Learn to recognize signs of anaphylaxis, and know how to activate the school’s emergency plan if anaphylaxis should occur in a child with a life threatening food allergy.
Preventing exposure to allergens in the cafeteria and throughout the school.
Distribution of Peanut Allergen in Environment
Ara h 1-major peanut allergen-none on water fountains, none on desks/cafeteria tables. Nonallergic volunteers ate peanuts /peanut butter in cafeteria. No airborne Ara h 1 detected.
Cleaning Ara h 1-found common household cleaning agents, such as Formula 409®, Lysol® Sanitizing Wipes, Target brand® cleaner with bleach, removed allergen from tabletops (except for dishwashing liquid, which left traces of allergen).
Removal from hands, liquid soap, bar soap, commercial wipes were very effective. Plain water/antibacterial hand sanitizer left detectable levels of peanut allergen.
Conclusions-Ara h 1 is easily cleaned from hands/surfaces and does not appear to be widespread on cafeteria tables/desks in preschools/schools. Airborne peanut allergen was not detected, despite testing levels in multiple simulated environments, but more research needs to be done in order to make firm conclusions about exposure to peanut allergens in schools. Source: Journal of Allergy and Clinical Immunology, Vol. 113, No. 5.
Special Dietary Needs in Child Nutrition Programs Lesson 4: Understanding Inborn Errors of Metabolism
Define inborn errors of metabolism, identify the more common errors, and explain dietary treatment for children with inborn errors of metabolism.
Describe accommodations for these children and understand the need for a professional consultant in difficult cases.
Inborn Errors of Metabolism
Rare genetic disorders in which the body cannot metabolize food normally
By-products of metabolism, amino acids, sugars, fatty acids build up in the body, causing serious complications
Dietary treatment: strict diet management to avoid toxic buildup of dietary by-products
Special foods or formulas may be needed
Cannot process the amino acid phenylalanine
low-protein diet (to prevent increase in phenylalanine)
special formula to provide protein
Cannot process the sugar galactose
Dietary treatment: no milk or dairy products
Hereditary Fructose Intolerance
Cannot process the sugar fructose
no fructose (high-fructose corn syrup, honey, fruit)
no sucrose (table sugar)
Maple Syrup Urine Disease
Cannot process branched chain amino acids leucine, isoleucine, valine
special formula to provide protein
Maintain communication among food personnel, parents, teacher, school nurse, and consultant if needed
Understand dietary restrictions prescribed in the plan and keep on file and with the school nurse
Obtain and serve special formula or foods
Follow prescribed portion sizes
Report mistakes immediately
Keep information confidential
Generally, provided by family (unless all students provided snack)
Student needing snack during school day- ‘right to a snack’ under Section 504 as an accommodation depending on severity
Must allow to obtain (eat when, where, how, time necessary accommodation-bus)
Special Ed Connection, January 16, 2008
A special diet could be a related service under IDEA, Letter to Williamson , 211 IDELR 419 (OSEP 1986), but under following conditions-
1. Special diet must be related to a child's disability.
2. Special diet must be determined by IEP Team as a related service that is required to receive a free appropriate public education. While a physician's note might be required for meal substitutions, etc., only IEP team can conclude that a service (diet, transportation, nursing, etc.) is a "related service" that would be funded by special education dollars.
3. LEA's nutrition service, as a "related service" provider, should participate in IEP Team discussions of special diets as a related service.
4. Special diet must be based on "peer reviewed research to extent practicable". Controversial dietary therapies may be lacking in peer-reviewed research. Some dietary therapies have been shown to have negative health effects. IEP team must consider any research brought to its attention about dietary therapies.
5. Special education is payer of last resort. If there are other funds available, those must be used first.
6. Special education funds must supplement, not supplant other state, federal, and local sources of funds. For example, if USDA provides funds for a student's meals, and student's special meals cost $5.00/day, amount that special education funds could pay would be difference between USDA payment and daily cost. If special education funds paid entire amount, that would violate IDEA's supplement-not-supplant clause.
Thomas A. Mayes, Legal Consultant
Bureau of Student & Family Support Services, Iowa Department of Education