In the thirty years after the first studies on avoidance of aeroallergens, important progress has been made. If avoidance strategies are more and more evident, the point in time for them to be applied remains controversial. Indeed, the efficacy of primary prevention remains to be demonstrated and it cannot be recommended in light of results of recent studies. Concerning secondary prevention, its
... [Show full abstract] interest has been demonstrated in one very large study in allergic asthmatic infants for whom the concept of global avoidance has been confirmed. Thanks to methods for measuring allergens such as airborne dust, it is now possible to give lists of products for which efficacy has been demonstrated both in vitro as well as under natural conditions. Moreover, determination of the level of exposure to aeroallergens allows us to recommend avoidance only for those places that are infected. For this reason, home visits by an Interior Environment Medical Advisor who has the time to measure, counsel and control compliance appears necessary, and it is likely that their field of action will be extended in the future to include non-allergenic pollutants that are responsible for other respiratory diseases. Nevertheless, it must be remembered that for an environmental disease such as respiratory allergy, control of the environment is the first therapeutic measure to recommend for allergic children.