For kids with food allergies — and their parents — the back-to-school anxiety is palpable. How can we alert others to our children’s specific food allergies? What can we do to prevent an emergency situation? And, if there is an emergency, how can we ensure that those caring for our children will know what to do?

Food allergies affect teachers, coaches, babysitters and anyone else who cares for allergic kids. They have told me that they worry, too. Their heads are filled with questions. How they I remember each child’s specific allergies? How will I know if a child is having an allergic reaction? Will I be able to respond appropriately?

For the millions of children with food allergies and those around them, this time of year is particularly stressful. With new teachers, new classmates and new schools, the risk of exposure is high. Here are some tips for a safer school year:

1. Before the first day of school, meet with your child’s teacher, school nurse and principal to discuss your child’s food allergies and how the day-to-day school environment will be managed.
2. Create an emergency action plan that clearly explains the required response to an allergic reaction. Review it with your child’s teachers, the school nurse, gym teacher, specialists and anyone else who will be spending time with your child.
3. Clearly identify your child by his/her specific food allergies to keep others aware.
4. Clearly label his belongings—lunch bag, backpack—with allergy alerts to prevent exposure.
5. Keep emergency medication available and accessible at all times.
6. Make sure that whomever is with your child is prepared to manage a life-threatening emergency.

COMMUNICATON IS KEY—before you leave your child with a teacher or coach, friend or babysitter, or even a grandparent, it is crucial to have a discussion about your child’s food allergies. And don’t forget to be detailed. The information that we as parents have internalized and which now seems intuitive may not be as obvious to others.

So get back to the basics. Talk about your child’s food allergies and what foods are off limits. Explain anaphylaxis, a serious allergic reaction that is rapid in onset and can cause death (definition from the Food Allergy and Anaphylaxis Network). Make sure to fully explain the symptoms of anaphylaxis, which can begin with a tingling oral sensation and progress to other symptoms, including swelling of the lips, tongue, mouth and throat, wheezing, coughing, vomiting, difficulty breathing, drop in blood pressure and loss of consciousness. These symptoms can start from within minutes of the first contact up to 2 hours, which is why constant vigilance, not just in the lunch room, is so important.

Provide details about foods that are unsafe and those which might contain hidden ingredients. Discuss cross contamination and the importance of hand washing at the beginning of each day, after snack and lunch time. And make sure that whomever will be spending time with your child knows how to use the Epi-Pen. His life could depend on it.

-Robin Davison, MPH, JD
Founder of STAT KIDS (www.statkids.com)

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This entry was posted on Friday, August 24th, 2007 at 9:22 am and is filed under Allergy Awareness with Robin, Healthy Home, Healthy Schools, Parenting. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.