Archive for the Blog Category

The Launch of LaurelLee Academy Workshops

Monday, March 10th, 2014 | Permalink

I am excited to announce the launch of LaurelLee Academy – a joint venture between Greenlaurel Solutions, LLC and Mennett Lee, LLC. Our companies are working together to combine our years of expertise in the legal and scholastic worlds to offer intensive hands-on food allergy workshops.

Our first workshop, 504 Plans & Food Allergies, is scheduled for April 12 in Lexington, MA. It is intended for parents who want an in-depth understanding of the laws and protections for their food allergic children.  Those that attend will learn to create and use tools for themselves, saving parents hundreds of dollars in outside legal or advocacy fees. Each parent will leave the workshop with a solid understanding of 504 plans and applicable laws and a sample customized care plan that they can use to negotiate at school, as well as other valuable resources. There will be plenty of time for Q&A so parents can get personal attention for their specific issues.
Register at www.laurelleeacademy.com to get a discount – space is limited.

Food in the Classroom is Not About Public Opinion

Sunday, February 23rd, 2014 | Permalink

By Gina Mennett Lee, M.Ed.

The debate about food in classroom has heated up in multiple media outlets this week.  As a food allergy educator and consultant, I’d like to offer my perspective.   In my opinion, this issue is not up for public debate.   At the heart of the it, is the safety of children while in school and their equal access to the educational setting.  The way a school chooses to handle the issues of safety and access is not up to the loudest parents, it up to those that are charged with the task of managing our schools and those that are truly educated about food allergies.

 

The question school leaders need to be asking is, “How do we ensure that children with food allergies are safe and included while at school?’ 

Creating a safe and inclusive environment requires more than addressing food in the classroom.  Policy must address access to epinephrine, staff training, parent and student education, and much more.  But these measures do not impact the daily routines of other children.  Because reducing or eliminating outside food from the classroom requires a change, it causes conflict.  No one likes change, even when it is necessary.

This decision to change is what Danbury, CT, Superintendent, Sal Pascarella and the Danbury BOE are now grappling with.  After creating a policy that seemed to appease both sides, they were still faced with allergic reactions that required students to be transported to the ER . You can read the full story here.

When a child has an allergic reaction at school, whether it is mild or severe, they are missing out on class time and potentially their right to a Free and Appropriate Public Education.  Accidents happen.  That’s why school personnel need to be prepared to handle them, but when a “celebration” ends up interfering with a child’s education, I consider it a systemic failure.  Food, in the form of rewards, celebrations, and birthday parties, is unnecessary in the school setting.   There are many fun, food-free ways to celebrate that allow all children to safely participate.

Additionally, when managing a serious medical condition such as food allergies, the outcome can be tragic.  It is disrespectful to the memory of the children that have died of allergic reactions in schools, to ignore their stories and maintain the status quo, because of parent complaints about their child’s right to a cupcake.

Having spent a significant amount of time teaching in our public schools, I actually sympathize with what can sometimes be a daunting task, creating and implementing effective policies.   That is why I am committed to helping schools with food allergy management. The influx of children with food allergies has been fairly recent and at times, overwhelming.  Managing food allergies is only one of a multitude of issues and concerns that need to be managed on a daily basis by the leaders in our schools.

But now that 2 children in every classroom has a food allergy we can no longer afford to continue educating our children without addressing food allergy management.  Now is the time for school personnel to make food allergy management a priority.

For many years, schools were forced to deal with the task of managing food allergies with little or no guidance.  This is no longer the case.  The CDC has laid out a specific road map for creating policy and regulations in the school setting through the newly released Voluntary Guidelines for Managing Food Allergies in the Schools and Early Care and Education Programs.

I have spent many hours reviewing these guidelines.  On the subject of food in the classroom, the recommendations are very clear.

They state:

“Avoid the use of identified allergens in class projects, parties, holidays and celebrations, arts, crafts, science experiments, cooking, snacks or rewards.”

“Use nonfood incentives for prizes, gifts, and awards.”

 

I don’t think there is much to debate here.  Removing unnecessary food is a common-sense measure that:

1. is consistent with the CDC guidelines,

2. will reduce accidental exposures to allergens for those with food allergies, and

3. will result in less work for our classroom teachers (not to mention, less worry for our school nurses, principals, superintendents and school boards).

 

End of debate.

Mennett Lee, LLC (www.FoodAllergyConsulting.com)

What Should Be Done to Protect Food Allergic Children in the School Setting?

