title: Concentrations of domestic mite and pet allergens and endotoxin in Palestine.
abstract: BACKGROUND
  A few studies have compared indoor allergens and endotoxin levels between urban and rural settings as important determinants for asthma and atopy in children. However, no study was done in the Middle East or investigated refugee camps.
  
  
  METHODS
  As part of a nested case-control study in Ramallah in 2001, we measured house dust mite and pet allergens, as well as endotoxin in dust collected from 110 children's mattresses and living room floors.
  
  
  RESULTS
  Geometric mean (GM) concentrations of Dermatophagoides pteronyssinus (Der p1) antigen were 4.48 microg/g in mattress dust and 1.23 microg/g floor dust. The highest Der p1 levels were seen in refugee camps. Concentrations of Dermatophagoides farinae antigen (Der f1) were much lower (<0.08 microg/g dust). Concentrations of cat allergen (Fel d1) were highest in villages, and those of dog allergen (Can f1) were highest in mattresses from cities and in floor dust from refugee camps. GM of endotoxin levels were 25.7 EU/mg in mattress dust and 49 EU/mg dust in floor dust.
  
  
  CONCLUSIONS
  Concentrations of Der p1 were high compared to Western European countries, but were lower compared to UK and Australia. Levels of pet allergens were lower than in Western Europe. Endotoxin levels were higher compared to developed countries. Indoor environmental factors such as dampness seemed to be important determinants for allergen and endotoxin, but living habits such as lack of mattress cover appeared unimportant.
authors.affiliation: Laboratorium voor Longtoxicologie, KU Leuven, Herestraat 49 O & N, B-3000 Leuven, Belgium.
authors.forename: N
authors.initials: N
authors.lastname: El Sharif
authors.forename: J
authors.initials: J
authors.lastname: Douwes
authors.forename: P H M
authors.initials: PH
authors.lastname: Hoet
authors.forename: G
authors.initials: G
authors.lastname: Doekes
authors.forename: B
authors.initials: B
authors.lastname: Nemery
mesh_terms: D016902:Air Pollution, Indoor; D000485:Allergens / Q000032:analysis*; D000818:Animals; D000829:Animals, Domestic / Q000276:immunology; D039741:Antigens, Dermatophagoides / Q000032:analysis*; D016022:Case-Control Studies; D002415:Cats; D004285:Dogs; D004391:Dust / Q000032:analysis* / Q000276:immunology; D004731:Endotoxins / Q000032:analysis*; D006801:Humans; D008877:Middle East; D012036:Refugees; D012111:Residence Characteristics
chemical_list: D000485:Allergens; D039741:Antigens, Dermatophagoides; D004391:Dust; D004731:Endotoxins