A quality of life survey conducted by Decima Research for Reactine gives lie to the popular notion that these 40 sufferers are not, well, suffering. Of the 40 employees with hay fever, the survey shows that 23 feel irritable, 22 experience reduced productivity, 17 find their social interactions to be hindered, 10 report reduced libido and five feel “unattractive or unbearable.” Sniffing and sneezing aside, the data suggest that many of them suffer in silence, and not only physically but socially, psychologically and professionally.

What’s in a Name?

Medical professionals say the very name “hay fever” conveys a merely irksome affliction that should be toughed out. Among non-sufferers, there are contradictory perceptions of this condition. In the Decima survey, 83 per cent of staff in an organization’s human resources department – the gatekeepers of employee performance evaluations – say seasonal allergies affect productivity at work. But only 66 per cent of those HR workers consider allergies to be a valid reason to take time off.

Toronto family doctor Dr. Alan Kaplan, chair of the Family Physician Airways Group of Canada, calls hay fever a misnomer, as it has little to do with hay and no fever results from an attack. He much prefers the medical term “seasonal allergic rhinitis,” which captures the congestion, mucous overproduction and sneezing symptoms of the season. The itchy, watery eyes that are usually part of the package are properly referred to as allergic conjunctivitis.

Dr. Jeremy Beach, an associate professor of medicine at the University of Alberta, says the term hay fever trivializes the condition, making people wrongly think “you shouldn’t really worry about it.” In fact, especially in concert with non-seasonal triggers, allergic rhinitis can have a significant effect. Beach, who has a particular interest in work-related asthma and allergies, believes that academics and scientists have “under-researched” this insidious affliction because “it is not seen as life-threatening whereas other types of allergy can be.”

Part of allergic rhinitis’s profile problem is that Canada has no broad national strategy to bring it into the spotlight, says Dr. Harold Kim, an allergist in Kitchener, Ontario, who holds academic appointments at McMaster University and the University of Western Ontario. He says family doctors search for symptoms of breast cancer, cardiac disease, high blood pressure and cholesterol, but most physicians, except for allergists, do not commonly ask about allergy symptoms. “In my experience, patients must be proactive and request an allergy assessment,” he says.

Kim is hopeful this could change with the publication in the Canadian Journal of Otolaryngology in April 2007 of “excellent guidelines” for doctors to diagnose and treat allergic rhinitis. Getting the guidelines put into practice, however, has gone slower than expected: “The problems of implementing revolve around issues of how to change human behaviour,” he explains. “It is not easy.” Having helped to produce the protocols, Kim’s priorities are to have them modified for patients, and to get the word out to doctors and patients alike.

At Work, But Not All There

It has been workplace and classroom productivity research that is gradually shining a light in this dim corner. Our society’s obsession with efficiency and productivity has clashed with the millions of people with rhinitis who just can’t keep up. The result is what management gurus and occupational health specialists call “presenteeism,” or lost productivity while at work.

Last year the Journal of Management Studies reported that increasingly “employees were substituting presenteeism for absenteeism”: they showed up while ill or injured more often than they stayed home. An article in Current Medical Research and Opinion singled out allergic rhinitis as the top reason for presenteeism and lost productivity at 47 workplaces studied in the United States. Calculations revealed that allergic rhinitis sufferers were absent only 3.6 days per year, but were unproductive on average for 2.3 hours per workday. The study determined allergic rhinitis cost the companies $593 per employee per year. That’s ahead of high stress ($518) and more than twice the amount for other conditions including migraines ($277), arthritis ($269), and respiratory infections ($181).

Vancouver allergist Dr. Donald Stark explains that “allergies are a type of chronic inflammation, so the body dealing with inflammation is tiring in itself. Even if [people with allergies] fall asleep, some don’t get into the deeper stages of sleep because their airways get obstructed, and they start to toss and turn to get to breath again.” Stark adds that allergy sufferers don’t even have to feel consciously tired to function poorly. “There are studies that show some adverse effect on performance at school or work – there is some amount of impairment.”

