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The Kitchen

Don’t allow food to spoil, but if it does, discard it immediately, then wash and dry receptacles thoroughly. Use a fan or open the windows to remove excess steam when cooking. Look out for mold on cutting boards and sponges, in sink and disposal stoppers, refrigerator gaskets and drip pans, washing machines, garbage containers, and places where fresh food is stored. Watch for dust and mildew atop, behind, and under sinks, stoves, refrigerators, and other hard-to-reach places.

All Rooms

Bare is beautiful. The fewer objects lying around, the better. Books, magazines, light fixtures, shelves of knickknacks, TV sets, even clothes collect dust. Move small objects to drawers and cabinets and keep the furniture 3 to 5 inches from the wall, so you can vacuum behind them. Store all garments in clean closets with closed doors. If you must dust the room yourself, use damp rather than dry dusting, and wear a disposable face mask. To get to hard-to-reach places atop refrigerators or behind headboards, wrap a moist rag around a pole or yardstick. Painted walls are preferable to wallpaper because the flour in wallpaper paste has a high content of mold spores. So do fabric hangings and tapestries. If practical, replace upholstered chairs and sofas with. canvas, metal, plastic, or simple wood furniture. Decorative pillows and stuffed animals attract dust. One mother tells her daughter she’s taking her teddy bear for a ride, then pops him into the dryer for a half-hour spin at high heat. An alternative is to put Teddy in an airtight plastic bag and place him in the freezer for two to three days. It takes that long for the cold temperature to kill the mites, although it doesn’t remove their debris. A third possibility is to cut open the toy, replace the stuffing with old nylon stockings or polyester fill, and sew up the seam.

The Floor

New carpet loses its strong chemical odor over time, but as it ages, it becomes a haven for microorganisms-dust mites, mold spores, animal dander, and the like. A University of Virginia study found that carpets accumulate allergens at one hundred times the rate of a bare floor. If possible, carpets should be replaced. The ideal nonallergenic floor is a hardwood, tile, or vinyl surface that can be cleaned with a wet mop-twice a week, at least-and covered with small washable rugs. Don’t use brooms; they stir up too much dust.The best vacuum to buy is a tank-type with strong suction and an extension on the hose so that the canister can sit outside the room during vacuuming. Dust-filtering bags are available from allergy supply companies for $ 6 to $ 10 for a set of five. Leave the task of changing them to someone else. Many new and more expensive ($ 400 and up ) vacuum cleaners come equipped with HEPA ( high efficiency particulate arresting ) filters specially designed to trap fine particles as small as . 3 microns. ( A micron is ”/, mw of a millimeter .) Consumer Reports studied vacuum cleaners in 1997 and reported : ” If someone in your family has asthma or allergies, consider using one of the high-performing models as your regular vacuum cleaner. Many airborne allergens-notably pollens-are much larger than the particle sizes we tested, so cleaners that performed well on our tests will also trap the larger particles effectively. But don’t expect a high-filtration vacuum cleaner to substitute for longer-lasting environmental controls, such as removing carpeting or encasing bedding in mite-proof covers .”

The Windows

Roll-down shades and. unlined washable curtains are preferable to dust-catching blinds and draperies. Keep windows closed during pollen season and at peak pollen hours, usually 5 A. M. to 10 A. M. Use central or room air conditioning switched to the ” recycle ” or ” recirculate ” setting. Air conditioners are great pollen traps, so clean them and change filters scrupulously. If possible, avoid heavy draperies and Venetian blinds in favor of light cotton or synthetic curtains that can be washed regularly. Shades are fine if dusted at least once a week.

The Bathroom

Prevent molds from growing by wiping down shower curtains, walls, tub, toilet, tile, and all damp areas with a mixture of cup of bleach to 1 gallon of water ( or one part bleach to ten parts water ) at least once a month. Four times a year use Zephiran ( benzalkonium chloride ), 1 fluid ounce to 1 gallon of water, to further inhibit mold growth. Allow plenty of ventilation, and let surfaces air-dry-or better yet, install an exhaust fan. Keep as few toxic cleaning products and pesticides in the kitchen as possible. ( See chapter 17 for nontoxic substitutes .)

Outdoor allergens are almost impossible to control. In your home, however, you rule the atmosphere. The cleaner the air you breathe, and the more dust, pollens, molds, and dander you can banish from your indoor environment, the better your chances of getting good results from pills, sprays, or shots. Your eventual goal is to live and work in settings so free of irritants and allergens that you won’t need any medication.

CLEANING HOUSE

Dust reduction is your main priority. Begin in the bedroom, be- cause it ‘ s where adults spend one-third of their time and children spend half their time. It’s also home to the greatest number of dust mites. Once you’ve done the bedroom, apply the same principles to the rest of the house, including closets.

The Bed

Not a pretty picture, but do you realize that thousands of tiny dust mites share your bed and bedding every night? If you weren’t so hospitable, they’d starve-and that’s exactly what you want to happen. The little beasties can’ t crawl through plastic, so encase your mattress and box spring in airtight zippered covers, then apply tape over the zippers. Mattresses not only draw mites ; many contain allergenic materials such as horsehair. Allergy specialty stores like Gazoontite ( see appendix D ) sell protective mattress covers, not only in heavy-duty vinyl but also in machine-washable blends of cotton and polyester. Some are fortified with an antibacterial agent to protect against molds. The bed should, be made of wood or metal. Try to avoid wool, down, feather, kapok, and ( moldattracting ) foam rubber products. Polyester, linens, or cottons are fine for most people, although one 1999 British study compared dust mite levels in feather and synthetic pillows and found higher levels of dust mite allergens in the synthetic pillows. Studies show that the average year-old pillow houses no fewer than 250, 000 mites, and that up to 20 percent of a pillow’ s weight can come from mites and their waste. Perhaps the answer is to buy inexpensive new pillows and replace them annually-or, as one enterprising mother does, make your own pillows out of soft white towels. Then, once a week, toss the whole thing into the washer. Blankets, sheets, and cotton or polyester pillowcases should be machine-washed in very hot water ( 140 degrees Fahrenheit ) every seven to fourteen days. Eliminate such dust collectors as quilts and comforters, and in general, keep your bed simple. If you can’ t bear to part with Grandma’ s quilt or your rose-patterned comforter, wash them first, then dry them in the dryer. An hour of dry heat dramatically reduces the dust mite population. Canopies, padded headboards, bunk beds, and ruffles are far too hospitable to the critters. Don’ t overlook your clothes, especially outerwear such as jackets, wool caps, mittens, and sweaters. Wash in cold water, then dry for fifteen minutes at a high temperature or stash in the freezer overnight. Incidentally, dust mites don’ t much care for mothball fumes. A Connecticut study found that mothballs, mothball crystals, and mothball oil packets destroy dust mite eggs. The bad news is that mothball vapors can be irritating to humans, especially asthmatics or anyone sensitive to chemicals. The Journal of Allergy and Clinical Inimunologil recently reported that Australian researchers added eucalyptus oil to laundry and found it killed 95 percent of mites that survived the high temperatures.

Atarax is an antihistamine used to relieve the symptoms of common anxiety and tension and, in combination with other medications, to treat anxiety that results from physical illness.It also relieves itching from allergic reactions and can be used as a sedative before and after general anesthesia. Antihistamines work by decreasing the effects of histamine, a chemical the body releases that narrows air passages in the lungs and contributes to inflammation. Antihistamines reduce itching and swelling and dry up secretions from the nose, eyes, and throat.

Atarax is not intended for long-term use (more than 4 months). Your doctor should re-evaluate the prescription periodically.

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