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Medical Forum / Diseases and Disorders / Asthma / April 2006

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Sunlight through window kill dust mites?

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ChrisW - 13 Apr 2006 00:47 GMT
Hi,

I'm wondering if exposing my bedding and mattress to the sunlight
through a closed glass window will kill the dust mites. Or can that
only be achieved by exposing in direct sunlight? If I open the window
or air my bedding outside, I am afraid that the outside allergens like
pollen and animal hair will settle on all my bedding. I'd love to hear
how people deal with this.

Chris
00doc - 13 Apr 2006 02:45 GMT
> Hi,
>
[quoted text clipped - 4 lines]
> pollen and animal hair will settle on all my bedding. I'd love to hear
> how people deal with this.

I've never heard of sunlight killing dust mites. The usual recommendation is
to cover the matresses and pillows and change the sheets frequently.

Signature

00doc

NorthShoreCEO - 13 Apr 2006 03:43 GMT
> Hi,
>
[quoted text clipped - 11 lines]
>
> Chris

Wash in regular detergent at the hottest temperature possible and
cover with hypoallergenic covers.  Don't use anything that states
it kills mites, because those products are supposed to be filled
with chemicals you'd probably not want on your bedding.
tony broughton - 14 Apr 2006 18:08 GMT
Hi Chris, the best thing I've found is to throw out the traditional
stuffed mattress and replace it with an air inflatable mattress or even
a waterbed.  At one fell swoop you remove your biggest source of exposure
to dust mite allergen.  If you also replace carpets with hard flooring and
throw out soft furnishings then you get rid of nearly all the
dust mite habitat in the house.  Also throw out existing pillows and duvets
and replace with cheap supermarket ones.  It's often cheaper to regularly
replace cheap bedding than to wash it in a commercial washer or to buy fancy
dust-mite proof covers (environmentalists may not be so keen on that idea
of course because of the increased waste going into landfill).
Also get a good vacuum cleaner and don't allow any pets in the house.

There was a very interesting program on UK channel 4 "dispatches" series
last week that showed a number of households doing an experimental program
of allergen avoidance to improve kid's asthma.  In all cases the kids in
the program showed big improvements where the program was properly
adhered to.  I'm convinced those dust-mites are a central cause in asthma.
What's the point in inhaling expensive steroids that have side-effects
and then being exposed to dust mite allergen for 8 hours every night
from an old mattress.  Chuck out the dust-mites!

Tony
tony broughton - 14 Apr 2006 18:22 GMT
In case anyone's interested, here's a link to the website for
the "dispatches" program:
http://www.channel4.com/news/microsites/D/dispatches2006/asthma_subsite/

Sadly I can't find a download of the program itself - I wish they
would make that available as a .wmv or similar.  But that site covers
some of what they were saying.

Tony
Melanie - 17 Apr 2006 01:05 GMT
I can understand how box spring mattresses could be a major problem. I
haven't seen waterbeds offered for sale anywhere, or maybe I am just
not looking for one. I do see the air mattresses. Are they any really
good brands that would be good for someone with back troubles? What
about foam mattresses? Are those really bad? There's a place in town
that sells foam mattresses for boats. Oh yes, and memory foam is in
style now. Anyway, I seem to be having better nights with the dust mite
proof cover over my mattress, but my mattress is really old. So that's
another project, find someone to cart it off and buy a new one.
NorthShoreCEO - 17 Apr 2006 13:30 GMT
Anyway, I seem to be having better nights with the dust mite
> proof cover over my mattress, but my mattress is really old. So
> that's
> another project, find someone to cart it off and buy a new one.

Good news!  Most bedding stores will cart the old mattress off
when you buy a new one.   It's a service they provide at no
charge.  Half your project is done.
tony broughton - 17 Apr 2006 14:05 GMT
> I can understand how box spring mattresses could be a major problem. I
> haven't seen waterbeds offered for sale anywhere, or maybe I am just
[quoted text clipped - 5 lines]
> proof cover over my mattress, but my mattress is really old. So that's
> another project, find someone to cart it off and buy a new one.

My advice would be to throw out the old mattress straight away, even
if you have a dust mite proof cover, you're probably still getting exposed
to the allergen even if it's at a reduced rate due to the mite proof cover.

Your old mattress is certain to be brim full of mites, dead mites,
their droppings (that's what the allergen is - mite poo), skin scales,
fungus, and miscellaneous other junk.

