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Food Allergy Education

Erin J. Williams
Mass Citizens for Health Choice
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                                                                                                  2
                                                                            Food Allergy Education
                                                                    Mass Citizens for Health Choice
Allergies Overview



The Basics      Symptoms by   Healing          Items to
• Types of      Age           • Proper         Consider
  Allergies     • Prenatal      Diagnosis      • Relationship
• Incidence     • Infancy     • Treatment        Impact
• Growth of     • Toddlers      in the Young   • Eating Out
  an Epidemic   • Children    • Pregnancy      • Traveling
• Top                           &              • Vaccines
                • Adults        Prevention
  Allergens                                    • Schools
                              • Alternative
                                Treatment      • Food Allergy
                                Methods          Laws
The Basics
                                     Food allergy occurs when the immune system
1 in 12 children, about 8% of the    mistakenly attacks a food protein. Ingestion of
US population, has a food allergy,    the offending food may trigger the sudden
                                       release of chemicals, including histamine,
according to a 2011 study            resulting in symptoms of an allergic reaction.
                                       The symptoms may be mild (rashes, hives,
Eight foods account for 90% of all      itching, swelling, etc.) or severe (trouble
food-allergic reactions in the US     breathing, wheezing, loss of consciousness,
        Milk        Wheat             etc.). A food allergy can be potentially fatal.
       Eggs          Soy               Scientists estimate that approximately 12
                                      million Americans suffer from food allergies.
     Peanuts         Fish
     Tree nuts     Shellfish


Over 300,000 ambulatory-care
visits a year among children.
Peanut allergy doubled in children
over a five-year period (1997-
2002).

                                                                                                  4
                                                                            Food Allergy Education
                                                                    Mass Citizens for Health Choice
The Top 8


    Milk         Eggs      Wheat                Soy




   Peanuts     Tree Nuts    Fish           Shellfish

Others frequent allergens:
Raspberries, Strawberries, Legumes,
Sesame, Corn, Coconut, Oat, Pit Fruits,
nightshade vegetables
                                                                   5
                                             Food Allergy Education
                                     Mass Citizens for Health Choice
Types of Allergies
          IgE Mediated                             IgG Mediated
Anaphylactic Food Allergies              Type II Allergies, also called GI allergies
                                         or Food Intolerance
Cause Hives, respirtory constriction,
abdominal pain, nausea, diarrhea, and    recurrent vomiting and diarrhea,
vomiting                                 malabsorbption, reflux, constipation,
                                         abdominal pain and chronic diarrhea.
Cause a Type 1 immune response           Allergic eosinophillic gastroenteritis.
Serious in nature                        Eosinophills infiltrate gastric and
                                         intestinal walls.
Epinephrine stops a reaction (Epi Pen)
                                         Food intolerance can be caused by a
                                         number of problems, including:
                                         Anatomical problems, metabolic
                                         reactions, pharmacologic reactions, toxic
                                         reactions, psychological reactions,
                                         infectious reactions, celiac disease,
                                         digestive problems, and reactions to
                                         preservatives.
                                                                                                 6
                                                                           Food Allergy Education
                                                                   Mass Citizens for Health Choice
The Growing Epidemic
                               0-17 Years
9%

                                                                                    8%
8%

7%

6%

5%

4%

3%
     1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

                                                                                           7
                                                                     Food Allergy Education
                                                             Mass Citizens for Health Choice
Where are these allergies coming
from?
Grain based diets
Abandonment of Traditional
Foods
Lack of Live Foods
Declining gut health
Antibiotic use
GMOs



                                                           8
                                     Food Allergy Education
                             Mass Citizens for Health Choice
Symptoms
IgE Allergy Reactions
Hives
Respiratory constriction
Abdominal pain
Nausea
Diarrhea
Vomiting

SEEK MEDICAL ATTENTION IMMEDIATELY



                                                                  10
                                             Food Allergy Education
                                     Mass Citizens for Health Choice
Neonatal IgG Allergies

Uber “Kicky” baby
Prolonged hiccupping
Failure to engage
Breech presentation
Prodromal & Back
Labors

