title: Audit of manufactured products: use of allergen advisory labels and identification of labeling ambiguities.
abstract: BACKGROUND
  The Food Allergy Labeling and Consumer Protection Act became effective January 1, 2006, and mandates disclosure of the 8 major allergens in plain English and as a source of ingredients in the ingredient statement. It does not regulate advisory labels.
  
  
  OBJECTIVE
  We sought to determine the frequency and language used in voluntary advisory labels among commercially available products and to identify labeling ambiguities affecting consumers with allergy.
  
  
  METHODS
  Trained surveyors performed a supermarket survey of 20,241 unique manufactured food products (from an original assessment of 49,604 products) for use of advisory labels. A second detailed survey of 744 unique products evaluated additional labeling practices.
  
  
  RESULTS
  Overall, 17% of 20,241 products surveyed contain advisory labels. Chocolate candy, cookies, and baking mixes were the 3 categories of 24 with the greatest frequency (> or = 40%). Categorically, advisory warnings included "may contain" (38%), "shared equipment" (33%), and "within plant" (29%). The subsurvey disclosed 25 different types of advisory terminology. Nonspecific terms, such as "natural flavors" and "spices," were found on 65% of products and were not linked to a specific ingredient for 83% of them. Additional ambiguities included unclear sources of soy (lecithin vs protein), nondisclosure of sources of gelatin and lecithin, and simultaneous disclosure of "contains" and "may contain" for the same allergen, among others.
  
  
  CONCLUSIONS
  Numerous products have advisory labeling and ambiguities that present challenges to consumers with food allergy. Additional allergen labeling regulation could improve safety and quality of life for individuals with food allergy.
authors: Department of Pediatrics, Division of Allergy and Immunology, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1198, New York, NY 10029, USA. mariah.pieretti@mssm.edu
authors: Mariah M
authors: MM
authors: Pieretti
authors: Danna
authors: D
authors: Chung
authors: Robert
authors: R
authors: Pacenza
authors: Todd
authors: T
authors: Slotkin
authors: Scott H
authors: SH
authors: Sicherer
mesh_terms: D000485:Allergens / Q000276:immunology*; D003257:Consumer Product Safety / Q000592:standards*; D005512:Food Hypersensitivity / Q000517:prevention & control*; D005515:Food Labeling / Q000592:standards*; D006801:Humans; D011795:Surveys and Questionnaires
chemical_list: D000485:Allergens