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SLIDE 1

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Welcome!

facebook.com/SchoolNutritionAssociation @SchoolLunch

SLIDE 2

Ge t the F AACT s

ABOUT F OOD AL L E RGIE S IN SCHOOL S

SLIDE 3

Questions & Answers

Type your questions into

the “Question” box at any time during the webinar

Questions will be

addressed during the webinar and at the end as time allows

SLIDE 4

T

da y’ s

Mo de ra to r

She rry Co le ma n Co llins, MS, RDN, L D Co nsulta nt/ Re g iste re d Die titia n Nutritio nist Na tio na l Pe a nut Bo a rd T witte r: @ Pe a nutRD

SLIDE 5

T

da y’ s Spe a ke rs

E le a no r Ga rro w-Ho lding Pre side nt & CE O, F AACT Gitta Gre the r- Swe e ne y,MSRD F

o dse rvic e Dire c to r, PPS

SLIDE 6

Ob je c tive s

 Ga in a n unde rsta nding o f the fa c ts a b o ut

fo o d a lle rg ie s

 L

e a rn to a pply the se fa c ts to the k-12 fo o dse rvic e e nviro nme nt

 L

e a rn to disting uish b e twe e n fa c t a nd fic tio n with re g a rd to fo o d a lle rg y myths a nd misc o nc e ptio ns

SLIDE 7

Disclosures / Acknowledgements

Disc losur e s



Na tio na l Pe a nut Bo a rd Spo nso re d Pre se nta tio n



Spe a ke rs re c e ive d no mo ne ta ry o r in-kind c o mpe nsa tio n

Ac knowle dge me nts

F
o d Alle rg y & Ana phyla xis Co nne c tio n T

e a m (F AACT ). 2014

Ce nte r fo r Dise a se Co ntro l a nd Pre ve ntio n (CDC).

Vo luntary Guide line s fo r Managing F

o d Alle rgie s in

S c ho o ls and E arly Care and E duc atio n Pro grams.

Wa shing to n, DC: US De pa rtme nt o f He a lth & Huma n Se rvic e s (DHH); 2013

St. L
uis Childre n’ s Ho spita l. F
o d Alle rgy Manage me nt &

E duc atio n (F AME ) pro gram. 2014

SLIDE 8

F AACT : Who a nd Wha t

 F

AACT 's missio n is to e duc a te , a dvo c a te , a nd ra ise a wa re ne ss fo r a ll individua ls a nd fa milie s a ffe c te d b y fo o d a lle rg ie s a nd life -thre a te ning a na phyla xis.

 F

AACT

ffe rs ma ny e duc a tio n pro g ra ms a nd ha nds-
n c ivil rig hts a dvo c a c y suppo rt in the sc ho o l se tting .

 F

AACT e duc a te s a nd info rms fo o d-a lle rg ic individua ls o f the ir rig hts to sa fe ly a nd e q ua lly pa rtic ipa te a lo ng side individua ls witho ut fo o d a lle rg ie s, pa rtic ula rly in sc ho o ls.

 F

AACT ’ s we b site o ffe rs a n E duc a tio n Re so urc e Ce nte r a nd Civil Rig hts Advo c a c y Re so urc e Ce nte r with ma ny fre e a nd do wnlo a da b le re so urc e s.

 F

AACT

ffe rs visua l a ids fo r sc ho o ls: b o o kma rks,

po ste rs, e tc .

SLIDE 9

Emergency Action Plans

SLIDE 10

F

od Alle r

gy – Pr e vale nc e

F
o d a lle rg ie s a ffe c ts 4-6% o f US Childre n
18% inc re a se a mo ng c hildre n b e twe e n 1997 –

2007

50% inc re a se a mo ng c hildre n b e twe e n 2009-2011
2 Stude nts pe r c la ssro o m, U.S.
F
o d a lle rg ie s & a sthma in c hildre n = 29%
Hig he r risk fo r a na phyla xis

# g e tthe F AACT sa b o utfo o da lle rg ie s

3

SLIDE 11

Slide 10 3 Should the last bullet also include eczema?: "Individuals who also have athma or eczema, in addition to food allergies, are at a higher risk for anaphylaxis."

Karen Harris, 7/26/2014

SLIDE 12

Food Allergy – FACT’s

T

he re is NO c ure fo r fo o d a lle rg ie s

Stric t a vo ida nc e is ke y
18% o f c hildre n re a c te d while a t sc ho o l
25% o f first time se ve re re a c tio ns o c c ur in

the sc ho o l se tting

F

a ta litie s ha ve o c c urre d in sc ho o ls due to de la ys in pro pe rly re c o g nizing a nd tre a ting se rio us a lle rg ic re a c tio ns (a na phyla xis)

SLIDE 13

“ Food Allergy” –The Term

“F
o d Alle rg y”
F
o d re la te d c o nditio ns & dise a se s
fte n c o nfuse d with a fo o d a lle rg y
F
od alle r

gy c an be fatal

 F

AAP sig ne d b y a me dic a l do c to r

# g e tthe F AACT sa b o utfo o da lle rg ie s

SLIDE 14

Food Allergy

 90% o f fo o d a lle rg ic re a c tio ns in the U.S. a re

c a use d b y e ig ht fo o ds: Milk Whe a t E g g So y F ish Pe a nuts Crusta c e a n She llfish T re e -nuts

Any fo o d c a n c a use a n a lle rg ic re a c tio n

# g e tthe F AACT sa b o utfo o da lle rg ie s

SLIDE 15

Anaphylaxis

 Ana phyla xis (a n-a -fi-L

AK

sis) is a se ve re a lle rg ic

re a c tio n tha t is ra pid in o nse t a nd ma y c a use de a th.

