Sarah-Kate Templeton, Health Editor
2 for 1 tickets to Casablanca, this coming Monday
Britain's allergy epidemic could be tackled with immunotherapy, a controversial treatment largely abandoned in the 1980s when it led to the death of a number of patients.
The widespread use of the treatment, which involves injections of an allergen such as wasp venom or pollen, is to be recommended this week by a House of Lords committee.
The report will warn that Britain is in the throes of an allergy epidemic, with about 30% of the population affected. The prevalence of peanut allergy has trebled since 1996 from 0.6% to 1.8%. About 15% of children suffer from eczema.
Immunotherapy, or desensitisation, was discredited in the 1980s when an article in the British Medical Journal blamed it for the death of patients from anaphylactic shock.
Research has also shown that while immunotherapy can cure some allergies it can trigger others. Some patients cured of their pollen allergy after receiving the injections later became allergic to apples.
Despite this, the Lords’ science and technology committee will say it is the most promising treatment for many sufferers.
The committee is expected to say there is a dire shortage of doctors suitably qualified to treat the increasing number of sufferers. It will call for specialist allergy centres, run by doctors trained in the discipline, to be set up in every major hospital in Britain. It is also expected to call for GPs to receive better training in treating allergies.
During the inquiry the Lords heard that the average asthma sufferer has to make seven trips to the doctor before their condition is diagnosed.
The report is likely to say that Britain is lagging behind other European countries in allergy treatment, particularly because of the reluctance of many hospitals to offer immunotherapy.
The Medicines and Healthcare products Regulatory Agency recommends that immunotherapy is restricted to patients who fail to respond to other allergy treatments. The National Institute for Health and Clinical Excellence has never carried out an appraisal of the desensitisation injections.
Immunotherapy involves the repeated injections of allergen extracts of house dust mites, pollen or wasp or bee venom to allergy sufferers to build up their tolerance.
Doctors insist the treatment, which used to be given in GP surgeries, is now safe if administered in hospitals by specialists, and there is evidence that it is highly effective for asthma.
Unlike inhalers and nasal sprays, it may give long term remission to sufferers.
Dr Glenis Scadding, a consultant allergist at the Royal National Throat, Nose and Ear hospital in central London, said: “Immunotherapy is the only hope of curing (allergies) at the moment. Powerful steroids are pretty effective but they do not cure the disease.”
Scadding said she thought immunotherapy should be used much earlier as a treatment. “At the moment it is reserved for patients failing pharmacology,” she said. “In Europe there is a study looking at children with rhinitis (which causes sneezing) treated by immunotherapy and now, after 10 years, they are 2.5 times less likely to have asthma than a group of children of a similar age treated with drugs. The progression from rhinitis to asthma can be almost completely halted by immunotherapy.”
The Lords committee is also likely to warn that many self-test kits to diagnose food intolerances are unreliable and lead patients to give up foodstuffs unnecessarily.
The committee is expected to warn that current government advice to pregnant women and young children to avoid eating peanuts could put them at greater risk of allergic reaction.
Government advice, issued in 1998, recommends that women should avoid eating peanuts while they are pregnant if they or the baby’s father or one of their previous children has eczema, asthma, hay fever or other allergic responses to food.
The committee is likely to recommend this advice is immediately withdrawn.
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I had this injection they speak of now and have been pretty much free from hay fever since then BUT with the exception of when I went to Wales couple of years ago one June and got hit by hay fever really badly. Other than that one off (I hope) I have had no problem apart from a slight nose stinging feel occasionally.
Steve, London, UK
some interesting observations. thinking the unthinkable (remember that phrase?) i'd like you all to do a web search for government created disease; chemtrails / arial aerosol spraying; biological warfare; contaminated vaccines. After that try to think of some other search phrases which might reveal interesting information which may (or may not ) indicate that the current health crisis may have be man made. Think about it.
calle pelligros, ment, mont
The continuing aridity of thinking of so many of our 'scientists' beggars belief. Once again the attractive solution of medicating the problem out of the way is taken when the cause should be sought. Our whole species is becoming sick ,and all we want to do is poison ourselves more. No wonder we have so many 'superbugs' in our hospitals, and we think that hygiene alone (another symptomatic response) is the (blinkered) answer.
Mike Harrison, Sheringham, UK
Having this week completed three years' wasp desensitisation I am 100% in favour of this being more widely available. Having read the above article I feel privileged at the treatment I have received at Lincoln Hospital and the fact that this was available. I was stung by a wasp 4 years ago and went into an anaphylactic shock. I was taken to hospital for the morning to be monitored but was sent home with no treatment. On mentioning this to a nursing friend she recommended I carried an EpiPen. I saw my GP who said that I would have to be tested first. I asked to be tested and the result was that my allergy was high and the course of desensitation was recommended and this treatment was all National Health. My treatment consisted of a built up of wasp venom to the point where I had the equivalent of 2 stings in an injection every fiur weeks. The result is that I am now (hopefully) 90% safe. It is not realised just how dangerous wasps are. Treatment should be available to all.
Heather Melton, Epworth, North Lincolnshire
It was with alarm that I read the above article, Allergies are on the increase and its not surprising with the Toxic overload in our food, aspartame, MSG, preservatives, pesticides, etc and in our water supply, heavy metals, hormones, fluoride, etc.
Not to mention pharmaceutical drugs, mercury fillings, vaccination with mercury and god knows what else, plus thousands of chemicals in our environment, most have never been tested.
Our government turns a blind eye to what is going on, and people are kept in ignorance, with trite "professions" harping on about mothers being "to clean"
Now a suggestion of a dangerous jab to stem the flow of allergies.
I have been an alternative Allergy practitioner that eliminates allegies in 24 hours, Naet is well documented in the USA and has been gaining credibility over the last 20 years.
But can I get a national newspaper to do an article or TV health programme interested, NO and the reason is very plain.
It is not considered mainstream medicine
Jennifer Goddard, Fetcham, Nr Leatherhead, United Kingdom
If the rest of Europe is laughing at yet another British disease why are our experts having such a hard time in identifying and curing what is blindingly obvious to our friendly Europeans?
Brian Seals, Scarborough, Nth Yorks, UK
Much has changed since pollen injections were given wrongly by the wrong people to the wrong people in the early 80's; today Immunotherapy is a safe and effective treatment that can really give relief and the emerging evidence shows that it can be an asthma preventer - the implications of that for a country with 4 children in every school class carrying inhalers is phenomenal. Though proper precautions and clear patient selection need to be in place, old scare stories about this form of treatment are now unwarranted and will lead to confusion which adds to the burden of the allergic person.
NHS allergy centres that provide this therapy can be found at www.bsaci.org
People should also realise that despite what their GP may say, they do have a choice of hospitals to be referred to when considering allergy.
Andrew Williams
Clinical Nurse Specialist - Allergy
Andrew Williams, Chelmsford, Essex
What is the experience of other EU members? Could we learn from them? Are there qualified specialists in other EU countries who might like to work in UK on a temorary or permanent basis?
These are questions which sould be very publicly addressed, we are part of the EU and we should seek cooperation AND draw comparisons.
John C
John, Camberley, UK