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Susan Weissman

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Should Schools Be Nut-Free?

Posted: 05/19/11 09:45 AM ET

When parents protested this past March claiming that a Florida student needed to be home-schooled due to her intrusive peanut allergy, this question resurfaced: Should U.S. schools be "Nut Free?"

As the parent of an eight-year-old with multiple anaphylactic allergies, I wonder how much the label of "Nut-Free" school can secure the safety of any nut-allergic allergic child. I don't question whether the awareness and effort taken when enforcing such a policy would be very helpful. It would. However, parents like myself have many other crucial allergy-safety practices. For example, we should also assess our child's emergency medication procedures, the availability of the school nurse, the distribution of individual and general allergy information, and yes, we even need to consider classroom hygiene (depending on the age of the children).

The label "Nut-Free" school leaves unanswered questions. What if a food is brought to school that does contain nuts? Is it confiscated? Does it include all nuts and nut oils? Does it include foods that are labeled as potentially cross-contaminate with nuts? What about bake sales or special occasions when outside food is brought into the school?

Currently, food allergic children are protected by the Food Allergy & Anaphylaxis Management Act, which was signed into law January 4, 2011. Or are they?

FAAMA:

1) Requires the U.S. Secretary of Health and Human Services to develop and make available to schools a voluntary policy to manage the risk of food allergy and anaphylaxis in schools.
2) Provide for school-based food allergy management incentive grants to support implementation of food allergy management guidelines in public schools.

What does that really mean? It means that hopefully U.S. schools will make use of the "voluntary national guidance materials" pertaining to food allergies and at the very least address how they plan to address food allergies. Some schools may take this charge more seriously than others by learning cost-free methods of ensuring an allergic child's safety -- for example, administrators can train teachers to recognize the symptoms of a reaction or ensure that medical information is effectively distributed to their staff. However, schools may choose to retain a plan that is relatively ineffective in minimizing the risk of an allergic reaction. In most states, schools are facing budget cuts, which can increase class sizes and decrease school nurse's office hours. That isn't a good ratio for allergic children should they have an unexpected reaction.

But there are many ways that parents can advocate for their food allergic child within the varied context of FAAMA:

Parents can advocate for a safe environment for their children by 
communicating with the school. They can approach schools in the spring before the next school year begins, introduce themselves and schedule meetings with the principal, teachers and school nurse.

Parents can bring their own resources for teaching allergy-safe school practices. These resources can be downloaded from the FAAN (Food Allergy and Anaphylaxis Website) website for parent-initiated meetings and presentations on food allergies.
 


Parents can put a 504 plan in place. 
The Section 504 of the Rehabilitation Act of 1973, states that "A student with a disability like food allergies can obtain a 504 plan to keep the child included and have equal access to Free & Appropriate Public Education (FAPE) in the least restrictive environment the same as their non-disabled peers."
 Any school, public or private, that receives federal funding, (i.e., a lunch or milk program) is subject to Section 504 of the Rehabilitation Act of 1973. And, for private schools not covered by 504, the Americans with Disabilities Act provides similar protections. (Religious private schools are exempt.)
 


Parents can also file an IHP -- Individual Health Plan -- to outline emergency procedures should their child have a reaction.

There is a balance at play when dealing with food allergy safety in school. On one side, there is the weighty questions of "what if?" What if a child has an allergic reaction, despite best preventive efforts? And on the other side, there is a heavy pile of nuts -- how much should schools tip that scale? In the New York area, many public schools offer peanut butter and jelly sandwiches as the alternative to the daily hot lunch. Is it possible for a peanut anaphylactic child to stay safe (or even comfortable) in a cafeteria filled with children eating peanut butter? I don't think so.

On the other hand, if a school is "Nut-Free," but a substitute teacher unknowingly hands her class miniature nut-contaminated chocolates, that same allergic child may need a flawless execution of their emergency procedures far more than the inevitable fallibility of that label. It's time for local school districts to address the whole issue of food allergy safety in schools, without parsing out controversial media sound bites. It's time to stop endangering the lives of our school children.





