Sweethearts Candy Blog's

My nut-allergic daughter attends an elementary school that permits a mid-morning snack from home--either eaten in the classroom or on the playground, weather permitting. As you can imagine, I've had to do some fancy footwork to make sure that the allergy risk to her is minimal with regards to this snack. The teachers have been helpful in this task and last Friday, our child's teacher sent a note home asking that the mid-morning snack be both healthy and nut-free.


In my experience, sheer numbers make it more likely that a classroom goes nut-free. For example, this year, 3 other students in my daughter's classroom alone (not counting the rest of her grade level) have a peanut/tree nut allergy. One child also has a dairy allergy. So the class is taking many extra precautions such as more frequent hand-washing and also limiting certain foods.


I realize that this can be difficult for other parents to comply with if they have no knowledge of food allergies. To help out, I am planning to share a short list of "nut-free" snacks with the teacher (and by this I mean they don't contain any nuts in their ingredients list) that can be eaten by everyone. As always, I welcome more suggestions from all of you, but here's my short list:

- Fruit. If you child likes it peeled and cut up and you're short on time, you can even buy prepared fruit slices or chunks at most supermarkets. Check out the produce section for varieties of pre-sliced fruit.


- Enjoy Life snacks. Enjoy Life provides allergy-free foods that taste great even if you don't have an allergy and this product is available at many more supermarkets than it used to be. Enjoy Life is sold at Whole Foods but also now at many of the larger supermarket chains. Plus, it's healthy!

- Whole grain cereals (nut-free). Many of these are good even eaten dry--Cheerios and the newer Multi-Grain Cheerios are favorites in our family.


- Rice crackers or mini rice cakes. Check the labels but many of these don't contain nuts.

- Small boxes of unsweetened raisins. They satisfy a sweet tooth but are loaded with iron and give an energy boost without sugar.

Medical note: Please always refer to your doctor if you have any questions about what is safe to handle for your child's tree nut or peanut allergy. I am not a medical professional, so I can only speak for myself or those with tree nut allergies similar to my daughter's. Thank you!

Recently, I had an e-mail question from a reader who wanted to know if their 3-year-old who is allergic to tree nuts could safely handle acorns and pine cones. This mom was concerned because her child's school did a lot of outside exploration and the teachers wondered if these natural objects were safe for this child.

I realized I didn't really know the answer--I've let my daughter handle pine cones (normally they don't have pine nuts in them--that I've seen) but just recently she asked me about acorns since they're falling from all of the oak trees right now.

Acorns are nuts from oak trees so they do qualify as a tree nut. However, check out this link from FAAN: -according to them, it says kids with tree nut allergies don't have to avoid these objects. However and this may sound like a "Duh": please don't let your kids eat acorns without asking a doctor. According to my Internet research, some people do eat them and if your kids are studying Native American cultures, for example, acorns may be used to create foods. So as always, before you let your child ingest anything ask your allergist. Everybody is different in what they will react to.

That said, tree nuts such as walnuts, etc. do show up in fall decor and crafts and your child should not touch those or handle them. Even the shells have enough allergenic material to cause a reaction in some people.

Has this question come up for any of you as well? Please don't be shy about asking your allergists for advice on this one. But it looks like pine cones and acorns should be OK for most of our kids to use in a science lesson or craft project.

I'm having a crazy-busy week getting my kids back in the swing of things at school, so this one will be short but I think it's a good reminder.

Our school's health aide told me that last year an Epi Pen was found on the playground and they never knew who it belonged to because it had no label. This is disturbing for many reasons, not the least of which is that an allergic student may not have had access to their Epi Pen in the case of an emergency.

I know we've got a lot of details to worry about as we enter school, such as getting all of the meds together in the first place. A lot of parents are wonderful at remembering to label all of their child's belongings but if (like me) you weren't born with the labeling gene, take a minute to make sure that you place an adhesive label on the container that your child's Epi Pen comes in. You should mark it with their name, teacher, grade and the expiration date of the medication. I also did this with my daughter's asthma inhaler.

The health office at your school is probably super-busy right now so if we can save them some time by being good little labelers, we will be generating goodwill while ensuring that our kids have the right meds with them if they need them.

