{"id":2905,"date":"2014-03-21T14:33:53","date_gmt":"2014-03-21T18:33:53","guid":{"rendered":"http:\/\/www.allergyhome.org\/schools\/?page_id=2905"},"modified":"2014-04-01T13:58:48","modified_gmt":"2014-04-01T17:58:48","slug":"management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1","status":"publish","type":"page","link":"https:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\/","title":{"rendered":""},"content":{"rendered":"<h1 style=\"font-size:1.7em; color:darkred\">The Management of Life Threatening Allergies in School: Lessons Learned from Massachusetts<\/h1>\n<p><strong>Written by Michael Pistiner MD, MMSc and <a href=\"http:\/\/www.allergyhome.org\/about-us#sheetz\">Anne H. Sheetz, RN, MPH, CNAA<\/a><\/strong><br \/>\n<em>This piece was originally published in the American Academy of Pediatrics, Council on School Health, Spring\/Summer 2009 Newsletter. We thank the AAP for granting permission to post and to update mandated reporting data within this article. All excerpts taken from the Management of Life Threatening Allergies in School: The Massachusetts Experience.<\/em><\/p>\n<div class=\"next\"><a class=\"navlink\" style=\"font-size: 1.2em;\" title=\"The Massachusetts Experience\" href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-2\">NEXT: The Massachusetts Experience&gt;&gt;&gt;<\/a><\/div>\n<p><\/p>\n<div style=\"clear: both;\"><\/div>\n<div style=\"background-color:beige; width:280px; float:left; border:2px solid; border-radius:25px;padding:8px;margin:8px\">\n<div style=\"color:darkred; font-weight:bold\">Table of Contents<\/div>\n<ul>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\" title=\"The Management of Life Threatening Allergies in School: Introduction\">Introduction<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-2\">The Massachusetts Experience<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-3\" title=\"The Massachusetts Performance Improvement Program\">The Massachusetts Performance Improvement Program<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-4\" title=\"Epinephrine Administration in Schools: Brief Summary\">Epinephrine Administration in Schools: Brief Summary<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-5\" title=\"Policy Implications\">Policy Implications<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-6\" title=\"Ongoing Challenges and Take Home Point\">Ongoing Challenges & Take Home Point<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-7\" title=\"References\">References<\/a><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"magazine\">Food allergy is a major national concern. As children spend much of their time in school, allergic reactions will inevitably occur. Nowak and colleagues conducted a phone survey collecting information from the families of 132 food allergic children followed in an allergy clinic and found that almost 1 in 5 experienced a reaction at school over a 2 year period, and that approximately 1 in 3 of these reactions involved more than one organ system.<\/div>\n<p><a href=\"http:\/\/www.allergyhome.org\/schools\/files\/2014\/03\/Massachusetts_State_House-e1395855703775.jpg\" rel=\"wp-prettyPhoto[2905]\"><img decoding=\"async\" class=\"size-full wp-image-3003 alignright\" alt=\"Massachusetts_State_House\" src=\"http:\/\/www.allergyhome.org\/schools\/files\/2014\/03\/Massachusetts_State_House-e1395855703775.jpg\" width=\"275\"  \/><\/a><\/p>\n<div class=\"magazine\">\nFood allergy management in schools must be aimed at avoiding exposure to allergens and preparing for managing allergic emergencies. (This also applies to other potentially life threatening allergies). Avoidance and preparedness strategies need to be employed in a fashion that accounts for multiple settings (class room, cafeteria, playground, etc.) and multiple care providers (school nurse, teacher, cafeteria monitor, coach, etc) necessitating well thought out and worked through guidelines. Massachusetts has such a set that has been in use since 2002. Coupled with these guidelines is a mandated policy of reporting to the Massachusetts Department of Public Health details concerning the administration of epinephrine in schools. This provides information used to strengthen avoidance and preparedness planning. Massachusetts&#8217; experience provides insights and a powerful set of guidelines that can be employed nationally and can increase the safety and quality of life for millions of children.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Management of Life Threatening Allergies in School: Lessons Learned from Massachusetts Written by Michael Pistiner MD, MMSc and Anne H. Sheetz, RN, MPH, CNAA This piece was originally published in the American Academy of Pediatrics, Council on School Health, Spring\/Summer 2009 Newsletter. We thank the AAP [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"left-sidebar.php","meta":{"footnotes":""},"class_list":["post-2905","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Schools @ AllergyHome.org - Helping Schools Manage Allergies<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.allergyhome.org\\\/schools\\\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\\\/\",\"url\":\"https:\\\/\\\/www.allergyhome.org\\\/schools\\\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\\\/\",\"name\":\"Schools @ AllergyHome.org - 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