2015 faact school staff presentation
TRANSCRIPT
Get the FAACTsABOUT FOOD ALLERGIES
Disclosures / Acknowledgements
Disclosures
___________________, FAACT Representative Speakers received no monetary or in-kind compensation
Acknowledgements
• Food Allergy & Anaphylaxis Connection Team (FAACT). 2015
• Center for Disease Control and Prevention (CDC). Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs. Washington, DC: US Department of Health & Human Services (DHH); 2013
• St. Louis Children’s Hospital. Food Allergy Management & Education (FAME) program. 2014
FAACT: Who and What FAACT's mission is to educate, advocate, and raise
awareness for all individuals and families affected by food allergies and life-threatening anaphylaxis.
FAACT offers many education programs and hands-on civil rights advocacy support in the school setting.
FAACT educates and informs food-allergic individuals of their rights to safely and equally participate alongside individuals without food allergies, particularly in schools.
FAACT’s website offers an Education Resource Center and Civil Rights Advocacy Resource Center with many free and downloadable resources including a food allergy school curricula program.
FAACT offers visual aids for schools: bookmarks, posters, etc.
Accurately Diagnosing and Managing a Food Allergy Food allergies can be serious. Living with a food allergy
requires thoughtful planning, communication and vigilance at home and in public. That’s why accurate diagnosis and management are so important.
Whether you believe you or a loved one has a food allergy – or you have already been diagnosed – you have come to the right place for information and helpful tips from medical professionals and those who have been in your shoes.
Learn More About Food Allergy Diagnosis How to Effectively Manage a Food Allergy
#FAACTedu
Food Allergy – Prevalence• Food allergies affect 8% of US Children
• 2 Students per classroom, U.S.
• 50% increase among children aged 0-17 from 1997 - 2011
• Food allergies & asthma in children = 29% Higher risk for anaphylaxis
• 30% of allergic children allergic to multiple foods
#FAACTedu
Food Allergy – FAACTs
• There is NO cure for food allergies
• Management based on strict avoidance and prompt treatment of accidental ingestions
• 18% of children reacted while at school
• 25% of first time severe reactions occur in the school setting
• Fatalities have occurred in schools due to delays in properly recognizing and treating serious allergic reactions (anaphylaxis)
#FAACTedu
Food Allergy – FAACTs
School staff must be prepared to recognize and treat a severe reaction in students with known and NO known allergy
Annual training for school staff or personnel
Educating everyone who comes in contact with the student throughout the day
Ensuring the proper medication is readily available and accessible
Auto-Injector epinephrine training for school staff
#FAACTedu
“Food Allergy” – The Term• “Food Allergy”• An immune system response to a
food the body mistakenly believes is harmful
• Food related conditions & diseases often confused with a food allergy
• Food allergy can be fatal
Anaphylaxis Action Plan signed by a medical doctor
#FAACTedu
Food Allergy 90% of food allergic reactions in the U.S. are
caused by eight foods:
Milk Wheat
Egg Soy
FishPeanuts
Crustacean Shellfish Tree-nuts
Any food can cause an allergic reaction
#FAACTedu
Anaphylaxis Anaphylaxis (an-a-fi-LAK-sis) is a severe allergic
reaction that is rapid in onset and may causedeath.
• Anaphylaxis from food = (within minutes – several hours)
• Death from food = (30 min – 2 hrs. of exposure)
• Approximately 20% of ANA reactions recur within 4-6 hrs (biphasic reaction)
MUST be transported to ER
#FAACTedu
Anaphylaxis – FAACTs
Can be FATAL if not treated promptly Can include a wide range of signs & symptoms Symptoms can occur alone, or in combination Requires immediate treatment
(follow student’s emergency action plan on file)
Injection of epinephrine 911 Observation in ER (2-24 hrs. recommended)
#FAACTedu
Anaphylaxis Triggers
Food = leading cause of anaphylaxis outside of the hospital setting
#FAACTedu
Anaphylaxis
Risk Factors Delay of epinephrine Relying on
antihistamines (i.e. Benadryl, Zyrtec… )
Peanut and Tree Nut Allergies
Alcohol consumption Asthma Exercise
Groups at Higher Risk
• Adolescents
• Young adults
• Individuals with asthma
• Children with known food allergy
• History of anaphylaxis
#FAACTedu
Signs & Symptoms
Throat• Itchy• Tightness / closure• Hoarseness• Trouble
breathing/swallowing
• Hacking cough• Stridor
Mouth• Itchy• Swelling of tongue,
lips, or roof of mouth
Skin• Itching• Hives or other rash• Redness/flushing• Swelling
Gut• Nausea• Abdominal pain (a
sharp stabbing pain)
• Vomiting• Diarrhea
Lung• Shortness of breath• Wheezing• Repetitive Cough• Chest pain /
tightness
Mental• Anxiety• Panic• Sense of doom• Confusion
Circulation/Heart• Chest pain• Low blood pressure• Pale blue skin color• Dizziness or fainting• Weak pulse• Lethargic
Eyes/Nose• Red Watery Eyes• Runny / Stuffy Nose• Sneezing• Swollen Eyes
Epinephrine (adrenaline)
First line treatment for anaphylaxis Naturally produced in the body Early use to treat anaphylaxis improves a
person’s chance for survival Effects are not long lasting, additional doses
may be needed Administer epinephrine = call 911
All staff should be trained on epinephrine administration
#FAACTedu
Epinephrine (adrenaline) Epinephrine is a naturally occurring substance
in the body that is produced during stressful situations.