                                                      11
                                 Food Allergy Education
                         Mass Citizens for Health Choice
Newborn & Infant IgG Allergies
Reflux                  Ear Infections / Fluid
Prolonged Hiccupping    Screamer
Skin Rashes             Prolonged Colic
Red Ring on the Anus    Rapid Pulse
Flush cheeks and ears   Demand for Constant
                        Attention
Trouble Sleeping
                        Head banging
Dark Eye Circles
                        Early Walking
Glazed over look
                        Need to be Walked or
Wiggly, restless        Bounced
Dislike of Touch or     Genital Touching
Cuddling
                        Nose and Throat
Excess drool and        Congestion
perspiration
                        Eczema
Random Fevers
                                                                              12
                                                         Food Allergy Education
                                                 Mass Citizens for Health Choice
Toddler IgG Allergies

Biting                    Bending over furniture
Hitting                   Never Happy
Head banging
Pinching
Punching
Constant Infections
Environmental Allergies

                                                                       13
                                                  Food Allergy Education
                                          Mass Citizens for Health Choice
Kiddo IgG Allergies
Restlessness
ADHD
Glazed Over
Skin problems




                                                   14
                              Food Allergy Education
                      Mass Citizens for Health Choice
Teenager IgG Allergies
Painful feminine cycles
and menstruation
Aggression and
Violence
Poor academic
performance
Depression


                                                       15
                                  Food Allergy Education
                          Mass Citizens for Health Choice
Adult IgG Allergies
Chronic pain
Stuffed sinuses
Environmental allergies
Fatigue
PCOS & other infertility
Menstrual cycle impact
GI issues such as Crohns
Bloating
                                                        16
                                   Food Allergy Education
                           Mass Citizens for Health Choice
Long Term Allergy Effects

Sensory Processing Disorder
Lupus
Fibromyalgia
Crohns & Colitis
Bowel Cancers
Environmental Allergies
Skin Issues

                                                           17
                                      Food Allergy Education
                              Mass Citizens for Health Choice
Diagnosis & Healing
Diagnosis
IgE
Skin Prick Test
In Hospital Food Challenges


IgG
                        Aletess
Observation           foodallergy.com
ELISA Blood tests
In Home Food Trials
Elimination diets

                                                                     19
                                                Food Allergy Education
                                        Mass Citizens for Health Choice
Healing
Adequate diagnosis
Removal of offending foods
Repair of the gut and immune
system
Digestive Enzymes
Cod liver oil
Biotin
Probiotics
Change of whole diet and
dietary outlook:
Food = Medicine


                                                            20
                                       Food Allergy Education
                               Mass Citizens for Health Choice
Diets that help
GFCF
Specific Carbohydrate
Diet
Paleolithic Diet
Raw Vegan
Nourishing Traditions
(Weston A. Price
Foundation)


                                                     21
                                Food Allergy Education
                        Mass Citizens for Health Choice
Pregnancy & Prevention
Detox and Gut Heal 6 month
prior to TTC
DON’T EAT YOUR
ALLERGENS when Pregnant
Eat organic
Eat as traditionally as possible
PROBIOTICS
ADDRESS your own
CUSTOM NUTRITIONAL
NEEDS


                                                                22
                                           Food Allergy Education
                                   Mass Citizens for Health Choice
Learn to be an Allergy Shopper
Reading Labels
Learn alternate names for
allergens
(e.g. caseinate for milk)

Formulations change,
don’t always brand trust
Use Amazon Subscribe &
Save
Ask your local grocery to
bulk buy for you
                                                          23
                                     Food Allergy Education
                             Mass Citizens for Health Choice
Alternative Treatment Methods
Biomedical Intervention
Gut Healing / Leaky Gut
Diets
NAET
Muscle Testing
Allergy drops
Crystal Testing