If the dustmite covers are woven and breathable they almost certainly won't
block all the mite allergen particles which are extremely small (sub-micron),
especially as the covers wear.  The only covers I ever found that I was
convinced by were 100% goretex (but they're not made any more, I think they
were called "airvent" or something similar), or the solid polythene ones
used in hospitals but those don't breath and are uncomfortable.  I tried
a number of different covers before I switched to airbed, I found symptoms
much better with airbed than with any cover&mattress combo.  I haven't
personally tried a waterbed but it should be similar to airbed because it
can't be a reservoir for mites or their droppings, obviously they can't
live inside it, although I'd want to be quite sure that a water bed didn't
raise indoor humidity in any way since that could be a moisture source that
would help the mites in the rest of the house.  Personally I think an airbed
is the best bet, and it's pretty cheap to try out since you can get cheap ones
in supermarkets or department store.  I think which one to get is just
up to personal choice since they're all going to stop the mites the
same way (as long as it doesn't go flat in the middle of the night!).

I'm afraid I know nothing about suitability of air/foam mattress for
a bad back, maybe worth asking on a back problems newsgroup if there
is one?  The air mattress I use is reasonably comfortable although it's
not as comfortable as a sprung mattress, but I think it's worth it
to avoid the dust mites.  I think the air mattress is going to be better
than a foam one since it's just an inflatable cushion that is impervious
to the mites, whereas a cloth covered foam mattress is still going to
accumulate skin scales and mites inside it especially if it's open cell foam,
just like foam padded upholstered furniture will.

As well as mattress, old pillows can hold tons of mites, I throw mine out
every few months and buy very cheap supermarket ones.  I reckon that's
cheaper than bothering with washing them or the covers.  Of course when
you put them in the bin all the mites and allergen go with them!
Even if you wash them at 60 degrees some of the allergen and skin scales
that the mites feed off stays in them.

Tony
Alison Chaiken - 18 Apr 2006 03:03 GMT
> As well as mattress, old pillows can hold tons of mites, I throw
> mine out every few months and buy very cheap supermarket ones.

I bet vacuuming the pillow surface would work just fine.  Since I have
easy access to a variety of microscopes, I resolve to inspect our
pillows for mites and see how various cleaning techniques affect them.

Signature

Alison Chaiken            "From:" address above is valid.
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
Waging a war is simple, but running a country is very difficult.
-- Pham Van Dong, first prime minister of unified Vietnam, 1976

tony broughton - 18 Apr 2006 09:33 GMT
> I bet vacuuming the pillow surface would work just fine.  Since I have
> easy access to a variety of microscopes, I resolve to inspect our
> pillows for mites and see how various cleaning techniques affect them.

I doubt it.  I think the typical 1-2 year old hollowfibre pillow will be
saturated with sub-micron sized mite allergen particles along with the skin
scales and the mites, I doubt that vacuuming the surface will pull it all out
of the wadding, although it will reduce it to some extent.  Sub-micron
particles in particular adhere to surfaces by molecular cohesion and the
only way to remove them is scrubbing, so vacuuming the pillow surface is
likely to be only partially effective.

It'll be interesting to hear if you can see mites through the microscope.  
An electron microscope would be best.  Perhaps a better test would be a
chemical test for the mite allergen in extracted dust? Even if you can see
the mites, will you be able to see the allergen particles which are down
to 0.5 microns in size?  

I found this study:

http://bmj.bmjjournals.com/cgi/content/full/313/7062/916

which showed that allergen load in "hypo-allergenic" synthetic pillows
was no better than in feather ones.  Interestingly they say in their
discussion that synthetic pillows may release volatile organic compounds
that may exacerbate the allergic response, so perhaps feather pillows
would be better in that respect; but of course feather pillows are a lot
more expensive.

The synthetic pillows are extrememly cheap nowadays in supermarkets;
for example, I just bought 2 pillows for 2.50 UK pounds which is about $4.20.
If I change them three times a year that's 7.50 UKP or about $12 per year.
That's probably cheaper than the cost of washing those same pillows once
a month at 60 degrees C, particularly in England where electricity and water
charges are high.

Similarly a king-size duvet cost me 10 UK pounds (bought one last month)
or about $17, so again it's cost effective to replace it 3 times a year.
It actually costs more to wash/dry the duvet in my local launderette than
to buy a new one!  Of course these are the cheapest pillows/duvets available
from large supermarkets but they work perfectly well.

It's arguable that my approach is somewhat wasteful, I guess I could
give the used bedding to a charity shop instead of throwing it in the bin.