Ana phyla xis fro m fo o d = (within minute s –

se ve ra l ho urs)

De a th fro m fo o d = (30 min – 2 hrs. o f e xpo sure )

SLIDE 16

Anaphylaxis – FACT’s

 Ca n b e F

AT AL if no t tre a te d pro mptly

 Ca n inc lude a wide ra ng e o f sig ns & sympto ms  Sympto ms c a n o c c ur a lo ne , o n in c o mb ina tio n  Re q uire s imme dia te tre a tme nt

(fo llo w stude nt’ s e me rg e nc y a c tio n pla n o n file )

 I

nje c tio n o f e pine phrine

 911  Ob se rva tio n in E

R (2-24 hrs. re c o mme nde d)

# g e tthe F AACT sa b o utfo o da lle rg ie s

SLIDE 17

Anaphylaxis Triggers

 F

o d

 I

nse c t ve no m

 Me dic a tio ns  L

a te x



Wha t is the le a ding c a use o f a na phyla xis

utside o f the ho spita l se tting ?

# g e tthe F AACT sa b o utfo o da lle rg ie s

SLIDE 18

Anaphylaxis Triggers



Food = leading cause of anaphylaxis outside of the hospital setting

#gettheF AACTsaboutfoodallergies

SLIDE 19

Anaphylaxis

Risk Factors

 De la y o f e pine phrine  Re lying o n

a ntihista mine s (i.e . Be na dryl, Zyrte c … )

 Alc o ho l

c o nsumptio n

Groups at Higher Risk

 Adolescents  Y

ung adults

 Children with

known food allergy

 History of

anaphylaxis

SLIDE 20

Signs & Symptoms

T hr

at
Itc hy
T

ightne ss / c losure

Hoarse ne ss
T

r

uble

bre a thing / swa llowing

Hac king c ough
Stridor

Mouth

Itc hy
Swe lling of tongue , lips,
r

r

of of mouth

Skin

Itc hing
Hive s or othe r rash
Re dne ss/ flushing
Swe lling

Gut

Nause a
Abdominal pain (a

sha rp sta bbing pa in)

Vomiting
Diarrhe a

L ung

Shortne ss of bre ath
Whe e zing
Re pe titive Cough
Che st pain / tightne ss

Me ntal

Anxie ty
Panic
Se nse of doom
Confusion

Cir c ulation/ He ar t

Che st pain
L
w blood pre ssure
Pale blue skin c olor
Dizzine ss or fainting
We ak pulse
L

e tha rg ic

E ye s/ Nose

Re d Wa te ry E

ye s

Runny / Stuffy No se
Sne e zing
Swo lle n E

ye s

SLIDE 21

Epinephrine (adrenaline)

 F

irst line tre a tme nt fo r a na phyla xis

 Na tura lly pro duc e d in the b o dy  E

a rly use to tre a t a na phyla xis impro ve s a pe rso n’ s c ha nc e fo r surviva l

 E

ffe c ts a re no t lo ng la sting , a dditio na l do se s ma y b e ne e de d

Administe r e pine phrine = c a ll 911

 All sta ff sho uld b e tra ine d o n e pine phrine

a dministra tio n

# g e tthe F AACT sa b o utfo o da lle rg ie s

SLIDE 22

Risk Reduction S trategies

Cleaning measures
Reading food labels
Creating a safe

environment

Educating parents, students

and school staff

SLIDE 23

Cleaning Measures

Hands

 Yes

S
ap and water

 Yes

Hand wipes

(*Wet Ones / Tidy Tykes) X No

Plain water

X No

Hand S

anitizer

S urfaces

 Yes

Lysol sanitizing wipes
Formula 409
Commercial cleaning

wipes

Target brand cleaner

with bleach

Other common

household cleaning agents X No

Liquid dish soap

SLIDE 24

Food Labels – FALCPA

 Food Allergen Labeling Consumer Protection Act  Applies to top eight allergens  Consult with parents

SLIDE 25

Creating a S afe Environment

Goal - To create a safer learning environment by reducing children’s exposure to potential allergens

 S

chool bans?

 Alternatives?

Allergen S

afe Zones / Food Free Zones

(classrooms or eating area in cafeteria; library, buses)
Allergy –Aware (classroom, school)

 Limiting food in the classroom

 Rewards  Birthdays  Holidays

SLIDE 26

Creating a S afe Environment

1.

