Twelve million Americans suffer from food allergies. Though some children outgrow allergies, many have to live with a condition for life. Now it appears that there is a glimmer of hope for some families. Earlier this year, researchers at Duke University Medical Center and Arkansas Children’s Hospital presented a treatment plan that seems to be working. Introducing tiny amounts of peanuts into a child’s diet, and gradually increasing the amount over the course of months, may lead to a tolerance level and even desensitization:

“It appears these children have lost their allergies,” says Wesley Burks, MD, Chief of the Division of Pediatric Allergy and Immunology at Duke.

“At the start of the study, these participants couldn’t tolerate one-sixth of a peanut,” Burks said. “Six months into it, they were ingesting 13 to 15 peanuts before they had a reaction.” Read more…

The initial dosage can be as low as one thousandth of a peanut!

The four-year study shows real improvement – 89% of the kids with severe peanut allergies could eventually eat up to 15 peanuts without showing any allergic reaction. However, 11% had to quit because their bodies couldn’t handle the treatment. In a parallel experiment, 25% of the children seem to have lost their allergy altogether.

What you need to know:

Of 150 deaths from allergic reactions each year, 75 are caused by peanuts. Around 3 million Americans suffer from peanut allergies. For some, the allergy is so severe that even sitting next to people who are eating peanut products may cause a reaction. Peanut allergies are the leading cause of food-induced anaphylaxis, which is a life-threatening reaction that constricts the airways and lungs. They account for 15, 000 emergency room visits every year year.

Especially worrying to parents are young children with peanut allergies. They have to be educated at a very tender age that they can’t have the same foods, snacks, and treats as their friends.

Warning! This research is still ongoing. Parents are cautioned against trying any version of this treatment on their own.

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The Journal of Pediatrics published a report on Monday showing an increase of 18% in food allergies in a 10 year period starting in 1997. This brings the total percentage of kids with allergies to 3.9% or 1 in 25 children under the age of 18. That’s about 2.88 million children across the country, or one in every classroom!

90% of food allergies are from 8 basic foods (soy, wheat, egg, milk, peanuts, tree nuts, fish, and shellfish), whose presence must be labeled on food products.

What is causing this increase?

“Nobody knows for certain” is the party line, if you ask government health organizations and others.

One explanation is that parents are now more aware of allergies than they were a decade ago. In their calculations, the study’s researchers took into account the heightening awareness to allergies, but even that does not explain the additional 450,000 kids with allergies over a decade.

Another option, named the “hygiene hypothesis”, purports that the relatively sterile environments of kids today don’t allow young bodies to develop strong immune systems, simply because there are no disease causing substances for them to fight. But then, for some reason, the underdeveloped immune systems overreacts to allergens.

Yet a third possibility, not investigated enough, is genetically modified foods. The modified proteins in GM soy or corn, whose byproducts are found in well over 50% of supermarket items, could possibly be causing new allergic reactions.

For most parents, luckily, allergies are a non-issue. But almost everyone has a friend or extended family member with a story about a child who has been diagnosed as allergic. That’s a curve ball that catches many folks totally unprepared. It means totally rethinking about how a family buys, stores, prepares, and serves food. Every meal, every day, home and out.

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Last week, the FDA  hinted it would be seriously looking at regulating Front of Pack (FOP) nutrition labeling systems. As a result, Smart Choices called it quits, and other programs are “on alert”. The FDA’s involvement can be of great assistance to the public, by creating a single unified system in ALL supermarkets and on ALL packages.

But first, wouldn’t it be nice if the FDA cleaned up the mess originally created when the Nutrition Labeling and Education Act (NLEA) brought us the nutrition facts label as we know it today?

Here’s a list of 10 things the FDA can do to improve the existing information on labels. Read more…

1. Propyl Gallate is an artificial food additive, that is also used in cosmetics and pharmaceuticals.

2. It is a whitish crystalline powder.

3. You may find propyl gallate in meat products, microwaveable popcorn, soup mixes, chewing gum, mayonnaise, and frozen meals.