Wednesday, January 29th, 2014 | Permalink

By Gina Mennett Lee, M.Ed.

Many schools and childcare centers are wrestling with this very question.  But the answer could be closer than one might expect.  Rules and expectations are a regular part of the school setting.  We just need to apply them to this specific concern.

Here is an example.

Many schools have programs that allow children to use technology in the classroom.  Recently, I was asked to review and sign a contract of rules the children needed to follow in order to use an ipad.   As I looked at the clearly defined, bulleted list of what was expected of the children in order to have the privilege of using a piece of equipment, it occurred to me how closely some of these resembled accommodations needed for children with food allergies.

IPAD Contract

 

Below is the content of the contract:

iPad Rules:

  1. Clean Hands-wash and dry hands before you use an iPad
  2. No Liquids-don’t have drinks around the iPad including water
  3. Be Gentle- treat the iPad with respect. Carry it carefully and set it down securely
  4. Follow Instructions-use only the apps that you have been given permission to use.
  5. Ask Questions-if you have a problem with the iPad, speak up and let you teacher know
  6. Sleep it-when the teacher is talking to the class, or you are not using the iPad, put it on the sleep setting

This was a formal written contract that needed to be signed and returned by every family in this classroom.  This was all to keep an $800 electronic device safe from harm.

 So my question is, if we can do all of this for a piece of  $800 equipment, how much more should we be willing to do to protect a child?

Many school districts and childcare centers still do not have written rules, policies or regulations in place to protect children with food allergies.

The CDC has provided guidance in this area by publishing their Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs.

AllergyHome provides this table with suggested accommodations, Food Allergen Exposure in the School Setting as well as a wealth of free resources.

FARE provides these tips for the classroom setting.

Kids With Food Allergies Foundation provides school resources here.

FAACT provides this Education Resource Center.

 

The common thread is that there must be rules put in place in order to protect children with food allergies.  These rules should be clearly written and easy for people to access.  Communication and implementation are key components of a successful plan.

Some common recommendations are to:

  • identify children at risk for an allergic reaction
  • create a plan specific to the needs of each identified child
  • train all adults responsible for children in the identification of an allergic reaction and how to use epinephrine
  • wash hands before and after eating
  • wash tables and chairs in the lunchroom before each lunch wave
  • check for allergens in food, crafts, cleaning supplies, soaps, lotions, and other classroom materials
  • have food-free classrooms or restrict food in the classroom
  • enforce a no food sharing rule
  • provide non-food items for rewards, birthdays, celebrations
  • provide allergen-free zones or seating
  • have rapid access to epinephrine
  • provide safe transportation
  • assess risks ahead of time when planning field trips or special guests in the classroom

 

What do you think?   For information on how your school or childcare center can implement the CDC guidelines, please contact Mennett Lee, LLC.  at gmleeconsulting@gmail.com.

 

 

 

* Disclosure:  I am a contributor to the AllergyHome website.

 

 

 

 

The TRUTH About Food Allergen Labeling

Saturday, December 28th, 2013 | Permalink

By Gina Mennett Lee, M.Ed.

Allergic Living posted an excellent article recently, entitled  “Advisory Labels: May Contain Confusion”.  This particular article discussed the confusion surrounding cautionary statements such as “May contain…” on food labels. In the article it states that “until something is done about the current state of advisory labeling, it’s best for food-allergic consumers to avoid products with any of the warning variations”.  But before approaching this “advanced” label-reading subject, we first need to review basic labeling laws.

Understanding the labeling laws and reading labels is just one of the many challenges in trying to keep a person with food allergies safe.  It is also one of the most misunderstood aspects of food allergy management.

People often ask me, “Is this safe?” and hand me a package.  They think that a quick read of the label will give me all the information I need to know if a food is safe.  This is not always the case.  Many times, I need to put food back on the shelf because I have no way of knowing if the food is safe or not just by reading the label.

Labeling Laws

 “FALCPA (Food Allergen Labeling and Consumer Protection Act of 2004) is an amendment to the Federal Food, Drug, and Cosmetic Act and requires that the label of a food that contains an ingredient that is or contains protein from a “major food allergen” declare the presence of the allergen in the manner described by the law. 

 Here are some facts you may not know:

Only the top 8 allergens must be labeled.  This means, if a person is allergic to something outside the top 8 (e.g. sesame), is does NOT need to be labeled.  These allergens can be hidden in words like “flavorings” or “spices”

Not all food is required to follow the labeling law.  The following foods are not required to be labeled: meat, poultry and eggs.

