Managing Food Allergies at School: Tips for Parents

a group of children eating at a table some are managing food allergies at school with the support of Centred Nutrition Collective dietitians in Canada

As a dietitian mom, I’m here to provide practical tips for managing food allergies at school to foster inclusion and safety for all children. I’ve got you and can help you send your kids off to school with confidence and peace of mind! 

Managing Food Allergies at School Can Feel Overwhelming

Remember the days when you could bring a peanut butter and jelly sandwich to school without a second thought? For many parents now, having a child with food allergies at school brings added stress and worry. Today, with strict no-nut policies in place to protect kiddos with food allergies, packing a safe lunch is top of mind and that PB & J is a no-go. 

It’s great that many schools recognize the seriousness of food allergies and have rules in place to keep children safe. There needs to be a continued collaboration between parents, children, teachers, and school staff to ensure a safe and welcoming environment for kids with food allergies. 

As a dietitian mom, I’m here to provide practical tips for managing food allergies to foster inclusion and safety for all children. I’ve got you and can help you send your kids off to school with confidence and peace of mind! 

Understanding Common Food Allergies at School

Around six percent of Canadian children and eight percent of American children have at least one food allergy. So, there is a good chance that there will be at least one child with a food allergy in any class of about 30 kids. That’s why many schools already have food allergy policies and guidelines in place. 

The most common food allergies (listed by prevalence) in children are:

  • Peanut allergy: 3.2%
  • Tree nut allergy: 2.1%
  • Egg allergy: 1.8%
  • Milk allergy: 1.2%
  • Fish allergy: 1.1%
  • Shellfish allergy: 0.9%
  • Sesame allergy: 0.3%
  • Soy allergy: 0.3%
  • Wheat allergy: 0.2%

The signs of a food allergy can range from a mild rash to severe anaphylaxis (which affects breathing). Your child’s teacher should be educated about these signs and symptoms, and know the steps to take in case of an allergic reaction. 

Common symptoms of a food allergy are having an itchy mouth or throat when eating the allergen, or a skin rash/hives. More severe signs of anaphylaxis include a sudden onset of:

  • Hives
  • Itching
  • Swollen eyes, lips, tongue or face
  • Trouble breathing
  • Tightness in the throat
  • Difficulty swallowing
  • Stomach pain
  • Nausea or vomiting
  • Diarrhea
3 kids wearing helmets with thumbs up after working with a dietitian at centred nutrition collective canada

Communication is Key When Managing Food Allergies at School

Managing food allergies at school for a young child can be scary – I get that. If you’re a parent whose child has an anaphylaxis food allergy, I want to hug you and tell you you’re doing a great job. 

Communicating with your child’s school about the food allergy can help you feel more in control and keep your little one safe.  

Before your child starts daycare or school, get in touch with the administrators and learn about their food allergy policies. And it’s important to know your rights: find out more about the national school food allergy policies in your province or state. Most schools have anaphylaxis plans in place, and you can fill out the necessary paperwork about your child.  

You can also learn who your child’s teacher(s) will be and speak to them directly before the first day of school. When talking to a teacher, pick a quiet time when you can have their full attention.  

Here’s the key: Try to explain the seriousness of food allergies without being alarmist. Teachers may feel trepidation about having a student with serious food allergies or anaphylaxis, especially if it is new information to them. You can play a role in educating them in a calm and helpful manner, without freaking them out. If you are calm, they will be calm. 

The plan that you outline with the school should focus on prevention and treatment of a reaction. Your hope is that if the prevention plan goes well, there should be no need for treatment!

Preventing Food Allergy Emergencies at School

Start by learning where and how food is available at your child’s school. Food may be available at:

  • Lunch
  • Recess
  • Vending machines or cafeteria
  • Breakfast, lunch or snack programs
  • Parties (birthday, Halloween, etc.)
  • School fairs
  • Field trips

Learn about the school rules for sharing food and for bringing in food for parties or events. Work in partnership with the school staff to set rules as needed to protect your child. If there is a cafeteria or caterer, consult with the food service staff about policies and procedures. 

Many schools already have policies in place that include: no sharing food; no peanuts; no tree nuts; no food for birthday parties; etc. Start with what the school has in place and add on as needed to protect your child. 

Tip: If your school allows outside food for in-class parties, provide safe treats for your child so they feel included. These treats can be stored in their bag, desk or with the teacher for safe-keeping, then enjoyed as needed with peace of mind.

