Here we are going to take look at the peanut allergy rate in Kerala of India by number. Peanuts calories So let’s begin. With 1.3 billion people or 20 percent of the world's population, India is the second most populous country in the world. Asthma and allergic rhinitis are occurring more often, according to recent studies. There are about 37.5 million asthma sufferers in India. In India, 40–50% of all instances of pediatric asthma are severe or uncontrolled. Due to a variety of reasons, including the inability to pay for medications, a low national gross domestic product, religious convictions, myths and stigma surrounding chronic illness, illiteracy, a lack of allergy specialists, and access to allergen-specific immunotherapy for allergic rhinitis and biologics for severe asthma, the treatment of allergic rhinitis and asthma is suboptimal in a significant portion of cases. Adrenaline auto-injectors and high-quality allergen extracts for skin testing are still unavailable in India. Advanced postgraduate studies in allergy and immunology are also nonexistent. For the vast majority of Indians, exposure to particulate matter (PM)2. 5 at levels that are intolerable due to traffic pollution, the usage of fossil and biomass fuels, and the burning of incense and mosquito coils is a severe problem. The incidence of allergy-related illnesses in India is examined in this review. It reviews the available evidence and highlights the urgent need for a well-thought-out, multifaceted approach to raising the standard of care for allergic disorders. This may entail the development of a system for the instruction and training of patients and healthcare professionals, as well as the involvement of regulatory bodies in the provision of critical therapies at reduced prices. As a result of significant confounders such as racial differences, air pollution, high parasite infestation rates, and other diseases, it is urged that research be done into the better phenotypic characterization of allergic disorders. Introduction Nearly 1.3 billion people, or 20% of the world's population, live in India. India has a wide variety of environmental factors, infection rates, types, social strata within its population, diet, culture, language, religious beliefs, literacy, and aerobiology. 
Peanuts nutrition India is a great place to research the epidemiology and development of allergy disorders since allergies and allergic illnesses are the result of a complex interplay between genetic, environmental, and other lifestyle factors. Because of underlying genetic, environmental, and lifestyle differences, the majority of published research on atopy and allergy illnesses comes from high-income English-speaking countries and may not be immediately relevant to low- to middle-income countries like India. A new study suggests that immune-mediated illnesses including allergies and others are becoming more common in South Asian countries like India. With a focus on disease burden, knowledge gaps, and current barriers and challenges for patients, their caregivers, and healthcare professionals in the delivery of evidence-based, high-quality asthma and allergy therapy, this study aims to provide an overview of allergens and allergic illnesses in India. disease load Asthma Chronic obstructive pulmonary disease (COPD) and asthma are the most common respiratory illnesses in India. 6 Salvi et alevaluated data on 554,146 reasons for medical visits in 204,912 individuals across 880 Indian cities and villages. Death and Disability Associated Life Years (DALY) per case of asthma in India was 2. 4-fold higher than the world average, according to the Global Burden of Disease research 1990-2016. 51% of study adults and 65% of children presented with respiratory symptoms. Using firewood, kerosene, and cow dung cakes as fuels caused 80%, 78%, and 52% of the 65 million asthma attacks in 2015. Firewood and kerosene/cow dung cakes might have prevented 16 million and 11 million instances, respectively. The International Study of Allergy and Asthma in Children (ISAAC) investigated asthma and asthma symptoms in Indian children. 1,3 India's prevalence was substantially lower than in high-income English-speaking nations. 3.5% and 4. 5% of 6-7-year-olds and 13-14-year-olds had "ever asthma. In older adults, 6.0% had wheezing, 9. 5% had "exertional wheeze," and 14% had a nocturnal cough. 
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In Chandigarh, Punjab, 13- to 14-year-olds had the lowest asthma, wheeze, and nocturnal cough prevalence rates at 3. 5%, 4. 2%, and 8%. 7–20% prevalence was seen in ISAAC phase III studies. In a hospital-based outpatient survey, Paramesh found that asthma prevalence grew from 9% to 29. 5% during 20 years (1979–1999). Even at a lower incidence rate of 2%, the anticipated annual economic impact in India was INR 71 billion (7 billion USD). Consider India's $2172 per capita GDP. A "shared care" model incorporating physicians and peripheral health workers might lower costs, especially in rural India. 11 Health insurance is rare in India. 70% of individuals pay for inpatient and outpatient treatment, including drugs. The population's burden is huge, especially for the poor. Only two of India's 28 states provide asthma drugs free in government hospitals, where 70% of the population is treated. danger elements Environmental and behavioral variables affect allergy diseases. Increased foreign travel, westernization, and indoor and outdoor air pollution have contributed to India's socioeconomic developments in the new century. Environmental cigarette smoke affects rural and urban homes (ETS). According to research in Chandigarh, Punjab, adolescents with smoking parents had increased asthma incidence and morbidity. Fossil fuels, biomass fuels, and car pollutants generate India's high air pollution. In certain states, 75% of the population uses solid fuels, compared to 55. 5% nationally. Nearly 77% of Indians are exposed to PM2. 5 levels >40 mcg/m3, which is greater than the WHO's 10 mcg/m3 standard. New Delhi, Uttar Pradesh, Bihar, and Haryana have the highest PM2. 5 concentrations. In 2017, India accounted for 26% of the world's air pollution Disability Adjusted Life Years (DALYs). 
