The prevalence of foo
d allergy in the French population is estimate
d to be 3.24%. The constant increase in this prevalence is relate
d to environmental factors:
drugs, tobacco, new foo
ds, new foo
d ingre
dients an
d new foo
d technology, all lea
ding to increase
d allergenicity of ingre
dients. We
deci
de
d that it was necessary to
develop a system of foo
d allergy vigilance to provi
de a continuous flow of information about the risk of allergy to new foo
ds an
d data on the inci
dence of serious foo
d-in
duce
d anaphylaxis. Therefore, a French Allergy Vigilance Network was set up in 2001; it now involves 250 French allergists. One hun
dre
d an
d seven cases of severe anaphylaxis (inclu
ding two
deaths) in 33 chil
dren an
d 74 a
dults were reporte
d in 2002. Anaphylactic shock was reporte
d in 59.8%of the cases involve
d (one fatal, to peanut); 18.7%were other systemic reactions, inclu
ding 15.9%with laryngeal angioe
dema, 5.6%with serious acute asthma (one fatal, to soy). The most frequent allergens were peanut (14 cases), other nuts (16 cases), shellfish (nine cases), the latex-fruit group (nine cases), lupine flour (seven cases), wheat flour (seven cases), celery (five cases) an
d snails (five cases). The seriousness of these reactions was un
derestimate
d, as epinephrine was a
dministere
d in only 59%of the cases. Several public interest measures shoul
d now be taken: communicate information about the new risk factors to the foo
d in
dustry, a
dvise them to improve labelling, an
d encourage hospital catering services to set up gui
delines for foo
d safety. Setting up the same sort of network in other European countries coul
d lea
d to a significant a
dvance in knowle
dge with regar
d to the peculiarities of allergies relating to a wi
de variety of eating habits. Data that woul
d be obtaine
d by allergy networks similar to ours woul
d be useful to French an
d other European health agencies responsible for making
decisions concerning the safety of foo
ds.
div>
div>
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Revue Française dx2019;Allergologie et dx2019;Immunologie Clinique, Volume 41, Issue 8, December 2001, Pages 685-690
D. A. Moneret-Vautrin, et les membres du Réseau d'allergovigilance
Abstract
<div class="mlktScroll"><div style="line-height:150%">Résumé
Lx2019;augmentation de prévalence de lx2019;allergie alimentaire, les modifications de lx2019;alimentation avec lx2019;apparition dx2019;aliments nouveaux et de nouveaux risques allergiques nous ont conduits à créer un Réseau dx2019;allergovigilance. Ce réseau est composé de 195 allergologues au 29 août 2001 (175 Français, 11 Belges, deux de Fort-de-France, deux Luxembourgeois, un de lx2019;île de la Réunion, un Grec, un Suisse, un Marocain, deux Polonais). Soixante-treize pour cent des départements français sont représentés. La communication entre les membres du réseau est établie par mail ou pour quelques-uns par fax. Les trois objectifs principaux de ce réseau sont de recenser les cas graves, voire mortels dx2019;allergie alimentaire, dx2019;évaluer la prévalence des allergies alimentaires, de préciser leurs tableaux cliniques et les allergènes en cause, et dx2019;évaluer le risque allergique des aliments nouveaux. Ce réseau composé dx2019;allergologues apparaît essentiel pour préciser les données épidémiologiques et réaliser lx2019;expertise du risque allergique dx2019;un aliment nouveau. Il pourra et devra être une aide précieuse pour lx2019;évaluation du risque allergique par les organismes nationaux de santé publique.div>
<div style="line-height:150%">Abstract
The increased prevalence of food allergy and reports of allergy to novel foods led to the development of an x201c;Allergy Vigilance Network.x201d; This network is composed of 195 trained allergologists extending to 73%of the departments in France. Communications are carried out by e-mail or fax. The three objectives of this structure are: 1) to index the cases of lethal or prelethal anaphylaxis; 2) to evaluate the prevalence of food allergies, clinical pictures and allergens; and 3) to evaluate the allergic risk of novel foods. This network is composed of 195 allergologists as of 29 August 2001 (175 French, 11 Belgians, two from Fort-de-France, two from Luxembourg, one from Reunion island, one Greek, one Swiss, one Moroccan, two Poles). This network composed of trained allergologists appears to be essential in order to precisely evaluate the prevalence and allergic risk of food. It would be a helpful tool for public health organisms.div>div>
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Épidémiologie de lx2019;allergie alimentaire