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SCHOOL OF CULINARY ARTS Teaching Your Students about Food Allergies Chef Karin J. Davis, FSSMC-CI Kendall College School of Culinary Arts Licensed State of IL Department of Public Health FSSMC-CI Registered ServSafe Instructor and Proctor National Restaurant Association Certified Food Allergen Professional

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Page 1: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Teaching Your Students about Food Allergies"Chef Karin J. Davis, FSSMC-CI"

Kendall College School of Culinary Arts"Licensed State of IL Department of Public Health FSSMC-CI!

Registered ServSafe Instructor and Proctor!National Restaurant Association

Certified Food Allergen Professional!!

Page 2: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Page 3: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Let’s  go!  Interac/ve  tools:  •  Fill  in  the  blank  version  •  Simple  Top  8  chart  

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SCHOOL OF!CULINARY ARTS

Introduc/on  Video  First,  we’re  going  to  watch  a  short  video  that  talks  about  what  it’s  like  to  be  a  teenager  with  food  allergies.  

click for video

Page 5: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Why  is  it  important  for  restaurateurs  to  study  food  allergies?  

¨ 1  in  25  Americans  has  a  food  allergy  ¨ 150-­‐200  people  die  every  year  from  a  food  allergy  reac/on  

¨ 1  in  3  people  under  the  age  of  18  with  food  allergies  has  experienced  food  allergy-­‐related  bullying  

¨ Most  adverse  food  allergy  reac/ons  are  linked  to  food  served  in  restaurants  

¨ The  goodwill  you  create  will  mean  repeat  business  ¨ Guests  who  are  treated  well  create  posi/ve  word  of  mouth  

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SCHOOL OF!CULINARY ARTS

¨ Internal  produc/on  outlets  –  are  you  aware  of  the  ingredients?  

¨ Sanita/on  –  “cross-­‐contact”    Cross  contact  occurs  when  an  allergen  is  transferred  from  a  food  that  contains  the  allergen  to  a  food  that  does  not  contain  the  allergen.  

 

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Food  Allergy  Basics  •  The  role  of  the  immune  system  is  to  protect  the  body  from  germs  and  disease  

• A  food  allergy  is  an  abnormal  response  by  the  immune  system  to  a  food  protein  

• When  the  food  is  eaten,  the  immune  system  thinks  the  food  is  harmful  and  releases  histamine  and  other  chemicals  to  “aSack”  the  enemy  

Page 8: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

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Food  Allergy  Basics  

•  There  is  no  cure  for  food  allergy  • A  food  allergy  is  much  different  from  a  food  intolerance  

• Cross-­‐contact  vs.  cross-­‐contamina/on  • Complete  and  strict  avoidance    of  the  food  is  the  only  way  to  prevent  a  reac/on  

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160  Associated  Foods  but  …  Eight  foods  cause  90-­‐95%  of  the  allergic  reac/ons  in  the  United  States:  

•  Dairy  Milk  •  Peanuts  •  Eggs  •  Tree  Nuts  (e.g.,  walnuts,  pecans)  • Wheat  •  Fish  •  Soy  •  Shellfish  

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SCHOOL OF!CULINARY ARTS

•  Eggs  •  Milk  •  Peanuts  

   

¨ Shellfish  such  as  shrimp,  crayfish,  lobster,  and  crab  

¨ Peanuts,  a  legume  that  is  one  of  the  chief  foods  to  cause  severe  anaphylaxis,  a  sudden  drop  in  blood  pressure  that  can  be  fatal  if  not  treated  quickly  

¨ Tree  nuts  such  as  walnuts  ¨ Fish  ¨ Eggs    

Children  (under  18)   Adults  

Children are likely to outgrow allergies to milk or soy. Adults usually do not lose their allergies.���  

Page 11: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Symptoms  (some  or  all  may  occur)  Trouble swallowing Shortness of breath Repetitive coughing Voice change

Nausea & vomiting Diarrhea Abdominal cramping Drop in blood pressure

Loss of consciousness

Swelling Hives Eczema Itchy red rash

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Anaphylaxis  •  A  serious  allergic  reac/on  that  is  rapid  in  onset    (usually  within  5  minutes)  and  may  cause  death  

•  Each  year  in  the  U.S.  anaphylaxis  to  food  causes  an  es/mated  50,000  to  125,000  emergency  room  visits,  depending  on  the  source  

•  Individuals  with  food  allergy  plus  asthma  are  at  greatest  risk  for  a  serious  reac/on  

 

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Children  communicate  differently  

Some  children,  especially  very  young  ones,  put  their  hands  in  their  mouths  or  pull  or  scratch  at  their  tongues  in  response  to  a  reac/on.    Also,  children’s  voices  may  change  (e.g.,  become  hoarse  or  squeaky),  and  they  may  slur  their  words.  

