Posts Tagged food allergies

Top 3 Non-Negotiables for Food Allergy Accommodation Plans

Monday, December 8th, 2014 | Permalink

By Gina Mennett Lee, M.Ed.

FoodAllergyConsulting.com

Hopefully, if you have been reading my work, you know that I stress the importance of an individual written plan for each child with a food allergy.  The importance of an individual plan is echoed in the CDC guidelines.   These plans should address strategies to prevent a reaction as well as what to do should a reaction  occur.  Individual accommodations will differ depending on the child’s allergies and the unique educational setting of the school.  However, there are a few accommodations that I personally hold firm as non-negotiables.  These three accommodations will inform the remainder of the necessary accommodations for each child.

hand stop

 

1. Immediate access to epinephrine: Every allergist I have spoken to or listened to at conferences (and this includes many of top allergists in the United States) stresses the importance of always having epinephrine with the child.  Why should this NOT be the case at school?  When reviewing research and individual cases of food allergy deaths, delay in administration of epinephrine is often one of the most important factors.  Recently, additional research was published drawing a connection between the delay of the use of epinephrine and the increased amount of time a person was hospitalized.  The message is clear, the sooner the epinephrine is administered, the better the outcome.  Make sure every child has immediate access to this life-saving medication.

2. Supervision by trained staff:  This should be a no-brainer.  If the those supervising the child throughout the school day are not trained to identify the signs of an allergic reaction or trained to administer the epinephrine, there will be a delay in treatment or possibly no treatment at all.  This can have dire consequences.  In some states, there are laws that prohibit certain people from administering epinephrine. If this is the case, alternative plans need to be put in place to ensure each child has immediate access to someone that can administer epinephrine.  All staff can be trained to identify symptoms of an allergic reaction and to prevent reactions from occurring.  This supervision must be in place at all times including on the bus or at before and after school activities.

3. Allergen-free classrooms:  This measure is firmly supported by the CDC.  Children attend school to learn. All children deserve to learn in a safe environment.  For children with food allergies this means an environment free of their allergens.  They should not be put in a situation where they are distracted from their primary goal by having to worry about their allergens.  In addition, I  want teachers to be able to focus on teaching rather than the management and proper clean-up of allergens.  Given that 45% of allergic reactions requiring epinephrine begin in the classroom, reducing the amount of “unnecessary food” as well as eliminating allergens is a safe and effective way to reduce the likelihood of a reaction.

Other points to consider:

Allergens can remain on surfaces that appear to be clean.

Research indicates that adults touch their faces numerous times per hour and that children ages 2-5 touch their faces 40 times per hour.  This means that a student with an allergy can unknowlingly touch their allergen and then touch their eyes, nose or mouth and suffer a reaction as a result.

Often these measures are put in place at a young age.  However, teens and young adults should be given the opportunity to learn in an environment free of their allergens as well.  Teens are at a higher risk of a fatal allergic reaction.  We need to continue to protect these children.

 

These three accommodations are a solid starting point of an effective plan.

Related posts:

Top 3 Actions Every Preschool Must Take to Protect Students with Food Allergies

FREE Food Allergy Training Options for Schools

Food in the Classroom Not About Public Opinion

 

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.

 

 

 

 

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