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Home May Be Worst Place For The Allergic

By Cinnamon Bair, New York Times Newspaper Group

When allergy and asthma sufferers retreat inside to avoid pollen season, they're likely exposing themselves to a host of other allergens.

Dust mites lurk in bedding, carpets and upholstery. Mold invades the bathroom and kitchen. And pets unwittingly scatter their dander throughout the house.

Allergists and other experts prescribe a schedule of thorough cleaning and a few specialized products to help make homes allergy-free zones.

''Once you've developed an allergy, avoidance is the best treatment,'' says Dr. Susan Aguiar, an ear, nose and throat specialist in Lakeland, Fla. ''It's an exposure thing as much as anything.''

The biggest problem in the home is dust mites, says Dr. Lionel Bonini, an allergist with Watson Clinic in Lakeland. Mites are ''microscopic little roaches'' that live in warm environments, such as bedding, carpets and upholstery, and feed off dead skin that has flaked off the body.

''Both their body parts and their droppings cause allergies in people,'' Bonini says.

Dust mites especially love beds -- a place where people spend a significant amount of their time. Therefore allergy experts say the bed should receive the greatest amount of attention to reduce allergens as much as possible.

For instance, all bedding, including mattress covers and comforters, should be washed once a week in hot water, says Mary Ann Peters, owner of The Allergy Relief Store in Brandon, Fla. The water temperature must be at least 130 degrees.

Allergy sufferers may also want to invest in mattress and pillow covers that can help make beds more mite-resistant, say the experts.

The covers suffocate existing mites and prevent other mites from moving in.

''It's like an envelope you stick the mattress in and zip it up,'' Peters says.

Prices for the covers vary according to how comfortable the material is, she says. But customers can generally expect to pay between $95 and $120 to outfit a king-size bed with covers for the mattress, box springs and pillows.

Another homebound threat faced by most allergy sufferers is pets, Aguiar says. The skin particles shed by dogs and cats, known as dander, can rapidly spread through the house and cause allergic reactions for any allergy sufferer who walks in the door.

''It's a very small antigen, and it can get everywhere quickly,'' she says. ''It will stick around for a while.''

The best prevention is not to have a dog or a cat in the house at all, Aguiar says. If they must be kept in the house, Aguiar suggests they be confined to one room. Animals should be banned from bedrooms, she says.

Aguiar also suggests regularly washing cats, whose dander is particularly allergenic. Pet owners can get their cats to cooperate during the bath by holding onto the nape of their necks, which restricts their movements.

Other options include dander-sealing products, such as Shed Away, Peters says. Shed Away, which costs about $14, helps regulate pet shedding and prevents dander from spreading.

Washable electrostatic filters for heating and cooling systems are much more effective than throw-away filters in reducing the amount of dust in the house. Having the heating and air-conditioning coils cleaned once a year can also cut down on the dust that is being circulated by the system.

Another major allergen in homes is mold.

To control mold growth, Aguiar says homeowners should run their air conditioning to help regulate humidity. When mold is found in the home, the surface should be thoroughly cleaned.

Because dust mites, dander and mold also travel on dust particles in the air, Peters suggests that allergy sufferers invest in a good vacuum cleaner with a HEPA filter or, at the minimum, buy specialized bags that prevent dust from blowing back into the air. The bags fit most standard vacuum cleaners and cost about $9 for a pack of three. Free-standing, electric HEPA air filters may help as well.

Other suggestions for reducing allergens in the homes include changing air-conditioning filters regularly, keeping clutter to a minimum, using wood or plastic furnishings rather than upholstery when possible, and ripping up the carpets in favor of bare wood or tile floors.

Wall-to-wall carpeting is like going back to ''living in caves with dirt floors,'' Bonini says.

For the best results, several different allergy-reducing ideas and products should be employed throughout the house rather than one or two things here or there.

''Any one measure does not work that well,'' Bonini says. ''But if you do a little bit of everything, it makes a difference.''


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