The Mighty Dust Mite
A Closer Examination of the Dust Mite
The dust mite's mouth parts are
grouped in front of the body, resembling a head. Their body is oval
and covered with fine striations. Their eight tiny legs have small
sticky pads which enable them to burrow deep into carpet fibers and
furniture, easily resisting the pull of even the most powerful
vacuum cleaners. You definitely would not want to turn over in your
bed and find yourself face to face with one of these strange
looking creatures. Unfortunately, that is where their populations
are often the highest. The average bed can easily have over 10,000
dust mites living in it. Dust mites do not bite, sting or transmit
diseases, so they pose no harm except to people who are allergic to
a protein they produce. Their numbers have increased dramatically
in the past 20 to 30 years, especially during the winter months,
partly due to tighter homes where ventilation is limited and
temperatures tend to be warmer.
Egg-laying female
mites can increase the population by 25 to 30 every three weeks.
They go through five stages in their life cycle; from egg, the
larvae stage, then two nymphal stages, and finally the adult. The
adult may also molt once. This cycle from egg to the adult takes
about one month. Adult mites can live up to two months, depending
on the humidity levels and temperatures of their environment. They
do not drink water but they absorb moisture from the air and their
environment. They just love higher relative humidities of 70-80%
and temperatures of 75-80 degrees F in which their development and
food consumption increases.
Dust Mites Produce
a Powerful Allergen
It is the protein
DER p1 in the faecal products and disintegrating body parts of
these minute dust mites that has a mighty adverse effect on those
who are allergic to it. Dust mites produce about 20 pellets per
day, each measuring about 10 to 24 microns in size. To put that in
perspective, the diameter of the human hair measures 80-100
microns. A gram of dust can hold 250,000 of these minute droppings.
They are so tiny and light that they float easily into the air when
disturbed by our daily activities. Inhaling these minute particles
causes allergic reactions in those who are sensitive to this
protein.
Allergens from the
dust mite which cause asthmatic symptoms was first suggested in
1921 but analysis of dust did not happen until 1964 when a group
led by Voohorst suggested that a mite may be responsible for the
dust allergen. It was soon established that the dust mite droppings
contain an allergen so they became a focus over the years for their
involvement with respiratory ailments. The DER p1 produced by the
dust mite is though to be the most important allergen associated
with asthma. About 10% of the population are allergic to dust mite
extracts.
Identifying the
Sensitivity to Dust Mite Protein
House dust contains
many types of debris, including fabric fibers, human skin scales,
human and animal dander, bacteria, cockroach parts, mold spores,
food particles and other organic and synthetic materials. About 90%
of the people who are allergic to house dust extracts are allergic
to dust mite extracts. Symptoms which may come from sensitivities
to the dust mite protein include sneezing, congestion, itchy,
watery eyes and persistently stuffy nose and ears. Symptoms point
more specifically to dust mites when you experience repeated
sneezing shortly after awakening, symptoms get worse when beds are
made or when using your vacuum cleaner, and improve when you are
outside. Diagnosis, using scratch tests, etc., by an Allergist is
recommended to determine which allergens cause reactions. These
doctors who specialize in treating allergies can recommend a course
of action specifically designed to reduce or eliminate your
allergic reactions. This may include steps for reducing exposure to
troublesome allergens, medical therapy and desensitization
injections (Systemic Immunotherapy - SIT). The latter may be
recommended if avoidance and medical therapy fail to sufficiently
reduce the allergic reaction. It involves injections of a dust mite
extract starting weekly, followed by injections every six weeks for
three to five years.
Importance of
Reducing Exposure to the Dust Mite Allergen
If your family is
not sensitive to the dust mite protein DER p1, managing them may
not be a high priority. For those who suffer from it, management by
reducing exposure to the allergen DER p1 is quite important. Two
important aspects which need to be addressed are the removal of
environments which are conducive to dust and dust mites and the
reduction of airborne dust mite droppings and disintegrating body
parts. Inhaling these minute particles causes allergic reactions in
those who are sensitive to this protein.
The exposure level
at which you experience allergic reactions is determined by the sum
of exposure to all allergens you're sensitive to. Those who are
sensitive to multiple allergens find that reduction of exposure to
any of the allergens will help in their tolerance of all the
allergens. It is important to realize that you do not need to
completely eliminate exposure to allergens. Simply keeping your
total exposure of all allergens below the threshold at which you
experience reactions is all that is necessary.
Reducing Exposure
to Allergens in Your Bed
Due to the
amount of time we spend sleeping the mattress should be covered
with a protector, our bedrooms
are the areas which deserve the most attention. Simply turning
over in bed or breathing near your pillow can cause you to
inhale minute dust mite droppings. Using hypo-allergenic
fiberfill pillows is recommended over feather, kapok or foam
since they are more easily washed. Encasing your pillows,
mattress and box spring with plastic or specially coated or
finely woven (pore size < 10 microns) vapor- permeable
fabrics will deprive the dust mites of food and prevent many of
the dust mite droppings from reaching you. The fabrics are more
comfortable since they allow perspiration vapor to be more
naturally carried away from your skin. Thorough vacuuming the
mattresses, especially the seams and bed frame on a regular
basis is also helpful. Wash your sheets and mattress pads in
soapy water at 130 degrees F every one or two weeks to kill all
mites. Bedding and curtains which can withstand frequent washing
should be selected. Blankets can be dry cleaned or washed
frequently. Using an electric blanket for eight hours every day
can reduce dust mites in beds significantly. Heating blankets in
a cloths dryer for several hours also kills mites. By doing
this, dry cleaning or washing of blankets can be reduced to once
a year.
