Kids And Food Allergies: Please Don't Bring Snacks To The Playground

My Plea To Other Parents On The Playground
|
Open Image Modal
happy boy on slide

Written By Curtis Sittenfeld for Slate

Spring came to St. Louis a little later this year than it usually does, and the playgrounds where I go with my children are finally overrun with joyful kids. They’re also overrun with food. Other parents may not notice that fact, but I do: My 2-year-old daughter, Claire, is allergic to peanuts, tree nuts, eggs, and dairy, and many common playground snacks would be dangerous to her if she ate them.

I don’t think it’s an overstatement to say that allergic families live in a parallel universe in which what is harmless to everyone else requires extreme vigilance from us. In the months after Claire’s diagnosis, my relationship to food changed so much that I felt as if I had woken up one day, still living in the same country I'd always lived in, but that I could no longer speak the language. Around other families -- at a picnic for my husband’s colleagues and their families, for example -- when I watched other children handle food, I felt like they were holding tiny snakes. Maybe the snakes were poisonous and maybe they weren’t; maybe they’d escape, and maybe they wouldn’t. But this is the comparison that’s ultimately stayed with me: Being the parent of a child with food allergies is like someone suddenly telling you the colors orange and gray are harmful to your child. I can guarantee that you'd soon realize orange and gray are everywhere.

On a recent afternoon trip to the playground, I noticed the Goldfish crackers first. They were sprinkled, some already crushed to a powder, between a climbing toy and the swing set -- presumably a snack that some kid had spilled. When we got home, my husband told me he’d also seen an almond by one of the slides. The next weekend, at a different playground, two open containers of melting milkshakes sat on the miniature metal picnic table, and leftover Easter candy dotted the mulch. After my 4-year-old daughter, who doesn’t have allergies, kept trying to surreptitiously pocket little chocolates, I finally picked them up with a tissue -- I didn’t know if they contained nuts -- and threw them away myself.

One of the first things that I realized after Claire’s allergies were diagnosed, shortly before her first birthday, was that I had to accept the fact that the world is full of people who just ate a peanut-butter sandwich and didn’t wash their hands. There’s a lot I can’t control. But I am hopeful that if parents of nonallergic kids had a better understanding of how scary their children’s ostensibly harmless snacks are, they might act differently.

So here is my plea: If your child snacks at the playground, please don’t let her run around while she’s eating. Please don’t leave the food unattended and accessible to other kids. If your child spills, help her clean it up. And after she’s finished, please use wipes to wash her hands, not antibacterial gel; hand sanitizer doesn’t kill the proteins in most foods that cause allergic reactions, and tiny amounts of such proteins can literally be lethal.

How much of a threat does, say, a little boy munching yogurt-covered pretzels really pose to Claire? The biggest risk, of course, is that she’ll get hold of one and eat it, which would likely cause her to break out in hives; my great fear, the great fear of any parent of an allergic child, is that it would result in fatal anaphylaxis. (Among the many confusing aspects of food allergies is that previous reactions aren’t necessarily predictors of subsequent reactions in terms of severity.) Claire also has a contact reaction to dairy, meaning that her skin breaks out in a rash in the places where dairy has touched it without her having ingested any. If I thought the chances of any of these reactions occurring were truly high, I wouldn’t take Claire to playgrounds in the first place. But still, whenever allergenic food is present, it’s nerve-wracking.

The eight most common allergens, accounting for as many as 90 percent of all allergies, are peanuts, tree nuts, milk, egg, wheat, soy, fish, and shellfish. As every parent of an allergic child knows, these ingredients hide in surprising places -- there can be milk in potato chips, say, and manufacturers often make dried fruit on the same equipment with nuts -- and I don’t think it’s realistic to expect people to pore over ingredient labels if they don’t need to. That’s why my preference would be for kids to avoid eating food at playgrounds altogether, but I understand this possibility is probably about as likely as my laundry washing itself or me having a moms’ night out with Tina Fey and Amy Poehler. If you do bring snacks, something like fresh fruit is statistically less likely to cause problems than donuts or cheese sticks—though of course statistics aren’t much comfort to the dad of a kid who’s allergic to strawberries.

