Allergic symptoms caused by long-distance transported birch pollen

Abstract
Birch pollen allergy is very common in northern Sweden, and the local flowering season never starts before the middle part of May. In the last week of April 1989 patients with birch pollen allergy developed typical symptoms requiring treatment. This pattern was confirmed in a group of patients who registered their symptoms in diaries, while contemporaneous pollen measurements demonstrated high amounts of birch pollen in the air. At that time in the northern part of Sweden, however, no birches were flowering. Meteorological data indicated that strong winds from the south-east during the period transported birch pollen from the Baltic states. Similar weather conditions in 1982, 1984 and in 1990 have also resulted in high amounts of birch pollen in the air long before the local flowering season. It is concluded that long distance transport of pollen may result in clinically significant allergy problems before, and even after the normal local season.