The incidence of food-based anaphylaxis is increasing, especially among children. Studies suggest this may be due to growing variety in the American diet, which may expose children to more foods containing nut proteins—a common allergen.

The Food Allergy and Anaphylaxis Network offers the following advice regarding peanut and tree nut allergies:

• Strict avoidance of the allergy-causing food is the only way to avoid a reaction. Reading ingredient labels for all foods is the key to maintaining control over the allergy. If a product doesn't have a label, allergic individuals should not eat that food. If a label contains unfamiliar terms, shoppers must call the manufacturer and ask for a definition or avoid eating that food.
• Many nut butters are produced on equipment used to process peanut butter, therefore making it somewhat of a risky alternative.
• Kick sacks, hacky sacks, and bean bags are sometimes filled with crushed nut shells.
• Bring a "safe" dish with you when visiting a friend or a relative; he or she will appreciate it, and you'll rest easier, too.
• Ask about ingredients and cooking methods used whether you are in a restaurant, friend's home, or about to serve a dish someone brought to your home.

In addition, Twinject reminds you to:

• Inform your employer, school, college, or child's playgroup about your or your child's allergy to ensure a safe work, study, or play environment.
• Don't be shy about reminding food service and childcare workers about your or your child's food allergy during each visit. It's better to be safe than sorry!
• Print and use the Chef's Food Allergy Alert Card when eating meals away from home.
• Remember to carry your Twinject with you at all times.

For more information about food allergies, visit www.foodallergy.org.