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Sun, Aug 16 2009

Are School Peanut-Free Zones Necessary?

My son’s school is a peanut-free zone. It’s forced me to think beyond PB&Js and PB&Hs for his school lunches. I think he can handle going without peanut butter for lunch for five days of the week. Do I think making elementary schools peanut free is extreme? Well, I did. Like many other parents, I rolled my eyes at what I thought were over protective parents demanding everyone around their child avoid peanuts because of a silly allergy. One day those kids will have to sit in the same room with a peanut butter sandwich – now or in college. You can’t ban peanuts from the planet. Really, how bad could those peanut allergies be?

That’s what I used to think. Then I heard from a few parents of kids with peanut allergies.

3750872835_b7156cecd0More and more school children are suffering from food allergies, especially peanut allergies. Most often the reactions are little more than a cough or a sneeze, but some can be fatal. Overall, food allergies result in more than 30,000 emergency room visits a year.

A recent study found that half of patients with peanut allergies reacted to as little as one-fiftieth of a peanut. What makes peanut allergies so potentially lethal to those who suffer from them is that the peanut does not have to be eaten to be fatal. Some people react to inhaling peanut products or touching an object that has been in contact with the allergen. If my child were that allergic to anything, you’re damn straight I’d lead the fight to ban that product from the earth.

Creating a peanut-free zone, especially at a school, isn’t an easy undertaking. For starters, every surface has to be wiped clean of any possible peanut residue, and all lunches served at the school cannot contain peanuts, peanut butter or peanut oil. The school also has to communicate to the parents the importance of not packing lunches for their children that contain any peanut products. For those of us who have never had to deal with a food allergy, banning peanut products from our kids’ lunches may sound ridiculous. But talk to a parent of a child severely allergic to peanuts, and you quickly learn why making such a concession on our end is a small price to pay.

Says Marc McMorris, M.D., assistant professor of internal medicine and pediatrics in the division of allergy-immunology at the University of Michigan Health System, “I doubt any of us would want a child to have a fatal reaction in a classroom because another family neglected to follow the rules that have been laid forth by the school district.”

Source: University of Michigan Health System
Photo,
Flickr, Matt Hurst

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Comments

  1. By Megan

    Oh my goodness! Some of you people are literally sickening! And no, you arogently believe you are educated on this topic, but clearly are not.
    My son went into full anaphylaxis from touching a cashew, he never ingested it. We were told by the doctors that he was lucky to live. He was admitted to 2 different ERs that night. You better believe that I am hysterical about this! I almost lost my 2 yo son over touching a nut! It was clearly diagnosed as a severe cashew allergy to the point where we avoid everything containing all nuts. It is quite extreme the measures we must take. This is not a normal allergy & the author eloquently recognized the difference between the different allergies. Both peanuts & tree nuts have a higher rate of anaphylaxis than other food allergies. My son has multiple food allergies & they all aren’t life threatening just the nuts. That where a lot of you are making the poor argument that Johnny is lactose intolerant (intolerance is not an allergy but a lack of enzymes to digest the lactose; completely different) & Suzie avoids gluten (still not an allergy) while Becky is allergic to strawberries (not a recognized anaphylactic allergy). I hope you can understand the difference. Anaphylaxis is a life threatening allergy where most allergies are not. Again I will reiterate that peanuts & tree nuts are amongst the highest anaphylactic allergies & why it needs to be treated differently.

    And in response to the CDC information. You have to be ignorant to believe that the CDC receives information on all cases. It is a government funded agency that acts the best it can with the provided funds. I’ve personally worked with the CDC to know it lacks A LOT of information & resources & can only act & provide within its means. They don’t know everything. They do the best they can. That is in respect to subjects like this & pharmaceutical, the area I had worked with them in. They can only provide information with what is provided to them. I sure as hell know my son’s case was not reported.

