EAACI Food Allergy and Anaphylaxis Guidelines. Protecting consumers with food allergies: understanding food consumption,meeting regulations and identifying unmet needs |
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| Authors: | T. Holzhauser L. K. Poulsen M. H. Gowland C. A. Akdis E. N. C. Mills N. Papadopoulos G. Roberts S. Schnadt R. van Ree A. Sheikh S. Vieths the EAACI Food Allergy Anaphylaxis Guidelines Group |
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| Affiliation: | 1. The Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region, Department of Mother and Child Health, Padua University Hospital, Padua, ItalyJoint first authorship. Antonella Muraro, The Referral Centre for Food Allergy Diagnosis and Treatment, Department of Mother and Child Health, Veneto Region, University Hospital of Padua, Via Giustiniani 3, 35128 Padua, Italy.;2. Tel.: +39‐049‐821‐2538;3. Fax: +39‐049‐821‐8091;4. E‐mail:;5. Division of Allergology, Paul‐Ehrlich Institute, Langen, Germany;6. Allergy Clinic, Copenhagen University Hospital, Copenhagen, Denmark;7. Allergy Action, St Albans, UK;8. Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland;9. Christine Kühne–Center for Allergy Research and Education (CK‐CARE), Davos, Switzerland;10. Institute of Inflammation and Repair, Manchester Academic Health Science Centre, Manchester Institute of Biotechnology, University of Manchester, Manchester, UK;11. Allergy Department, 2nd Pediatric Clinic, University of Athens, Athens, Greece;12. Centre for Pediatrics and Child Health Institute of Human Development, The University of Manchester, Manchester, UK;13. David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK;14. Human Development in Health and Clinical and Experimental Sciences Academic Units, Faculty of Medicine, University of Southampton, Southampton, UK;15. NIHR Respiratory Biomedical Research Unit, NHS Foundation Trust, University Hospital Southampton, Southampton, UK;16. Deutscher Allergie‐ und Asthmabund e.V., M?nchengladbach, Germany;17. Departments of Experimental Immunology and Otorhinolaryngology, Academic Medical Center, Amsterdam University, Amsterdam, the Netherlands;18. Allergy and Respiratory Research Group, Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK;19. Department of Medicine, Harvard Medical School, Boston, MA, USA;20. Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA |
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| Abstract: | ![]()
Individuals suffering from IgE‐mediated food allergy usually have to practise life‐long food allergen avoidance. This document aims to provide an overview of recent evidence‐based recommendations for allergen risk assessment and management in the food industry and discusses unmet needs and expectations of the food allergic consumer in that context. There is a general duty of care on the food industry and obligations in European Union legislation to reduce and manage the presence of allergens alongside other food hazards. Current evidence enables quantification of allergen reference doses used to set‐up reliable food safety management plans for some foods. However, further work is required to include a wider variety of foods and to understand the impact of the food matrix as well as additional factors which affect the progression and severity of symptoms as a function of dose. Major concerns have been raised by patients, carers and patient groups about the use of precautionary ‘may contain’ labelling to address the issue of unintended presence of allergens; these therefore need to be reconsidered. New and improved allergen detection methods should be evaluated for their application in food production. There is an urgent requirement for effective communication between healthcare professionals, patient organizations, food industry representatives and regulators to develop a better approach to protecting consumers with food allergies. |
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| Keywords: | allergen risk assessment anaphylaxis food allergy food industry regulatory aspects |
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