During an anaphylactic reaction, we administer additional epinephrine in the form of an injection to increase the body’s natural response to the stressful situation
Benadryl and other antihistamines will not stop the progression of symptoms in an anaphylactic reaction
There are NO contraindications to giving epinephrine!!!
#FAACTedu
Risk Reduction Strategies
• Cleaning measures
• Reading food labels
• Creating a safe environment
• Educating parents, students
and school staff
#FAACTedu
Cleaning Measures
Hands Yes
• Soap and water Yes
• Hand wipes
(*Wet Ones / Tidy Tykes)
X No• Plain water
X No
• Hand Sanitizer
Surfaces Yes
• Lysol sanitizing wipes
• Formula 409
• Commercial cleaning wipes
• Target brand cleaner with bleach
• Other common household cleaning agents
X No
• Liquid dish soap#FAACTedu
Food Labels – FALCPA Food Allergen Labeling Consumer Protection
Act Applies to top eight allergens Consult with parents
#FAACTedu
FALCPA Requirements Manufacturers can comply with FALCPA labeling
requirement in one of three ways
1) By listing the allergen, in plain English, in the ingredient list itself e.g., INGREDIENTS: Rice, sugar, freeze-dried strawberries, wheat, malt flavoring, milk
2) By listing the allergen, in plain English, in a parenthetical immediately after the scientific ingredient term e.g., sodium caseinate (milk), semolina (wheat), albumin (egg)…
3) By having a separate “Contains” statement immediately after or adjacent to the list of ingredients (in a font size at least as large as the ingredients list) e.g., “Contains milk and soy”
#FAACTedu
Creating a Safe EnvironmentGoal - To create a safer learning environment by reducing children’s exposure to potential allergens
School bans?
Alternatives? Allergen Safe Zones / Food Free Zones
(classrooms or eating area in cafeteria; library, buses)
Allergy – Aware (classroom, school)
Limiting food in the classroom Rewards
Birthdays
Holidays#FAACTedu
Creating a Safe Environment1. Ensure the daily management of
food allergies in individual children
2. Prepare for food allergy emergencies
3. Provide professional development on food allergies for staff members
4. Educate children & family members about food allergies
5. Create and maintain a healthy & safe educational environment
#FAACTedu
Prepare for an Allergic Emergency If an allergic reaction occurs on the
playground, what means of communication is available?
Who will retrieve epinephrine, including second dose and/or stock, if not carried by student?
Who is responsible for administering epinephrine?
Who is responsible if no school nurse is on-site?
Who is calling 911?#FAACTedu
Prepare for an Allergic Emergency Who is outside to alert first responders of
location? Who will document times? Who will contact the parents? Who will ride with the student? Who will speak to students who may have
witnessed? Who will speak to the families of other food
allergic students?#FAACTedu
A Team Approach!
A Team Approac
h
Medical Provider
School Nurse
School Staff (transportation, food service, administration,
bus drivers, P.E. Coach,
etc.) All Parents /
Students
PTA / PTO
Epinephrine Training
Epi-Pen
www.epipen.com
Auvi-Q
www.Auvi-Q.com #FAACTedu
St. Louis Children’s Hospital– FAME Toolkit
Provides schools with the components of a comprehensive school-based food allergy program to promote best practices
http://www.stlouischildrens.org/health-resources/advocacy-outreach/food-allergy-management-and-education
FAACT’s Food Allergy Curricula Program for Schools Food allergies affect approximately 1 in 13 children – about 2 children
per classroom. With so many students affected, it is crucial for educators to build an awareness of the seriousness of food allergy among all their students.
