Food Allergy Response

Last Updated October 21, 2024

About correspondence with revision of "allergic disease life management guidance table"

About review of "allergic disease life management guidance table"

<Main points of review>
（１） Change of name
　What used to be a "nursery school" has been changed to "childcare and educational facilities", making it easier to use for kindergartens.

（２） Added bronchial asthma column
　It was added to understand the situation in the target elementary school studenｔ because anaphylactic shock tends to be more serious if you have a history of bronchial asthma.
　In addition, when we list only bronchial asthma, we list "only for child who needed special consideration and management in life in nursery schools".
　In addition, atopic dermatitis, allergic conjunctivitis, and allergic rhinitis will be described only when management is required in the same way, but in that case, use the national style.

（３） Deletion of review of removal period and reevaluation
　We delete periods such as re-evaluation that we had originally established in style of Yokohama-shi until now. The national guidelines stipulate that "at least once a year, resubmit the life management guidance table according to the child's allergic condition." Therefore, the garden asks the doctor to confirm whether there is any change in the condition of allergies, and if there is no change, it will not be required to resubmit. At that time, the date confirmed by the guardian with the doctor is confirmed in the garden and recorded.

About insurance application of allergy disease life management guidance table in nursery schools pertaining to allergic diseases issued by insurance medical institutions

Notice (Notice of Childcare Division, Child and Family Bureau, Ministry of Health, Labour and Welfare April 7, 2022) (PDF: 132KB)

Efforts to respond to food allergies

We conduct an allergy survey in elementary school studenｔ, where we are located, and share the results with Fire Bureau.

Situation of accidental eating accidents

In the event of an accidental eating accident, we ask the city to submit a “school lunch Report”.
The report is provided to each facility and used to prevent accidents as part of the in-park training.

Number of reports received
Direct causes of accidental eating accidents	2021	2022	2023	2024 (as of September)
Unchecked during menu preparation	2	2	3	0
Miss confirmation at the time of interview with parents	1	1	0	2
Cook's cooking error	2	1	1	1
Miscellaneous labeling of food used by cook	7	11	8	3
Miss serving meals by cooks	1	2	4	3
Miss serving meals in the nursery room	1	15	11	2
Miss during breastfeeding in the nursery room	0	0	1	0
Communication of cooks and nursery teachers (in attendance confirmation) mistakes	0	0	0	0
Misss communication (serving) between cooks and nursery teachers	0	2	2	0
Cooperation error at the time of extension	0	2	0	0
Accidental activities of children in nursery rooms	0	1	3	1
Others	2	0	4	1
Total	16	37	37	13

Manuals, etc.

Food Allergy Response Manual at Nursery Schools (PDF: 6,834KB) (issued in March 2014)
　※Please download the form below.

<Related Form> （PDF）

Allergy disease life management guidance table in childcare and educational facilities (PDF: 386KB) (Form 1 (revised by the year (2019)))
Food Allergy Response Sheet (PDF: 252KB) (Form 2)
Emergency Individual Response Sheet (PDF: 114KB) (Form 3)
Epipen compatible vote (PDF: 240KB) (Form 4)
Notification of removal cancellation (PDF: 89KB) (Form 5)
List for Allergy Children (PDF: 66KB) (Form 6)
school lunch-related report (PDF: 248KB) (Form 7) school lunch-related report (Word version) (word: 20KB) (Please save and enter)

※The “Removal Cancellation Notification” <Form 5> is a document filled out by a guardian after receiving the doctor's cancellation instructions. (In the national allergy response guidelines, cancellation instructions do not require the submission of a life management guidance table or a doctor's medical certificate.)

Response in the event of a food allergy accident

In the event of a food allergy accident, please submit a “school lunch Report (Form 7)” to the ward office Children and Families Support Division.
＊Communication system in the event of accidental food allergies in childcare and educational facilities

＊Cases where you want to promptly contact the ward office Children and Families Support Division by telephone to respond promptly in the event of an accident

In the event of a serious accident (emergency transport, use of Epipen®, etc.)
If there are multiple cases
If it is suspected to be caused by contamination in a cooking room or contamination in a delivered processed food

Example of 3

・When the removed food is cooked and provided, but symptoms that appear to be food allergies occur after eating, and the cause cannot be identified.

・We ordered products that do not contain allergens in processed foods such as bread, wieners, and kneaded products, and prepared and provided them.

When symptoms that appear to be food allergies occur.

Guidelines

Ministry of Health, Labour and Welfare's “Guidelines for Allergy Response in Nursery Schools (revised in 2019)” (PDF: 7,908KB)

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