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If your child has ever had an allergic reaction, or has a history of severe allergies, seek the care of an allergist/immunologist for a follow-up evaluation and to discuss treatment and environmental control options before the school year begins. An allergist/immunologist is the best-qualified medical professional trained to manage the prevention, diagnosis and treatment of allergic disease.

Once an allergy trigger is identified, an allergist/immunologist can provide detailed information about avoiding the substance. They also will prescribe self-injectable epinephrine, which temporarily reverses the allergic reaction. If a reaction occurs, inject epinephrine and call 911 immediately.

The AAAAI represents allergists, asthma specialists, clinical immunologists, allied health professionals and others with a special interest in the research and treatment of allergic disease. Established in 1943, the AAAAI has more than 6,500 members in the United States, Canada and 60 other countries.

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AAAAI and FAAN educate about dangers of anaphylaxis

With the upcoming school year approaching, the American Academy of Allergy, Asthma and Immunology (AAAAI) and the Food Allergy & Anaphylaxis Network (FAAN) are asking every parent of a child with food allergies or a known insect sting allergy to alert their child’s school to the condition and have an action plan ready.

A potentially life-threatening allergic reaction, called anaphylaxis, can be triggered by exposure to one or more allergens, including foods, insect stings, drugs, and latex products. Anaphylaxis can affect multiple areas of the body (such as skin, respiratory tract, gastrointestinal tract and the cardiovascular system). Symptoms can include severe headache, nausea and vomiting, sneezing and coughing, hives, swelling of the lips, tongue and throat, itching all over the body, and anxiety. The most dangerous symptoms include difficulty breathing, a drop in blood pressure, and shock - all of which can be fatal.

“All school staff must be made aware of the potentially severe nature of an anaphylactic reaction,” said S. Allan Bock , MD , FAAAAI, and Chair of the AAAAI’s Anaphylaxis Committee. “Parents need to work together with teachers, coaches and school nurses to avoid triggers and act quickly if a reaction occurs.”

To protect your child, and prevent anaphylaxis, the AAAAI and FAAN encourage parents to take the following steps before the school year begins:

* Work with an allergist/immunologist to identify your child’s triggers and reinforce these to your child. If possible, provide your child with a medical bracelet or necklace that identifies his or her specific allergy.
* Tour your child’s school or childcare facility before school starts, and meet with the staff to inquire about policies regarding foods and other potential triggers brought into the classroom.
* Provide staff with information and resources to educate them about your child’s allergy. Have your child’s allergist/immunologist provide clear, written instructions on recognizing a reaction early and administering medication in case of a reaction. Inform staff to call 911 immediately if a reaction occurs.
* Teach staff when and how to properly administer medications such as injectable epinephrine, encouraging them to handle the medication and ask questions. Explain to them that they cannot delay in administering medication to your child, and that they are obligated to assist your child and to include him or her in normal school activities. Children with a history of anaphylaxis should carry epinephrine with them at all times.

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Going back to school for the year also means recess, physical education and sports. These fun activities can take a turn for the worse if the following triggers aren’t avoided.

* Pollen - microscopic, powdery granules necessary for plant fertilization. The average pollen particle is less than the width of an average human hair. With the start of ragweed season just around the corner, it is important to remember to take your medications 30 minutes before going outside. Also, ask the teacher to close the windows in the classroom to keep the pollen from blowing into the classroom. Review Tips to Remember: Outdoor Allergies for more ideas to protect your child.
* Stinging Insects - severe allergic reactions to insect stings can involve many body organs and may develop rapidly. This reaction is called anaphylaxis. Symptoms of anaphylaxis may include itching and hives over large areas of the body, swelling in the throat or tongue, difficulty breathing, dizziness, stomach cramps nausea or diarrhea. Carry injectable epinephrine with you to help control allergic symptoms. Go to Tips to Remember: Stinging Insect Allergy for more information.
* Exercise-Induced Asthma (EIA) - for children with asthma it is common to experience symptoms after about six to eight minutes of physical activity. People with EIA experience coughing, wheezing, tight chest, prolonged and unexpected shortness of breath.

As many as one out of every 10 young athletes has asthma. It should not stop them from enjoying exercise or even high level of competition, but athletes of all levels need to remember to take proper precautions if they have EIA.

Patients with EIA have airways that are overly sensitive to sudden changes in temperature and humidity, especially when breathing colder, drier air. During strenuous activity, people tend to breathe through their mouths, allowing the cold, dry air to reach the lower airways without passing through the warming, humidifying effect of the nose.