FAACT’s Food Allergy Curricula Program for Schools consists of three, age-appropriate programs: K-3, grades 4-8, and high school. All curricula programs have been created by FAACT and reviewed and approved by FAACT’s Medical Advisory Board.
PowerPoint presentations, lesson plans, and activities can be used to introduce your students to common food allergens and safety protocols while encouraging empathy for classmates with a food allergy.
Please share with your schools and districts – educators and students will enjoy learning about food allergies with FAACT! Download the free program from our Web site today.
#FAACTedu
Civil Rights AdvocacyFAACT educates and informs food-allergic individuals of their rights to safely and equally participate alongside non-allergic individuals.
FAACT offers direct, one-on-one service, free of charge
Visit FAACT’s Civil Rights Advocacy Resource Center: Individualized Healthcare Plans (IHCP)
Individualized Education Plans (IEP)
504 Plans
Know Your Rights
Sample Accommodations, Plans, Letters
http://www.FoodAllergyAwareness.org/civil-rights-advocacy/
#FAACTedu
Impact of Food Allergies on the Daily Activities of Children and Their Families Food allergies affect everyone in the family. In
surveys of parents or caregivers of children with food allergies,
60 percent reported that food allergies significantly affected meal preparation.
41 percent reported a significant impact on their stress levels.
34 percent reported that food allergy had an impact on the child’s school attendance.
#FAACTedu
Impact of Food Allergies on the Daily Activities of Children and Their Families 10 percent choose to home-school their children
because of food allergies. 59 percent reported school field trips were
affected by food allergies. 68 percent reported school parties were affected
by food allergies. The number of food allergies had a significant
impact on activity scores, but the addition of other conditions, such as asthma and eczema, did not significantly affect the results.
#FAACTedu
Impact of Food Allergies on the Daily Activities of Children and Their Families Review studies & references at:
http://www.FoodAllergyAwareness.org/foodallergy/psychological_impacts-12/
#FAACTedu
Food Allergy Bullying BULLYING (/boolē-ēng/ verb.)
Unwanted, aggressive behavior that involves a real or perceived power imbalance. The behavior is repeated, or has the potential to be repeated, over time. Includes making threats, spreading rumors, attacking someone physically or verbally, and excluding someone from a group on purpose.[1]
Bullying is more than just teasing among children. The difference is the power imbalance (real or perceived) and the intention to cause harm.[2] For children with food allergies, the power imbalance can be quite real – and the harm potentially life-threatening.
Although most bullying reported by children happens at school, it also occurs other places children are together, including playgrounds, school buses, at home or in a friend’s home, restaurants, camp, and on the Internet.[3] In some cases, the school bully is not a student but a teacher or other adult.[4]
[1] U.S. Department of Health and Human Services, StopBullying.gov, accessed December 2013. http://www.stopbullying.gov/what-is-bullying/definition/index.html
Food Allergy Bullying Bullying a child with a food allergy can range from
taunting the child to physically assaulting with the allergen. It is considered a form of “disability harassment.”
[2] Dr. Rashmi Shetgiri, University of Texas Southwestern Medical Center
[3] Shemesh, E. et al. “Child and Parental Reports of Bullying in a Consecutive Sample of Children with Food Allergy,” Pediatrics (2013:131).
[4] Saint Louis, Catherine.
Visit our site to learn more about Bullying: http://www.foodallergyawareness.org/education/for_parents-4/bullying_-_general_information-9/
FAACT’s Programs Camp TAG (The Allergy Gang)
Teen Conference
Anaphylaxis & Support Group Leadership Summits
Education
Civil Rights Advocacy
Awareness
www.FoodAllergyAwareness.org/programs
AwarenessMaterials & Literature: Organize a poster
contest at your school Distribute free or low
cost resources: Posters, bookmarks,
flyers, signs, webinars Schools, daycares,
restaurants, medical offices (allergists, pediatricians, etc)
#FAACTedu
AwarenessWebsites & Social Networks: Post ‘KNOW THE FAACTs’
as your Profile or Cover Photo Post & share Food Allergy FAACTs!
Find us on: Facebook Twitter LinkedIn Instagram Pinterest You Tube
Print & distribute FAACT’s Information Flyer
www.FoodAllergyAwareness.org #FAACTedu