 
 
 

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robin360
dog is god spelled backwards
02:21 PM on 05/27/2011
How about a compromise? You know those medic-alert bracelets and necklaces? Kids with significant allergies could wear those until they are old enough to advocate for a no-nut existence. Perhaps there is a way to educate teachers and school staff that they need to be on the look-out for these medical alerts. It's not a perfect idea and I'm sure someone could improve on it, but either/or thinking generally doesn't work.
thebigbike
ran away to be a cowboy
08:48 PM on 05/25/2011
so..... what happens when a severely nut allergic child gets out of an intensively nut free elementary school, and enters the ..uh... more "challenging" world of high school, and later on, even less restrictive world of college perhaps or employment. I find it tough to believe any of those zones will be even slightly "nut-restricted" . then what?
01:29 PM on 05/25/2011
I was dx with peanut allergy at the age of 6; my first reaction was in school. This is why it's so important for schools to be able to admin an epi-pen even if the child doesn't have a scrip--sometimes you just don't know. During my time, (mid-eighties) no one would have accepted a nut-free policy, and in fact kids routinely tried to "poison" my lunch by sneaking peanuts into the bag so I often went hungry.

My doctor sat me down right after I recovered from my first reaction and said I was ultimately responsible for my life. Parents wouldn't always be around to protect me. I couldn't ever go without reading a label, and if I wasn't sure or there was no label, it wasn't worth eating the food. I had to make sure things I touched were clean and even talk back to adults who didn't get it if necessary. I got through all of grade school w/o using my epi-pen.

That said, I think my allergy, while anaphylactic, was a teeny bit milder than some of the kids today. I've had an inhaled reaction but it was at a bakery making a big batch of peanut cookies, not a school where a few peanut foods are present. I don't know if nut-free policies can cover all such situations anyway. IMO, policies are great but even tiny kids must be educated to be vigilant. I was.
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aznurse
05:12 PM on 05/23/2011
if they had that in the old days, I wouldn't have had a typing teacher.
11:55 AM on 05/23/2011
Here is some information about what the law requires...in case anyone was wondering:
http://www.foodallergygourmet.com/Food%20Allergy/USDA%20Child%20Nutrition.htm
10:00 AM on 05/23/2011
We need to address the problem not the symptom. What is causing the huge rise in food allergies?
11:36 PM on 05/22/2011
if your child cannot live eat and function "normally" and have some problem then keep them at home or make sure they follow their own regime outside your home.
Though it may feel asympethetic, I feel these allergy paranoia of some minuscule %age of people are very selfish in regulating the majority of children and restricting their livelihood and healthy food.
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AngelaQuattrano
I just like to write comments
10:01 AM on 05/23/2011
It's selfish to want to be able to send your kids to public schools and not have them die there?
01:28 PM on 05/23/2011
yes, this is a good debate. if your kid cannot survive in a public domain why do you even send them there.
YES, it is almost selfish to expect that the whole public school system will change just for 0.01% of the population.
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maribelles
have opinion? win fans, lose fans
05:18 PM on 06/18/2011
Is it selfish to expect the school to be responsible for what the child eats, instead of the parents being responsible?
10:18 AM on 05/23/2011
Yeah!!. This goes for all "abnormal" kids. Just keep them at home. They don't have a right to public education like the "normal" kids.
If your child has cancer, diabetes, autism, learning disorder, behavior disorder, cleft palate, blind, deaf, heart disease, obese, or too skinny, etc.. Keep them at home. We don't want them causing an inconvenience on the normal children or their parents. Especially when it comes having to give up a peanut butter sandwich that the "normal" children MUST have for those 180 meals out of 1095 in a year or they will starve to death.
Teaching "normal" children to be compassionate and understanding of their friends' limitations is not something a "normal" parent would want to take the time to do. Can you imagine having to pick up the jar of sunbutter at the store instead of peanut butter!? What an inconvenience! I mean...it sits 2 inches from the regular peanut butter, and we would have to reach our arm an extra inch to pick it up instead of the regular "Normal" stuff.