I'm heading over to my kids' school today for a mandatory meeting with staff and all of the fourth grade teachers regarding my daughter's food allergies. Hooray for her school! They take the time and the initiative (they called me, I didn't call them--how refreshing!) to set up meetings with each allergic family to discuss any potential pitfalls as well as medical needs, emergency procedures, field trips, snacks, lunchtime, etc.

As I get my forms ready to go, I started thinking that the biggest problem we face as my daughter gets a handle on her own allergies and is less likely to knowingly ingest peanuts or tree nuts. And that problem is peanuts and tree nuts don't only show up in the school cafeteria or in the Halloween treats bag. They can turn up in the unlikeliest places.

Touching enough peanut or tree nut residue and then bringing that into your eyes or mouth can trigger reactions. The risk is there and it has happened to my daughter on her initial allergic reaction as well as to other kids that we know. For example, a neighbor boy played a video game after his friend ate peanut candy and he got hives, facial swelling and asthma symptoms. At the FAAN conference last spring, a speaker mentioned that her teenage son had a reaction from playing an air hockey game directly after someone who was eating peanuts. So, though the risk is lower than ingestion, it does exist and I need to bring it up.

I decided to provide the following list of non-edible items that may contain peanuts or tree nuts with a request to make sure my daughter either avoids these items or is given the chance to wash her hands after handling them. They include:

- Art supplies/craft projects. Many schools use food in craft projects -- like tree nuts and peanut butter -- and art supplies may contain nut oils. These need to be checked out.

- Small rodent food. My daughter's school has a science center that houses rabbits and guinea pigs--one of the kids' favorite parts of the day is visiting these pets. However, most small rodent food (hamsters, mice, plus rabbits and guinea pigs) almost always contains peanuts and usually some type of tree nut as well. For hygienic reasons I know the kids wash up after handling these animals, but it's good for the teachers to know that she may become exposed from these cute, seemingly harmless critters.

- Science experiments. One common chemistry experiment involves making peanut brittle; many other science experiments may use food. Make sure the teachers know that your child can't be involved in any science projects that contain their specific food allergens. By letting the teachers know early in the year, you give them time to accommodate your request.

Ready or not, here it comes! The school season is here or almost here and many of us find ourselves discussing our child's allergies with teachers and staff.

You will definitely want to print out this article by Linda Coss: "Attack of the Killer Peanut Butter Sandwiches" to bring along with you. It's a terrific explanation of what allergic kids (and parents) are up against at school and it takes the non-allergic point of view into account.

I'm on my way to a meeting on Monday (we begin school on Tuesday). I've been through several of these meetings already and have learned what to ask over the years. Here are a few "talking points" as you get ready to talk to the school about your child.

- Your child must carry the EpiPen at all times, to every location in the school. This is law in many states; for others you may be required to have a doctor's note. In any case, make sure that your child's teachers understand the need for an accessible EpiPen--every second counts. No locked cabinets, no "we only keep it in the health office." Explaining how a reaction works helps; a doctor's order will clinch the deal.

- Which staff members and teachers have EpiPen training? And will you use it? Asking them these questions helps identify what you may need to advocate at your school. It's been my experience that all staff are trained at our current school, but as schools all have different rules, please find out. Offer to train them or to have the nurse/health aide do a training. Make sure your child's teacher is comfortable using the EpiPen and ask what you can do to make her/him more comfortable. It's crucial.

- What are your emergency procedures? Get the exact details. You may discover that you want to revise these a bit.

- Please follow our Food Allergy Emergency Plan. Available at the FAAN website, this is the life-saving "go-to" guide if someone suspects your child is having a reaction.

- What's the "treats schedule" for the year? For example, any special holiday or event celebrations? If you can nail it down early, you'll be prepared to deliver safe treats to your child's classroom if necessary. You really don't want to be stuck making food at midnight. It makes you cranky.

- Make sure that you mark down the expiration dates for your meds--and ask if the school has a "reminder" policy for this. Many schools do, but you should be the one who really is on top of this so there are no gaps where your child is at school without their EpiPen. Just mark it down on your calendar for two weeks before it expires so you have plenty of time to get new ones.

I've been wanting to discuss this recent study about how the public views food allergies. Not surprisingly, most study respondents did not understand either what food allergies are or how serious they can be to someone's health. The study also showed that many people erroneously believe that medicine may be used that will prevent food allergy symptoms.

