Watura JC. Arch Dis Child. 2002;86:240–244
Purpose of the Study.
Peanut and tree nut allergy can be fatal. Many such reactions occur in school settings. How prepared are the schools to deal with these reactions?
Primary and secondary schools attended by 21 868 children in the United Kingdom.
The total number of nut-allergic children in all the schools was 87 (0.4%). Fifty-four percent of schools had at least 1 nut-allergic child. Only 31 (36%) children had medication available in school. Forty-four percent of schools with at least 1 nut-allergic child had no staff trained to administer medication. Thirty-three percent of schools with at least 1 nut-allergic child could not state a single sign of a severe acute allergic reaction.
Schools are not sufficiently well-informed about nut allergy and management of acute allergic reactions.
Because severe and even fatal food allergy reactions often occur at school, we need to better educate schools on how to be prepared for and deal with the reactions. Injectable epinephrine needs to be immediately available. School staff members need to be able to recognize the early signs and symptoms of anaphylaxis, and know how to administer epinephrine and activate emergency medical services.