title: Managing food allergies in schools.
abstract: Food allergies are estimated to affect as many as 8 % of children with 2.5 % being allergic to peanut products. Based on the results of recent surveys, this prevalence has been increasing over the last few decades for unknown reasons. As children with food allergies reach school age, the issue is becoming more common in schools. For that reason, schools are now required to be prepared to take responsibility for the safety of food-allergic students. This review discusses the common problems surrounding management of food allergies in the school setting along with reasonable recommendations for addressing those problems. The most important component of food allergy management is for the student to get an accurate diagnosis and to then discuss development of an anaphylaxis action plan with their health-care provider. Each school should insist that a copy of such a plan be provided for each student with food allergy and that epinephrine is readily available should a student have an anaphylactic reaction. In addition to epinephrine, it is essential that school personnel be properly trained to recognize and treat allergic reactions should they occur. Known deficiencies in school preparedness have been documented in previous literature, and consequently, both state and the federal government have begun to implement policies to help with school preparedness.
authors.affiliation: Division of Allergy, Asthma & Immunology, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO, 64108, USA, jportnoy@cmh.edu.
authors.forename: Jay M
authors.initials: JM
authors.lastname: Portnoy
authors.forename: Jodi
authors.initials: J
authors.lastname: Shroba
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D004837:Epinephrine / Q000627:therapeutic use; D005512:Food Hypersensitivity / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D010347:Patient Care Planning; D012572:School Health Services; D013566:Sympathomimetics / Q000627:therapeutic use; D014481:United States
chemical_list: D013566:Sympathomimetics; D004837:Epinephrine