4. It has antioxidant properties, which means it helps stop oxygen molecules from mixing with the oil in food, causing the food to go rancid.

5. Propyl gallate is also denoted E310.

6. Some studies on rats have shown that propyl gallate may cause cancer.

7. Other side effect of consumption are stomach and skin irritability, as well as allergic reactions that impact breathing. It may also cause kidney and liver problems.

9. In some cases, to improve its efficacy, propyl gallate is used in conjunction with 2 other preservatives – BHA and BHT – which are also suspect as carcinogenic.

10. Although the FDA considers propyl gallate safe, in other countries it is either banned or very limited in use.

What to do at the supermarket:

Propyl Gallate is not a super popular additive. Go over the ingredient list of suspect products and try to avoid foods that contain it.

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1. It has many names – Tartrazine, E102 , FD&C Yellow 5, C.I. 19140, or just plain Yellow 5.

2. Yellow #5 is a synthetic, water soluble, lemon yellow dye used as a food coloring.

3. A partial list of foods including Yellow #5: cotton candy, soft drinks, energy drinks, instant puddings, flavored tortilla chips such as Doritos, breakfast cereals, cake mixes, pastries, pudding powders, soups, sauces, flavored rices such as paella,  powdered drink mixes, sports drinks, ice cream, ice pops, candy, chewing gum, marzipan, jam, jelly, gelatins, marmalade, mustard, horseradish, yogurt, noodles, and pickles.

4. Yellow #5 is one of the cheapest synthetic colors available, and sold all over the world.

5. The more expensive, natural food colorings are turmeric (a spice) , annatto (tropical tree derivative), betacarotene (think carrots’ orange pigments), or malt color.

6. Various levels of allergic reactions and intolerance reactions have been caused by this food coloring, especially among asthmatics and people with aspirin intolerance.

7. Some studies have linked various immunologic responses to tartrazine ingestion, including anxiety, migraines, clinical depression, blurred vision, itching, general weakness, heatwaves, feeling of suffocation, purple skin patches, and sleep disturbance.

8. Despite mounting evidence, The FDA considers Yellow #5 a safe food coloring. Let it be noted that, in the past, the FDA banned the use of other food colorings. This, after research showed them to be carcinogenic.

9. A major study published in the UK in 2007 linked food colorings with hyperactive behavior in children. As a result, the FSA (UK’s FDA) has called manufacturers to voluntarily ban food colorings in their products. Most companies are obliging,  due to consumer pressure and FSA encouragement.

10. Consumer groups in the US, especially the Center for Science in the Public Interest, have called food colorings, and especially Yellow #5, the “Secret Shame” of Food Industry and Regulators. A ban from all foods is their request.

11. Yellow #5 may also be also found in vitamins, antacids, soaps, cosmetics, shampoos, moisturizers, and crayons.

12. Organic foods may also contain Yellow #5 or other food colorings, because the USDA considers a processed food organic if it as at least 95% organic by weight. Since food colorings are used in tiny amounts, a bran muffin with a touch of artificial yellow is still considered organic.

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It’s been almost 20 years since the nutrition label as we know it was introduced. The intent was to empower consumers to make more informed (read: healthy) purchasing decisions. Unfortunately, the labels have not helped, as America continues to grow, and not in a good way.

While blaming the inadequacy of the nutrition panel is a naive approach to America’s relationship with its food, there are certain oversights or loopholes in the way packaged food information is provided to consumers today. For example, health claims or nutrient claims, which appear in large font on the front of package, embellish one positive trait, say “low-fat”. The nutritional cost may be a product high in sugar content as compensation. But such details appear in the side panel (the nutrition label is never up front), and consumers don’t always bother to check.

We’ve compiled a list of improvements that can make labels and packaging even more informative, hopefully providing consumers with  better tools to make a decision. Consumers will benefit from increased transparency of nutrition and ingredient information. Read more…

Although food labels let consumers to learn about what they are eating, most spend only a few seconds if it all, browsing the available information. There is a large group of people though, for whom the labels are more than “nice to have”. People with with food allergies and intolerances, rely on labels to keep them alive. Just ask any mother of a peanut-allergic child.