Reducing Exposure
to Allergens in All Your Rooms
Wall to wall
carpet and upholstered surfaces can be reduced or replaced with
hard surfaces that are easier to clean. Dust mites can not survive
long on hard surfaces due to dehydration. They absorb water through
contact with their environment. Dusting with a
ULPA or
HEPA filtered
vacuum cleaner or specially treated cloths is recommended over damp
mopping. The latter may increase the humidity in the house. Dust
mites can't live at humidities below 50%. Using air conditioners
and dehumidifiers during the summer to keep the humidity between
40% and 50% is often recommended. During winter, if using a
humidifier, be careful to keep the humidity in this same range. A
good humidity gauge can help monitor this. Carpets that get damp on
a regular basis should be replaced with hard
surfaces.
Having carpets
professional cleaned with superheated steam will effectively
killing dust mites in them. Carpets can be treated with sprays
containing 3% tannic acid to make dust mite droppings non-
allergic. Benzyl benzoate powder which actually kills dust mites is
also available. Reduction of contact with dust mite droppings is
often preferred since these contain toxic chemicals which some
people are sensitive to.
Reducing Exposure
to Allergens with Air Filters
Wearing a well
fitting dust mask while vacuuming and making beds can reduce the
dust mite allergens you inhale. Some allergists even recommend
airing out a room really well after vacuuming to reduce the
airborne particles which are stirred up by many vacuum cleaners.
Furnace mounted and portable air cleaners are available but their
cost may be greater than the benefits achieved by them. They
definitely are not a substitute for the preventative measures
described above. The best are media type filters like those which
meet the stringent
HEPA specification. Electrostatic filters are not recommended
unless cleaned regularly in which case they may be as effective.
Special filters can be placed on the furnace air vents leading to
your rooms to help trap allergens before they can enter the room.
Air cleaners which generate ozone should be avoided since they have
little effect on allergens in the air and may worsen allergy
symptoms since the ozone may irritate the respiratory
system.
Importance of an
ULPA or HEPA Filtered Vacuum Cleaner
The vacuum cleaner
is one of the most important tools for managing dust mites and
their minute droppings. Thorough cleaning of carpets, mattresses,
upholstered furniture, curtains and drapery regularly will reduce
the dust mite allergens in your home. It is better to clean
thoroughly once a week instead of lightly every day. In order to
prevent these minute particles containing allergens from being
recirculated into the air you breathe, a vacuum cleaner's
filtration system must be very efficient at trapping particles at
least that small.
The agitation and
air flow created by your vacuum cleaner to clean you surfaces
causes a huge number of minute dust mite dropping to be drawn into
it. They can easily pass through most vacuum cleaner bags and
filters and be exhausted back into the air you breathe, making it
much dirtier than before. The vacuum cleaner industry is taking
advantage of the development of advanced filtration media to
provide much higher quality exhausted air than was possible just a
few years ago. The current cutting edge in vacuum cleaner
technology is in the area of improving the filtration efficiencies
of vacuum cleaners. Special high filtration paper bags are
available from many manufacturers which filter much better than
conventional ones. To learn more about these high filtration paper
bags, see our article on the efficiency of vacuum cleaner paper
bags
To reduce the
effects on allergies and asthma caused by the allergens in dust
mite droppings, look for a vacuum cleaner with an
ULPA
or HEPA
filter. It also is very important to have
a completely sealed system so all air flow must pass through
the ULPA or HEPA filter to be cleaned by it. By combining
high filtration paper bags, a Certified HEPA filter and
completely sealed systems, vacuum cleaners can achieve
extremely high filtration efficiencies of 99.97% at 0.3
micron size particles. ULPA filters have an even higher
efficiency of 99.999% at 0.12 micron size particles. For more
information about HEPA and ULPA
filtration.
Summary
Dust mites are
microscopic creatures which live at peace with all of us,
constantly going about their routine of cleaning up our
environment. Unfortunately, for about 10% of the population, the
protein DER p1 in their minute droppings causes allergic reactions
which affect their respiratory systems causing allergic reactions
and triggering asthmatic attacks. A visit to an doctor specializing
in allergies (allergist) can confirm which allergens you are
sensitive to. They are able to prescribe a course of action which
may include steps to reduce the allergen exposure, medication
therapy and possibly desensitization injections.
Key steps to
reduce exposure to dust mite allergens include encasing mattresses and
pillows, washing bedding and
curtains regularly, controlling humidity in you home and
cleaning thoroughly with a powerful high filtration vacuum
cleaner. In extreme cases, carpets and upholstered surfaces
should be replaced with hard surfaces which are easier to clean
and which inhibit dust mite growth. The goal is to reduce
allergen exposure to below the level at which allergic reactions
occur, not necessarily the elimination of all exposure to the
dust mite allergen.
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