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Food allergy reactions in schools: Improvements needed to reduce and respond

Parents, add this to your back-to-school to-do list: meet with teachers to discuss food allergies. According to a recent Hopkins study, published in the Archives of Pediatrics and Adolescent Medicine, roughly one in five food-allergic children will have an allergic reaction while in school, and teachers may not know how to handle an attack properly.

"Parents need to meet with school officials to discuss any food allergies, assess the school's level of preparedness and provide any added measures necessary to make the child's school environment as safe as possible," says Robert Wood, M.D., associate professor of pediatrics at Johns Hopkins and lead investigator of the study. "They should provide instructions from their physician as well as epinephrine."

Wood and his colleagues embarked on the study because little is known about the risk of food-allergy attacks in school and pre-school. They recruited children ages 3 to 19 from patients seen at The Johns Hopkins Hospital and from private pediatric offices in the Baltimore metropolitan area and in Virginia. With parental consent, the researchers interviewed school officials, parents of younger children and teenagers. Of 132 children, 18 percent experienced one or more allergic reactions in school, with milk and peanut being the most common culprit. Symptoms ranged from skin rashes to wheezing, vomiting, diarrhea and hypotension. Fifteen percent were treated with epinephrine.

"Eighteen percent is high enough that there is potential for significant improvement," says Wood. Various factors were linked to reactions, including cafeteria errors, food sharing by children and classroom parties where cupcakes, for example, had traces of peanut oil, an allergy- attack trigger for many.

The researchers also found that roughly 15 percent of the children had no physician order for treatment or medication. Most schools cannot give epinephrine without a physician order and medicine provided by a pa
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Contact: Kate O'Rourke
korourke@jhmi.edu
410-955-8665
Johns Hopkins Medical Institutions
14-Aug-2001


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