                                                         24
                                    Food Allergy Education
                            Mass Citizens for Health Choice
Allergies & Vaccines
Allergies in Vaccines
1 in 12 US children have a severe
food allergy
30% of Massachusetts VAERS
death reports were in children with
confirmed or suspected food
allergies
Vaccines in the CDC childhood
schedule contain Milk, Egg, Beef,
Pork, Latex, Yeast, Corn & Soy           Vaccine                 Potential Allergens39
                                        DTaP        Bovine Extract, Gelatin
Allergy proteins in vaccines vary lot   Hep B       Dextrose, Soy Peptone, Yeast Protein
to lot. Recent study showed             Hib         Lactose
anaphylaxis from Tdap for children      IPV         Calf Serum Protein, Neomycin, Streptomycin,
with Milk Allergies37                   MMR         Bovine Albumin or Serum, Chick Embryo
                                                    Fibroblasts, Human Serum Albumin, Gelatin,
                                                    Glutamate, Neomycin,
                                        Varicella   Bovine Albumin or Serum, Gelatin, Monosodium
                                                    L-Glutamate (MSG), Neomycin,
                                                                                                           26
                                                                                      Food Allergy Education
                                                                              Mass Citizens for Health Choice
CDC Guidance on Vaccines & Reactions 40
           Contraindications
 Severe allergic reactions
 Encephalopathy
 Severe immunodeficiency
               Precautions

 Moderate or        Any of the following
  severe acute       post vaccination:
  illness with or
  without fever       fever >105°

 Chronic GI          collapse or
  disease              shock-like state

 Progressive         seizure 3 days or
  neurologic           more after
  disorder, defer      receiving a
  until neurologic     previous dose,
  status clarified    Persistent,
  and stabilized.      inconsolable
                       crying                                            27
                                                    Food Allergy Education
                                            Mass Citizens for Health Choice
Other Considerations
Introducing Solids
Organic, as much as you can
Use the Jonega Food Allergy
Scale as a Guide
Look for families of reactions
Make sure you space out
oxalates, amines, goitrogens,
salicylates, and other food
chemicals throughout the
week and day.




                                                              29
                                         Food Allergy Education
                                 Mass Citizens for Health Choice
Food Allergies & Autism
According to the Autism Research
Institute, 66% of Autistic children
respond to the GFCF diet
Dr. Lucarelli and colleagues
detected much higher level of
antibodies to casein and other milk
proteins in children with autism
compared to controls, and saw a
marked improvement in behavior
after an elimination diet challenge
Dr. Jyonouchi and colleagues
showed that when challenged with
food proteins from gluten, casein,
and soy, children with autism
produced a markedly higher amount
of proinflammatory cytokines,
compared with normal controls.
                                                                   30
                                              Food Allergy Education
                                      Mass Citizens for Health Choice
The Bucket Effect
Nutritional Status, Gut Health
+ Genetics determines the
size of the bucket
How full the bucket gets is
determined by the
environmental, chemical and
allergic assaults the body
receives
An overflowing bucket means
the body has hit its tolerance
level
Outward expressions of the
overflowing bucket are
symptoms of allergies
                                                              31
                                         Food Allergy Education
                                 Mass Citizens for Health Choice
Eating Out & Traveling
Allergies are considered ADA
disabilities
Don’t let the TSA bully you
Chef Card
Menus and Ingredients Online
Disney
Hotels with Kitchens / Suites
PROPER PRIOR PLANNING
IS YOUR BEST FRIEND!


                                                             32
                                        Food Allergy Education
                                Mass Citizens for Health Choice
Sometimes its not an allergy but a
chemical reaction
Naturally Occurring
Phenols
Salicylates
Amines
Oxalates
Nightshade vegetables for
their natural pesticides
Processed
MSG
Colors
Flavors
GMOs
Pesticides
                                                           33
                                      Food Allergy Education
                              Mass Citizens for Health Choice
Allergies Affect Relationships
Birthday Parties
Holidays
Grandparents feeding
Grandchildren
Schools
Parent & caretaker
adherence to Special Diet
Stressor to Marriage &
Pocketbook
                                                              34
                                         Food Allergy Education
                                 Mass Citizens for Health Choice
Federal Food Allergy Labeling Laws

On January 1, 2006, the Food Allergen
Labeling and Consumer Protection Act of
2004 (FALCPA) became effective. This law
requires manufacturers to clearly identify
on their food labels if a food product has
any ingredients that contain protein derived
from any of the eight major allergenic
foods and food groups: milk, eggs, fish,
Crustacean shellfish, tree nuts, peanuts,
wheat, or soybeans. These eight foods and
food groups account for 90 percent of all
food allergies. Other allergenic foods (e.g.,
sesame) are not required to be declared in
accordance with FALCPA.