    So to all of you disbelievers tell me this. Would you really be ok with your child being exposed to this foods if you were in my shoes? If you were told your child was lucky to survive his anaphylactic reaction? I was with him when this happened. He didn’t even have the nut in his hand for 5 seconds when he went into anaphylaxis. Because of his age he’s supervised while eating so I saw that he did NOT ingest it. Further testing has confirmed all of this. So disbelievers, would you be ok knowing your child has the potential to die & know that the next reaction could be worse & even the 1 where you lose him/her? I doubt it. So, how can you be that selfish to think a parent of a child with this severe of allergy should back down? How can you even call yourself a parent with such lack of empathy?

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  3. By Anonymous

    You who are so worried about living without peanut butter during school… are selfish!!! let’s put this in perspective and get your facts correct on deaths attributed to peanut/tree-nuts. where ever you are looking for your source information, you must not be educated. Approximately 12 MILLION ppl in the US alone (not to mention other countries) have food allergies that is one in 25. Peanut and tree nut allergies are not the common sniffles and sneezes. Children with these allergies can literally die. Self centered individuals can’t think beyond 5 meals in the estimated average 21 meals a week that we eat to not have peanuts or treenuts. That is average if you’re eating breakfast, lunch and dinner seven days a week. Many of us have snacks too. So you’re saying you can’t live without peanut butter for five days to ensure the safety of children who can die from this allergy. Wow.

  4. By Sheila

    Yes please give me feedback

  5. By Traci

    In your piece you say that after talking with parents that have children with peanut allergies you are more sympathetic. You go on to say “What makes peanut allergies so potentially lethal to those who suffer from them is that the peanut does not have to be eaten to be fatal. Some people react to inhaling peanut products” Where did you get your information? No doubt from a hysterical parent. Please educate yourself.

    The only child that the CDC has on record of dying from a food allergy in a daycare setting died from a MILK allergy not peanut. Should we ban milk too? Most deaths from peanut allergies, which are extremely rare, are teens and young adults and happen at home or restaurant. This all according to the CDC.

    In your piece you say that after talking with parents that have children with peanut allergies you are more sympathetic. You go on to say “What makes peanut allergies so potentially lethal to those who suffer from them is that the peanut does not have to be eaten to be fatal. Some people react to inhaling peanut products” Where did you get your information? No doubt from a hysterical parent. Please educate yourself.

    The only child that the CDC has on record of dying from a food allergy in a daycare setting died from a MILK allergy not peanut. Should we ban milk too? Most deaths from peanut allergies, which are extremely rare, are teens and young adults and happen at home or restaurant. This all according to the CDC.

    I highly recommend that you pick up a book called “The Peanut Allergy Answer Book” by Michael Young, MD. On page 92 it specifically addresses the airborne issue. Here is excerpt from the book. “For anaphylaxis to occur, the peanut protein must be ingested, or find its way into the bloodstream, such as through a cut in the skin.”

    You also mentioned catching flack over your opposition to peanut bans. You will find that 99% of the people pushing for these bans don’t have a clue about peanut allergies. And the scary thing is they are the ones caring for children with these allergies and they don’t have clue about it. When a peanut ban came to my daycare I immersed myself into the subject. I now am now even more determined that peanut bans are not the way to go. Even FAAN (food allergy and anaphylaxis network) does not recommend food bans of any kind.

    Stand up for you believe in educate yourself and educate others.

    • By D.S.

      where on the FAAN website does it state that they do not support food bans?

  6. By HedgeMage

    If we ban everything some kids can’t have, there won’t be much food left.

    Some kids are lactose intolerant, so let’s ban the milk, cheese, and ice cream.
    Some kids are allergic to peanuts, so let’s ban the peanut butter, peanut oil, and peanuts.
    One commenter’s kid is allergic to turkey, so let’s ban the turkey.
    Another child is diabetic, so no sugar allowed.
    Another child is sensitive to chemical preservatives, especially aldyhides, so no artificial sweetener, and none of the usual pre-fabbed fare common to school cafeterias.
    Another kid is allergic to oats.
    Another kid can’t have wheat gluten.
    Another kid is allergic to berries…
    …see where I’m going here? It’s a terrible strategy.

