Voluntary Guidelines for Managing Food Allergies In ...

MANAGING FOOD ALLERGIES IN SCHOOLS

Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion Division of Population Health

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Suggested Citation Centers for Disease Control and Prevention. Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs. Washington, DC: US Department of Health and Human Services; 2013.

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Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs

CONTENTS

Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 FDA Food Safety Modernization Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 About Food Allergies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Section 1.Food Allergy Management in Schools and Early Care and Education Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Essential First Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

1. Use a coordinated approach that is based on effective partnerships.. . . . . . . . . . . . . . . . . 24 2. Provide clear leadership to guide planning and ensure implementation

of food allergy management plans and practices.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 3. Develop and implement a comprehensive plan for managing food

allergies.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Priorities for Managing Food Allergies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

1. Ensure the daily management of food allergies for individual children. . . . . . . . . . . . . . . . 29 2. Prepare for food allergy emergencies.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 3. Provide professional development on food allergies for staff. . . . . . . . . . . . . . . . . . . . . . . . 37 4. Educate children and family members about food allergies. . . . . . . . . . . . . . . . . . . . . . . . . 39 5. Create and maintain a healthy and safe educational environment.. . . . . . . . . . . . . . . . . . . 40 Food Allergy Management and Prevention Plan Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Section 2.Putting Guidelines into Practice: Actions for School Boards and District Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 School District Policy Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 School District Staff Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 School Board Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 School District Superintendent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Health Services Director. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Student Support Services Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 District Food Service Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Section 3.Putting Guidelines into Practice: Actions for School Administrators and Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 School Administrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs

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Registered School Nurses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 School Doctors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Health Assistants, Health Aides, or Other Unlicensed Personnel . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Classroom Teachers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 School Food Service Managers and Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 School Counselors and Other Mental Health Services Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Bus Drivers and School Transportation Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Facilities and Maintenance Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Section 4.Putting Guidelines into Practice: Actions for Early Care and Education Administrators and Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Program Directors and Family Child Care Providers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Child Care Providers, Preschool Teachers, Teaching Assistants, Volunteers, Aides, and Other Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Nutrition Services Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Health Services Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Section 5.Federal Laws and Regulations that Govern Food Allergies in Schools and Early Care and Education Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Section 504 of the Rehabilitation Act of 1973 (Section 504) and the Americans with Disabilities Act of 1990 (ADA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Governing Statutes and Regulation for U.S. Departmentof Agriculture's (USDA) Child Nutrition Programs (CNPs). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Individuals with Disabilities Education Act (IDEA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Family Educational Rights and Privacy Act (FERPA) of 1974. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Section 6.Food Allergy Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Glossary of Abbreviations and Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

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Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs

Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs

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