Anaphylaxis in Schools 3rd Edition
Anaphylaxis in Schools 3rd Edition
Anaphylaxis in Schools 3rd Edition
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Consensus Statement<br />
4. The use of food <strong>in</strong> crafts and cook<strong>in</strong>g classes may need to be modified or restricted depend<strong>in</strong>g on the<br />
allergies of the children.<br />
5. Alternatives to us<strong>in</strong>g food as a reward should be considered.<br />
Non-food items such as stickers and pencils should be considered for some class and school<br />
celebrations where young children are <strong>in</strong>volved. If teachers have a system <strong>in</strong> place to reward students,<br />
they should consider non-food items or a special activity.<br />
6. Ingredients of food brought <strong>in</strong> for special events by the school community, served <strong>in</strong> school cafeterias,<br />
or provided by cater<strong>in</strong>g companies should be clearly identified.<br />
Parents of food-allergic children should be consulted when food is <strong>in</strong>volved <strong>in</strong> class activities. Food<br />
should not be left out where young children with food allergy can help themselves.<br />
7. All children should be encouraged to comply with a ‘no eat<strong>in</strong>g’ rule dur<strong>in</strong>g daily travel on<br />
school buses.<br />
8. All children should wash their hands with soap and water before and after eat<strong>in</strong>g.<br />
Anti-bacterial hand sanitizers are not as effective at remov<strong>in</strong>g peanut butter residue.<br />
9. Surfaces such as tables, toys, etc. should be carefully cleaned of contam<strong>in</strong>at<strong>in</strong>g foods.<br />
Where allergens have been consumed, wipe down the surface us<strong>in</strong>g a household clean<strong>in</strong>g product and<br />
disposable cloth or paper towel. (Throw out after to avoid cross-contam<strong>in</strong>at<strong>in</strong>g other surfaces.) Note<br />
that alcohol wipes are less effective <strong>in</strong> remov<strong>in</strong>g allergens.<br />
See Appendix G for recommendations for clean<strong>in</strong>g and hand wash<strong>in</strong>g.<br />
See Appendix H for <strong>in</strong>formation on anaphylaxis management <strong>in</strong> the high school sett<strong>in</strong>g.<br />
Insect St<strong>in</strong>gs<br />
The risk of <strong>in</strong>sect st<strong>in</strong>gs is higher <strong>in</strong> the warmer months. General guidel<strong>in</strong>es to reduce the risk of<br />
exposure to <strong>in</strong>sect st<strong>in</strong>gs <strong>in</strong>clude:<br />
1. Keep garbage cans covered with tightly fitted lids <strong>in</strong> outdoor play areas.<br />
2. Consider restrict<strong>in</strong>g eat<strong>in</strong>g areas to designated locations <strong>in</strong>side the school build<strong>in</strong>g dur<strong>in</strong>g daily<br />
rout<strong>in</strong>es. This allows for closer supervision, avoids school yard cleanup, and helps reduce the<br />
prevalence of st<strong>in</strong>g<strong>in</strong>g <strong>in</strong>sects.<br />
3. Have <strong>in</strong>sect nests professionally relocated or destroyed, as appropriate.<br />
4. People who are allergic to st<strong>in</strong>g<strong>in</strong>g <strong>in</strong>sects should:<br />
––<br />
Always carry an ep<strong>in</strong>ephr<strong>in</strong>e auto-<strong>in</strong>jector with them dur<strong>in</strong>g <strong>in</strong>sect season (varies by region).<br />
14<br />
<strong>Anaphylaxis</strong> <strong>in</strong> <strong>Schools</strong> & Other Sett<strong>in</strong>gs<br />
Copyright © 2005-2014 Canadian Society of Allergy and Cl<strong>in</strong>ical Immunology