    I’m sorry your kid has an allergy, but instead of teaching them to wander around haplessly ignorant of that, depending on others to protect them for you, stop being lazy, PACK A LUNCH, and teach your kid to discern what is and isn’t safe for him/her.

    It’s one thing to try to change the school’s menu (which might be annoying if you take it too far, but doesn’t violate anyone’s rights), and another thing entirely to try to dictate what other parents may pack for their children to eat at a public school they are LEGALLY REQUIRED to attend.

    As someone with life-threatening chemical sensitivities, I am appalled that someone would use this sort of medical condition to try to dictate the lifestyles and diets of others for their own convenience. If the peanuts were somehow airborne, that would be another thing entirely (as your child could not, through responsible behavior, avoid them) — but they aren’t!

    Quit copping out of your job as a parent by blaming others’ innocent sandwiches (and peanut-butter cups…mmmm).

    HedgeMage the Annoyed

    • By tina

      In most cases mere contact with the offending food will not cause a reaction, it must be ingested to cause a reactionbut i have heard of some people with allergiesto egg or milk just touching it causes a reaction..But nuts are dangerous for people because the tiny particles that escape in the air gets inhaled and cause allergic reactions for some people. It really breaks my heart to see how some people can be so mean about this issue. We never had any allergies in our family till my daughter was born. Her allergies terrify me. The thought of her going to school with people who don’t care about her condition scares me even more. Before my daughter was born I had contact with other kids with allergies and I always thought of their wellbeing. Why would anyone want to hurt these kids this way. Why isn’t it a chance to teach compassion and kindness for your classmates. We are teaching our kids what to do and be prepared for the world out there,but this is the thing-they are kids! They may not yet be assertive enough they are little kids who have to grow up a bit till they can handle their allergies on their own. Why can’t we take care of all our kids. If i see a kid doing something dangerous even if its not my kid, i do not want to see them get hurt and I step in.So now why is it so hard for parents to try to look out for other kids in school.It is not a huge sacrifice to save other parents and their children a heck of alot of worry -you are saving a life.I know it’s hard for other people to understand, but please put yourselves in our shoes-Imagine being scared for your childs life every single day.Even if you teach them,they are kids.They need this extra protection while they are in school.Nut allergies can be severe. What if it was your child with the allergy? Wouldn’t you want them to be safe while they were young and growing up learning to deal with this problem. I am a MOM. I care for the wellbeing of all kids-not just mine.Peanut allergy is airborne.I just witnessed a person having a horrible almost life threatening reaction. It happened at a store. She was a cashier and actually had requested t do another job in the store because she was worried about her proximity to candybars that were sold right at the checkout counters. But they only had that available for her.Anyway she was bagging and the person behind me opened up a candybar with peanuts,She didnot even see the person and she began to go into anaphylaxis.She turned blue injected herself but was still in distress and had to go to the hospital for further treatment. If your child was the one with allergies,I do not think you would be so casual about it. To have to go through these reactions are tough.I only ask for you to show sympathy to your fellow human beings, especially during the early stages of their life,when kids are kids they do stupid things.They already feel like they do not fit in, they might try to fit in or something and this may cost them their life. We should care for all the kids in our communities. This would make life in general better for us all. It is only with nuts not with other foods because it is an airborne and contact allergy. I wish you would trust these people with nut allergies because they are telling you the truth.This is something we would wish on no one.At least your child can eat these foods at home. Our children cannot at all.Every single thing that goes into their mouths have to be researched. Please be kind and understanding with this issue. Little lives and the people who love them depend on it.

  7. By Allison

    My son has severe allergies to many foods, peanuts being one of them. I think it’s hard to understand how dangerous and stressful dealing with food allergies is unless you have to deal with it yourself. I have read articles of people sneaking pb&j into school, and it sickens and saddens me. I’d like to know how those parents would feel if their child’s sandwich was the one that killed a child. It sounds dramatic, but it has happened.

