Food Allergies

Policing The Lunch Box

Policing The Lunchbox - Risk Management

I recently read an article about a teacher writing a letter home to a parent telling them not to bring chocolate cake to school. In terms of earth shattering issues, this is rather low on the scale of importance in the world today, however, still worth a mention.
 
As a teacher, you see all sorts of weird and wonderful things that kids bring to school for lunch. You smell the amazing aroma of exotic spices and foods from all over the world in soups, pastas, noodles, wraps, burritos and even sandwiches. It makes my mouth water just thinking about it.
 
My question to the parents is, why didn't you send enough for me too? Some of the lunches I see are amazing and I just wish someone would pack that for me. In comparison, the classic cheese and salami sandwich doesn't seem to cut it anymore.
 
Whilst I'm a very strong believer that parents should stay out of trying to tell teachers how to teach, with one important exception to the rule, schools should stay out of kids’ lunch boxes.
 
For some reason, many schools have decided that telling parents what they can and can't give their kids for lunch will solve countless ‘dietary’, ‘allergy’ and ‘lifestyle’ problems. Much of this has been born out of two different concerns. The first one is the increasingly prevalent nut allergies, the second, childhood obesity.
 
For the first concern, I completely agree with very black and white rules. Any school's stance on maintaining a nut free campus is a great idea. The number of kids today who have a potentially fatal allergy to nuts is alarming and keeping the campus nut free is a smart way of reducing this risk and protecting the community from what can be a confronting and horrendous ordeal.
 
If someone has an anaphylactic reaction, untreated, their airways close up and they can be dead within minutes. Even if it's treated with an epi-pen, they must get to hospital as fast as possible and there's still no guarantee of recovery.  
 
Now anything which can kill someone in minutes needs to be taken seriously and parents should respect this decision on banning nuts. You're not going to put a brown snake in your kid’s bag which could bite someone and have the exact same result of a fast and painful death, so don't give your kids nuts to take to school.
 
On the other hand, in some schools, this concern has gone way too far and slowly but surely other foods have been added to a pointless list of contraband, driven by a misguided notion that if you ban lollies, chocolates and cakes, you will miraculously solve the societal problem of childhood obesity. It just doesn't work that way. Unlike an anaphylactic reaction, being fat won't kill you in 5-10 mins and the reality is most kids will burn off their cake fuelled calories, as they run around the playground.
 
At the end of the day, unless the school wants to provide lunch for everyone themselves, then they need to trust parents to make informed choices about what they're feeding their own children. If the concern is really about healthy eating, then the solution isn’t telling parents what they can and can't give their kids for lunch, because as soon as you tell people they can't have something or do something, it just makes them want to do it more.
 
If teachers have time to write letters home about the evils of chocolate cake or otherwise to tell parents not to let their kids have this food or that food for lunch, then they seriously have too much time on their hands and need something better to do. There's a reasonable and rational argument for nut free schools, but ultimately, schools need to balance this sort of real risk with a bit of common sense, so they don't start overreaching and trying to exercise control to the point of stupidity. 

Preparing For Anaphylaxis On Excursions

Anaphylaxis - Camp Food Preparation

Managing medical concerns at school and on excursions is one of my biggest worries as a teacher! Anaphylaxis is at the top of that list, since a reaction can be almost instant from the allergen and has a cascading effect. This means the longer you leave it, the more difficult it is to recover. However, despite this serious concern, it just means effective strategies need to be in place to ensure preventative measures are the number 1 priority.

In outdoor education, we usually run our programs a considerable distance from emergency medical care. As a result, this adds an additional layer of risk to any trip away. However, rather than worry about this and feel as though it’s too risky to take kids away, my focus has always been on effective preparation and management. This ensures that the chances for an anaphylactic reaction becomes so low, it’s not an issue.

Camp Supplies

Camp Supplies

If a student’s medical profile is flagged with an anaphylactic allergy, I’ll phone home and talk to mum and dad. What I need to know when I call is what are the specific triggers? Can they have foods which might contain traces of the allergen? When was the last reaction and what happened? Even though this information might be in the medicals, I prefer the first hand information from parents, so I can effectively brief my staff. I also want to know how well their son or daughter manages their allergy. Are they aware of what can happen? Are they aware of what foods they can and can’t have? This information is vital in helping provide teachers with the best management strategies in the field.

As an example, on one program, I had 247 students out in the field for a week long camp. 11 of the students had allergies which could result in an anaphylactic reaction. Based upon the information from the parents, and the fact some activities were hours away from emergency care, I carefully placed students with the highest needs in the closest proximity to emergency healthcare facilities. In one of the extreme cases, given the number of allergens that the student was affected by, I asked his mum to provide and pack the week’s food in an esky for her son and I provided a clean stove which was specifically for his personal use.

At the end of the day, it about clear channels of communication between parents, teachers and the child. Even though all staff are trained in first aid and anaphylaxis treatment, effective preparation and prevention is far more important. For every activity we do, we go armed with a list of dietary requirements and only shop according to each individual excursion. We don’t plan meals months in advance to save time. It’s about providing the best meal options for each individual group. This way, we’re prepared and able to ensure we provide a safe environment for every child and a wonderful memorable experience away from school.