The Chicago Tribune conducted a thorough investigation as to allergy labeling. The results were not impressive:

In one of the nation’s largest examinations of undisclosed ingredients in food, the Tribune reviewed thousands of items at 60 locations in or near Chicago, finding dozens of products obviously mislabeled. The newspaper also conducted 50 laboratory tests — more than the U.S. Department of Agriculture and the Food and Drug Administration combined over the last several years — to determine precise ingredients.

Read the article…

What you need to know:

1. Label errors abound. For people with allergies, a mistake can be a deadly. Federal law requires ingredient labels to disclose 8 foods accounting for most allergies – milk, eggs, wheat, soy, peanuts, tree nuts, fish and shellfish.

2. Confusing synonyms. Consumers are not experts in food terms. A product including “durum semolina” must declare it as  “wheat” as well.

3. Cross contamination. As an example – oats are often tainted with wheat.

4. Poorly labeled imports. This is a result of lax regulations in other countries. To reduce this problem, the FDA recently opened offices in China.

5. Unlabeled food. The deli counter and bakery at the supermarket are not required to label foods. People with allergies should avoid them.

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From the FDA website:

Kashi Company of LaJolla, CA is recalling a limited number of canisters of Kashi GOLEAN Powder Chocolate Energy Shake Mix because they contain undeclared milk. People who have an allergy or severe sensitivity to milk, run the risk of serious or life-threatening allergic reaction if they consume this product. The product was distributed to grocery, health food, pharmacy and on-line retailers nationwide.

Read more…

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From the FDA: Mom’s Food Products, Inc. of Ft Worth, TX is recalling its Pimento Spread sandwiches with a expiration date of December 15th through the 18th due to the label not declaring an allergen egg yolks. People who have an allergy or severe sensitivity to eggs run the risk of serious or life-threatening allergic reaction if they consume these products.

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Every year, 30,000 people are rushed to the emergency room because of an allergic reaction to food. Some 150 die, a high percentage are kids. In many cases, despite special care taken not to consume any product suspected to contain an allergen, horrified parents discover their child gasping for air and breaking out in hives, all because gluten, milk, or egg content were not properly disclosed on the food package label.

The Chicago Tribune provides a glimpse into the travails of one mother in her quest to protect her son. Through her story, we discover how helpless the 4 million Americans with allergies are each time they put a bite into their mouth. Highlights:

American children with food allergies are suffering life-threatening–and completely avoidable–reactions because manufacturers mislabel their products and regulators fail to police store shelves, a Tribune investigation has found.

In effect, children are used as guinea pigs, with the government and industry often taking steps to properly label a product only after a child has been harmed.

The Tribune investigation revealed that the government rarely inspects food to find problems and doesn’t punish companies that repeatedly violate labeling laws.

Read the entire article…

What you need to know:

In 2004, Congress enacted a law intended to help improve allergen labeling:  the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA). The FALCPA imposed additional labeling declaration requirements on packaged food products that contain “major food allergens”:  peanuts, tree nuts, soy, milk, eggs, wheat, seafood, and shellfish.

The law did not, however, impose labeling requirements when food products may inadvertently contain major allergens. Why would a product contain an allergen accidentally? Turns out that even tiny amounts of an allergen present in a food are enough to cause a severe reaction and even death. Sometimes allergen free products are packaged in a plant that also manufactures products with allergens. In several cases products get cross-contaminated. That’s why you MAY see a labels stating “Manufactured in a facility that also uses peanuts.”Or may not.

This is because there’s is no clear definition of how to label products with a very rare chance to cause a very severe reaction. In September, the FDA held preliminary hearings aimed at improving allergy labeling. But don’t hold your breath; it will take a long while to make changes.

What to do at the supermarket:

If you are allergic, or a parent to an allergic child, always read the food labels and check for allergen warnings. This is not a bulletproof solution.You can do some prep work at home as well.

The Tribune put together a database with several thousand products that have been recalled over the past 10 years. You can use it to see the history of a specific product and help you make better decisions in advance of purchase.

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