For certain South African families, food allergies add an extra layer of worry to everyday school life. A snack at breaktime, a tuck shop purchase, or a birthday celebration can all bring hidden risks.

New clinical recommendations from the American Academy of Pediatrics (AAP) highlight practical ways schools and childcare centres can make these settings safer.

The AAP recommendations, recently released at its National Conference and Exhibition, emphasise preparation and communication. It advises every school to have a written emergency action plan, train staff to recognise and treat allergic reactions, and ensure immediate access to epinephrine.

Food allergies are increasingly recognised worldwide, with studies suggesting they affect a notable share of children in both developed and developing countries. In South Africa, specialists report that cases are being diagnosed more often, particularly in urban areas.

Dr. Julie Wang, one of the lead authors of the recommendations, explained: “When schools and childcare programs partner with families and clinicians, they can create safe and inclusive environments where all children can thrive.” The AAP also cautions against blanket bans on certain foods, arguing that personalised strategies work better and ensure children are not excluded from social activities.

Food allergies need not isolate children from school life. With clear plans, cooperation between families and educators, and a focus on inclusion, South African schools can create safer, more supportive environments for children living with allergies.