SnackSafely.com recently created this excellent visual regarding FALCPA.

Screen shot 2014-04-18 at 10.51.44 AM

 

Now that we’ve established what FALCPA requires, let’s discuss the advisory labels:

“May contain…”  , “Processed in a plant” and other such labels are not regulated nor required.  When researchers pulled items with these labels from the shelves and tested them for the presence of allergens, they found that some products actually did contain the allergen.  Therefore, it is recommended that these foods be avoided.

What is even more frightening is the fact that foods without any cautionary statements at all may also contain allergens!!  This was the case with 2 of my daughter’s anaphylactic reactions.  I read the labels for the foods each time and there were no ingredients that she was allergic to.  (As a matter of fact, one of the foods that caused anaphylaxis, she had eaten many times before without a reaction.)   After these reactions,  I did some investigating and found that her allergens were present in the plant but the label did not indicate this potential for cross-contact.   Food manufacturers are not required to provide this information.

This means that the only way to be absolutely sure if a food may contain an allergen is to call the manufacturers directly and ask.   I’ve done this numerous times with different results.  Sometimes the information is easy to access, other times not.  It’s no wonder that families are so loyal to companies that are dedicated to providing clear labels and transparency with their manufacturing processes.

Screen shot 2013-12-27 at 10.00.54 PM

However, even with companies that are transparent, it is important to be aware that labels and manufacturing practices can change without notice.

One example of a change in manufacturing comes during the holidays.  Halloween and holiday candy can be processed in a different plant from the regularly packaged product.  As a result, a candy that is normally “safe”  in its regular size may be manufactured in a plant with an allergen and may be unsafe in the holiday package.

This is why families are encouraged to follow one of the golden rules of food allergy management.  “Read every label, every time.”

Screen shot 2013-12-27 at 9.58.33 PM

 

Now for the final labeling issue.  Did you know there are hundreds of recalls every year for foods that are improperly labeled?  These are foods that may be labeled as not containing an allergen when if fact they do.  Because of this, manufacturers recall the item, but getting this information to the consumer can be difficult.  At times, the issue with labeling is brought to the attention of the manufacturer due to an allergic reaction by a consumer.  Other times, the manufacturer identifies the mistake.

 

So what do we do about this?  

Teachers and caregivers:

Make it a rule not to feed or give any child any food without their parent’s consent.   Even a food that you have seen this child safely eat before, may not be safe.

Do not serve foods without labels.

Parents of children with food allergies:

Read every label every time. No exceptions!

If there is no label, do not allow your child to eat the food.  (If it is homemade food, only allow your child to consume it if you are certain that the food has been made with ingredients that are safe and that there has been no cross-contact.)

Do not allow your child to eat foods with cautionary statements.

When needed, contact the manufacturer to discuss their practices and the risk of cross-contact.

Teach your child these rules and model this from an early age.

FDA:

Let’s get this labeling right.  Require that all ingredients in all foods be labeled including those ingredients not currently covered by FALCPA.  Consumers have a right to know what they are eating.

Require that all manufacturers provide information on their manufacturing practices on their labels and/or on their website.  Transparency is key when trying to ensure that consumers are safe eating a product.

 

 

 

 

5 STEPS TO PREVENT FOOD ALLERGY DEATHS

Friday, December 20th, 2013 | Permalink

By Gina Mennett Lee, M.Ed.

There have multiple deaths in the food allergy community over the last week or so.  Accidents will happen and not all food allergen exposures will be prevented.  However, food allergy deaths can be prevented.

1. Know the signs and symptoms of anaphylaxis.

2. Know how to use your epinephrine auto-injector.

3.  Never eat a food without knowing the ingredients and if it was prepared and handled without cross-contact with your allergens.

4. Clean hands and eating surfaces before eating.

…and most important…

5.  ALWAYS CARRY EPI & USE IT WHEN NEEDED!  

 

If you or a loved one has a food allergy, please always be prepared to handle anaphylaxis.

KEEP CALM

 

BEST Resources for Managing Food Allergies in the School Setting

Monday, December 2nd, 2013 | Permalink

By Gina Mennett Lee, M.Ed.

Food Allergy Educator and Consultant

 

 

Screen shot 2013-12-02 at 6.18.42 PM

I have been reading and analyzing everything food allergy related for the past 8 years.  From my perspective of both a food allergy advocate and a former teacher, here are the resource that I have found to be most helpful.  All of these can be found under the “resources” section of my website.

