Professional Documents
Culture Documents
CH Katelaris
Professor, Immunology & Allergy,
Western Sydney University and Campbelltown Hospital
University of Melbourne May 2016
Outline
Food allergy-definitions, clinical description
Prevalence
Impact of food allergy epidemic:
1. Effects on quality of life:
- Individual
- Family
2. Impact on society
- schools, childcare
- food industry
Food Hypersensitivity
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Food Allergy-Definition
2848 infants
Challenge proven prevalence:
Raw egg 8.9%
Peanut 3.0%
Sesame 0.8%
more than 10% of infants having challenge-
proven IgE- mediated food allergy to 1 of
these foods
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Anaphylaxis
Definition
Lack of rash
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Anaphylaxis in Australia
All causes
Food -related
Impact of Anaphylaxis
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Needs clear
understanding and
application of correct
tests with rational
interpretation
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Food Allergy-Management
Avoidance of food(s)
Food Allergy-Management
Information and dietary Provision of an early warning
advice device
Dietician advice re
foods/substitutes/hidde
n ingredients/reading
labels
Provision of reliable
information re risks etc
Adrenaline if indicated
- how and when to use
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FACTS
The majority of deaths from food anaphylaxis occur
outside the home
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Food Labelling
Significant public health issue
One of the greatest causes of anxiety for parents with
food-allergic children
The requirement for more information balanced by
need for clarity
Ability of parents of food-allergic children to accurately
read food labels is very poor , primarily because of the
complexity and ambiguity of information provided
Mills et al 2007
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Declaration of substances
2003 food labelling legislation introduced to Australia & NZ
Must be declared :
cereals containing gluten and their products, namely, wheat, rye,
barley, oats, spelt and their hybridised strains other than where
these substances are present in beer and spirits
crustacea and their products
egg and egg products
fish and fish products
milk and milk products
peanuts and soybeans and their products
added sulphites in concentrations of 10 mg/kg or more
tree nuts and sesame seeds and their products
Discussion regarding lupin underway
http://www.afgc.org.au/
Food Labelling
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VITAL
The VITAL (Voluntary Incidental Trace Allergen Labelling)
system is an essential standardised allergen risk assessment
tool for food producers
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VITAL
Threshold levels based on published LOAEL(lowest
observed adverse effect level) data with a 10-fold safety
factor
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Summary
Food allergy is now a common problem in our
society and must be managed at a societal level
Diagnosis of food allergy has a major impact on
QoL
The only management at present is avoidance
and preparedness to treat an acute reaction
Society must respond to protect those at risk
At childcare centres, preschools
Primary school and high school
Community at large food outlets, restaurants
Food labelling improvements
Questions ??????
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Vitamin D insufficiency
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