                                                                             35
                                                        Food Allergy Education
                                                Mass Citizens for Health Choice
Massachusetts Food Allergy Laws
Passed in 2009
Enacted in 2011
Requires food allergy training for
management
Manager should bring out the allergy
plate separately
Allergy notification on menus
Poster should be in every restaurant
regarding food allergies
Restaurants will have to have on staff a
certified food protection manager who
has been issued a Massachusetts
certificate of allergen awareness training
through a training program recognized
by the MDPH.

                                                                          36
                                                     Food Allergy Education
                                             Mass Citizens for Health Choice
Food Allergies & Your Federal Taxes
Food allergy spending is
considered medical spending
Official diagnosis is needed
Save all grocery receipts and
keep track of spending of
allergy friendly foods
Expenditures must exceed 7.5
percent of your adjusted gross
income minus any insurance
reimbursements



                                                              37
                                         Food Allergy Education
                                 Mass Citizens for Health Choice
Reading List




                                            38
                       Food Allergy Education
               Mass Citizens for Health Choice
Mc4 hc allergies

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Mc4 hc allergies

  • 1. Food Allergy Education Erin J. Williams Mass Citizens for Health Choice
  • 2. Disclaimer The information on this site and its attached documents is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Mass Citizens for Health Choice makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE. Mass Citizens for Health Choice does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. MASS CITIZENS FOR HEALTH CHOICE IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. 2 Food Allergy Education Mass Citizens for Health Choice
  • 3. Allergies Overview The Basics Symptoms by Healing Items to • Types of Age • Proper Consider Allergies • Prenatal Diagnosis • Relationship • Incidence • Infancy • Treatment Impact • Growth of • Toddlers in the Young • Eating Out an Epidemic • Children • Pregnancy • Traveling • Top & • Vaccines • Adults Prevention Allergens • Schools • Alternative Treatment • Food Allergy Methods Laws
  • 4. The Basics Food allergy occurs when the immune system 1 in 12 children, about 8% of the mistakenly attacks a food protein. Ingestion of US population, has a food allergy, the offending food may trigger the sudden release of chemicals, including histamine, according to a 2011 study resulting in symptoms of an allergic reaction. The symptoms may be mild (rashes, hives, Eight foods account for 90% of all itching, swelling, etc.) or severe (trouble food-allergic reactions in the US breathing, wheezing, loss of consciousness, Milk Wheat etc.). A food allergy can be potentially fatal. Eggs Soy Scientists estimate that approximately 12 million Americans suffer from food allergies. Peanuts Fish Tree nuts Shellfish Over 300,000 ambulatory-care visits a year among children. Peanut allergy doubled in children over a five-year period (1997- 2002). 4 Food Allergy Education Mass Citizens for Health Choice
  • 5. The Top 8 Milk Eggs Wheat Soy Peanuts Tree Nuts Fish Shellfish Others frequent allergens: Raspberries, Strawberries, Legumes, Sesame, Corn, Coconut, Oat, Pit Fruits, nightshade vegetables 5 Food Allergy Education Mass Citizens for Health Choice
  • 6. Types of Allergies IgE Mediated IgG Mediated Anaphylactic Food Allergies Type II Allergies, also called GI allergies or Food Intolerance Cause Hives, respirtory constriction, abdominal pain, nausea, diarrhea, and recurrent vomiting and diarrhea, vomiting malabsorbption, reflux, constipation, abdominal pain and chronic diarrhea. Cause a Type 1 immune response Allergic eosinophillic gastroenteritis. Serious in nature Eosinophills infiltrate gastric and intestinal walls. Epinephrine stops a reaction (Epi Pen) Food intolerance can be caused by a number of problems, including: Anatomical problems, metabolic reactions, pharmacologic reactions, toxic reactions, psychological reactions, infectious reactions, celiac disease, digestive problems, and reactions to preservatives. 6 Food Allergy Education Mass Citizens for Health Choice
