Food allergy: Stakeholder perspectives on acceptable risk

Publication: Research - peer-reviewJournal article – Annual report year: 2010

  • Author: Madsen, Charlotte Bernhard

    Division of Toxicology and Risk Assessment, National Food Institute, Technical University of Denmark, Mørkhøj Bygade 19, 2860, Søborg

  • Author: Crevel, René

    Safety and Environmental Assurance Centre,, Unilever, Colworth Science Park, Sharnbrook, Bedford, UK

  • Author: Chan, Chun-Han

    Food Composition & Labelling Division,, Food Standards Agency, London, UK

  • Author: Dubois, Anthony E. J.

    Dept of Pediatric Pulmonology and Pediatric Allergology, University Medical Center Groningen,, University of Groningen, Groningen, The Netherlands

  • Author: DunnGalvin, Audrey

    Dept. of Paediatrics and Child Health,, University College Cork, Ireland

  • Author: Flokstra-de Blok, Bertine M. J.

    Dept of Pediatric Pulmonology and Pediatric Allergology, University Medical Center Groningen,

  • Author: Gowland, M. Hazel

    Anaphylaxis Campaign, Farnborough, UK

  • Author: Hattersley, Sue

    Food Composition & Labelling Division,

  • Author: O’B Hourihane, Jonathan

    Dept. of Paediatrics and Child Health,, University College Cork, Ireland

  • Author: Nørhede, Pia

    National Food Institute, Technical University of Denmark, Mørkhøj Bygade 19, 2860, Søborg

  • Author: Pfaff, Sylvia

    Food Information Service Europe, Bad Bentheim, Germany

  • Author: Rowe, Gene

    Consumer Science, Institute of Food Research, Norwich, UK

  • Author: Schnadt, Sabine

    Deutscher Allergie- und Asthmabund (German Allergy and Asthma Association),, Mönchengladbach, Germany

  • Author: Vlieg-Boerstra, Berber J.

    Dept of Pediatric Pulmonology and Pediatric Allergology, University Medical Center Groningen,

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We have reached a point where it is difficult to improve food allergy risk management without an agreement on levels of acceptable risk. This paper presents and discusses the perspectives of the different stakeholders (allergic consumers, health professionals, public authorities and the food industry) on acceptable risk in food allergy. Understanding where these perspectives diverge and even conflict may help develop an approach to define what is acceptable. Uncertainty about food allergy, its consequences and how to manage them is the common denominator of the stakeholders’ views. In patients, uncertainty is caused by the unpredictability of reactions and the concern about whether avoidance strategies will be effective enough. Variability of symptoms and the lack of markers do not allow stratification of patients according to their reactivity, and force health professionals to give the same advice to all patients despite the fact that the risk to each is not identical. Regulators and the food industry struggle with the fact that the lack of management thresholds forces them to make case-by-case decisions in an area of uncertainty with penalties for under- or over-prediction. As zero risk is not a realistic possibility, consensus on acceptable risk will be needed.
Original languageEnglish
JournalRegulatory Toxicology and Pharmacology
Publication date2010
Volume57
Journal number2-3
Pages256-265
ISSN0273-2300
DOIs
StatePublished
CitationsWeb of Science® Times Cited: 9

Keywords

  • EuroPrevail, Stakeholders, Food allergy risk, Patients

ID: 5154377