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Showing posts with label food allergens. Show all posts
Showing posts with label food allergens. Show all posts

Wednesday, February 24, 2016

Accommodating Food Allergies: Good for Business and Good for Your Customers!


By Francine L. Shaw CP-FS, CFSM, FSP, FMP   |   fsts.net
An EXCLUSIVE for Convenience Store News  |  Published January 2016


Individuals with food allergies must be properly accommodated across all spectrums of the food service industry. Approximately 230,000 hospitalizations and 200 deaths occur annually because food-allergic individuals accidentally ingested or inhaled their allergens. Make one tiny mistake with “just a trace” of an allergen, and someone could die, literally.

Recently, I was teaching food safety classes for a convenience store chain after they had rolled out barista-style coffee. At one point during class, we were discussing the new products and I discovered they offered a beverage containing soy milk. Later in the day, as we talked about food allergies, I used the soy milk as an example. I remember saying, “It’s great that you have signs with warnings that state: Soy products are served here; therefore, there could be potential contamination.” Everyone in the class looked at me like I was speaking a language they’d never heard. I then said, “You do have a warning statement, don’t you?” Slowly, everyone began to shake their heads no.

Having no signage about food allergens and possible contamination was the first of a series of problems, showing me that these employees were not properly trained to accommodate food-allergic customers. We discussed cleaning procedures for the mixers that were used for multiple beverages, including products with common allergens like peanut butter, dairy and soy, and the employees told me they were just being “spun” in water with sanitizer, not thoroughly cleaned with hot water and soap before being sanitized. Additionally, there was not an assigned mixer for allergen-free products only. This brand had big problems.

During the next break, I called the corporate office to inform them of these oversights. A few hours later, after class, I stopped into another one of their units on the way home. In the short time since I’d reported the problem to corporate, the stores had already posted temporary allergen warning signs. I also noticed that they had labeled the mixers for allergen and allergen-free products. This showed – without a doubt – how valuable an external set of eyes and ears can be. I was delighted to see that the convenience store chain was able to quickly fix their errors and start improving their food allergy protocols. The leadership team was ecstatic that these issues were caught (and resolved) prior to a tragedy.

I’ve had numerous conversations with individuals who (erroneously) believe that cooking oil gets hot enough to “kill the protein” that causes an allergic reaction. This is simply not true. Speaking of cooking oil, don’t use the same fryer or oil for French fries that you use for breaded products, fish or foods containing nuts, as doing so will cause cross-contact for people with gluten, fish or nut allergies. Allergen-free foods must be cooked in clean oil, using separate (clean) prep stations and equipment (cutting boards, knives, pans, etc.)
All food service establishments – including convenience stores – must have procedures in place to ensure safe experiences for food-allergic customers, and must train all employees to always follow these procedures. Here are a few tips to make your stores allergy-friendly:
  • Create a separate workspace in your prep areas to prepare allergen-free products. Make certain you clean and sanitize all work surfaces and equipment.
  • Utilize color coded allergy tools in your kitchens to reduce the risk of cross-contact. Purple is the universal color for allergen-free kitchen utensils. Keep these tools clean and covered.
  • Identify allergen-free products with colored stickers (purple is the color of choice) so they can be easily identified.
  • Make certain all dishware is properly washed, rinsed, and sanitized prior to reuse.
  • Ensure that all employees know the ingredients in every component of every food they serve, including sauces, marinades, sandwich breads, etc. Train them to read and understand ingredient labels.
  • Ensure that your employees know the “aliases” for common allergens – e.g., casein and whey are dairy, semolina is grain, etc.
  • Communicate with your team, and train them on food allergy protocols. There are numerous webinars, videos, and live classes that can assist you with this endeavor. 
It’s critical that everyone on your staff understands the difference between cross-contact and cross-contamination:
  • Cross-contact occurs when an allergen is inadvertently transferred from a food containing an allergen to a food that does not contain the allergen – such as chopping peanuts on a board and then chopping grilled chicken on that same board. The grilled chicken has come into contact with the peanuts, which could trigger an allergic reaction in a guest with peanut allergies. Cooking does not reduce or eliminate the risk of cross-contact.
  • Cross-contamination is a common factor in the cause of foodborne illness. If you place raw chicken on a board, and then chop vegetables on that same board, you risk cross-contamination, spreading bacteria from the raw poultry onto the vegetables. Proper cooking of the contaminated food in most cases will reduce or eliminate the chances of a foodborne illness. 
The main difference between cross-contact and cross-contamination is that anyone can become ill from cross-contamination if they eat foods that have touched raw meats or poultry. Cross-contact is dangerous only for food-allergic guests, who may inadvertently ingest their allergens if proper care wasn’t taken during food prep.
Approximately 15 million Americans have food allergies, including 1 in 13 children. Food allergies among children increased approximately 50% between 1997 and 2011 and no one understands why. Recognized that 25% of people’s first allergic reactions happen outside the home. This issue isn’t going to go away any time soon. Train your staff to recognize the signs of an allergic reaction, and have plan in place in case one occurs at your store. A “small” mistake - such as standing someone up in the midst of an anaphylactic reaction - could be fatal. 