Ensure the daily management of food allergies in individual children

2.

Prepare for food allergy emergencies

3.

Provide professional development on food allergies for staff members

4.

Educate children & family members about food allergies

5.

Create and maintain a healthy & safe educational environment

SLIDE 27

Prepare for an Allergic Emergency



I f a n a lle rg ic re a c tio n o c c urs o n the pla yg ro und, wha t me a ns o f c o mmunic a tio n is a va ila b le ?



Who will re trie ve e pine phrine , inc luding se c o nd do se a nd/ o r sto c k, if no t c a rrie d b y stude nt?



Who is re spo nsib le fo r a dministe ring e pine phrine ?



Who is re spo nsib le if no sc ho o l nurse is o n-site ?



Who is c a lling 911?



Who is o utside to a le rt first re spo nde rs o f lo c a tio n?



Who will do c ume nt time s?



Who will c o nta c t the pa re nts?



Who will ride with the stude nt?



Who will spe a k to stude nts who ma y ha ve witne sse d?



Who will spe a k to the fa milie s o f o the r fo o d a lle rg ic stude nts?

SLIDE 28

A Team Approach!

A T e a m Appro a c h

Me dic a l Pro vide r Sc ho o l Nurse

Sc hool Staff

(transpo rtatio n, fo o d se rvic e , administratio n, bus drive rs, P.E . Co ac h, e tc .)

All Pa re nts / Stude nts PT A / PT O

SLIDE 29

Epinephrine Training

Epi-Pen Auvi-Q

www.a uvi-q .c o m www.e pipe n.c o m

SLIDE 30

St. L
uis Childre n’ s – F

AME T

o lkit

 http:/ / www.stlo uisc hildre ns.o rg / he a lth-

re so urc e s/ a dvo c a c y-o utre a c h/ fo o d-a lle rg y- ma na g e me nt-a nd-e duc a tio n

SLIDE 31

Resources



www.F

o dAlle rg yAwa re ne ss.o rg



www.la te xa lle rg yre so urc e s.o rg



www.a lle rg yho me .o rg



www.kidswithfo o da lle rg ie s.o rg



www.AAF A.o rg



www.CDC.g o v

SLIDE 32

Po rtla nd Pub lic Sc ho o ls

SLIDE 33

SLIDE 34

ADMINIST RAT IVE DIRE CT IVE

L ife T hre a te ning Alle rg ie s 3.60.061-AD

Dire c tive wa s Ado pte d in 2006
USDA Guidanc e

http:/ / www.fns.usda .g o v/ c nd/ g uida nc e / spe c ia l_die t a ry_ne e ds.pdf Ac c o mmo da ting Childre n with Spe c ia l Die ta ry Ne e ds in the Sc ho o l Nutritio n Pro g ra ms/ Guida nc e fo r Sc ho o l F

o d Se rvic e Sta ff
Ore g o n De pa rtme nt o f E

duc a tio n Guida nc e

Distric t do e s no t suppo rt a b a n o n fo o ds
Administra tive Dire c tive I

nc lude s:

Ge ne ra l Re q uire me nts
F

a mily’ s Re spo nsib ility

Sc ho o l’ s Re spo nsib ility
Stude nt’ s Re spo nsib ility

SLIDE 35

Or e gon De par tme nt of E duc ation Guidanc e

Me dic a l Sta te me nt De c isio n T re e

SLIDE 36

Or e gon De par tme nt

ff E

duc ation Guidanc e

Me dic a l Sta te me nt fo r Pa rtic ipa nts

without

Disa b ilitie s

SLIDE 37

Or e gon De par tme nt of E duc ation Guidanc e

Me dic a l Sta te me nt De c isio n T re e

SLIDE 38

Or e gon De par tme nt of E duc ation Guidanc e

Me dic a l Sta te me nt fo r Pa rtic ipa nts

with

Disa b ilitie s

SLIDE 39

Por tland Public Sc hools Nutr ition Se r vic e s

F

o d Alle rg y

De c isio n T re e fo r F ro nt L ine Sta ff

SLIDE 40

Por tland Public Sc hools Nutr ition Se r vic e s

Sa mple Alle rg e n Ale rt L e tte r to Pa re nts a nd Gua rdia ns

SLIDE 41

SLIDE 42

SLIDE 43

Alle r ge n Signage on the Se r ving L ine

SLIDE 44

Pe a nutAlle rg yF a c ts.o rg

SLIDE 45

Additional Re sour c e s

 CDC Vo lunta ry Guide line s  NI

AI D Guide line s fo r the Dia g no sis a nd Ma na g e me nt o f F

o d Alle rg ie s

 Summa ry fo r Pa tie nts a nd F

a milie s

 www.Pe a nutAlle rg yF

a c ts.o rg

SLIDE 46

Que stio ns?

SLIDE 47

Thank You

Archives, CEU information, and other resources available at www.schoolnutrition.org/webinars