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Lunch is a time to take a break from the school books and a time to socialize with new friends, but precautions must be taken to ensure your child’s safety when it comes to allergies.

* Food allergies - have your child bring their own food to school and remind them not to share or trade food with others. Also, your child, the nurse or teacher should have injectable epinephrine and know how to use it.

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Given the amount of time children are away from home when attending school and the incidence of allergies and asthma, it is important that children and their families work together with teachers, coaches and school nurses to avoid asthma and allergy triggers and to deal with symptoms. Use this helpful checklist to find out what can be done before the school year starts to reduce potential allergens that may affect your child.

Schedule a meeting with teachers, coaches and the school nurse to discuss your child’s condition.
Make sure a “School Management Plan” is on file for your child at school. Here is a sample copy of an asthma management plan for your use.

* Inform the school nurse about the free “Allergy and Asthma Tool Kit for School Nurses.”
* Work together with your child’s allergist/immunologist to ensure that their medications are helping.
* Talk to your child and review what triggers allergy or asthma symptoms. Encourage them to ask their teacher for help when symptoms worsen.
* Ask your child’s allergist/immunologist to complete a “Food Allergy Action Plan” if your child has a food allergy.
* Inform school cafeteria staff and teachers of what foods to avoid and suggest safe alternatives. If possible, have your child bring a bag lunch to school, and remind them not to share food with their friends.
* Inform physical education teachers and coaches about asthma and warning signs of an asthma attack.
* Encourage your child’s physician to be an informational resource for the school.
* Make sure your child has his or her medications and peak flow meter with them at school.

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Beginning a new school year is always an exciting time for children and parents. It is also an important time to remember that children with allergies and asthma face challenges in the classroom. These challenges can range from discomfort that makes it hard to concentrate on school work, to symptoms that reduce their ability to participate in recess or physical education class, to life-threatening reactions to food or insect stings.

It is reported that more than 9 million children under the age of 18 suffer from allergies and asthma. This can account for more than 14 million missed school days and cost millions of dollars in medical bills and lost work days for parents.

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Parents, teachers and school staff need to take measures to ensure the safety of the more than 2.2 million American students with food allergies, says the American Academy of Allergy, Asthma & Immunology.

“Open and frequent communication between parents and school staff is a key ingredient to keeping food-allergic students out of harm. It takes a partnership to establish effective avoidance strategies and emergency plans,” Dr. Michael Pistiner, a member of the AAAAI Adverse Reactions to Foods Committee, said in an academy news release.

The AAAAI offers a checklist of safety tips and a sample food allergy action plan to assist parents and school staff as they prepare for the new school year. Among the tips:

Inform the school cafeteria, teachers and other staff of what foods your child must avoid. Pack bag lunches. Your child should avoid classroom snacks and refrain from sharing food with friends.When there’s a classroom party, provide your child with safe snacks he or she can eat during the party.Push for “no eating” policies on buses and in other settings where there’s no supervision of children.

Pistiner, whose own nut-allergic son enters kindergarten this fall, added another important tip.

“Parents should be aware of expiration dates and keep in contact with their allergist to insure that all medication, especially self-injectable epinephrine, is replaced prior to expiration,” he said.

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It’s one of the biggest frustrations of life with food allergies: That hodgepodge of warnings that a food might accidentally contain the wrong ingredient.

The warnings are voluntary — meaning there’s no way to know if foods that don’t bear them really should. And they’re vague: Is “may contain traces of peanuts” more reliable than “made in the same factory as peanuts?”

Now health officials in the U.S. and Canada are debating setting standards, amid increasing concern that consumers are so confused they’re starting to ignore the warnings.

“Really, the safest thing you can do is make all your food at home from scratch, period,” says Margaret Sova McCabe of Sanbornton, N.H., whose son Tommie, almost 8, is allergic to peanuts, dairy, wheat and five other ingredients.

But she doesn’t find that practical — and repeatedly has spotted longtime favorite “safe” foods suddenly bearing new warnings that accidental contamination is possible after all.

“Sometimes we buy the product anyway, and sometimes we don’t,” says McCabe, who is a law professor and questions how often the warnings signal liability protection rather than true risk.

“What does this really mean? Can I count on it, as a consumer, to really have any meaning?” she asks.

The Food and Drug Administration will ask those same questions at a public hearing on Sept. 16, a first step toward developing what it calls “a long-term strategy” to clear the confusion.

“Advisory labeling may not be protecting the health of allergic consumers,” the FDA acknowledged.

Canadian authorities have gone a step further, saying accidental-allergy warnings are “misleading consumers” and advising food makers to begin clarifying them even as Health Canada researches a formal policy.

