Allergy Awareness in Schools

Kirstene Hair Excerpts

Wednesday 14th March 2018 Westminster Hall

[Jo Swinson (East Dunbartonshire) (LD)]

I beg to move,

That this House has considered allergy awareness in schools.

It is a great pleasure to serve under your chairmanship, Sir Christopher, as we discuss the issue of allergy awareness. It is a serious issue, and I look forward to discussing it and hearing from the Minister later on. I will talk about the serious and growing problem of allergies and the challenges faced by those who have them, the portrayal of allergies in the media and how that shapes our attitudes, the horrendous incidents of allergy bullying in schools and the potential for fatalities, and what we can do to raise awareness in schools and beyond.

First, I feel I should declare an interest; I had my first allergic reaction when I was four years old. I walked to the shop with my grandmother, where we bought a bar of chocolate—a Marathon, which shows my age—and by the time we had walked back up to the end of the street I had vomited up the Marathon. When I was a small child, happily, that was as far as the allergy went. It was not life-threatening; it was certainly an inconvenience and something to be avoided, but it was not as serious as it later became.

When I reached my teenage years, the reactions became more serious and began to include swelling in my mouth and throat. That was when I was prescribed an EpiPen injector, which I carry, regularly updated, in my handbag to this day and take with me wherever I go. That is an important thing for anyone who has been prescribed an adrenaline injector to do.

The experience of going through an anaphylactic reaction is terrifying. It involves a whole-body physiological reaction. I start to get a tingle in my mouth if I have eaten something that has nuts in it. I feel almost a rasping at the back of my throat. That, for me, is the tell-tale sign, at which point I try to take action. I sometimes try to make myself sick, to expel whatever it is I have eaten, although I know that can sometimes be problematic. I never really know how serious the reaction will be; sometimes it is mild and can be treated with antihistamine, and sometimes it develops into full-blown anaphylaxis. It is difficult for me as an individual to know which it will be.

When it does become anaphylaxis, that is when the heart starts beating. I find it is quite similar to having an asthma attack, where breathing becomes incredibly difficult. My face swells up and changes colour to become a sort of red-purple, I have palpitations, and it is not a pleasant sensation. Ultimately I need the adrenalin injector and treatment in hospital; I thank the NHS and indeed the health services in countries around the world where I have experienced this, as I literally owe my life to them.

I know what it is like to experience it as a sufferer myself, but I also want to describe how one mother talked about having her toddler try a walnut sauce for the first time. She said:

“His mouth started to bubble and mini-hives appeared. I could see the hives getting bigger and spreading all over his cheeks, his ears, up the back of his neck and starting to go down his chest. On the car on the way to hospital, he started to cough and vomit everywhere in the backseat. My greatest fear started to kick in when the choking, vomiting and crying turned to utter silence. He had gone limp. I was saying ‘C’mon buddy. Wake up’”.

She says:

“‘This is it,’ I thought. ‘I’ve killed my boy’.”

That little boy received hospital treatment and lived, but I ask hon. Members to put themselves in that parent’s shoes—particularly for that first reaction, when they do not know what is happening, the anaphylaxis is so terrifying and the child is of an age where they cannot even tell them what their symptoms are and what they are experiencing.

At this point, I pay tribute to Nicky Forrest, a mum in my constituency who, in addition to all sorts of work on the parent council of a local school, runs a local support group for allergy sufferers and their parents so they can share their experiences, advise one another and campaign.

[Kirstene Hair (Angus) (Con)]

The hon. Lady is making a powerful case. Does she agree that schools need to educate children and parents further, so that children who have allergies can socialise like any other child?

[Jo Swinson]

Absolutely. As I can attest, having an allergy is a condition that can be managed and need not prevent someone from having a full life and taking part in school and all the educational opportunities, but that relies on a wider awareness of allergy. Indeed, living with allergy as an adult is the same.

That is why awareness and education are so important—even more so because the prevalence of allergies in our society is growing. It is now estimated that about 2% of children have a nut allergy; of course there are many other allergens as well, so if we include other foods the percentage is higher. Last year in England there were more than 1,900 food-related hospital admissions for anaphylaxis. The anaphylaxis hospital admission rate increased sevenfold between 1992 and 2012. The UK is not alone in that, as there are other countries where the prevalence of allergies is growing, but we need to recognise it as a serious health issue. Indeed, it can be fatal. Data over the same period from 1992 to 2012 showed 124 fatalities were likely to be due to food-based anaphylaxis, 48 of which were school-aged children. For one in six of those school-aged children who died, the reactions occurred in school or another educational environment. The role of schools in this is crucial.