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This impact is especially relevant in the field of Otolaryngology; global warming has been shown to affect inflammatory upper airway disease, specifically allergic rhinitis (\n                      <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>\n                      ). This study aims to characterize the effect of climate change on the epidemiology of\n                      <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>\n                      in adult and pediatric populations globally.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>In accordance with the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines, a literature search was performed across four databases. Inclusion criteria were: (1) published in English, (2) published between 2000 and 2023, (3) reported on the current epidemiological state of AR, (4) described factors related to climate change, and (5) observed global warming affecting allergy season and AR symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Two reviewers screened articles and performed full\u2010text reviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 502 articles assessed, 30 studies were eligible for inclusion. Sixteen studies reported longer pollen seasons and\/or higher pollen concentrations related to climate change, with two projecting total pollen emissions to increase by 16\u201040% and pollen season length to increase by 19\u2009days in North America. Four studies reported an increase in\n                      <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>\n                      \u2010related healthcare usage; low\u2010income residents were most impacted by increased usage. Two studies identified that healthcare professionals want more education on climate change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our scoping review highlights how climate change is altering pollen seasons and concentrations,\n                      <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>\n                      disease prevalence, allergy sensitization, and\n                      <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>\n                      symptom severity. Health professionals have expressed an understanding of climate change's impact on health and a desire for further education.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32124","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T04:04:31Z","timestamp":1744171471000},"page":"2670-2682","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["How Climate Change Is Impacting Allergic Rhinitis: A Scoping Review"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4834-9781","authenticated-orcid":false,"given":"Alisha R.","family":"Pershad","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery The George Washington University School of Medicine and Health Sciences  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reethu","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery The George Washington University School of Medicine and Health Sciences  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery The George Washington University School of Medicine and Health Sciences  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5595-4010","authenticated-orcid":false,"given":"Lauren","family":"Gardiner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery State University of New York (SUNY) Upstate  Syracuse USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelima","family":"Tummala","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2021.10.011"},{"key":"e_1_2_10_3_1","unstructured":"\u201cThe Lancet Countdown on Health and Climate Change \u201dThe Lancet accessed October 25 2023 https:\/\/www.thelancet.com\/countdown\u2010health\u2010climate\/about."},{"key":"e_1_2_10_4_1","unstructured":"H.Shaftel \u201cWhat Is Climate Change? 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