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Examples  of  the  words  a  child  might  use  to  describe  a  reac/on:    •  "This  food  is  too  spicy."  •  "My  tongue  is  hot  [or  burning]."  •  "My  tongue  [or  mouth]  is  /ngling  [or  burning]."  •  "It  [my  tongue]  feels  like  there  is  hair  on  it."  •  "My  mouth  feels  funny."  •  "There's  a  frog  in  my  throat."  •  "There’s  something  stuck  in  my  throat."  •  "My  lips  feel  /ght."  •  "It  feels  like  there  are  bugs  in  there."  (to  describe  itchy  ears)  •  "It  feels  like  a  bump  is  on  the  back  of  my  tongue  [throat]."  

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What  is  FALCPA?  Food  Allergy  Labeling  and  Consumer  Protec/on  Act  

 This  law  requires  that  food  labels  show  in  plain  English  when  a  “major  food  allergen”  or  any  ingredient  that  contains  protein  from  a  major  food  allergen  is  added  as  an  ingredient  in  that  product.  

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How do the labels show the major food allergens?

Manufacturers have two options to indicate a major food allergen on product labels. The first option is to list the allergen in parentheses after the ingredient. The second option is to list the allergen at the end of the ingredient list. Often this “Contains” statement is bolded. See the box below for examples of these two options. Example 1: Ingredients: Whey protein (milk), lecithin

(soy), cherry, sugar, natural flavors (almond), salt. Example 2: Ingredients: Whey protein, lecithin, cherry, sugar, natural flavors, salt. Contains: Milk, soy, and almond.

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Do  you  know  someone  with  a  food  allergy?  1.  Bullying  is  a  huge  problem  among  people  with  food  

allergies.    18%  of  students  with  food  allergies  report  being  bullied  by  teachers  or  coaches.  

2.  Food  allergies  are  serious.  Don’t  make  jokes  about  them.  3.  Don’t  share  your  food  with  friends  who  have  food  allergies.    

Don’t  push  them  into  having  “just  one  bite”  of  something.  4.  Wash  your  hands  aker  ea/ng.  5.  Ask  what  your  friends  are  allergic  to  and  help  them  avoid  it.  6.  If  a  friend  with  food  allergies  becomes  ill,  get  help  

immediately.  

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Personal  Story  •  Food  Allergies:    corn,  soy,  turkey,  beef,  green  pepper,  and  bananas  

•  Environmental  allergies:    ragweed,  various  trees  

•  Asthma  •  History  of  reac/ons  

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Personal  Story  (con’t)  •  Preven/on  and  treatment  

– Let  friends,  family,  and  coworkers  know  – Educate  myself  on  ingredients  – Get  to  know  restaurant  managers  and  staff  – Shots  twice  a  week  to  lessen  my  reac/ons  – Carry  many  medica/ons  – Dog  tag  

Page 20: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS Stuff  with  Corn  

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“Natural  Flavors”  Ingredients Peaches, Reconstituted White Grape Juice, Reconstituted Pomegranate Juice, Reconstituted Pear Juice, Reconstituted Orange Juice, Color Added,

Ascorbic Acid (to Protect Color), Potassium Sorbate and Sodium Benzoate (to Preserve Quality), Citric Acid.

Natural Flavor,

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Review  Ques/on  1    Food  allergies  can  be  cured  with  allergy  

shots.    False:  There  is  no  cure  for  food  allergies.  

Avoiding  the  food  is  the  only  way  to  prevent  an  allergic  reac/on.  

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Review  Ques/on  2    

Milk  is  a  common  food  allergen.    True:  Milk  is  a  common  allergen.  People  

who  are  allergic  to  milk  must  avoid  cheese  (pizza),  ice  cream,  buSer,  yogurt,  and  all  other  foods  that  contain  milk.  

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Review  Ques/on  3    It’s  okay  to  test  if  a  food  is  safe  by  licking  it  or  

taking  a  /ny  bite.    False:  Even  a  /ny  lick  or  bite  of  a  food  can  

cause  a  reac/on.  People  with  food  allergy  must  read  the  ingredient  statement  before  ea/ng  a  food.  

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Review  Ques/on  4    If  a  friend  is  having  an  allergic  reac/on  you  

should  not  let  him  go  off  alone.    True:  Some/mes  symptoms  start  out  mild,  

and  your  friend  might  think  it’s  okay  to  go  off  alone.  But,  things  can  quickly  get  worse,  so  s/ck  with  your  friend  in  case  your  help  is  needed.  

