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Look back: Cayuga County schools adjust to food allergies – The Citizen

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Sept. 5, 2007

The peanut butter and jelly sandwich is an essential part of the elementary school lunchroom.

But for 2.2 million American schoolchildren, that meal and others are off the menu.

Whether it’s milk or peanuts, wheat or soy, several common foods are unhealthy — and often lethal — to children with food allergies.

And as the prevalence of food allergies rises in the youth population, it has become an increasing priority for schools to take steps that will prevent children from allergen exposure.

It’s not as simple as making sure they don’t eat the foods to which they’re allergic. Even faint traces of peanuts or milk can trigger reactions in the children who cannot tolerate them. Touching hands with a student who has been handling these foods and exposure to surfaces on which they’ve been eaten are both risky to children with allergies.

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Auburn’s schools implemented a plan six years ago to alert all faculty that comes in contact with a food-allergic child of his or her condition. Parents commonly notify the school of the child’s allergy and symptoms of a reaction.

That information is then circulated to not only the child’s teacher, but lunch officials, gym, music and art teachers. District nursing supervisor Caren Radell notes that art is a particular danger zone for food allergies due to the use of supplies that may contain products made from peanuts, the most common food allergen.

The lunch room is where the most care is taken to keep children with food allergies safe. Both before and after the meal, all children are required to wash their hands.

“In case there’s a smear of peanut butter in the web of a child’s hand afterwards,” Radell said.

Lunch room staff work hard to help food allergic children as well. Cashiers and lunch room aides will know if a child is unknowingly trying to buy an item with an allergen, like a cookie that may contain peanuts, and stop them from doing so.

The Weedsport school district works with a database that alerts lunch room cashiers when a student with a food allergy is checking out. Should a child attempt to purchase a food that stimulates an allergy, the cashier will be able to prevent the student from leaving the lunch line with it, said Food Service Director Donna Deyo.

The Moravia school district employs a similar system for its students with milk allergies. As school lunch manager for Moravia’s Millard Fillmore Elementary and Middle/High Schools, Jennifer Parker-Smith has only managed service for students with milk allergies.

“Most of the kids are really good about it, they’re well-trained once they know what to watch out for,” she said.

In the Auburn and Moravia districts, utensils used to prepare items with allergens are not used to make other food for allergic students.

“If we use a knife and spoon for peanut butter and jelly sandwiches, we use that knife and spoon for that and nothing else,” Radell said.

Children with food allergies also sit at their own designated lunch table. Students with home lunches are not allowed at this table due to the possibility of their food being allergen-contaminated. Radell believes this policy keeps children safe from allergen exposure in the lunch room without embarrassing the students.

“We work closely with the parent to make sure they’re comfortable,” she said. “They have to be comfortable letting their child come to school.”

Port Byron schools are also hoping to organize peanut-free tables starting this school year. Middle and high school nurse Amy Potrzeba, who previously worked with the Allergy and Asthma Diagnostic Office in Liverpool, will be working with the elementary school nurse to institute this change. She is also looking into the possibility of mandatory hand-washing for students.

Auburn schools also send a letter to the parents of food-allergic children’s classmates that asks them not to bring in any food for celebrations that could aggravate the allergy. The allergic child’s name is also kept secret to preclude any possible ostracism.

Parker-Smith, also the mother of a first-grade student, received a letter from her daughter’s teacher informing her that should any child in the class have a food allergy, Parker-Smith – and all other class parents – would be told.

“The teachers take pretty good control of that, so we won’t be sending any peanut butter cookies,” she said.

So far, no child in the Auburn school district has suffered a major allergic reaction to food at school. In the event that one does, however, school faculty has been instructed how to administer an epinephrine shot to stop an anaphylactic reaction.

In Port Byron, Potrzeba created a protocol in March calling for an epinephrine pen to be on hand should a student experience an allergic reaction.

The risk posed by food allergies has recently caught the attention of the stage Legislature.

In early August, Governor Eliot Spitzer signed the Allergy and Anaphylaxis Management Act of 2007, which will require the New York State Commissioner of Health to develop guidelines for schools that will minimize the risk of student exposure to food allergens.

But with the steps they’re taking to prevent any problems, local school districts seem to be ahead of the game on food allergies.

— Compiled by David Wilcox

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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