Commentary Japanese Guideline for Food Allergy 2021, Chapter 18: "Social life support for patient with food allergy"

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  • 第18章 患者の社会生活支援

Abstract

<p>In December 2015, the Basic Act on allergic disease control came into effect, and measures that deal with allergic diseases are now defined by law. Measures to be taken in schools, kindergartens, and daycare centers are based on the "Guideline on Measures for Allergic Diseases at Schools" and "Guideline on Measures against Allergy at Nursery". When a child with food allergy requests any type of accommodation at a facility, it will be required to submit a "Certificate for School Life Management (for allergic diseases) " or "Certificate for Nursery Life Management" based on a diagnosis from a physician. The physician should be familiar with the guidelines and should provide necessary information to be shared regarding lifestyle and circumstances of the child. In the case of school meals, the highest priority is to ensure safety. For this reason, provision of school meals should be based on a choice between complete elimination or no elimination, as opposed to the minimum necessary elimination at home. Physicians are expected to actively and appropriately provide advice and guidance to school allergy and emergency committees. When participating in school events or overseas trips that involve overnight stays or meals out, physicians are instructed to make advance preparations, including gathering sufficient information about local social conditions, emergency medical systems, and planned meals.</p>

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