sit between 5 and 15 exams during a 5-week period between May and June
Hay fever remedies which contain chlorpheniramineK cause drowsiness
Non-drowsy remedies contain loratidine, cetirizine, acrivastine, desloratidine, levocetirizine or fexofenadine
Source: Education for Health
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As a mother of two hay-fever sufferers I completely agree with the suggestion that exams should not be held in the summer. Why not lare nov./early December, with the school year running from Jan. to December? Less distracting for kids to revise with long winter evenings instead of summer weather. At the same time, year groups could be altered to fit, so that children could be grouped academically according to the year they were born in, e.g., a 2002 child, etc. as some other countries do. Save a lot of hassle!
Ros Leveridge, Exeter, England
This is excellent news - having just finished uni it won't apply to me any more, but I'm glad that my sister will have the fact that she can barely see taken into account. The only worry is that this may be exploited, but in my experience those who are willing to cheat will find a way of doing it anyway.
Sneezy, Field-ton,
I'm so glad the effect of hayfever on examination grades has been researched and now shows conclusively just how severely hayfever effects students such as myself at that dreaded time of year. I suffered most severely during my GCSE's but fortunately for me my teachers were extremely understanding and sympathetic and allowed a fan to be placed in front of my desk which helped to no end. Now at university, I was overjoyed to hear that the Law exams would be held in May and finished by June (when the condition is at its worst!)
Could it be suggested that hayfever should now be considered an extenuating circumstance?
Simarjot Judge, Hounslow, London,
The problem with the position taken by SpeasktheTruth is that hay does not affect employees "1 week in 4" but tends to be at its most severe during May and June.
Oh and when do schools have their exams? May and June!
Katherine, Sweden,
I went through exams quite a while ago now (I'm 20, and preparing to enter university on the back of my excellent grades), but agree that a move of exams would be wonderful for my fellow hayfever sufferers.
It is very hard to sit an exam when there are streams of mucus running down your face, when you have a sore throat that even breathing aggravates, when you are sneezing rapidly and consistently for minutes at a time (come to think of it, that is distracting for everyone in the exam hall, surely on a par with a ringing mobile) or have eyes so watery the examiners think you're crying with the pressure of it all.
It all means you spend less time writing answers than your peers, costing points.
In college we weren't even allowed to have tissues on the desk! They had to be kept under the table, and boy was it annoying having to duck!
If you think that sounds extreme, it isn't. That is what I go through every year. I have yet to find an over-the-counter drug strong enough.
Good luck, kid
Aeryn, Lancashire, UK
While hayfever has never actually caused me to drop a grade, it has made the whole exam experience ten times worse than it should be. Sitting in a sweltering exam room, I could hardly beg the teachers to keep the windows closed during my A levels, AS levels, and GCSEs, but as soon as one was opened, despite being on prescription steroid sprays, eye drops, and anti-histamines, at some points I could barely see my exam paper. It is just like having severe flu for me: eyes watering, sneezing every ten seconds, itchy skin, even mild difficulty with breathing (though that was proably a combination of stress, panic as well as symptoms). Luckily it has decreased as I got older but honestly, what a stupid time to sit the most important exams of your life!
Anna, Bristol,
I entirely agree with "SpeasktheTruth, WestMids", and assume that he takes the same position on his dyslexia.
Stuart, Singapore,
My hayfever is worse than usual this year - I've had it since I was 5. At it's most annoying it causes tightness in my lungs with an itchy throat as well as the sneezing and itchy eyes. The non-sedating tablets simply do not work as well as the sedating ones if my symptoms are really bad. Piriton works 20 minutes after taking it - trouble is then you want to sleep for a few hours!
Claire, Falmouth, UK
I have only had hay fever once! And that was over 20 years ago, people affected should look for homeopathic medication to help them. I did and have never been affected by hayfever since. Good luck in your exams people.
Jo, Auckland, New Zealand
Hayfever definitely affected me during, I agree with this article. I was either dopey or sneezy during the summer exams, it was a nightmare.
The worst was when I ran out of tissues halfway through one of my university finals :(
On a personal note though, everyone's too hung up on exams anyway. They don't inspire people to learn, they just teach them to jump through hoops.
Mark, Woking, UK
i am currently doing my gcse's, and i also have hayfever, i am not feeling tired at all. infact i am relly happy with the work i have done as i feel i am doing very well. i struggle in science, but yet i flew through the paper! so i dont think hayfever is anything to do with it.
emily, leicester, england
John, I don't think you need to be 'bringing in the harvest' to suffer dreafully from hayfever.
Gail, London,
There is a fundamental difference between hayfever and PMT - hayfever is seasonal, PMT is cyclical throughout the year. I agree that it is difficult to suggest taking hayfever into acocunt as a debilitating factor, although this might be backed up with a doctor's note. However, the step of changing the timing of exams to take this into account would solve the problem for the majority of sufferers. Clearly this is not striaghtforward since it would affect the entire academic timetable, but perhaps this is not such a bad thing. The recent aticle http://www.timesonline.co.uk/tol/comment/columnists/alice_miles/article1857133.ece makes a good case for shaking up the academic year.
Shimon, London, UK
Hayfever definitely affected me during, I agree with this article. I was either dopey or sneezy during the summer exams, it was a nightmare.
The worst was when I ran out of tissues halfway through one of my university finals :(
On a personal note though, everyone's too hung up on exams anyway. They don't inspire people to learn, they just teach them to jump through hoops.
Mark, Woking, UK
You make an exellent point, Megan, especially about PMT. I wonder how many girls end up doing bady in exams, and how many women do badly at work because of it. I know women who spend certain days of the month totally disoriented, dizzy, depressed, and when the period starts up to their eyeballs on painkillers.
starling, Lancaster,
Meg from London - Creating a system of bias towards women with PMT!
CAN OF WORMS!
Exams are there to test people - and in order to be fair they have to test them under 'average' conditions. If people have a condition that will always effect them (or in this case PMT/25% of the time) then it is going to follow them round all there lives and so SHOULD be reflected in there academic achievement. What use is a person who can't work 1 week in 4 to an employer?
SpeasktheTruth, WestMids,
There is no longer any need for kids to help with bringing in the harvest, so no need for the long summer holiday and no need for the absurd academic year.
John Ledbury, Kings Lynn, England
I have had allergies all my life and at all times of year. They are intrusive and annoying, but this article hints at considering allergies as a disability of sorts, for which we need to make systemic adjustments. Surely then we would have to ensure that young women affected by PMT or who are actually menstruating should not be forced to sit exams at this time of their cycle? We are all a combination of biological order and disorder and that part of learning is to integrate our own physiology into our functioning lives.
Megan, London, UK
The LEA should look to move those who suffer from croninc hayfever earlier such as Aprul therefore allowing them to succeed in their examinations.
I've suffered from Hayfever and I'm sure that when I took my GCSE's my grades were affected due to my cronic hayfever.
Thanks
Jonni Posner, Edgware, Middlesex