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Anaphylaxis in Schools 3rd Edition

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Appendix F<br />

TIPS<br />

When draft<strong>in</strong>g school communication, it is important for pr<strong>in</strong>cipals and teachers to present a balanced<br />

picture of anaphylaxis <strong>in</strong> order to avoid creat<strong>in</strong>g unnecessary anxiety or establish<strong>in</strong>g unrealistic<br />

expectations for the school community. This can be done <strong>in</strong> collaboration with school nurses (where<br />

available). While anaphylaxis has the potential to cause severe reactions and death, risks can be<br />

significantly reduced through effective management strategies and emergency procedures.<br />

In the case of food-related allergic reactions, studies have shown that anaphylactic shock and fatalities<br />

most often occur when people at risk accidentally <strong>in</strong>gest someth<strong>in</strong>g to which they are allergic and<br />

do not receive ep<strong>in</strong>ephr<strong>in</strong>e <strong>in</strong> time. Underly<strong>in</strong>g asthma and age of victims (most often older children,<br />

teens, and young adults) have also been contribut<strong>in</strong>g factors.<br />

While many schools have asked families not to br<strong>in</strong>g specific foods (e.g. peanuts), it is difficult to<br />

ensure compliance with food restrictions on an ongo<strong>in</strong>g basis. Therefore, it is preferable to avoid us<strong>in</strong>g<br />

phrases such as:<br />

• ‘Peanut-free’, ‘tree nut-free’ or ‘guarantee’ – when referr<strong>in</strong>g to a school environment or policy.<br />

• ‘Ban’ – this term tends to be divisive for the community and can be mislead<strong>in</strong>g. Similar to a<br />

guarantee, it is impossible to ensure complete compliance with a food ban.<br />

The allergen-free signs (e.g. peanut-free) used by some schools can serve as a rem<strong>in</strong>der that certa<strong>in</strong><br />

products aren’t allowed. However, an allergen-free environment cannot be guaranteed and safety rules<br />

should still be followed.<br />

40<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

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