 

FREE RESOURCES:

FAEN You Could Save a Life…Poster 8 x 11- (Great for Lunchrooms, Classrooms, Teachers’ Rooms)

Potential Allergens in Preschool and School Activities (Table of allergens found in craft and art supplies)

FREE Teaching Tools for Children:

Be A P.A.L. Program (Appropriate for teaching other children about food allergies. Ages PreK-8.)

Everyday Cool with Food Allergies (Appropriate for teaching children about their food allergies.  Ages PreK-2.)

Hayden’s Food Allergy Video (Excellent video to teach other children about food allergies.  Ages PreK-4.)

 

Suggested Books to Use as Teaching Tools for Children (PreK-3):

The BugaBees: Friends with Food Allergies by Amy Recob

The BugyBops: Friends for All Time by Amy Recob

Everyday Cool with Food Allergies by Dr. Michael Pistiner

The Princess and the Peanut Allergy by Wendy McClure

The Princess and the Peanut by Sue Ganz-Schmitt

The Peanut Free Café by Gloria Koster

Nutley: the Nut-Free Squirrel by Stephanie Sorkin

Alexander the Elephant Series from FARE

Allie the Allergic Elephant, Cody the Allergic Cow and Chad the Allergic Chipmunk

 

 

FREE Training Tools for School Employees:

AllergyReady.com (This is a free, interactive training tool for school personnel.  It is very thorough and hits on almost all areas of food allergy management.   Employees can print out proof of completion.  It is created by a team of experts in the field of  food allergies. )

AllergyHome ( This is an excellent website created by two pediatric allergists.  There are many resources, all of them free.  I provided a link to a free training module for school personnel.  It is 30 minutes long and has a test at the end.)

The Food Allergy Book: What School Employees Need to Know  (This is a simple, easy to understand guide from the National Education Association.  It is appropriate for all school personnel.   You can download it for free or order hard copies to distribute.  You only pay for shipping.)

 

FREE Guides for Developing Policy:

Food Allergen Exposure in the School Setting (This is an excellent table to use when creating school-wide policy and/or when discussing individual accommodations.  It is based on the new CDC guidelines and references the latest facts and research in the food allergy world.)

School Food Allergy Education Table (Age-appropriate food allergy education based on CDC guidelines)

Safe at School and Ready to Learn (From the National School Board Association- the checklist on pages 18-33 is especially helpful.)

Voluntary Guidelines for Managing Food Allergy in Schools and Early Care and Education Programs (From the Centers of Disease Control )

 

If there are resources you feel I’ve missed, please let me know.

The School Access to Emergency Epinephrine Act. Now that it is Law, What Does it Mean?

Friday, November 15th, 2013 | Permalink

By Gina Mennett Lee, M.Ed.

Food Allergy Educator, Advocate & Consultant

 

What It Is.

This federal law provides incentive for states to pass laws that meet all of the requirements outlined below:

  1. States must grant rights for public school students to self-administer any asthma or anaphylaxis medication authorized by the student’s doctor (with conditions—see the law for details)
  2. State must require elementary and secondary public schools to permit authorized personnel to administer epinephrine to someone believed to be having an anaphylactic reaction.  They must also have stock epinephrine in a secure but accessible location.  The stock epinephrine must be prescribed via standing orders from a licensed physician,
  3. State must have Good Samaritan Law to protect those that “in good faith” administer the epinephrine to treat anaphylaxis

The incentive is that states meeting these requirements get preference when applying for asthma-related grants.

 

What it is NOT.

 

Probably more important that understanding what the law provides, is understanding what it does not provide.

  • It is not a mandate for all public schools to maintain a stock epinephrine.
  • It does not provide funding for schools to acquire stock epinephrine.
  • It does not provide funding directly to states for passing stock epinephrine laws.

 

Why is it important?

This law is important because it signifies an important step in the right direction.  In this current economic climate, many states have halted the passing of any legislation considered to be an “unfunded  mandate”.  By signing this into law, President Obama is acknowledging, on a national scale, the importance of stock epinephrine.  Hopefully, this will help those advocates on the state level add another bullet point to the “pros” of passing state law that mandates stock epinephrine in all public schools.   It is, however, only the beginning of the process.  Getting legislation passed in all 50 states is going to require a great deal of work from anaphylaxis educators and advocates in each of the states that currently do not have a stock epinephrine law.

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