Addressing Food Allergy Issues Within Child Care Centers
- 310 Downloads
The prevalence of food allergies in the pediatric population has risen significantly in the past decade. School districts and advocacy groups have made progress in developing systematic approaches to address pediatric food allergies; however, the widespread variance in child care settings, organization, and staff training still presents unique challenges. Addressing these obstacles requires multiple approaches to policy and guideline formulation and dissemination. This review discusses current issues in food allergy prevention and education in child care settings and offers potential solutions.
KeywordsChild care Preschool Food allergy Children Policy Education Anaphylaxis Development Pediatric
The authors would like to thank Susan Gall of the University of Michigan Health System Children’s Center and Nan Mastie of Gretchen’s House Child Development Centers as well as the staff and personnel of each of these centers for their input and cooperation.
Dr. Leo has served on an expert panel on developmental feeding for Pfizer Nutrition Services.
Dr. Clark reported no potential conflicts of interest relevant to this article.
Papers of particular interest, published recently, have been highlighted as:• Of importance •• Of major importance
- 1.Branum AM, Lukacs SL (2008) Food allergy among U.S. children: trends in prevalence and hospitalizations. NCHS Data Brief (10):1–8Google Scholar
- 2.• Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics. 2011;128(1):e9–17. A broad overview of the increasing prevalence of the food allergy in the pediatric population. PubMedCrossRefGoogle Scholar
- 7.Mott, C. S. Children’s Hospital National Poll on Children’s Health: Are schools doing enough for food-allergic kids? 2009. http://www.mottnpch.org/reports-surveys/are-schools-doing-enough-food-allergic-kids. Accessed 16 February 2012.
- 8.• Gupta RS, Kim JS, Springston EE, Smith B, Pongracic JA, Wang X, Holl J. Food allergy knowledge, attitudes, and beliefs in the United States. Ann Allergy Asthma Immunol. 2009;103(1):43–50. Very Important. Discusses the broad social implications and perceptions of food allergy in children. PubMedCrossRefGoogle Scholar
- 9.•• Sicherer SH, Vargas PA, Groetch ME, Christie L, Carlisle SK, Noone S, Jones SM. Development and validation of educational materials for food allergy. J Pediatr. 2012;160(4):651–6. The most recent and broadest validation of education principals targeted to food allergy awareness within schools.PubMedCrossRefGoogle Scholar
- 10.Laughlin, L. Who's minding the kids? Child care arrangements: Summer 2005/Summer. 2006. Current Population Reports, U.S. Census Bureau, Washington, DC; 70–121. 2010.Google Scholar
- 11.Food Allergy and Anaphylaxis Network. Managing food allergies in the school setting: guidance for parents. FAAN, 2011. Fairfax, VA.Google Scholar
- 12.United States Department of Health and Human Services, Administration for Children and Families, Office of Head Start. Head Start Program Performance Standards and Other Regulations. http://eclkc.ohs.acf.hhs.gov/hslc/standards/Head%20Start%20Requirements. Accessed 18 February 2012.
- 13.National Early Childhood Program Education. http://www.necpa.net/index.php. The NECPA Commission, Inc. Mt. Pleasant, SC.
- 14.Leo, H. L. Center for Managing Chronic Disease. Food allergy education initiative in child care. (Data in process), 2011.Google Scholar
- 15.•• Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA, Plaut M, Cooper SF, Fenton MJ, Arshad SH, Bahna SL, Beck LA, Byrd-Bredbenner C, Camargo Jr CA, Eichenfield L, Furuta GT, Hanifin JM, Jones C, Kraft M, Levy BD, Lieberman P, Luccioli S, McCall KM, Schneider LC, Simon RA, Simons FE, Teach SJ, Yawn BP, Schwaninger JM. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol. 2010;126(6 Suppl):S1–58. The most current consensus guidelines on food allergy management and the current state of research available. PubMedGoogle Scholar
- 19.•• Lieberman J, Weiss C, Furlong TJ, Sicherer SH. Bullying of pediatric patients with food allergy. J Allergy Clin Immunol. 2010;105:267–71. Identifies the importance of bullying and social behavioral issues affecting children with food allergies. Google Scholar
- 20.Baumgart K, Brown S, Gold M, Kemp A, Loblay R, Loh R, Mitrou D, Mullins R, Peake J, Ruhno J, Said M, Sinclair J, Smith V, Smith W, Solley G, Soutter V, Tang M, Ziegler J. Australasian Society of Clinical Immunology and Allergy Anaphylaxis Working Party. ASCIA guidelines for prevention of food anaphylactic reactions in schools, preschools and child-care centres. J Paediatr Child Health. 2004;40(12):669–71.PubMedCrossRefGoogle Scholar