Managing Food Allergy in Schools During the COVID-19 Pandemic

被引:21
作者
Greenhawt, Matthew [1 ]
Shaker, Marcus [2 ,3 ]
Stukus, David R. [4 ]
Fleischer, David M. [1 ]
Hourihane, Jonathan [5 ]
Tang, Mimi L. K. [6 ]
Abrams, Elissa M. [7 ]
Wang, Julie [8 ]
Bingemann, Theresa A. [9 ]
Chan, Edmond S. [10 ]
Lieberman, Jay [11 ]
Sampson, Hugh A. [8 ,12 ]
Bock, S. Allan [13 ]
Young, Michael C. [14 ]
Waserman, Susan [15 ]
Mack, Douglas P. [15 ,16 ]
机构
[1] Univ Colorado, Dept Pediat, Sect Allergy Immunol, Childrens Hosp Colorado,Sch Med, Aurora, CO USA
[2] Dartmouth Hitchcock Med Ctr, Sect Allergy & Immunol, Lebanon, NH 03766 USA
[3] Dartmouth Childrens Hosp, Dartmouth Geisel Sch Med, Dept Pediat, Hanover, NH USA
[4] Ohio State Univ, Dept Pediat, Div Allergy & Immunol, Nationwide Childrens Hosp,Coll Med, Columbus, OH 43210 USA
[5] Royal Coll Surg, Dept Paediat, Dublin, Ireland
[6] Univ Melbourne, Dept Allergy & Immunol, Murdoch Childrens Res Inst, Royal Childrens Hosp Melbourne, Parkville, Vic, Australia
[7] Univ Manitoba, Sect Allergy & Clin Immunol, Dept Pediat & Child Hlth, Winnipeg, MB, Canada
[8] Icahn Sch Med Mt Sinai, Dept Pediat, Div Allergy & Immunol, New York, NY 10029 USA
[9] Univ Rochester, Div Allergy Immunol & Rheumatol, Rochester, NY USA
[10] Univ British Columbia, BC Childrens Hosp, Div Allergy & Immunol, Vancouver, BC, Canada
[11] Univ Tennessee, Div Allergy & Immunol, Memphis, TN USA
[12] DBV Technol, Montrouge, France
[13] Univ Colorado, Dept Pediat, Sch Med, Aurora, CO USA
[14] Harvard Med Sch, Div Allergy & Immunol, Childrens Hosp Boston, Boston, MA 02115 USA
[15] McMaster Univ, Dept Med Clin Immunol & Allergy, Hamilton, ON, Canada
[16] Halton Pediat Allergy, Burlington, ON, Canada
关键词
Food allergy; Anaphylaxis; Epinephrine; Hand washing; Allergen bans; Social distancing; CDC; Schools; Stock epinephrine; COVID-19; SARS-CoV-2; Americans with Disabilities Act; Rehabilitation Act of 1973; MANAGEMENT;
D O I
10.1016/j.jaip.2020.07.016
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
In the wake of the COVID-19 pandemic and massive disruptions to daily life in the spring of 2020, in May 2020, the Centers for Disease Control (CDC) released guidance recommendations for schools regarding how to have students attend while adhering to principles of how to reduce the risk of contracting SARS-CoV-2. As part of physical distancing measures, the CDC is recommending that schools who traditionally have had students eat in a cafeteria or common large space instead have children eat their lunch or other meals in the classroom at already physically distanced desks. This has sparked concern for the safety of food-allergic children attending school, and some question of how the new CDC recommendations can coexist with recommendations in the 2013 CDC Voluntary Guidelines on Managing Food Allergy in Schools as well as accommodations that students may be afforded through disability law that may have previously prohibited eating in the classroom. This expert consensus explores the issues related to evidence-based management of food allergy at school, the issues of managing the health of children attending school that are acutely posed by the constraints of an infectious pandemic, and how to harmonize these needs so that all children can attend school with minimal risk from both an infectious and allergic standpoint. (C) 2020 American Academy of Allergy, Asthma & Immunology
引用
收藏
页码:2845 / 2850
页数:6
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