  8. By smilinggreenmom

    Our little boy has had severe food allergies since he was a baby. It has really been a loong and hard road for all of us and mostly him! He has really been too young to fully understand the extent of the problem that his life was being faced with. I do not think anyone can be fully aware of this feeling without going through it. Our little boy does carry an Epipen and is allergic to peanuts. However, he had an anaphylaxis reaction to either melon or sunflower. He is now sooo much better with all of his sensitivities because we put him on the Vidazorb kids chewable probiotics- thank you God! But- there are still foods we must avoid.

    I understand that there are many allergies out there and we can’t ban them all…but peanut is one of the major ones with fatalities involved. If it were their child, I want to believe that those against peanut-free schools would feel this way too if their little one faced death because someone else must have peanut butter. Our daughter is in school, and because I know the dangers to others-she even packs Soybutter and jelly sandwiches. She loves them and doesn’t even know the difference (which by the way- there is hardly a difference).

    I have a home daycare and all of my families have lovingly complied with my nut free, melon free and sunflower free home. I am sure it seems challenging to those who do not understand this life…as I may have been before seeing our two-year-olds throat and lips swelling to the size of balloons. Seriously, it is scary. I would never want anything to happen to anyone’s child-especially if I knew it could be avoided by a simple sandwich switch (by the way, ramen noodles in a thermos costs waaay less than even peanut butter).

    I wish all of my child’s allergens could never be near him…unfortunately this is just not realistic. I know that when he goes to school, I will worry. But I have to just do all I can to protect and educate him and those around him incase of whatever. It worries me a lot. I think the best advice for parents of allergic children is to educate those around their child. Talk ALOT with cafeteria workers, lunch duty employees, teachers, office staff etc. Make your child stand out by communicating with them. Make sure they are trained and aware of the severity.

    I hope others can have more empathy towards this. In the whole scheme of things, is it really so much to not pack a peanut butter sandwich? Really? There are mommies and daddies out there that would never want to live a day of their life without their child…shouldn’t we then do all we can to protect them without feeling like we are an outcast? Thanks for letting me speak my thoughts. It really is about the children.

  9. By Jerri Ann

    I owned a daycare with an average of 40 kids. None of them not one had a peanut allergy. And, we still rarely ever served pb&j sandwiches because it is difficult to meet the nutritional guidelines when you have that.

    For example, a meal where we served pb & j sandwiches we had 2 options:

    1. each sandwich, regardless of one piece of bread or two, had to have 2 TABLESPOONS (capped that for emphasis) of peanut butter on them. Have you ever tried to eat a pb&J sandwich with one piece of bread and 2 TABLESPOONS of pb on it and folded in half? Please tell me—now – at that point, I had to worry about choking hazards not allergies.

    2. the peanut butter was considered the protein portion of their meal and so if I chose to serve another source of protein and could document that I did so, I could lessen the amount of pb on the sandwiches. So, we would decrease the amount of pb and every child got 1/2 of a boiled egg with their lunch which would also usually include english peas or sometimes french fries and then some kind of fruit.

    That said, does a pb & j sandwich with 1/2 a boiled egg and peas and peaches sound good to you? Ack…

    Ok, so I was totally off subject but schools fall under the same nutritional guidelines that daycares do so if a school is serving pb&j sandwiches, they too have to comply with the amount of protein in the meal contingent on the age of the child.

    With that said, the only time our school serves pb&j sandwiches for the most part is if there is a field trip and kids have to have a sacked lunch and they buy it from the lunchroom like normal.

    Now, if I choose to send something from a fast food place to school with my child, I have to completely unpack it and put it in a regular ziplock bag (think mcdonald’s cheeseburger, *gasp*) and the fries can’t be in the little baggy either. No drinks of any kind are allowed in the lunchroom if they have a label on them unless it is milk. No soda cans, no juice boxes, no gatorade bottles, it has to be in a thermos. None of those containers with the label removed are acceptable either. Not even bottled water.

