CBC MARKETPLACE: HEALTH » PEANUT
ALLERGIES The politics of peanuts Broadcast: February 2, 1999 | Producer:
Roxana Spicer; Researcher: Cindy Bahadur
When Tim Fairs had an allergic
reaction to peanuts he says it felt like he had "fishhooks"
on his lips
These days, kids, parents and schools are grappling with
a potentially deadly problem: peanut allergies.
"Once in kindergarten we were having
our recess snack," says Tim Fairs. "A kid in my class
said do you want a piece? And I said 'no thanks,' and he said,
'come
on, it's really good.' So then I just took a little bite."
Suddenly, Tim's bottom lip began to swell up - he developed hives
and began having trouble breathing. He says it felt like he had
"fishhooks" on his lips.
Tim was suffering from anaphylaxis -
a potentially deadly allergic reaction.
Half a million Canadians have anaphylaxis
-
many of them are children, like Tim, who are allergic
to peanuts.
Dr. Peter Vadas
Dr.
Peter Vadas explains what happens during a reaction: "The airways
clamp down and they fill
up with mucous. It becomes very difficult to breathe and they
will also experience a fall in blood pressure to the point where
perhaps there's not enough oxygen being delivered to the tissues.
"They may have problems with heart rhythm
and the blood vessels
in the heart might constrict and lead to inadequate oxygen delivery
to the heart and heart attack."
A reaction to peanuts can kill - very quickly.
"I've never assumed that school's
a safe environment," says Tim's mother Claire Fairs.
"I've
never told the kids that it's a safe place. They've always
had to be on their guard. Tim... he was invited to have a bite
of
his friend's cookie. And he broke the rule.
Tim's mom, Claire Fairs
"He had never seen peanut butter
chips before. He didn't know the difference visually. And he took
a bite. He broke the rule. He was wrong. He knew better."
Scott knows the rules too because
just like his younger brother, Tim, he's allergic to the most potent
of the known food allergens.
"Well, I mostly have to stay away
from peanuts as best as I can," he says, "basically I don't get
anything
that has peanuts 'cause I'm not sure of the ingredients."
The reality of a potential death in the lunchroom is forcing schools
to take a hard look at that staple of childhood, the peanut butter
sandwich.
For administrators, peanuts are as deadly as asbestos
- a potential hazard in the classroom that they are being forced
to deal with. But few schools are willing to actually ban it.
Schools are taking a hard
look at the staple of school lunches: the peanut butter
sandwich
"Well, you can't separate medicine
from real life," concedes Vadas.
Three years ago he and a team
of
Canadian specialists in life-threatening allergies crafted a document
to protect children at risk.
"We wanted to introduce a consistent
approach to children who have anaphylactic sensitivity," he says.
The
report recommends that in nursery, day care, and early grades, "no
peanuts, peanut butter or peanut-containing foods should
be
allowed."
The document is directed at schools
across
Canada. But, even the doctors do not use the three-letter word.
Canadian specialists in life-threatening
allergies crafted a document to protect children at risk
"Why is 'ban' a problem?" asks Vadas
rhetorically. "As physicians, as allergists, we're asked to make
medical recommendations and we make the recommendation that's purely
based on common sense.
"Everybody will say it's sensible if somebody
has a severe allergy to try to minimize their exposure to that
allergen
by whatever means they can. That's sensible.
"But
then once one has made that medical recommendation, then it
moves out of the medical arena into the political arena because
then the question is how does one implement that medical recommendation.
And then it becomes a hot potato politically."
Marilyn Allen's daughter, Robin died after using a knife that had
residual traces of peanut butter:
Robin Allen died after
using a knife that had residual traces of peanut butter
"She just proceeded to get dressed
and collapsed on the floor and that was it. And she died in our
arms, either there or enroute to the hospital. They could not revive
her. It was that sudden and it was that unforgiving," Allen
recalls.
But even that tragedy hasn't convinced
her that a ban could protect children.
"Once you ban one thing, are you going to ban walnuts and cashews
and almonds and shellfish and fish and soy and sesame seed and sulphites?"
she asks. "My goodness, could we ban everything?"
Marilyn Allen
On top of that, how do you enforce
a ban? "Can you put police on the door to check the lunches and
the pockets of every child coming in? It doesn't work," Allen says.
"The other thing is that when you look at a ban, you're asking...
you're asking for a reduction in vigilance. Personally, I'd rather
see everyone striving for safety. "
Instead of bans, Allen believes in educating people about the dangers
of peanuts. As vice-president of the Anaphylaxis Foundation
of Canada,
she goes school to school, training teachers to use the Epi-Pen
-- the emergency needle that injects a lifesaving shot of adrenaline.
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GENERAL INFORMATION
The
Food Allergy Network Virginia-based nonprofit organization
whose pages offer everything from product alerts to tips on safe
eating for those with serious food allergies. Also available,
for a fee, is a regular newsletter and membership in the organization
The
Anaphylaxis Campaign British site featuring information,
links, products and a newsletter for those concerned about food
allergies, particularly peanut allergies
MEDICAL
Regional Anaphylaxis
Clinic, St. Michael's Hospital, Toronto The only clinic in
Canada specializing in the investigation and management of serious
allergic reactions. Affiliated with the Anaphylaxis Foundation
of Canada and the Anaphylaxis Network
American
Academy of Allergy Asthma & Immunology Site for the organization
representing more than 5,700 allergists, clinical immunologists
and other health professionals. Pages include physician referral
lists and patient information documents
The
Mayo Clinic Health Oasis The Web site for the Minnesota health
centre features a comprehensive range of health topics, including
information and advice about food allergies
SUPPORT
Calgary
Allergy Network Web site that provides information and support
to anyone dealing with allergies, particularly serious or life-threatening
allergies. Affiliated with the Allergy Asthma Information Association
(AAIA), Canada, many pages of the site deal with peanut allergies
Food
Allergy Survivors Together Provides support for people coping
with food allergies and includes advice columns, cooking tips and
personal testimonials
Allergy
Discussion Group Site providing archived discussions of allergy-related
issues, and the ability to subscribe to an e-mail-based discussion
group for those seeking support
PeanutAllergy.Com Run
by people who either have peanut allergies or are close to those
who do, PeanutAllergy.Com offers support for people in similar situations