Food Allergies and Menu Planning for Schools and Child Care. Lynn James, M.S., R.D., L.D.N. Janice Ronan Fran Alloway, M.A., R.D., L.D.N. Penn State Cooperative Extension. Overview of Objectives. What is an allergy? Control of allergens Allergen regulations What you can do
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Lynn James, M.S., R.D., L.D.N.
Fran Alloway, M.A., R.D., L.D.N.
Penn State Cooperative Extension
The body’s adverse reaction to food caused by the immune system of sensitive individuals
The substance that causes the
Within 2 minutes -2 hours of eating the food,
body’s cells make Histamine that can cause:
Over 160 foods are identified as causing food allergies, but 8 are the most common:
have a food allergy
milk, egg, soy – 50 - 80%
peanut, tree nuts and shellfish -15 - 20%
Exclusive breastfeeding for first 4 mo.
Feeding hypoallergenic formulas if not breastfed – some evidence
2. For Families with Food Allergies, Infant feeding Guidelines:
Source: American Academy of Allergy, Asthma, & Immunology www.aaai.org ; American Academy of Pediatrics
Cross-Reactivity- allergy crosses over to like allergens-
Oral Allergy Syndrome- a kind of cross-reactivity, severe mouth itching
The drug of choice for treatment of anaphylaxisis
Should be followed by trip to hospital
Body lacks lactase enzyme to digest milk sugar
Or Celiac Disease- bodyreacts to gluten- proteins in wheat, barley, and rye.
Food Additives-often confused with food allergy, some can cause problems in sensitive individuals:
Requires that the label of all packaged food sold in the US under FDA that contains an ingredient that is or contains protein from a “major food allergen” must display a “Contains” statement OR plain English labeling of allergens in ingredient statement OR both
Currently no thresholds for allergens
Effective for food products labeled on or after January 1, 2006—domestic and imported.
Labeling Option 1: Name food source after name of ingredient
Ingredients: Enriched flour (wheat flour, malted barley, niacin, folic acid), sugar, whey (milk),eggs . . . . . lecithin (soy).
Found near ingredient list on label:
Contains wheat, milk, eggs, and soy.
Children with potentially life-threatening food allergies may be considered disabled and covered by federal laws:
Preschools and child care centers that receive federal funds or services must comply.
Titles II and III may impact centers run by state or local governments and private centers.
Liability waivers are of little use.
Parents cannot enter into an agreement that denies their children necessary care and protection.
Work together with
Food Allergy & Anaphylaxis Network (FAAN) Fairfax, VA
FDA: Information about Food Allergies
National Library of Medicine: MedlinePlus Food Allergy
International Food Information Council (IFIC)
Lynn James, M.S., R.D., L.D.N.
Frances Alloway, M.A., R.D., L.D.N.
Extension Educators, Penn State Cooperative Extension
Penn State Cooperative Extension minimize risks to children.
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