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Sources  •  Center  for  Disease  Control  (cdc.gov)  •  The  Food  Allergy  Research  &  Educa/on  (foodallergy.org)  •  Dr.  Sonali  Majmudar,  MD  (allergist  and  internal  medicine)  •  Delphi  Forums  “Avoiding  Corn”  (hSp://

forums.delphiforums.com/avoidingcorn)  •  “Food  Allergies  Make  Kids  a  Target  of  Bullies”  (hSp://

www.cnn.com/2010/HEALTH/09/28/food.allergy.bullying/index.html?hpt=Sbin)  

•  Culinary  Ins/tute  of  America  (hSp://www.ciaprochef.com/foodallergies/)  

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Sources  (con’t)  

•  “Kids  with  food  allergies  may  be  the  target  of  schoolyard  bullies”  (la/mes.com/health/boostershots/la-­‐heb-­‐allergy-­‐bullies-­‐20100928,0,1630502.story)  

•  ServSafe  textbook  •  Nat’l  Restaurant  Associa/on  (hSp://www.restaurant.org/

foodhealthyliving/safety/allergies/)  •  Personal  experience  

 

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Video  Time!  Ming  Tsai,  Exec  Chef  and  Owner  of  “Blue  Ginger”  restaurant,  discusses  how  to  implement  a  food  allergy  plan  in  your  food  service  opera/on.  

click for video

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“Welcoming  Guests  with  Food  Allergies”  

•  Training  manual  for  restaurant  staff  from  the  Food  Allergy  &  Anaphylaxis  Network  

•  Contains  training  posters  and  informa/on  on  food  allergies  

•  www.foodallergy.org  for  download  

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Ques/ons?  

What  ques/ons  do  you  have  for  me?  

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Project  Time!  Working  with  a  partner,  you  get  to  choose  and  do  one  of  the  following  projects.    Tomorrow  you  will  be  doing  an  oral  presenta/on  of  your  project  to  the  class.    You  will  be  graded  by  your  classmates  and  by  me.  

 

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Project  #1  Prepare  a  poster  of  the  "Top  8  Food  Allergans"  and  general  food  allergy  informaNon  (at  least  3  interesNng  facts  you  learned  today).    

If  one  partner  is  bilingual,  one  poster  could  be  wriSen  in  English  and  another  in  an  alternate  language.  

It  will  be  on  display  in  the  kitchen.  

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Project  #2  Prepare  two  posters/displays  with  the  topic  of    'Teens  Suffering  from  Food  Allergies"  with  the  intent  to  stop  bullying.  

¨ Poster  A's  audience  is  fellow  teens.  ¨ Poster  B's  audience  is  school  staff  (teachers,  coaches,  lunch  servers,  security,  etc.).  

 If  one  partner  is  bilingual,  one  poster  of  each  topic  could  be  wriSen  in  English  and  another  in  an  alternate  language.  

Use  lots  of  drawings  to  make  the  poster  effec/ve.    It  will  be  on  display  in  the  kitchen.  

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Project  #3  Prepare  a  basic  flowchart  on  poster  board  of  how  a  food  allergy  order  flows  through  our  operaNon.    Be  sure  to  include  cross-­‐contact  precauNonary  methods  and  cite  your  sources  on  the  chart.  

If  one  partner  is  bilingual,  one  flowchart  could  be  wriSen  in  English  and  another  in  an  alternate  language.  

See  page  21  of  “Welcoming  Guests  With  Food  Allergies”  for  a  star/ng  point.  

Your  flowchart  will  be  displayed  in  the  kitchen.  

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Project  #4  Create  an  "Allergy  Reference  Book"  idenNfying  the  top  8  food  allergens  in  the  Tech  Café  menu.    AXerwards,  it  will  be  used  in  the  Café!  

If  one  partner  is  bilingual,  one  Allergy  Reference  Book  could  be  wriSen  in  English  and  another  in  an  alternate  language.  

You  must  complete  both  a  “Master  Food  Allergy  Chart”  and  individual  pages  for  each  menu  item.  Templates  are  provided  for  you!  

Page 36: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Project  #5  Create  a  Podcast  (including  an  outline)  of  a  PSA  (Public  Service  Announcement)  addressing  restaurant  owners  and  chefs  on  the  topic  of  "Making  Guests  with  Food  Allergies  Feel  Welcome.“    

Once  the  outline  is  approved  by  your  instructor,  the  students  will  be  supplied  with  a  digital  voice  recorder  to  record  their  podcast.  

Page 37: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS

Which  do  you  choose?  And  possible  points  …  

1.  Top  8  food  allergens  and  interes/ng  facts  poster  (10  points)  

2.  'Teens  Suffering  from  Food  Allergies’  posters  (20  points)  3.  Flowchart  of  food  allergy  orders  (30  points)  4.  Food  Allergy  Reference  Book  

 (40  points)  5.  Podcast  with  outline  (50  points!!!)    Come  up  to  the  desk  and  sign  up  and  begin  your  work!    See  me  with  any  ques/ons!    

Page 38: Teaching Your Students about Food Allergies€¦ · SCHOOL OF! CULINARY ARTS Teaching Your Students about Food Allergies" Chef Karin J. Davis, FSSMC-CI" Kendall College School of

SCHOOL OF!CULINARY ARTS