If I seem here like a particular kind of parent -- a fussy, hovering, self-righteous priss -- let me say this: I kind of am. But the fact that we live in the Age of the Irritating Parent shouldn’t be conflated with the rise of allergies. According to the advocacy organization Food Allergy Research and Education, 1 in 13 American children under age 18 now has a food allergy, as does 1 in 10 preschoolers. The food-allergy rate in the U.S. rose 18 percent between 1997 and 2007. It’s true that I happen to be a neurotic mom. It’s also true, as demonstrated by skin tests, blood tests, food challenges in the doctor’s office, and accidental exposures, that my daughter has a serious medical condition.

So the fact that I wish parents wouldn’t let their newly walking toddler stagger around the sandbox with that sloshing sippy cup of milk or their 7-year-old practice his throw with Ritz Bits -- I promise it’s not that I’m trying to tell them how to raise their kids. They probably just want to keep them fed to prevent a meltdown, which I sympathize with. (For the same reason, we bring fruit squeezers for the ride home.) And I wouldn’t presume to instruct parents what to do at their own house. You do not need to bake and serve a vegan cake at a birthday party. (Claire brings her own cupcake.) I realize all bets are off at a restaurant, which is why our family doesn’t go to them. But in the communal space of a playground, food isn’t the main attraction.

Many times since I became a mother, I’ve been struck by the effortless bonding among parents. On an airplane when Claire was about 7 months old, she had a disgustingly messy diaper on a bumpy flight during which passengers weren’t supposed to get up from their seats. The woman next to me, rather than holding her nose and glaring, offered to hold Claire’s head and torso while I changed her. As it happens, the woman didn’t speak fluent English, but she managed to convey that she, too, had a daughter.

It is this spirit of generosity and compassion that I hope to appeal to in persuading parents to handle food at playgrounds more carefully. Obviously, the circumstances of our lives vary widely, but all of us with children are trying in our own best way to look out for them. The next time you bring food to the playground, please think about what you would hope other people would do if your child was in Claire’s situation.