Treatment

Emergency preparedness is key. Talk with the school administration and your child’s teacher(s) about what they should do in case of an emergency. The teachers, substitute teachers and school staff should be taught the signs and symptoms of anaphylaxis and know how to respond quickly.

If your child requires an auto-injector (EpiPen), ensure your child, teachers and administrators know where it is and how to use it. Epipens and other medications should be easily accessible. 

Staff may already have yearly training sessions on EpiPen use. Every school is different, so ask if training sessions are already in place. 

Tip: You can order an auto-injector training device from www.epipen.ca or www.allerject.ca and can teach the staff how to use it.

Pack Allergy-Safe Meals and Snacks for School

Work together with your children so they are clear on the parameters around eating while at school. Remind them to:

  • uncheckedWash their hands before eating
  • uncheckedWipe down tables, especially if the surface is shared with other children who also eat there
  • uncheckedAvoid sharing food or utensils with friends.
  • uncheckedOnly eat foods they know to be safe (because they are wrapped and labeled; provided by you from home; provided by informed school staff, etc.)
  • uncheckedRead food labels and avoid foods with “may contain” warnings or that list their allergens

Tip:  Practice a script with your child of what to say when friends offer to share. Maybe something like “thank you for offering! It looks great but I am allergic to ____, and I’m not sure if that is okay for me to eat. I better not have any.” 

Allergy safe school lunch for picky eating

Nut-Free Lunchbox Ideas

Packing a school-safe lunch can be a balancing act, especially since each child’s allergies and sensitivities are unique. While some kids may only need to avoid nuts, others might need meals free from dairy, wheat, sesame, or any of the other common allergens. The key is to focus on variety, flexibility, and a few reliable swaps so that you can mix and match lunch options to meet your child’s specific needs. 

Here are 10-15 nut-free lunchbox ideas that can be tailored to work around other allergens too, keeping lunchtime safe and stress-free:

  • Sunflower seed butter and jelly sandwich on whole grain or gluten-free bread
  • Turkey and cheese roll-ups with sliced bell peppers, cucumber sticks, and apple slices
  • Egg salad with veggie sticks and crackers on the side
  • Hummus and veggie wrap with carrots, bell peppers, and spinach in a tortilla
  • Mini chicken or veggie quesadilla with a side of salsa and diced fruit
  • Veggie and black bean burrito bowl with rice, corn, and avocado slices
  • Dairy-free yogurt with berries and nut-free granola
  • Pasta salad with cherry tomatoes, cucumbers, and a dash of Italian dressing (gluten-free pasta if needed)
  • Turkey sandwich with lettuce and tomato on whole grain or gluten-free bread
  • Mini pita pockets with hummus, shredded chicken, and cucumber slices
  • Rice cakes with cream cheese and sliced strawberries
  • Cheese cubes with veggie sticks and a small bunch of grapes
  • Baked falafel balls with pita bread, cucumber slices, and tzatziki (if dairy is okay)
  • Veggie and rice stir-fry with a bit of soy sauce or coconut aminos
  • Fruit and veggie sushi rolls with cucumber, carrots, and avocado
Child dietitian support for allergies and picky eating

Encouraging Self-Advocacy for Older Kids

Older children can be empowered to know about their food allergy and how to handle a reaction. As kids grow up, they will be allowed to leave school grounds during lunch or buy food in the cafeteria. Make sure they are well-educated so they stay safe. 

Use this checklist to ensure that your older child:

  • Knows how to read food labels, including ‘may contain’ warnings
  • Can clearly explain their food allergy to food service staff
  • Learns the symptoms of an allergic reaction
  • Tells an adult when they do not feel well
  • Carries an auto-injector at all times
  • Knows how to use an auto-injector
  • Knows where a back-up auto-injector is kept at school
  • Can tell their friends what a reaction looks like and what to do in case of emergency
  • Wears a MedicAlert bracelet or necklace

You’ve got this! You can safely send your child to school by communicating openly with teachers and administration staff. Remember, it’s a collaborative effort. You, your child, their teachers and the admin staff need to be on the same page. With ample education and communication, you can feel confident in knowing you did your best to prevent an allergic reaction at school, and that everyone can calmly handle an emergency if it happens. 

Need more advice? The dietitians at Centred Nutrition Collective can work with you or your child to help you manage food allergies. We can also help you manage food allergies at school by working directly with your child’s school if education and support is needed!

a mom holding hands and laughing with her daughter at the table during a meal after their nutrition counselling session in canada

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