  • 7. The Growing Epidemic 0-17 Years 9% 8% 8% 7% 6% 5% 4% 3% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 7 Food Allergy Education Mass Citizens for Health Choice
  • 8. Where are these allergies coming from? Grain based diets Abandonment of Traditional Foods Lack of Live Foods Declining gut health Antibiotic use GMOs 8 Food Allergy Education Mass Citizens for Health Choice
  • 10. IgE Allergy Reactions Hives Respiratory constriction Abdominal pain Nausea Diarrhea Vomiting SEEK MEDICAL ATTENTION IMMEDIATELY 10 Food Allergy Education Mass Citizens for Health Choice
  • 11. Neonatal IgG Allergies Uber “Kicky” baby Prolonged hiccupping Failure to engage Breech presentation Prodromal & Back Labors 11 Food Allergy Education Mass Citizens for Health Choice
  • 12. Newborn & Infant IgG Allergies Reflux Ear Infections / Fluid Prolonged Hiccupping Screamer Skin Rashes Prolonged Colic Red Ring on the Anus Rapid Pulse Flush cheeks and ears Demand for Constant Attention Trouble Sleeping Head banging Dark Eye Circles Early Walking Glazed over look Need to be Walked or Wiggly, restless Bounced Dislike of Touch or Genital Touching Cuddling Nose and Throat Excess drool and Congestion perspiration Eczema Random Fevers 12 Food Allergy Education Mass Citizens for Health Choice
  • 13. Toddler IgG Allergies Biting Bending over furniture Hitting Never Happy Head banging Pinching Punching Constant Infections Environmental Allergies 13 Food Allergy Education Mass Citizens for Health Choice
  • 14. Kiddo IgG Allergies Restlessness ADHD Glazed Over Skin problems 14 Food Allergy Education Mass Citizens for Health Choice
  • 15. Teenager IgG Allergies Painful feminine cycles and menstruation Aggression and Violence Poor academic performance Depression 15 Food Allergy Education Mass Citizens for Health Choice
  • 16. Adult IgG Allergies Chronic pain Stuffed sinuses Environmental allergies Fatigue PCOS & other infertility Menstrual cycle impact GI issues such as Crohns Bloating 16 Food Allergy Education Mass Citizens for Health Choice
  • 17. Long Term Allergy Effects Sensory Processing Disorder Lupus Fibromyalgia Crohns & Colitis Bowel Cancers Environmental Allergies Skin Issues 17 Food Allergy Education Mass Citizens for Health Choice
  • 19. Diagnosis IgE Skin Prick Test In Hospital Food Challenges IgG Aletess Observation foodallergy.com ELISA Blood tests In Home Food Trials Elimination diets 19 Food Allergy Education Mass Citizens for Health Choice
  • 20. Healing Adequate diagnosis Removal of offending foods Repair of the gut and immune system Digestive Enzymes Cod liver oil Biotin Probiotics Change of whole diet and dietary outlook: Food = Medicine 20 Food Allergy Education Mass Citizens for Health Choice
  • 21. Diets that help GFCF Specific Carbohydrate Diet Paleolithic Diet Raw Vegan Nourishing Traditions (Weston A. Price Foundation) 21 Food Allergy Education Mass Citizens for Health Choice
  • 22. Pregnancy & Prevention Detox and Gut Heal 6 month prior to TTC DON’T EAT YOUR ALLERGENS when Pregnant Eat organic Eat as traditionally as possible PROBIOTICS ADDRESS your own CUSTOM NUTRITIONAL NEEDS 22 Food Allergy Education Mass Citizens for Health Choice
  • 23. Learn to be an Allergy Shopper Reading Labels Learn alternate names for allergens (e.g. caseinate for milk) Formulations change, don’t always brand trust Use Amazon Subscribe & Save Ask your local grocery to bulk buy for you 23 Food Allergy Education Mass Citizens for Health Choice
  • 24. Alternative Treatment Methods Biomedical Intervention Gut Healing / Leaky Gut Diets NAET Muscle Testing Allergy drops Crystal Testing 24 Food Allergy Education Mass Citizens for Health Choice
  • 26. Allergies in Vaccines 1 in 12 US children have a severe food allergy 30% of Massachusetts VAERS death reports were in children with confirmed or suspected food allergies Vaccines in the CDC childhood schedule contain Milk, Egg, Beef, Pork, Latex, Yeast, Corn & Soy Vaccine Potential Allergens39 DTaP Bovine Extract, Gelatin Allergy proteins in vaccines vary lot Hep B Dextrose, Soy Peptone, Yeast Protein to lot. Recent study showed Hib Lactose anaphylaxis from Tdap for children IPV Calf Serum Protein, Neomycin, Streptomycin, with Milk Allergies37 MMR Bovine Albumin or Serum, Chick Embryo Fibroblasts, Human Serum Albumin, Gelatin, Glutamate, Neomycin, Varicella Bovine Albumin or Serum, Gelatin, Monosodium L-Glutamate (MSG), Neomycin, 26 Food Allergy Education Mass Citizens for Health Choice
