Management of Food Allergy in the School Setting

Sicherer, Scott H.; Mahr, Todd A.

doi:10.1542/peds.2010-2575

Cited by 119 publications

(96 citation statements)

References 36 publications

(36 reference statements)

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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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“…42 Conseguir que la actividad de los niños en todos los ámbitos sea segura es un verdadero desafío, por lo que se requieren estrategias de prevención y de manejo terapéutico ante la presentación de síntomas, en especial la anafilaxia. 40 Las reacciones alérgicas por alimentos pueden ocurrir en el aula, zona de juegos, cantina, transporte escolar y excursiones. Los síntomas iniciales suelen ser leves y difíciles de reconocer por lo siguiente: a. Falta de diagnóstico previo.…”

Section: 33unclassified

“…10,11 Se deberían rotular los productos y alimentos aptos para su uso, cuidar la limpieza de las superficies y utensilios e impedir que los niños con riesgo compartieran alimentos. 40,43 La familia o responsables del niño deberán realizar lo siguiente: a. Informar a la escuela sobre la alergia de su hijo. b. Aportar un informe médico actualizado con las pautas de rutina y para la urgencia.…”

Section: 40unclassified

Recomendaciones para el manejo del niño con enfermedades alérgicas en la escuela

2015

arch Argent Pediat

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“…19 Pediatricians should partner with local health departments and school districts and child welfare agencies to be aware of programs for children and families that address certain needs, such as injury prevention, child maltreatment prevention, lead poisoning, environmental tobacco smoke control, breastfeeding promotion, overweight/obesity prevention, asthma, perinatal care, trauma, child abuse prevention, and disaster preparedness. [20][21][22][23] One example of a pediatric/public health approach would be to ensure that children's issues are addressed in disaster planning/response.…”

Section: Partnering With Public Healthmentioning

confidence: 99%

“…Pediatricians should work together with public health departments, school districts, [21][22][23] child welfare agencies, community and children' s hospitals, and colleagues in related professions to identify and decrease barriers to the health and well-being of children in the communities they serve. 26,27 In addition, pediatricians should have access to information about community programs and resources that could affect the health and well-being of the children in their community.…”

Section: Recommendationsmentioning

confidence: 99%

Community Pediatrics: Navigating the Intersection of Medicine, Public Health, and Social Determinants of Children’s Health

Gorski¹,

Kuo²,

Granado-Villar³

et al. 2013

Pediatrics

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This policy statement provides a framework for the pediatrician' s role in promoting the health and well-being of all children in the context of their families and communities. It offers pediatricians a definition of community pediatrics, emphasizes the importance of recognizing social determinants of health, and delineates the need to partner with public health to address population-based child health issues. It also recognizes the importance of pediatric involvement in child advocacy at local, state, and federal levels to ensure all children have access to a high-quality medical home and to eliminate child health disparities. This statement provides a set of specific recommendations that underscore the critical nature of this dimension of pediatric practice, teaching, and research. Pediatrics 2013;131:623-628Environmental and social factors contribute significantly to the health and well-being of children in the contexts of families, schools, and communities. Over the past decade, the Institute of Medicine recognized and quantified the effects of external factors on early brain development and the health of children in 2 seminal reports, Neurons to Neighborhoods 1 in 2000 and Children' s Health, the Nation' s Wealth 2 in 2004. As understanding of the mechanisms and impact of biological, behavioral, cultural, social, and physical environments on healthy development deepens and expands, the long-standing role of pediatricians in promoting the physical, mental, and social health and well-being of all children must also evolve. 3 The field of pediatrics must address the problems facing children in the 21st century by influencing these critical determinants of child health and well-being. 4 To do so, pediatricians must successfully merge their traditional clinical skills with public health, population-based approaches to practice, and advocacy.

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Management of Food Allergy in the School Setting

Cited by 119 publications

References 36 publications

Asthma and Food Allergy Management in Chicago Public Schools

Asthma and Food Allergy Management in Chicago Public Schools

Recomendaciones para el manejo del niño con enfermedades alérgicas en la escuela

Community Pediatrics: Navigating the Intersection of Medicine, Public Health, and Social Determinants of Children’s Health

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