I had a real-life experience with this on a TV show a few weeks ago. "Monk" the detective series on the USA network happened to mention this misguided view of peanut allergies. Monk is a great show--for those of you who have ever watched it, you know that the title character is consumed with details. He had the chance to meet an actress from one of his favorite childhood TV shows and so he wanted to clear up some of the show's details from years past. It was funny. But here's what he asked: "On one episode you had a peanut allergy. But then on the next episode you ate something containing peanuts and didn't have a reaction. Why?"

Yes! I thought while watching. The USA network reaches millions of viewers and now they'll hear how wrong that is. However, here was the other character's disappointing response: "Maybe the doctor just gave me some medicine." Then the show of course moved onto other topics and that was that.

ARRRGGHHH! There is no medicine you can give someone to prevent an allergic reaction prior to ingesting an allergenic food. But this very big medical misinfo made it through the final cut of the show.

I mention this now, because as we go back to school, many of us may find ourselves faced with people who think we're making this all up. Or that there is a simple medicine that can prevent a severely allergic person from having anaphylaxis once they've ingested the allergenic food. If you're meeting with school officials, this is your chance to speak up and have the facts.

For example, one finding of the study was that parents of non-allergic kids did not want special accommodations, such as a peanut ban (understandable, since they never do.) But surprisingly the same group didn't even want a peanut-free table. Why?? How does it affect them? Just goes to show you that for some having the school try to help with a child's food allergy for safety purposes is considered "special treatment" even if it only affects the allergic child and not the non-allergic kids. How does a peanut-free, milk-free or egg-free table affect the non-allergic in any meaningful way? If anything, it's more difficult for the allergic child, though it may be medically necessary depending on their age and level of sensitivity.

Facts combat ignorance, so have them ready. You may want to refer people to the FAAN web site or to food allergy books. DVDS, available through FAAN, can also be very helpful. Every bit of education helps.

I'm curious: Have you had "Monk moments" in your own life where blatant misinformation about food allergies in the media or otherwise had you shaking your head? I'm guessing yes.

The best thing we can do is to educate and advocate. Don't be rattled by people who don't "get it" but work hard to educate them, showing them the compassion you wish they showed to you. The old adage "you catch more flies with honey than with vinegar" really applies here.

I want to let you know about two great resources that are currently running sales promotions to help you and your allergic child prepare for the Back to School Season: Oliver's Labels and Vermont Nut Free Chocolate.

I just discovered Oliver's Labels after being contacted by them recently and I really like this product. If you've got kids in preschool, daycare or elementary school, you'll want to pick up these personalized labels that not only have your child's name but that also raise awareness about your child's nut allergy.

Labels are completely waterproof and carry a full-color "No Nuts" symbol along with your child's name or initials. Oliver's Labels also has stickers for egg, gluten and dairy allergies as well as others. You can use them to label clothing, book bags, toys, lunch bags, musical instruments--anything that your child takes to school. I really like the samples I received--they are eye-catching and quickly identify my daughter's belongings while raising food allergy awareness at the same time. Plus, when you order your labels, you get use of a free online service called FoundIt (TM) that helps you get your lost items back without having to share personal info with strangers.

I wish I'd had these sooner--especially when my child was in preschool and kindergarten. It's just one more layer of awareness as your child goes throughout their day. Click on the company's web site for more designs and colors.

If you order now, you can also receive 10% off of your initial order as a reader of this blog. Just use the coupon code OliversFriends at checkout.

Also, many of you already know how much I love Vermont Nut-Free Chocolate! They make delicious candy that is prepared in a peanut and tree-nut free facility, though they do use other allergens such as dairy and eggs. If your only concern is nut-free, however, you should know that they are running a special back to school promotion right now. Just use coupon code Back2School at checkout time to receive 10% off of your purchase through August 31st.

Vermont Nut-Free is a special treat because they make holiday and event-themed candy--a difficult thing to find if you need nut-free. The treats are great to have on hand in a "safe treats" bag that your child brings to the classroom. Check them out if you can!

I'll have more back-to-school resources in the days ahead, but I'm happy to pass along these discounted offers to all of you. If you need more info on either company, go to their respective web sites: www.oliverslabels.com and www.vermontnutfree.com.