Everyone on your team should know how to handle an order for someone with food allergies. Consumers are seeking out establishments where they can eat worry free. These establishments will earn brand loyalty and, therefore, increase profitability. Wouldn’t it be nice to be recognized as the C-store that consumers with food allergies can eat with confidence?

Wednesday, December 17, 2014

Food Allergies in Schools - Part 2 of the Allergy Series



As a growing food safety and public health concern, potentially life-threatening food allergies affect between 4% and 6% of children in the U.S. The ordeal goes beyond the child with the allergy, effecting their families, schools and early child education programs. Having a plan of action and communication between families and staff could help to prevent allergic reactions and prepare them to handle emergencies.

What is a food allergy?

When the body has a specific immune response to certain foods that can multiply, this can be defined as a food allergy. The immune response can be severe and life threatening, or even lead to anaphylaxis. Normally the immune system protects us from germs, however in those with food allergies it incorrectly responds as if the food was harmful.


Eight foods account for 90% of serious allergic reactions in the U.S.



Symptoms of Allergic Reactions in Children

While symptoms and severity of reactions to food can vary between individuals, they can also different for one person over time. If a child with food allergies is having a reaction, they may talk about the following symptoms:

   It feels like something is poking my tongue.
   My tongue (or mouth) is tingling (or burning).
   My tongue (or mouth) itches.
   My tongue feels like there is hair on it.
   My mouth feels funny.
   There’s a frog in my throat; there’s something stuck in my throat.
   My tongue feels full (or heavy).
   My lips feel tight.
   It feels like there are bugs in there (to describe itchy ears).
   It (my throat) feels thick
   It feels like a bump is on the back of my tongue (throat).


Treatment and Prevention of Food Allergies in Children

Unfortunately, there is no cure for food allergies. The only way to avoid symptoms or an emergency is to avoid the allergen. While it is not always easy to avoid certain foods, school and ECE programs should have a plan of action in place to handle allergic reactions and anaphylaxis. Early and fast recognition of allergic reactions that may lead to anaphylaxis can prevent a tragedy.


Voluntary Guideline for Managing Food Allergies in Schools and Early Care and Education Programs

In collaboration with the U.S. Department of Education and federal agencies, CDC developed guidelines for managing food allergies in schools and early care and education centers. This provides information and planning steps for parents, district administrators, school administrators and staff.






Wednesday, November 5, 2014

Defining A Food Allergy: Part One of the Allergy Series



A food allergy can be described the reaction of the immune system to a harmless food as if it were a threat. While there are several types of immune responses to food, we will focus on one specific type of reaction – where the body produces a specific type of antibody call immunoglobulin E (IgE). The binding of IgE to certain molecules in food triggers the immune system to respond.

The first time a person eats the food, no symptoms may be present. The first time they are exposed to that food, their immune system reacts as if the food is harmful and makes specific IgE antibodies for that allergen. The antibodies then circulate throughout the body and attach to different tissues.

The next time they eat the food an allergic reaction could happen. When ingested, the food allergen binds to the IgE antibodies that have attached throughout the body, releasing massive amounts of chemicals such as histamine. Depending on the tissue where they are released, the chemicals will cause various symptoms, ranging from mild to severe. A severe allergic reaction can include anaphylaxis, a potentially life-threating response.


Anaphylaxis may begin abruptly and could lead to death if not treated immediately. This includes a wide range of symptoms that can present themselves in many combinations. Some symptoms are not as dangerous, but the most severe restrict breathing and circulation.

Affected areas could include:

SKIN: itching, hives, redness, swelling

NOSE: sneezing, stuffy nose, runny nose

MOUTH: itching, swelling of lips and tongue

THROAT: itching, tightness, difficulty swallowing, hoarseness

CHEST: shortness of breath, cough, wheeze, chest pain, tightness

HEART: weak pulse, passing out, shock

GI TRACT: vomiting, diarrhea, cramps

NERVOUS SYSTEM:  dizziness or fainting

Symptoms can begin immediately or several hours after contact. Sometimes the symptoms go away, only to return 2 to 8 hours later. Anaphylaxis is highly unpredictable, but if you begin to experience symptoms you must seek medical attention immediately because it can be deadly.


Common Food Allergies in Infant, Children and Adults

In infants and children:

In adults:

Food allergies usually develop at an early age but can develop anytime. Children can outgrow egg, milk, and soy allergies. However, people who develop allergies as usually adults have them for life.