Robin Bayley of Victoria knows about lost productivity. Working from home as a privacy and policy consultant, she says the strong antihistamines she takes for rhinitis “blow (her) schedule out of the water.” She dreads the spring pollen season when her eyes water so much that the skin around them gets chapped. “I once went on vacation in Arizona, and my eyes were so watery and swollen I could barely see the Grand Canyon.” When his allergic rhinitis peaks, Gary Blaney, an Ottawa lawyer, says he gets so tired that he has to limit client meetings to the morning. “The air conditioning in my office helps keep me clear in the morning, but the aching and fatigue begin to take their toll after lunch,” he says. “By the time I get home, I feel miserable and wiped out.”

Suffer the Children

While many adults struggle with the discomfort of rhinitis by modifying routines, using over-the-counter meds or by simply toughing it out, the effect of allergic rhinitis on children is even more severe because their condition can remain undiagnosed ….

Excerpted from the Spring 2008 issue of Allergic Living magazine.
To order that issue or to subscribe, click here.

Related Reading

• Outdoor Allergies Resource Hub – a compilation of our best.
• Sneeze-free Garden – create the perfect low-allergen garden.
• Hay Fever Handbook – all you’ll need to cope.
• Trees that Make You Sneeze
• Ragweed’s Rule – investigating the worst of the allergenic weeds.
• Stinging Insect Allergies – when is it a serious reaction?

© Copyright AGW Publishing Inc.

The ragweed in my backyard in the Ottawa Valley waves at me smugly every morning. It has formed a towering wall along the back corner of the small meadow we’ve let flourish as an environmental gesture. All the other wildflowers in the meadow co-exist happily, but the ragweed, which characteristically found a toehold in the least promising soil, has now started to elbow its way toward to the front. Unfortunately, its braggadocio is well-founded.

Not only is ragweed an aggressive competitor, it is an able procreator that produces pollen of unrivaled allergic potency. Its pollen triggers reactions in up to 75 per cent of hay fever sufferers, depending on where they live in North America, making this one weed to be reckoned with.

Operation Proliferate

The tens of millions of Americans who now suffer from ragweed allergies can thank Canada for their misery. Common ragweed’s likely point of origin in North America was Ontario, according to Dr. Peter Creticos, clinical director of the Division of Allergy and Clinical Immunology at Johns Hopkins School of Medicine in Baltimore. He jokingly calls ragweed “Canada’s gift to the colonies,” referring to the plant’s ability to dump hundreds of thousand of tons of dust-like pollen across up to 1,000 kilometres of the continent every year.

Now ragweed can be found all across eastern and central Canada and the United States, though there is thankfully little of it west of the Rockies. The crown-shaped seeds are highly mobile and have even deployed overseas, particularly near existing and former Canadian and U.S. military bases in Western Europe.

Creticos suspects the seeds hitched a ride on equipment shipped from North America during and after the wars, then launched a horticultural offensive into Eastern Europe, where it now enjoys a strong presence. For allergy sufferers, misery loves company.

Flourishing on the Farm

Back in North America, common ragweed and its big brother, giant ragweed, are causing havoc in the crop farming sector. Clarence Swanton, a University of Guelph professor and weed scientist, says ragweed grows well along roadsides and train tracks, but really loves the rich, loosely tilled soil of corn, soybean and cereal crop fields.

“Ragweed seedlings emerge early and therefore are very competitive with the crop for light, water and nutrients,” he says. Swanton estimates bean crop losses in Ontario alone range from 8 to 30 per cent, representing millions of dollars annually.

The Ontario government’s chief of weed control, Mike Cowbrough, says uncontrolled ragweed can cause yield losses of up to 80 per cent in some operations – a financial disaster for farmers. He says ragweed is one of the toughest weeds to control: it takes repeated mowings to prevent the plant from blossoming, its seeds can remain dormant for up to 50 years, and several strains have become resistant to traditional herbicides.

In the United States especially, some ragweed has even become immune to glyphosate (known in the retail sector as Roundup), once thought to be the magic bullet for weed control.

Frustrated farmers with glyphosate-resistant ragweed are creating herbicidal blends, incorporating older herbicides like 2,4-D and dicamba in hopes that their ragweed is not resistant to those mixtures. But farmers who market organic produce are in a conundrum, since herbicides are a no-no. Control often has to be done mechanically with a cultivator, which can speed soil erosion, or even manually.

Soybean farmers must also contend with ragweed’s staining quality, which can turn the pristine white soybean – and the tofu it’s used to make – to an unappealing shade of green.

Next Page: The Problem Grows