Allergy to hymenoptera venoms amongst apiarists and their families

Allergy to hymenoptera venoms is frequent amongst apiarists and their families, who are daily exposed to bee-stings. The aim of this study was to evaluate the frequency of allergic reactions to bee-stings, to find the level of information of the sensitive population and to suggest measures for prevention and sanitation. Materials and methods. This study concerned 119 apiarists (mean age 38 +/- 13) and 456 subjects from their families (mean age 19 +/- 13). The basic tool was a standardized questionnaire in which was reported the history of allergic reactions to bee-stings, the amount of information about these reactions and history of asthma and allergic reactions. Skin tests and measurement of specific IgE to bee-venom were suggested for subjects according to the reactions. Results. The prevalence of systemic reactions confirmed by skin tests and venom-specific IgE in apiarists and families respectively was 3,3% and 4,6%. A very good correlation was found between skin tests with bee-venom and clinical history and venom-specific IgE was 100% in the apiarists and 91% in their families. Discussion. These figures are close to those found amongst French apiarists. We have not found similar studies of the families of apiarists in the literature. Conclusion. These figures are probably underestimated since accidents are often misunderstood by the public and poorly explored by physicians. A vigorous effort of information is necessary for doctors, the public, apiarists and apiary schools.