I would like to find out how rapidly the mite population builds
up in new pillows/duvets and how quickly the allergen load builds up.
I've replaced mine every 4 months or so to keep costs down, and subjectively
in terms of symptoms that works, but I don't know how long it takes the
mites to build up to deliver enough allergen to produce the allergic response.  
I'd be very interested if anyone knows of any studies on this.  Of course
I also have the air mattress and a hard floor covering so hopefully there
aren't many mite populations in  the bedroom to re-infect new bedding.  
It might get repopulated faster if the bed had a normal mattress full of mites.

Tony
Alison Chaiken - 19 Apr 2006 04:40 GMT
> It'll be interesting to hear if you can see mites through the microscope.  

I'm still thinking about how to do this.  Perhaps I'll rub tape over a
pillow and then put it under the microscope.

> An electron microscope would be best.

Check.

> Perhaps a better test would be a chemical test for the mite allergen
> in extracted dust?

Have one in mind?

> Even if you can see the mites, will you be able to see the allergen
> particles which are down to 0.5 microns in size?

The problem would be differentiating them from all the other 0.5
micron particles.

Signature

Alison Chaiken            "From:" address above is valid.
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
Waging a war is simple, but running a country is very difficult.
-- Pham Van Dong, first prime minister of unified Vietnam, 1976

tony broughton - 19 Apr 2006 08:30 GMT
>> Perhaps a better test would be a chemical test for the mite allergen
>> in extracted dust?
>
> Have one in mind?

The techniques for quantitative measurement of Der p I appear to be complex
and hence somewhat expensive, eg ELISA (monoclonal antibody enzyme
linked immunosorbant asay).  There are companies that will test dust
samples for a fee and say whether the sample contained mite allergen or not,
this is a fairly approximate measure but may be more practical to achieve
without a lab full of equipment and the time to do the work.
SJF - 20 Apr 2006 01:43 GMT
> I found this study:
>
[quoted text clipped - 40 lines]
>
> Tony

I think your approach to the dust mite problem is a very good one.

Dust mite allergens accumulate over time.  Excrement and the bodies of
expired mites gradually build up to an ever increasing concentration in
bedding, upholstered furniture and carpets.  In the bedroom, frequent
cleaning can keep the accumulated level low.  But getting a puff of the
accumulated dust from an old pillow as you lay down for the night is not a
pleasant prospect -- similarly for the bedding that you flip up to cover
yourself.  Cleaning is helpful but only partially effective.  With periodic
replacement with inexpensive pillows and covers, you start with a low level
of exposure to accumulated allergens and limit the total level of
accumulation.  Of course the usual attention to cleanliness of sheet and
mattress (covered?) should still be observed.

On a personal note --

My initial introduction and subsequent diagnosis of mite allergy was when a
temporary job assignment to a remote area forced me to rent a sleeping room
that probably had not been properly cleaned for many years.  Severe allergic
problems led to the diagnosis of  dust mite allergy.  I then remove the old
carpet from the room for the duration of my stay with a very substantial
improvement.  Later, with my return to cleaner civilization, and newer
housing and furnishings, the mite problem disappeared.

SJF
skennedy72@aol.com - 26 Apr 2006 15:26 GMT
my wife suffers from allergies she has got all bed and carpets treated
by silent mites (northern ireland) this removes and kill dust mites by
powerful vacun and a uv-c light then treated by a non chemicsal spray

this was approx 35-40 pouds per room
well worth it so far after three weeks.

sk

> > I found this study:
> >
[quoted text clipped - 66 lines]
>
> SJF
tony broughton - 17 Apr 2006 14:27 GMT
BTW, don't want to poor cold water on this but I'm not claiming this
is any sort of "cure" for asthma.  If you've got dust mite allergy then
it makes sense to get rid of the mites, and the symptoms should reduce
in severity, certainly that's been my experience.  But I don't think its going
to cure anyone of the underlying illness, so if you get in a situation in
another building where you're exposed to the mites again it'll make you ill
just the same.  I think a real cure is a long way off since the steroids and
bronchodilator drugs just damp the symptoms down, they don't change the
allergic reaction - that's why you end up taking those drugs all your life,
because the underlying problem isn't fixed.  It's just like if you have peanut
allergy, you have to avoid peanuts for life.

Tony
ChrisW - 18 Apr 2006 07:00 GMT
Thanks for all your input. Really appreciate it. Only recently found
out I had asthma even though I am 29 years old. Also found out I am
allergic to all manner of things mainly dust mites, house-dust, cat
hair and cockroaches. Have already taken measures to minimize dust in
my bedroom including dust-mite covers.

Regards,
Chris
 
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