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Tasting foods to find out whether they contain nuts is not reliable. People have died through relying on being able to tell whether food contained nuts. It is also far better to eat with someone who knows your problem and what to do about it.

PEANUT ALLERGY TREATMENTS

*Most of peanut allergy attacks happen when people are eating away from home, particularly in restaurants, where they are less aware of the combination of peanut ingredients to the food they prefer to eat. No matter how politely you explain your side to the staff, it is very conceivable to get contact with nuts.

If you happen to check in any oriental restaurants, you are bound to eat on time, limiting your time to interrogate whether or not your food contains nut ingredients. Even if you inform the entire staff of your problem, they are often too occupied to actually hear your complaints. Note that they have their own problems in their minds, too, problems which have come before your complaints. Thus, before blurting out, include reconsidering the situations - yourself, your complain, the staff, and their respective reasons.

Foods of most restaurants or fast foods and hotels contain peanuts and are unsafe for individuals with peanut allergy, unless they have very special arrangements in place for the benefits of customers of such kind.  Although most restaurant or fast food staffs are now aware of  the risks of nut allergies and are now doing their best, it is still unsafe to dine in these types of food house for individuals with nut allergy. However, if in unpredicted situation, a good and polite way of requesting a special request with regards to your allergy is to tell the staff: "By the way, I must tell you that I am dangerously allergic to nuts that eating even a tiniest amount of it can end my life."

* Pregnant women with own or genetic conditions of hay fever, asthma, or eczema are advised to avoid peanuts and peanut products during their pregnancy progress and breastfeeding to prevent any development of peanut allergy.
* During food shopping, be keen in analyzing the composition of food products you are about to purchase. Ingredients on food labels are one source of information about the peanut contents of the food.
* Infants with self or family history of allergy complications must be breastfed for at least six months and introduction of peanuts and peanut products must be delayed until three years of age.
* New therapeutic database of commercial food products without peanuts in New Zealand is now available online at www.nztd.co.nz.
* Desensitizing injections have been tested, but is still not available for prescription and is till experimental. Scientists are still on the process of finding ways to make people safe from nut allergies.

However, the best solution is still within grasp. For peanut allergic individuals, it is very important to completely avoid peanut products, even in its tiniest amount. Individuals who have severe systemic reaction need to carry with them immediate means of the peanut allergic reaction, such as antihistamines, etc. As mentioned above, it is very important to completely eliminate peanut related food items and the reintroduction of peanuts should only be carried out when no reaction to peanut and nut products has occurred for three to five years, and under strictly supervised conditions at a specialized centre.

REFERENCES:

  1. Fitzharris P. Peanut Allergy. Prescriber Update, No.15, p.13-16, Aug 1997.
  2. Hourihane J O’B, Dean TP and Warner JO. Peanut allergy in relation to heredity, maternal diet, and other atopic diseases: results of a questionnaire survey, skin prick testing and food challenges. BMJ 1996;313:518-521.
  3. Food and Nutrition Guidelines for Healthy Infants and Toddlers (Aged 0-2): A background paper. Wellington: Ministry of Health 1999.
  4. AAAAI - American Academy of Allergy Asthma and Immunology
  5. Mary Louise Hannah, Advisor (Nutrition), Ministry of Health

  6. 1 Leung DYM, Sampson HA, Yunginger JW et al. Effect of anti-IgE therapy in patients with peanut allergy. N Engl J Med 2003; 348:986-93.
    2
    "Anaphylaxis in Schools and Other Childcare Settings." J of Allergy and Clin. Immunology (1999) 103:963-980.

  7. http://www.users.globalnet.co.uk/~aair/nuts.htm


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