Canadian <strong>School</strong> <strong>Boards</strong> AssociationResponsibilities of anaphylactic students• Take as much responsibility as possible <strong>for</strong> avoiding allergens• Eat only foods brought from home or approved <strong>for</strong> consumption• Take responsibility <strong>for</strong> checking labels and monitoring intake (as developmentally appropriate)• Wash hands be<strong>for</strong>e eating• Learn to recognize symptoms of an anaphylactic reaction (as developmentally appropriate)• Promptly in<strong>for</strong>m an adult as soon as accidental exposure occurs or symptoms appear• Keep an auto-injector handy at all times• Know how to use the auto-injector (as developmentally appropriate)Responsibilities of all parents• Respond cooperatively to requests from school to eliminate allergens from packed lunches andsnacks• Participate in parent in<strong>for</strong>mation sessions• Encourage children to respect anaphylactic child and school policies• In<strong>for</strong>m the teacher prior to distribution of food products to any children in the schoolResponsibilities of all students(as developmentally appropriate)• Learn to recognize symptoms of anaphylactic reaction• Avoid sharing food, especially with anaphylactic children• Follow school rules about keeping allergens out of the classroom and washing hands• Refrain from “bullying” or “teasing” a child with a food allergy40
EndnotesOverview1Ham Pong, A. (2001). Food allergies in Canadians. Presented at the 57 th Annual Meeting of theAmerican Academy of Allergy, Asthma, and Immunology, New Orleans; Journal of Allergy and ClinicalImmunology 107, S196 (abstr 650).2Bock, S. A., Muñoz-Furlong, A. & Sampson, H.A. (2001). Fatalities due to anaphylactic reactions tofoods. Journal of Allergy and Clinical Immunology, 107(1), 191-193.Chapter I1Bock, S.A. & Atkins, F.M. (1989). The natural history of peanut allergy. Journal of Allergy and ClinicalImmunology, 83, 900-904. Cited in Canadian Paediatric Society, Allergy Section, PositionStatement (1994): Fatal anaphylactic reactions to food in children. Canadian Medical AssociationJournal 150 (3), 338.2Zarkadas, M., Scott, F. W., Salminen, J., & Ham Pong, A. (1999). Common allergenic foods and theirlabelling in Canada — A review. Canadian Journal of Allergy and Clinical Immunology 4, 118-141.3Gold, M., Sussman, G., Loubser, M., & Binkley, K. (1995). <strong>Anaphylaxis</strong> in schools and other childcare settings. The Canadian Society of Allergy and Clinical Immunology; Ontario Allergy Society;Allergy, Asthma In<strong>for</strong>mation Association.4Berger, E. (1998) Survey #18, The Canada Health Monitor.5Gold, Sussman, Loubser, and Binkley. Op. cit.6Zimmerman, B. (1973). The Management of Anaphylactic Reactions to Food Allergies in Children.Ontario Medical Review, October, 17-207Bock, S. A., Muñoz-Furlong, A. & Sampson, H.A. (2001). Fatalities due to anaphylactic reactions tofoods. Journal of Allergy and Clinical Immunology, 107(1), 191-193.8Ham Pong, A. (2001). Op. cit.9Gern, J.E., Yang E., Evard, H.M. et al (1991). Allergic reactions to milk-contaminated “non-dairy”products. New England Journal of Medicine 324, 976-979. Cited in Canadian Paediatric SocietyPosition Statement (1994) p. 337.10Fife, S. (1995) Crunchy, smooth or deadly. Globe and Mail (5 August).11Gold, Sussman, Loubser, & Binkley. Op. cit.12Bock, Muñoz-Furlong & Sampson. Op. cit.13Gold, Sussman, Loubser & Binkley. Op. cit.14Bock, Muñoz-Furlong & Sampson. Op. cit.15Canadian Paediatric Society Position Statement (1994), 338.16Parent package <strong>for</strong> school-age children with anaphylaxis (1993). Allergy/Asthma In<strong>for</strong>mationAssociation, <strong>Anaphylaxis</strong> Project Group.17Gold, Sussman, Loubser & Binkley. Op. cit.18Bock, Muñoz-Furlong & Sampson. Op. cit.41