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India obtained the lowest asthma control score in the AP-AIM research by Salvi et al. 15 Dust (49%) and air pollution (49%) are the most prevalent asthma causes in India. Only 36% and 50% of Indian asthmatics utilized rescue and preventer inhalers, respectively; most chose oral medicine. This study revealed asthma care in India is substandard, with many patients enduring uncontrolled illness and a worse quality of life. Improving asthma treatment in India requires a scenario assessment and aggressive local and national efforts. In multicenter research with 73,605 individuals, Aggarwal et al. found asthma risk variables included female gender, older age, urban environment, lower socioeconomic group, atopy, and ETS exposure. Among Indian patients admitted to intensive care units with acute severe asthma, high rates of aspergillus (51%) and allergic bronchopulmonary aspergillosis (ABPA; 38%) have been reported. 17 Children with evidence of fungi sensitization had higher rates of severe asthma (17. 6% vs. 2. 4%). 18 Agarwal et al reported estimates of ABPA and severe asthma with fungal sensitisation (SAFS). Better evidence of effective asthma management in a variety of health systems and contexts is essential, according to WHO recommendations. Providing appropriate care to patients from lower socioeconomic groups is also important. Rhinosinusitis due to allergies According to ISAAC phase-I and phase-III studies1,4,21, the prevalence of allergic rhinitis has gradually increased over the past 20 years in India. The increase was greater in older children aged 13–14 years, with a relatively smaller increase in younger children aged 6-7 years. Nasal symptoms were present in 12. 5% and 18. 6% of 6-7-year-old and 13–14-year-old children, respectively sensitization as-I and 12. 9% and 23. 6% in ISA Rhinocon House dust mites, cockroaches, pollen, and mold spores are common aeroallergens relevant to allergic rhinitis and asthma in India. 22 A seminal study from Eastern India found that 96% of patients with naso-bronchial allergy were sensitized to house dust mite, with the most prevalent mites being Dermatophagoides pteronyssinus, Dermatophagoides farinae, and Blomia tropicalis. The most common sensitizers were housefly antigen (36. 7%), rice grain dust (31%), cockroach (18%), and house dust mite (8%), according to a study done on asthmatic children aged 5 years.
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28 The two most significant cockroach species are Blatella germanica and Periplaneta Americana. There are some intriguing distinctions between "sneezers and runners" and "blockers" in terms of allergic rhinitis phenotypes, with the latter group showing noticeably higher rates of sensitization to dust mites and fungi in contrast to the former group, which showed higher rates of pollen sensitization. 22 Among aspergilli, A. The most prevalent allergy is fumigatus. Flavus had the highest percentage of sensitization in allergic rhinitis. In India, there are two pollen seasons: the grass pollen season lasts from September to December, and the tree pollen season lasts from February to April. 22 Some pollens that can cause allergies to include Prosopis juliflora, Ricinus communis, Morus, Mallotus, Alnus, Quercus, Cedrus, Argemone, Amaranthus, Chenopodium, Holoptelea, Brassica, Cocos, Cannabis, Parthen. Dermatitis According to ISAAC research, atopic dermatitis (AD) represents 3% to 20% globally. AD incidence is growing internationally, especially in younger children, according to ISAAC stages I and III data. AD prevalence in India is lower than in other countries, according to ISAAC studies. AD hasn't drastically increased in India. Except for Kottayam in Kerala, all Indian centers in ISAAC phase I reported a 12-month prevalence between 2. 4% and 6%. Most Indian ISAAC phase III centers have modest AD incidence (5%) similar to phase I. In North and East hospitals, dermatological outpatient surveys revealed 0. 42 and 0. 52 percent prevalence. The stringent criteria (Hannifin and Rajka criteria) applied by specialists for evaluating skin lesions likely contributed to substantially lower prevalence rates than those in ISAAC research. Africa and Oceania have greater incidence rates than India, Eastern, and Northern Europe. Filaggrin loss-of-function mutations are six times less prevalent in African American AD patients than in European American AD patients. Asthma According to Isle of Wight cohort research, peanut allergy has developed in recent decades. In a survey of 38,480 US youngsters, 8% had food allergies, with a third having multiple allergies. 13% of European Community Respiratory Health Survey participants had dietary allergies or intolerances. Peanut, milk, and shellfish allergies are common. This wasn't substantiated by allergy tests or dietary limitations. In two Indian institutions, 0. 14 percent of children had food allergies, compared to high-income countries. In this study of Indian youth, food allergy sensitivity was 19. 1%. Despite high sensitization rates, clinically severe food allergies are rare. Peanut allergy in children was negligible (0. 03%), despite India's high peanut consumption, whereas peanut sensitization was high (6. 3%). East Asian children are three times more likely to have a peanut allergy than Australian children, according to the Health Nuts research. A EuroPrevall-INCO research in Karnataka reported a high sensitization rate of 26. 5% but a low prevalence of "probable food allergy" at 1. 2%. Further study is needed to discover why, despite high rates of sensitization, clinically severe food allergy remains low in India. 
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