Research - Desensitizing Children with Peanut Allergies Through Oral Immunotherapy

Research out of the University of British Columbia found that children with peanut allergies can be desensitized through "exposing children to a small, regular dose of an allergen (in this case, peanuts) in a real-world setting (outside of a clinical trial)" and this is "effective in reducing the risk of allergic reactions."  We are familiar with the process of preventing peanut allergies through the process of feeding infants doses of peanut allergen, but this is for those children who have developed peanut allergies.

"The treatment method, known as oral immunotherapy, involves gradually increasing the amount peanuts (or peanut products) given to the child. One treatment aim is to reach desensitization, whereby the child can ingest a full serving of peanuts without triggering a dangerous reaction. Another goal is protection in the event of an accidental exposure, and lessening or eliminating the need for epinephrine injections in response to reactions. To sustain their level of immunity, the child must continue to eat peanut products on a regular basis."

University of British Columbia

https://news.ubc.ca/2020/12/03/peanut-allergy-treatment-significantly-lowers-risk-of-life-threatening-reactions-in-preschoolers/
Peanut allergy treatment significantly lowers risk of life-threatening reactions in preschoolers
Science, Health & Technology
Dec 3, 2020 | For more information, contact Kerry Blackadar

Virginia Peanut Company Issued Warning Letter - A Cat for Pest Control? The Risks of Ordering Food Online

FDA issued a warning letter to a Virginia peanut products company.    A summary of the key findings:

• A cat as pest control.  And cat feces in the facility.
• Sliding doors not sealed providing an opening to the outside
• Employees not properly washing hands
• Employees using tobacco in food contact areas
• Food residues left on equipment
• Old, unused equipment stored throughout facility
• Air flow blowing peanut dust around.
• Employees not wearing hair restraints.
• Labeling issues involving nutrient claims, ingredient statements, and company listing.

It seems that they sell products online, and looking at their website (http://www.epeanuts.com/), it seems like a legitimate company.   However, entering the address into google street view, this is the picture that comes up..

While I am not sure if this is the processing facility or facilities, it does seem to match the description painted by the warning letter.

Really makes you think twice about ordering food online, doesn't it?


FDA Warning Letters
https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2017/ucm569815.htm
Coleman Peanut Company 8/2/17
August 2, 2017

Energy Bars Recalled After Complaints of Nut Allergic Reactions

Clif Bar is recalling certain varieties of its energy bar products after receiving 'a small number' of consumer complaints of peanut or tree nut allergic reactions, although these were not confirmed.

This is the type of issue where good allergen verification records are needed.  Are there other products run in the facility with peanuts and tree nuts, and if so, were good sanitation and other allergen procedures followed.   What about supplier control?  Do any of the suppliers handle peanut and tree nuts that could have accidentally made their way into a non-nut ingredient.

FDA Recall Notice

https://www.fda.gov/Safety/Recalls/ucm565833.htm
Voluntary Recall of CLIF BUILDER'S Bar Chocolate Mint Flavor, CLIF Kid Zbar Protein Chocolate Mint and CLIF Kid Zbar Protein Chocolate Chip Flavors
For Immediate Release
July 5, 2017