Well said 6p023E23! I bet you are so glad your family is "normal" and you don't have to worry about anything ever happening that could cause anyone to become "abnormal".

FYI...serious food allergies are not something that everyone is born with. They can develop them as they age. 25% off food related reactions that happen at school, are to children with no previously known allergies.
01:26 PM on 05/23/2011
Yes, I do feel that way. you have no right to limit and regulate the majority of population of "normal" kids because your child is messed up...in what ever way shape or form.
if your child is deficient, abnormal and that is the way nature made it and nature make up statistics as the part of evolution. DEAL WITH IT. and YES your child is YOUR responsibility.
11:34 PM on 05/22/2011
I'm a parent. I know kids with nut allergies. I know it's serious. I get it. Really. I do.

But no. Schools should not be nut-free. I think the classroom the kid is in should be nutfree for grade schoolers but a whole school? No, Get with the school nurse to work up a plan. Make sure all the adults at the school are on the same page in case there's an emergency. Educate your child about how to ask and what to eat.

My child is a vegetarian. Peanut butter, peanut bars, nuts, and other nut butters are a large part of her protein/fat intake almost every day. She has the right to take a pb&j to her school.

She has a friend who has a very serious allergy to strawberries. When both girls were in 4th grade, my daughter became hyper vigilant and sensitive to the other child's problems. Now, when we go shopping, she's particularly careful to segregate the strawberries we buy from all our other foods. All the girls' other friends do this as well out of respect for and consideration of the child's problem.

It is unrealistic and unfair to make an ENTIRE SCHOOL a nut-free zone for the sake of a few children.
12:43 AM on 05/23/2011
"My child is a vegetarian­."