Before You Go

Children's Health Stories Of 2012
Chance Of Having Twins Skyrockets(01 of14)
Open Image Modal
In January, the Centers for Disease Control and Prevention reported that the numbers of twins in the U.S. has jumped in the last three decades: In 2009, 1 in every 30 babies born in the U.S. was a twin, compared to just 1 in every 53 in 1980. Why? Chalk it up to more and more couples using assisted reproductive technology, as well as an increase in women waiting to have kids until their 30s when the odds of having twins increases, AP said. (credit:Alamy)
U.S. Autism Rate Up(02 of14)
Open Image Modal
In March, the Centers for Disease Control and Prevention released new figures on autism spectrum disorder in the U.S. and they were up: 1 in 88 children is now believed to have autism, compared to the previous estimate of 1 in 110. Experts attribute much of the increase to better screening and diagnosis, AP reported, but that does not mean the findings aren't cause for concern. "Autism is now officially becoming an epidemic in the United States," Mark Roithmayr, president of Autism Speaks, said at a news conference. (credit:Alamy)
1 in 13 Women Drink During Pregnancy(03 of14)
Open Image Modal
A Centers for Disease Control and Prevention survey from July found that 1 in 13 pregnant women in the U.S. drink alcohol. And of those who said they drank, 1 in 5 admitted to going on at least one binge -- having four or more drinks at once. A study that came out a month later found that drinking during pregnancy has long-lasting effects on children's size. (credit:Alamy)
Batteries Can Pose Serious Risk To Kids(04 of14)
Open Image Modal
More and more kids are swallowing batteries, a Centers for Disease Control and Prevention report found, sending thousands of children to the ER each year. Between 1997 and 2010, nearly 30,000 kids up to age 4 were taken to the emergency room for battery related injuries, MyHealthNewsDaily reported in August. More than half of the cases involved small, circular button batteries. (credit:Alamy)
AAP Throws Support Behind Circumcision(05 of14)
Open Image Modal
In August, the American Academy of Pediatrics -- the U.S.' major pediatrics organization -- revised its policy on infant male circumcision, saying that the health benefits outweigh the risks. But the new guideline stopped short of recommending it routinely, stating instead that it should simply be available to parents who choose it for their sons. To the great surprise of no one, the policy was an immediate source of debate, with one "intactivist" leader telling HuffPost that the AAP had failed to address what she called the "real risks and harms of circumcision." (credit:Alamy)
Breastfeeding Is On The Rise(06 of14)
Open Image Modal
Also in August, the Centers for Disease Control and Prevention announced that more moms in the U.S. are breastfeeding their babies. Some 47 percent of moms breastfed their babies for at least six months in 2009 (the latest year for which there is data). That's up from 44 percent the year before."The headlines 10 years back were, 'Mothers don't breastfeed enough; Is something wrong with mothers?'"Dr. Alison Stuebe, an OB-GYN and assistant professor of maternal and child health at the University of North Carolina told HuffPost. "We've recognized that this is crazy. Let's fix the system rather than going after moms.'" (credit:Alamy)
More Kids Taking Antipsychotics(07 of14)
Open Image Modal
The number of kids and teens being prescribed antipsychotics has soared, an August study in the Archives of General Psychiatry found. Psychiatrists now prescribe the drugs in one out of every three office visits with children, and increasingly for off label use -- namely, the treatment of ADHD. The latter in particular, experts told HuffPost, is cause for serious concern: "Although antipsychotic medications can deliver rapid improvement in children with severe conduct problems and aggressive behaviors, it is not clear whether they are helpful for the larger group of children with ADHD," study author Dr. Mark Olfson, a professor of clinical psychiatry at the College of Physicians and Surgeons of Columbia University, said. (credit:Alamy)
Laughing Gas Safe For Delivering Moms(08 of14)
Open Image Modal
Nitrous oxide, otherwise known as laughing gas, is a good way for women to manage some of the pain that accompanies labor, a Cochrane review from September said. Though it's not at all popular here in the U.S. -- only 1 percent of women use laughing gas during birth, compared to the 60 percent of women who have an epidural during vaginal delivery -- the review concluded that it is both effective and safe for mom and baby. (credit:Alamy)
Sleep Training is Safe(09 of14)
Open Image Modal
Though sleep training can be a source of contention among parents and parenting experts alike, an Australian study published in September concluded that two of the most popular methods are perfectly safe. "Controlled comforting" (basically a modified form of cry-it-out) and "camping out" (when parents sit in the room with their babies and pat or comfort them, but do not feed or cuddle them to sleep), did not have any impact -- good or bad -- on children when researchers looked at them at age 6. (credit:Alamy)
Birth Complications Up In the U.S.(10 of14)
Open Image Modal
They're still rare, but severe complications from birth are on the rise in the U.S., Reuters reported back in October. A Centers for Disease Control and Prevention study found that between 1998 and 2009, the rate of major complications, including things like severe bleeding and kidney failure, essentially doubled. Though experts stressed that most women who give birth are perfectly fine, there has been an increase in women giving birth at older ages, as well as women who are obese or have certain health conditions that up their risk, such as high blood pressure. (credit:Alamy)
Boys Entering Puberty Earlier And Earlier(11 of14)
Open Image Modal
Research published in October in the journal Pediatrics showed that boys in the U.S. are entering into puberty at ever earlier ages: On average, boys are starting puberty six months to two years sooner than previous data showed. The study, which is among the first to look at the issue of early-onset puberty in boys, found that white and Hispanic boys now start to show signs of puberty when they are 10, while African American boys may start to show signs when they are 9 years old. What exactly this means isn't yet clear, study researchers said, but it flags an issue that warrants further investigation. (credit:Alamy)
Kids See 'Startling' Amounts Of Background TV(12 of14)
Open Image Modal
A lot of parents limit the amount of TV their kids watch each day, but research published in October found that many are nonetheless exposed to a lot of it -- in the background. The study, which ran in the journal Pediatrics, found that kids are generally exposed to at least 4 hours of background TV per day (meaning it's on in the same room they're in, even if they're not watching directly) and children under the age of 2 are exposed to 5.5 hours every day. (credit:Alamy)
Antidepressants May Carry Risks For Pregnant Women(13 of14)
Open Image Modal
A November study in the journal Human Reproduction caused quite a stir when it suggested that SSRIs, a type of antidepressants, may increase the risk of complications when taken during pregnancy. Problems include risk of miscarriage, birth defects, neurobehavioral problems and more, the study researchers said. But there was significant push back from many mental health experts who rushed to write letters to the editor saying that the study ignored the many risks of untreated depression. (credit:Alamy)
Preterm Births Hit 10-Year Low(14 of14)
Open Image Modal
In November, the March of Dimes released its annual preemie birth rate report card and, overall, the news was good: The U.S. preterm birth rate was the lowest it has been in a decade, dropping to 11.7 percent. While that is certainly welcome news, the U.S. still has a long way to go, March of Dimes experts told HuffPost. Overall, the country still only earned a "C" and only four states (Vermont, Oregon, New Hampshire and Maine) earned an "A." (credit:Alamy)

HuffPost Shopping’s Best Finds

MORE IN LIFE