Asia Pac Allergy.  2020 Jan;10(1):e11. 10.5415/apallergy.2020.10.e11.

Asia Pacific Association of Allergy Asthma and Clinical Immunology White Paper 2020 on climate change, air pollution, and biodiversity in Asia-Pacific and impact on allergic diseases

  • 1Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
  • 2Division of Allergy and Clinical Immunology, Department of Pediatrics, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
  • 3Department of Pediatrics, Taipei Hospital, Ministry of Health and Welfare; School of Medicine, National Yang–Ming University, Taipei; College of Public Health, China Medical University, Taichung, Taiwan.
  • 4Eastern Health, Monash University, Melbourne, Australia.
  • 5Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 6Allergy & Immunology Centre, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
  • 7Institute for Clinical Research, Mie National Hospital, Tsu, Japan.
  • 8Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital, Medical University, Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China.
  • 9Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore.
  • 10Pediatric Allergy & Clinical Immunology Research Unit, Division of Allergy and Immunology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • 11Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
  • 12Division of Allergy and Immunology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
  • 13Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.
  • 14Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
  • 15Department of Pulmonology and Allergology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • 16Division of Adult and Pediatric Allergy and Immunology, University of the Philippines College of Medicine, Philippine General Hospital, Manila, the Philippines.
  • 17Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
  • 18Medicine Faculty, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • 19Hochiminh city Asthma, Allergy and Clinical Immunology Society, UMC, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
  • 20School of Biomedical Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD; AustraliaOffice of Research, Metro North Hospital and Health Service, Herston, QLD, Australia.
  • 21Department of Pediatrics, Hanyang University Guri Hospital, Hanyang University College of Medicine, Seoul, Korea.


Air pollution, climate change, and reduced biodiversity are major threats to human health with detrimental effects on a variety of chronic noncommunicable diseases in particular respiratory and cardiovascular diseases. The extent of air pollution both outdoor and indoor air pollution and climate change including global warming is increasing-to alarming proportions particularly in the developing world especially rapidly industrializing countries worldwide. In recent years, Asia has experienced rapid economic growth and a deteriorating environment and increase in allergic diseases to epidemic proportions. Air pollutant levels in many Asian countries especially in China and India are substantially higher than are those in developed countries. Moreover, industrial, traffic-related, and household biomass combustion, indoor pollutants from chemicals and tobacco are major sources of air pollutants, with increasing burden on respiratory allergies. Here we highlight the major components of outdoor and indoor air pollutants and their impacts on respiratory allergies associated with asthma and allergic rhinitis in the Asia-Pacific region. With Asia-Pacific comprising more than half of the world's population there is an urgent need to increase public awareness, highlight targets for interventions, public advocacy and a call to action to policy makers to implement policy changes towards reducing air pollution with interventions at a population-based level.


Climate change; Air pollution; Allergic disease; Asia-Pacific

MeSH Terms

Administrative Personnel
Air Pollutants
Air Pollution*
Air Pollution, Indoor
Allergy and Immunology*
Asian Continental Ancestry Group
Cardiovascular Diseases
Climate Change*
Consumer Advocacy
Developed Countries
Economic Development
Family Characteristics
Global Warming
Rhinitis, Allergic
Air Pollutants
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