Anaphylaxis in Schools 3rd Edition

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Consensus Statement 4. The use of food in crafts and cooking classes may need to be modified or restricted depending on the allergies of the children. 5. Alternatives to using food as a reward should be considered. Non-food items such as stickers and pencils should be considered for some class and school celebrations where young children are involved. If teachers have a system in place to reward students, they should consider non-food items or a special activity. 6. Ingredients of food brought in for special events by the school community, served in school cafeterias, or provided by catering companies should be clearly identified. Parents of food-allergic children should be consulted when food is involved in class activities. Food should not be left out where young children with food allergy can help themselves. 7. All children should be encouraged to comply with a ‘no eating’ rule during daily travel on school buses. 8. All children should wash their hands with soap and water before and after eating. Anti-bacterial hand sanitizers are not as effective at removing peanut butter residue. 9. Surfaces such as tables, toys, etc. should be carefully cleaned of contaminating foods. Where allergens have been consumed, wipe down the surface using a household cleaning product and disposable cloth or paper towel. (Throw out after to avoid cross-contaminating other surfaces.) Note that alcohol wipes are less effective in removing allergens. See Appendix G for recommendations for cleaning and hand washing. See Appendix H for information on anaphylaxis management in the high school setting. Insect Stings The risk of insect stings is higher in the warmer months. General guidelines to reduce the risk of exposure to insect stings include: 1. Keep garbage cans covered with tightly fitted lids in outdoor play areas. 2. Consider restricting eating areas to designated locations inside the school building during daily routines. This allows for closer supervision, avoids school yard cleanup, and helps reduce the prevalence of stinging insects. 3. Have insect nests professionally relocated or destroyed, as appropriate. 4. People who are allergic to stinging insects should: –– Always carry an epinephrine auto-injector with them during insect season (varies by region). 14 Anaphylaxis in Schools & Other Settings Copyright © 2005-2014 Canadian Society of Allergy and Clinical Immunology
–– Stay away from areas where stinging insects gather such as gardens, hedges, fruit trees, and garbage cans. –– Wear light colours (insects are attracted to bright ones) and avoid loose flowing garments or hair that could entrap an insect (tie hair back). –– Wear shoes instead of sandals during the warm weather; do not go barefoot. –– Avoid substances that attract insects, e.g. perfumes, colognes and highly scented suntan lotions, cosmetics, hair sprays and deodorants. –– Drink from cups rather than beverage cans or bottles where insects can hide. Use a straw if drinking beverages outdoors. –– Consult with an allergist to determine if they are appropriate candidates for venom immunotherapy, a de-sensitization program, which is highly effective. Consensus Statement Other Allergens Reactions to medication, exercise, latex and unknown causes (i.e. idiopathic) are rare in school settings. Care of children with these allergies should be individualized based on discussions amongst the parents, physicians, and school personnel. The same emergency protocol, as described earlier in this document, would apply. Anaphylaxis in Schools & Other Settings Copyright © 2005-2014 Canadian Society of Allergy and Clinical Immunology 15
Page 1 and 2: Anaphylaxis in Schools & Other Sett
Page 3 and 4: Copyright © 2005-2014 Canadian Soc
Page 5 and 6: Table of Contents Table of Contents
Page 7 and 8: Executive Summary Executive Summary
Page 9 and 10: Consensus Statement Consensus State
Page 11 and 12: If an allergic person expresses any
Page 13 and 14: Other Factors to Consider • Prev
Page 15 and 16: 3. All individuals receiving epinep
Page 17: Avoidance Strategies Consensus Stat
Page 21 and 22: child/school with an epinephrine au
Page 23 and 24: Training & Communication Consensus
Page 25 and 26: References Consensus Statement 1. S
Page 27 and 28: Appendices Consensus Appendices Sta
Page 29 and 30: of position may lower their blood p
Page 31 and 32: School Anaphylaxis Plan Appendix C
Page 33 and 34: • Have the child wear medical id
Page 35 and 36: Given that anaphylaxis can be trigg
Page 37 and 38: Anaphylaxis Emergency Plan: (name)
Page 39 and 40: HOW TO USE ALLERJECT TM Practice Wi
Page 41 and 42: Think F.A.S.T. Appendix E Anaphylax
Page 43 and 44: Sample Letter from Teacher (element
Page 45 and 46: Avoidance Strategies for Specific F
Page 47 and 48: Avoidance of Peanut and Tree Nuts A
Page 49 and 50: look for ‘may contain’ warnings
Page 51 and 52: effective. 9 In the same study, res
Page 53 and 54: Teens must be able to resist peer p
Page 55 and 56: Anaphylaxis in the Workplace Append
Page 57 and 58: Manitoba Since 1995, Manitoba has b
Page 59 and 60: On January 1, 2012 the Ontario Mini
Page 61 and 62: • A requirement that every schoo
Page 63 and 64: Idiopathic reaction: a reaction tha
Page 65 and 66: Anaphylaxis Canada Anaphylaxis Cana
Page 67 and 68: OTHER ORGANIZATIONS Appendix L Alle
Page 69 and 70:
Health Canada (Food Directorate) Th
Page 71 and 72:
Association of Allergists and Immun
Page 73 and 74:
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