  • 27. CDC Guidance on Vaccines & Reactions 40 Contraindications  Severe allergic reactions  Encephalopathy  Severe immunodeficiency Precautions  Moderate or Any of the following severe acute post vaccination: illness with or without fever  fever >105°  Chronic GI  collapse or disease shock-like state  Progressive  seizure 3 days or neurologic more after disorder, defer receiving a until neurologic previous dose, status clarified  Persistent, and stabilized. inconsolable crying 27 Food Allergy Education Mass Citizens for Health Choice
  • 29. Introducing Solids Organic, as much as you can Use the Jonega Food Allergy Scale as a Guide Look for families of reactions Make sure you space out oxalates, amines, goitrogens, salicylates, and other food chemicals throughout the week and day. 29 Food Allergy Education Mass Citizens for Health Choice
  • 30. Food Allergies & Autism According to the Autism Research Institute, 66% of Autistic children respond to the GFCF diet Dr. Lucarelli and colleagues detected much higher level of antibodies to casein and other milk proteins in children with autism compared to controls, and saw a marked improvement in behavior after an elimination diet challenge Dr. Jyonouchi and colleagues showed that when challenged with food proteins from gluten, casein, and soy, children with autism produced a markedly higher amount of proinflammatory cytokines, compared with normal controls. 30 Food Allergy Education Mass Citizens for Health Choice
  • 31. The Bucket Effect Nutritional Status, Gut Health + Genetics determines the size of the bucket How full the bucket gets is determined by the environmental, chemical and allergic assaults the body receives An overflowing bucket means the body has hit its tolerance level Outward expressions of the overflowing bucket are symptoms of allergies 31 Food Allergy Education Mass Citizens for Health Choice
  • 32. Eating Out & Traveling Allergies are considered ADA disabilities Don’t let the TSA bully you Chef Card Menus and Ingredients Online Disney Hotels with Kitchens / Suites PROPER PRIOR PLANNING IS YOUR BEST FRIEND! 32 Food Allergy Education Mass Citizens for Health Choice
  • 33. Sometimes its not an allergy but a chemical reaction Naturally Occurring Phenols Salicylates Amines Oxalates Nightshade vegetables for their natural pesticides Processed MSG Colors Flavors GMOs Pesticides 33 Food Allergy Education Mass Citizens for Health Choice
  • 34. Allergies Affect Relationships Birthday Parties Holidays Grandparents feeding Grandchildren Schools Parent & caretaker adherence to Special Diet Stressor to Marriage & Pocketbook 34 Food Allergy Education Mass Citizens for Health Choice
  • 35. Federal Food Allergy Labeling Laws On January 1, 2006, the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA) became effective. This law requires manufacturers to clearly identify on their food labels if a food product has any ingredients that contain protein derived from any of the eight major allergenic foods and food groups: milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, or soybeans. These eight foods and food groups account for 90 percent of all food allergies. Other allergenic foods (e.g., sesame) are not required to be declared in accordance with FALCPA. 35 Food Allergy Education Mass Citizens for Health Choice
  • 36. Massachusetts Food Allergy Laws Passed in 2009 Enacted in 2011 Requires food allergy training for management Manager should bring out the allergy plate separately Allergy notification on menus Poster should be in every restaurant regarding food allergies Restaurants will have to have on staff a certified food protection manager who has been issued a Massachusetts certificate of allergen awareness training through a training program recognized by the MDPH. 36 Food Allergy Education Mass Citizens for Health Choice
  • 37. Food Allergies & Your Federal Taxes Food allergy spending is considered medical spending Official diagnosis is needed Save all grocery receipts and keep track of spending of allergy friendly foods Expenditures must exceed 7.5 percent of your adjusted gross income minus any insurance reimbursements 37 Food Allergy Education Mass Citizens for Health Choice
  • 38. Reading List 38 Food Allergy Education Mass Citizens for Health Choice