I trust that was her choice?
01:25 AM on 05/23/2011
Yes.
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Susan Weissman
09:32 AM on 05/23/2011
I generally can agree but as I indicated above - parents of nut-allergic children may feel unsafe with safe "zones" or "classrooms" depending on the school. Here in Manhattan, elementary schools can be overpopulated. They can have crowded cafeterias with little supervision, nurses that are part time and again - that optional PB & J sandwich at every meal. Understandably, there are going to be parents that are going to try to find admissions into other public schools where at least there isn't the sandwich option or the adult to child ratio is better.
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AngelaQuattrano
I just like to write comments
10:02 AM on 05/23/2011
Most people do not have multiple schools from which to choose if the school has decided to ignore a life-threatening allergy.
09:36 AM on 07/08/2011
Susan, thanks for this article and for providing parents with useful information that may help them. As a NYC parent myself, I completely agree the environment is too risky for a child with nut allergies and thank you so much for taking a stand and saying so. The schools ARE overcrowded, and worse, the administration misinformed. Older kids can be more responsible but in elementary school the kids cannot be expected to do so. They know enough to know it's a risk, and many children would be anxious the whole time. It's much more than .01 % of the population and growing. Also, even if the school doesn't want to go "nut free", they don't have to go out of their way to serve peanut butter in the cafeteria. Why would you possibly increase the risk? Particularly in overcrowded cafeterias, with uneducated staff, no nurse, and no guarantee an adult with an epipen can be present at all times it is a tragedy waiting to happen. Personally, I did not feel comfortable taking the risk with my child. There needs to be better policies in place, as we see in Canada and Massachussetts.
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pphhrogg
domestic clown goddess
05:24 PM on 05/22/2011
NO, schools should not be nut free. Peanut butter is not only a childhood favorite of many, but it's also good for children, too (with the exception of those who have peanut or other nut allergies). Children need to be taught how to handle their allergies.....not coddled. America is taking PC MUCH too far!
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AngelaQuattrano
I just like to write comments
10:05 AM on 05/23/2011
Yes, it's time for 4 year olds to take responsibility for what the other kids in their classroom are eating.
10:21 AM on 05/23/2011
Protecting a child with a life threatening illness is not coddling, or PC. It's common sense. Oh...and there's a law too called the "Children with disabilities act"
12:26 AM on 05/24/2011
Well said! Thank You! : )
10:35 AM on 05/22/2011
Ban nuts from school? While we're at it, why don't we have school grounds sprayed with pesticides to eliminate bees because bee stings can cause deadly reactions? At what point do we draw the line on the hyper-vigilance of the hovering parent?? Yes, all children in the United States are entitled to an education in a safe environment, yet how do we determine and truly enforce "safety?" It's not possible to ensure 100% safety in any way, shape or form. A tornado could cut through the building, the school bus could crash, an adult could kidnap a child walking home from school, a classroom experiment could go awry, a child could fall from the monkey bars and, yes, a student with severe allergies could eat a peanut or be stung by a bee. At some point, we have to accept that there are risks in LIFE and we cannot protect our children from all the possible dangers that are out there. We can't even protect ourselves from them! If your child has a special need, it is completely within reason to educate the school administrators and teachers about that need, but to expect an entire school population to cater to that one child's need is selfish and ridiculous. Every child has a right to reasonable safety in school, not kid gloves and a protective bubble.
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Matt Herren
"Human action is purposeful behavior."
01:35 PM on 05/22/2011
You beat me to it. Thank you for saying all of the things that needed to be said.
02:46 PM on 05/22/2011
No one is suggesting that we keep a bubble around our kids. But, until we are able to educate the public on how serious food allergies are...and educate our schools on what is required to keep them safe, there will continue to be problems.
Children with food allergies are protected under Americans with disabilites Act. They are entitled to a public education as much as any other child is. They are also entitled to that education without fearing for their life. For some children, a simple peanut can pose as much risk to that child as a loaded gun. That is a simple fact that is hard to imagine that for someone who has never been faced with this type of health problem.
Schools are required BY LAW to keep the school as safe as possible for all kids who attend there. It means putting up ramps for children in wheelchairs, hiring aides, and creating special classrooms for children with severe disabilities. It means having a defibrillator on the bus and in the nurses office in case someone would suffer cardiac arrest. No one complains about these accommodations.
Children with food allergies are only restricted when it comes to what can be served in the cafeteria. A half hour time frame out of a 24 hour day.
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pphhrogg
domestic clown goddess
05:25 PM on 05/22/2011
TEACH the allergic children how to avoid the foods to which they are allergic. Banning nuts will punish those who are NOT allergic......and thats a much higher number of children.
12:28 AM on 05/24/2011
Thank YOU for educating those that really need it!
10:04 AM on 05/22/2011
I used to say NO to schools being nut free and was pretty flippant about the idea of it impacting my kid's lunch choices (since we are veg), until a 13 year old girl named Kaitlyn died at our school due to anaphylactic shock due to peanut contamination. Since then the school went peanut free and all parents are highly sensitive about what we send our kids with when they are around others. My kids now eat sunflower seed butter when they want pbj. It is not that difficult and I would rather have their friends live than not. Our Gov is sitting on a bill that would allow school staff to administer epipens to students, which did not happen for Kaitlyn. She did not have one and the staff could not give her someone elses. She died before paramedics made it to the school. Here is part of an article with info on the bill and Kaitlyn. http://www.chicagotribune.com/news/local/breaking/chibrknews-allergic-foodreaction-injection-bill-sent-to-gov-quinn-20110518,0,4416852.story
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12:02 PM on 05/22/2011
I agree with you. I, too, was rather cynical about the whole 'peanut-allergy' thing. I didn't know anyone within my immediate family that had this so-called allergy. Then, to my surprise, both of my children turned up positive with this peanut allergy. I just think the up-tick in frequency of diagnosis is too drastic to be ignored. In fact, I am sure that in every school there are children who have not even been diagnosed with this allergy... but it is present. I think it is just too risky in the elementary/middle school grades especially.
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pphhrogg
domestic clown goddess
05:29 PM on 05/22/2011
Shame on that child's parents (and her teachers) for not TEACHING her how to avoid the foods to which she was allregic. I'm allergic to much of the planet Earth, yet I'm still alive at age 63. People need to take responsibility for their own children (and their medical care)....and QUIT blaming everyone else!
07:04 PM on 05/22/2011
If this is the same case I read about in the news... a lack of education with that child was NOT the problem. It was the lack of education in the cafeteria. A cafeteria worker used the same tongs to serve two different foods. One that she was highly allergic to, and one that she was allowed to have.
Shame on YOU for your insensitivity.
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HUFFPOST SUPER USER
fnygy
It seems my micro bio is empty. Hmmm...
11:15 PM on 05/21/2011
Schools should be prepared to deal with food allergies and parents who have children with food allergies need to make sure their child's school is prepared - as well as their child. After all, how many foods shall we ban? Shall we have shell fish free schools? Strawberry free schools? (Oh, and peanuts aren't nuts. They're legumes.)
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Loggietoad
Libertarian Combat Veteran
01:46 PM on 05/20/2011
No. Schools should not be nut free. Because the world is not nut free. As a PARENT you are responsible for teaching your kids what to eat. Teach them to only eat the food you give them if they have a severe allergy.

