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Peanut Allergies

U-M Radio News Service, September 2003, peanut allergies
2:49
URL: http://www.med/umich.edu/opm/newspage/2003/peanutfree.htm

Schools and parents create “peanut-free” zones to keep kids safe
(Download audio version)

Suggested Lead: As children head back to school, the daily grind of packing lunches begins as well. But this fall, children may be eating fewer peanut butter and jelly sandwiches around school. Here is Erin Block with more.

TRT 2:49
SOQ

Food allergies, especially peanut allergies, are on the rise among school-age children and although the common reactions are sometimes just a cough or a sneeze, these allergic reactions lead to more than 30,000 emergency room visits a year in this country.

Though most parents with allergic children can peanut-proof their homes, it is important that school administrators and staff help provide a safe environment when children are at school. Since the risks of exposure are life-threatening for some children, more schools are looking into creating peanut-free zones in classrooms and lunchrooms.

By wiping the table of possible peanut residue and making sure all lunches at the table are peanut free, school cafeterias can provide children with the food allergy a safe place to eat their lunch. Also, to avoid a potential reaction in the classroom, a no peanut policy should be the rule for those students and staff sharing a room with the allergic child.

Dr. Marc McMorris, (M.D.), assistant professor of internal medicine and pediatrics in the division of allergy-immunology at the University of Michigan Health System tells us.

“Everybody that has contact with this child and any room this child goes into has to essentially be made peanut-free. And that takes a lot of work, and a lot of coordination and it'’ very important they start early on. You don’t want to wait until August to start this because it will not work. Most patients start in the spring for the next academic year and the letters to out to all families of children in the classroom. And written care plans are put in place. Epinephrine, Benadryl is available, readilyavailable in the school and hopefully this approach can be undertaken to provide that pretext for the child.”

Peanut or tree nut allergies affect approximately 3 million Americans and cause some of the most severe food-induced allergic reactions. Reactions vary from a few hives or a skin rash, to lip swelling, tongue swelling, trouble breathing, coughing, wheezing, shortness of breath or vomiting. The most severe reaction, called an anaphylactic reaction, can be fatal and includes sudden difficulty breathing and swallowing and a rapid fall in blood pressure — sending the person into shock.

McMorris tells us.

“I would say to all parents who have children that are exposed to these children that it’s important to put yourself in their shoes. This is just one small factor in life and if these children have life-threatening reactions to this food, there are always alternatives. What many schools have done is just fresh fruit and vegetable snacks using alternative foods and this is something that’s very important and I don’t think any of us would want to have a child die in a classroom because another family neglected to follow the rules that have been laid forth by the school district.”

Children also should be aware of their allergy and the ingredients of thefoods they encounter. When children go to birthday parties, sporting events or church outings they should plan on taking their own food or avoid foods their parents haven’t approved.

Erin Block, U-M Health System News



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