The food industry recognizes there’s confusion. The Grocery Manufacturers of America has been working to set new guidelines on the warnings for more than a year, but declined comment before next month’s meeting.

About 12 million Americans have food allergies. Severe ones trigger 30,000 annual emergency-room visits, and 150 to 200 deaths a year.

Starting in 2006, a U.S. law required that foods disclose in plain language when they intentionally contain highly allergenic ingredients such as peanuts or dairy.

Left out of the law are accidental-allergy warnings — for foods that might become contaminated because they were made in the same factory, or on the same machines, as allergen-containing products. The FDA has said that a quarter of inspected food factories have the potential for such a mix-up.

More and more foods bear precautionary labels, but there’s a disconnect. The Food Allergy & Anaphylaxis Network, an influential consumer group, counts at least 30 different ways that the warnings are worded — and consumers too often falsely assume that one food is riskier than another because its label sounds scarier.

Three-quarters of parents of food-allergic children surveyed by the group in 2006 said they would never buy a food with an accidental-allergy warning, down from 85 percent in 2003, when such labels were novel.

The FDA’s own surveys found the allergic pay more attention to warnings that a food “may contain” an allergen than those “made in the same factory” labels.

Yet when University of Nebraska researchers tested nearly 200 products with various accidental-peanut warnings, they found that peanuts were more likely to have sneaked into products labeled “made in the same facility.”

And Health Canada researchers recently discovered that some chocolate labeled as possibly containing “traces” of peanuts or tree nuts in fact contained up to six times the amount that the government considers a trace level.

Contributing to consumer mistrust are puzzling warnings, like canned or frozen vegetables with nut precautions. Just last week, allergy network founder Anne Munoz-Furlong was stunned to receive a basket of fresh fruit with a warning that it might contain nuts or milk.

“Right now everybody’s making up their own rules,” Munoz-Furlong says — and she’s pushing FDA for clear standards to help consumers understand which foods to avoid.

In Canada, the government’s review is just beginning, but meanwhile it recommends foods bear one of two labels: “May contain X allergen” or “Not suitable for consumption by persons with an allergy to X.”

Back in New Hampshire, the McCabes show how tricky label reading is. Tommie has loved a particular nondairy soy yogurt since infancy. When it began bearing an accidental-allergy precaution, his mother toured the factory and was relieved by how the equipment was cleaned. But last week, she noticed the label had changed again, to say the yogurt might also contain live cultures based on milk.

It “maybe illustrates how difficult it can be when you have food allergies to stay on top of that information,” McCabe said.

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According to the recent research, food allergy kills 200 people every year in the United States.

The study researchers also said that only 50 percent of U.S. college students with food allergies avoid foods they knew they should not eat.

The researchers from University of Michigan Health System reported that 60 percent of those surveyed said a roommate was aware of his/her food allergy and 20 percent of the students could verify that another person campus knew about his/her allergy.

The researchers found that 50 percent of food allergic students don’t pay any particular attention to their food habits. The study showed that only 43 percent of the respondents have emergency medication. About 20 percent had self-injectable epinephrine, the recommended treatment for the life-threatening severe allergic reaction called anaphylaxis.

The researchers said the University of Michigan studies point to the need for students to increase the awareness of their food allergy among the people around them.

Researchers added that educational authorities must make proper arrangements for tackling the emergency created by the sudden attack of food allergy. The awareness among educational institutions can save many lives.

Moreover the youngsters should not take their food allergies lightly. Their carelessness can cost their lives. People of all age groups should avoid intake of allergic food substances.

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Prognosis There are two methods:

1. Skin tests are conducted by escamificación, meaning it makes a small rasguñito in the skin and then gets the allergen in question and answer depending on the skin within 30 minutes or two hours decide if the patient is allergic and what their allergy.

2. In vitro diagnostic tests. It was the scrape of the determination of allergy antibody called Ig. specific, to investigate an allergy and in this case has changed considerably since we have now “more-system”, which is a fairly accessible method is not expensive, and with him we can determine that the patient is allergic to a sample blood, and with this test no longer makes skin tests.

In asthma patients, they do some testing of respiratory function, to see how they are operating their bronchi. During recent years, patients who have gastrointestinal symptoms and asthma, they enforce a pH meter, ie is a sensor, to see how is the pH of your stomach and has found that many young children that is difficult to control suffer from gastroesophageal reflux nasal overnight the food they have in the stomach goes into the bronchi and therefore never heal are always sick, but if we treat the stomach also resolve to respiratory problems. This type of allergy, is a condition usually associated with reflux and usually gives babies.

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