Ethical Principles as a Guide in Implementing Policies for the Management of Food Allergies in Schools

Behrmann, Jason

doi:10.1177/1059840510364844

Cited by 25 publications

(23 citation statements)

References 32 publications

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“…Previous studies determined that only 25% to 28% of students who have asthma have a written plan on file with their school. 19,20 In addition, although food allergy management plans are widely recommended as a best practice for schools, 8,[21][22][23] their use in US school districts has been inconsistent. For example, a Mississippi study found that statewide variation in the use of school health management plans ranged from 0% to 37% among food allergic students.…”

Section: Discussionmentioning

confidence: 99%

Asthma and Food Allergy Management in Chicago Public Schools

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Asthma and food allergy are common chronic conditions impacting 14% and 8% of US schoolaged children, respectively. School districts must be prepared to track students who have these conditions to ensure proper daily management and emergency response. WHAT THIS STUDY ADDS:This study examines the demographic distribution of asthma and food allergy and the existence of school health management plans in a large, urban school district. The findings show that school health management plans are underused for both conditions. abstract OBJECTIVES: This study aimed to characterize asthma and food allergy reporting and management in Chicago Public Schools.METHODS: Demographic and health data for students who have asthma and food allergy were extracted from the Chicago Public Schools database. Demographic and geographic variability and the existence of school health management plans were analyzed, and multiple logistic regression models were computed. Home addresses were geocoded to create maps of case counts per community area. RESULTS:Approximately 18 000 asthmatic and 4000 food allergic students were identified. Of asthmatic students, 9.3% had a food allergy; of food allergic students, 40.1% had asthma. Asthma odds were significantly higher among black and Hispanic students (odds ratio [OR] = 2.3 and 1.3, respectively), whereas food allergy odds were significantly higher among black students (OR = 1.1; 95% confidence interval [CI], 1.0-1.3) and significantly lower among Hispanic students (OR = 0.8; 95% CI, 0.7-0.9). Only 24.3% of students who had asthma and 50.9% of students who had food allergy had a school health management plan on file. Odds of having a school health management plan were significantly higher among students with both conditions, but the likelihood of having a plan on file was significantly lower among racial/ethnic minority and low-income students, regardless of medical condition.CONCLUSIONS: Only 1 in 4 students who have asthma and half of food allergic students have health management plans in schools, with lower numbers among minority and low-income students. Improving chronic disease reporting and access to school health management plans is critical. Pediatrics 2014;134:729-736

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Section: Discussionmentioning

confidence: 99%

Asthma and Food Allergy Management in Chicago Public Schools

et al. 2014

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“…The reality is that many facilities are poorly prepared to protect students. Essential components of policies for the prevention of food allergen exposure are missing (1,45), teachers have poor knowledge of anaphylaxis triggers, symptoms, and AAIs (16,(46)(47)(48), and PEMPs are not currently consistently provided for the majority of students with FA (16).…”

Section: Schoolmentioning

confidence: 99%

“…There may be significant barriers to be overcome in this regard as 'education' and 'health' are often governed by different municipal governmental bodies. Therefore, fostering a cooperative partnership between doctors, community nurses, dietitians, parents, and the school community is essential (48).…”

Section: Schoolmentioning

confidence: 99%

EAACI Food Allergy and Anaphylaxis Guidelines: managing patients with food allergy in the community

Muraro¹,

Agache²,

Clark³

et al. 2014

Allergy

142

155

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The European Academy of Allergy and Clinical Immunology (EAACI) Food Allergy and Anaphylaxis Guidelines, managing patients with food allergy (FA) in the community, intend to provide guidance to reduce the risk of accidental allergic reactions to foods in the community. This document is intended to meet the needs of early-childhood and school settings as well as providers of non-prepackaged food (e.g., restaurants, bakeries, takeaway, deli counters, and fast-food outlets) and targets the audience of individuals with FA, their families, patient organizations, the general public, policymakers, and allergists. Food allergy is the most common trigger of anaphylaxis in the community. Providing children and caregivers with comprehensive information on food allergen avoidance and prompt recognition and management of allergic reactions are of the utmost importance. Provision of adrenaline auto-injector devices and education on how and when to use these are essential components of a comprehensive management plan. Managing patients at risk of anaphylaxis raises many challenges, which are specific to the community. This includes the need to interact with third parties providing food (e.g., school teachers and restaurant staff) to avoid accidental exposure and to help individuals with FA to make safe and appropriate food choices. Education of individuals at risk and their families, their peers, school nurses and teachers as well as restaurant and other food retail staff can reduce the risk of severe/fatal reactions. Increased awareness among policymakers may improve decision-making on legislation at local and national level.

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“…[122][123][124] Also, the necessity to consider early the ethical aspects of possible policy to be proposed for implementation after research in allergy becomes an imperative. 125 The importance of all these ethical dimensions is recognized in the MeDALL project, and such topics are addressed in specific tasks that go beyond a classical ethical management of the project.…”

Section: Ethical Aspects Of the New Approaches In Medallmentioning

confidence: 99%