1. Food Allergen

2. Today’s Training Overview  Review of Peanut Allergy Protocol  Background  Foods  Safety/Prevention  Ingredients/Labels/Recipes/Menus  District-Specific Procedure  Review of Peanut Allergy Protocol  Background  Foods  Safety/Prevention  Ingredients/Labels/Recipes/Menus  District-Specific Procedure

3. Background of Allergies  8 main allergies: milk, wheat, soy, egg, peanut, tree nut, fish & shellfish  As many as 15 million people have food allergies  Nearly 6 million or 8% of children have food allergies with young children affected most  The prevalence of peanut allergy among children appears to have tripled between 1997 and 2008  8 main allergies: milk, wheat, soy, egg, peanut, tree nut, fish & shellfish  As many as 15 million people have food allergies  Nearly 6 million or 8% of children have food allergies with young children affected most  The prevalence of peanut allergy among children appears to have tripled between 1997 and 2008

4. Peanut Allergy  Peanut allergy symptoms can range from a minor irritation to a life- threatening reaction (anaphylaxis)

5. Causes of Peanut Allergy  Peanut allergy occurs when your immune system mistakenly identifies peanut proteins as something harmful.  When you have direct or indirect contact with peanuts, your immune system releases symptom-causing chemicals into your bloodstream.  Contact with any form of peanuts=BAD!  Peanut allergy occurs when your immune system mistakenly identifies peanut proteins as something harmful.  When you have direct or indirect contact with peanuts, your immune system releases symptom-causing chemicals into your bloodstream.  Contact with any form of peanuts=BAD!

6. Exposure to Peanuts  Direct contact: eating peanuts or peanut- containing foods; skin contact with peanuts  Cross-contact: the unintended introduction of peanuts into a product; generally the result of a food being exposed to peanuts during processing or handling.  Inhalation: inhaling dust or aerosols containing peanuts, such as that of peanut flour or peanut oil cooking spray.  Direct contact: eating peanuts or peanut- containing foods; skin contact with peanuts  Cross-contact: the unintended introduction of peanuts into a product; generally the result of a food being exposed to peanuts during processing or handling.  Inhalation: inhaling dust or aerosols containing peanuts, such as that of peanut flour or peanut oil cooking spray.

7. Signs & Symptoms  Skin reactions, such as hives, redness or swelling  Itching or tingling in or around the mouth and throat  Digestive problems, such as diarrhea, stomach cramps, nausea or vomiting  Tightening of the throat  Shortness of breath or wheezing  Runny nose  Skin reactions, such as hives, redness or swelling  Itching or tingling in or around the mouth and throat  Digestive problems, such as diarrhea, stomach cramps, nausea or vomiting  Tightening of the throat  Shortness of breath or wheezing  Runny nose

8. Anaphylaxis : A life-threatening reaction  Constriction of airways  Swelling of your throat that makes it difficult to breathe  A severe drop in blood pressure (shock)  Rapid pulse  Dizziness, lightheadedness or loss of consciousness  Constriction of airways  Swelling of your throat that makes it difficult to breathe  A severe drop in blood pressure (shock)  Rapid pulse  Dizziness, lightheadedness or loss of consciousness

9. Ingredients in Foods to Avoid  Cold pressed, expressed, or expelled peanut oil  Ground nuts  Mixed nuts  Nu-nuts artificial nuts  Peanuts  Peanut butter  Peanut flour  Cold pressed, expressed, or expelled peanut oil  Ground nuts  Mixed nuts  Nu-nuts artificial nuts  Peanuts  Peanut butter  Peanut flour

10. Be extra cautious with..  African, Chinese, Thai or other ethnic dishes  Baked goods  Candy  Cereal  Chili/spaghetti sauce  Chocolate  Crackers  Egg rolls  Hydrolyzed plant protein  Hydrolyzed vegetable protein  Ice cream, yogurt  Marzipan  Nougat  African, Chinese, Thai or other ethnic dishes  Baked goods  Candy  Cereal  Chili/spaghetti sauce  Chocolate  Crackers  Egg rolls  Hydrolyzed plant protein  Hydrolyzed vegetable protein  Ice cream, yogurt  Marzipan  Nougat

11. Safety & Prevention  peanut can be cleaned from the hands of adults by using running water and soap or commercial wipes, but not antibacterial gels alone. In addition, peanut was cleaned easily from surfaces by using common household spray cleaners and sanitizing wipes but not dishwashing liquid alone

12. Safety and Prevention  Never use the same utensil that has touched a food containing peanut ingredient with any other food  Store items and wrap carefully in separate containers  Never forget to wash hands and change gloves  Double check food labels when cooking a peanut free meal  Never use the same utensil that has touched a food containing peanut ingredient with any other food  Store items and wrap carefully in separate containers  Never forget to wash hands and change gloves  Double check food labels when cooking a peanut free meal

13. Identifying ingredients in food  Read product label and recipe  Taste test the item  Visually inspect the item  Ask or bring to managers attention when questionable  Read product label and recipe  Taste test the item  Visually inspect the item  Ask or bring to managers attention when questionable

14. District-Specific Procedure  Most CPS schools are peanut free  Follow allergy procedure  Child gets note from doctor->presents to school nurse->dietitian constructs menu->doctor,parent, and nurse approve->menu is released to kitchen staff for production in schools  Most CPS schools are peanut free  Follow allergy procedure  Child gets note from doctor->presents to school nurse->dietitian constructs menu->doctor,parent, and nurse approve->menu is released to kitchen staff for production in schools