    With that, you can see that the schools are very much regulating what we send and how we send it even though I highly doubt that there is a kid out there that has an allergic reaction to mcdonald’s chicken nuggets, cheeseburgers or fries And, what about gatorade or juice? Bottled Water?

    I stay in a constant battle of will’s with my kid’s school and I take big issue with them playing big brother and telling me when I can check my kid out, when I can take him on an educational family trip and it be an excused absences or a death in the family causing travel not being excused.

    I don’t think as much about the fast food packaging as much, but when they start to tell me what I can send or bring my kid or lunch (even if they tell me how to pack it), then I will be standing on the porch of the good board of education just like I did last year when my son’s classroom teacher decided that candy would make an adequate reward for good behavior. I called foul on that and had to go through all kinds of channels. But, I did find the nutritional policy and I did find the wellness policy.

    And, what I consider to be an even greater travesty is that they are worried about what a parent sends their own kid to school each day to eat, they are monitoring ow much time we spend every night reading to/with our kids, they monitor who in my family dies and when they are buried to account for absences (and have asked for notes from a funeral home before) but they aren’t holding anyone accountable for the fact that 9 out of 60 first graders were held back last year Actually it is more than 9, just 9 of them ended up in one room together.

    Let’s put that in perspective, my kid who has yet to make anything but a 100 on his big ol’ school tests on spelling and reads no a 3rd grade level is in a room, being taught on the level of kids who are repeating the grade and they are more concerned about whether he has a pre-packaged meal or a simple pb&j sandwich in their bag? Give me a break already…..

    Daycare is one thing, kids don’t understand they are allergic and can’t have it. But most kids, by the time they reach school age that are allergic to peanuts have had this beaten into the head and they wouldn’t touch something peanut butter based in the first place. I mean really, do we have nothing more to concern ourselves about as a society on a whole than pb&j sandwhiches when in most cases, even the most indifferent parent who never see’s that homework is done or has never read a book or even doesn’t read to their child on a regular basis will inevitably very much on-top-of the fact that their kid has a peanut allergy and will bust their butts to see that their kid knows it too.

    Stepping off my proverbial soap box.

  10. By Michelle Smith

    I worked in the school cafeteria for 4 school years and we put children with peanut allergies at peanut-free tables or areas. Kids come to school with all sorts of lunches and many vegetarian children bring sandwiches with nut butters.

    We also had students with wheat allergies and we did the same thing. If they had a note from their dr, then it was noted on both their emergency info and the cafeteria manager had a notation as well.

    I’ve noticed that many snacks have notations on them about “made on peanut free” equipment. That makes me wonder if there are peanut products out there that we are not aware of. Peanut-free could get really complicated.

    And also sad. Peanut butter is so yummy. I feel bad for the people who don’t get to eat it.

  11. By Eliza Ferree

    While I’d love to say I back any parent trying to protect their child, this is one that I do not agree with. My kids get PB&J for lunch every day, on rare occasions ham, baloney, tuna fish, etc. But it is easier and cheaper for PB. School says we make too much for reduce lunch, so I’d never agree to this one. My son is allergic to turkey, however school would never stop surving turkey every year, even though they only do it for a month. I have come to the conclusion that if I want him not to be near it, I must keep him out during this time. I’ve done this too, just last year they served it to him, thankfully he didn’t eat much but still. So I do understand not wanting it in the school, but sometimes others can’t afford to do this. It does sound like you are in an area where you can afford to do without it and there are more options, which sounds like this has made it a bit easier.

  12. By Jennifer B

    I read your recent post about PB&J lunch alternatives several days ago and was very glad to see the above post, which was mentioned on Twitter by food allergy mom and advocate Gina Clowes. Thank you for being so understanding!