NOTE: Before anyone makes claims that peanuts elicit allergic reactions through airborne exposure know that this is a MYTH that has never been replicated in any scientific study. Reactions may occur, but they are phycological in nature.
02:13 PM on 05/20/2011
True, the few studies performed to date have not demonstrated airborne reactions occur. This doesn't mean they don't, it just means the study picked a random group of allergic people. But what is not obvious, is not all allergic people have the same degree of sensitivity; some people have anaphylaxis from skin contact, others have to eat the allergen. And the threshold degree of sensitivity of a person changes without warning, and can be affected by the current state of their immune system (environmental allergies, viruses etc).

Also true, is that it is not common for allergic people to be so exquisitely sensitive that airborne particles can cause a reaction. But airborne anaphylaxis is real, it does happen, and it is acknowledged by world-renowned allergy researchers. It is just not the usual case.
03:09 PM on 05/20/2011
Indeed, the world is not nut-free. Watch the very young ones like a hawk, but at some point children who suffer allergies MUST be in charge of their own health issues, and the sooner the better.

And I really wish people with allergies would ask themselves daily "am I going over the top with this?" because it's getting ridiculous. I read an article about a woman who claims to be allergic to electricity and lives like a cave woman, fears that anyone will answer a cell phone near her. Hasn't anyone explained to her that her muscles and brain only work on electrical signals? Sometimes it's all psychosis.
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HUFFPOST COMMUNITY MODERATOR
Skepticat
Supporting skeptical felines everywhere
01:32 PM on 05/20/2011
Schools usually do what they can for the extremely allergic - but there are practical limits. If one is going to" ban" food products do you now have the "lunch police" searching 600 kids every day lest one brings in a nut product - and then- since as we know prohibitions work so well - do we inflict penalties, thus endearing the anaphylactic to the rest of the population. The best and sanest strategy is for the parents to meet with the kids teachers and school administration to brief them on the situation - the school district can educate parents about the problem in general train teachers to recognize anaphylactic shock - use of epi-pens etc, and teachers can educate other students as appropriate for age level - and leave a note in the class register for substitute teachers. Ultimately parents of the hyperallergic have to train their kids well because nobody can supervise every second of their day.
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Karen Ansel
Karen Ansel is a registered dietitian
09:10 AM on 05/20/2011
Because even the most comprehensive nut free school policy will never be 100% effective, as a registered dietitian and a parent of a child with multiple food allergies, I’ve found that one of the best things you can do is teach your food-allergic child to be vigilant. Obviously this is easier with an older child, but teaching your food-allergic child to always ask what is in a food and to become an expert food label reader as they get older can go a long way in helping prevent food allergy mishaps in school and also at after school activities and play dates.
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Susan Weissman
07:49 PM on 05/20/2011
That is exactly what I'm doing with my child.