Contributors | |
Preface | |
Risk Assessment | |
The reality of food allergy: the patients perspective | |
Background | |
Consumer reaction | |
Supporting consumers | |
Allergy services | |
Teenagers and young adults | |
Food labelling | |
Allergen thresholds | |
Food alerts | |
Our work with industry | |
The work of the FSA | |
Schools | |
Eating out | |
Daily life with a food allergy | |
Hopes for the future | |
References | |
Clinical incidence of food allergy | |
Introduction | |
Case 1 Severe anaphylaxis to an unknown food product | |
Case 2 Idiopathic anaphylaxis | |
Case 3 Cross-reactivity or contamination? | |
Case 4 To vaccinate or not in egg allergy | |
Case 5 Adrenalin auto-injector for all egg-allergic patients? | |
Case 6 Immunotherapy for oral allergy syndrome? | |
Conclusion | |
References | |
Identification and characterisation of food allergens | |
Introduction | |
Classification of food allergens | |
Plant food allergens | |
Animal food allergens | |
Conclusions | |
References | |
Coeliac disease: allergy or intolerance? | |
Introduction | |
About coeliac disease | |
Prevalence and diagnosis | |
What is gluten? | |
The gluten-free diet | |
Gluten-free foods | |
Prescriptions | |
Allergen labelling | |
Food production | |
The Codex standard | |
Gluten testing | |
Gluten-free catering | |
Cross-contamination | |
Nutritional adequacy | |
Lactose intolerance | |
Coeliac UK | |
References | |
Risk Management | |
Risk management the principles | |
Introduction | |
Allergen management: the issues | |
Development of allergen management plans: principles and considerations | |
Objectives | |
Application | |
Concluding remarks | |
References | |
Risk management operational implications | |
Introduction | |
Identifying the hazard | |
Managing the hazard | |
Conclusion | |
References | |
Choices for cleaning and cross-contact | |
Allergen management and cleaning | |
The cleaning process | |
Principles of cleaning | |
Open plant cleaning | |
Dry cleaning | |
Manual cleaning | |
Foam and gel cleaning | |
Cross-contamination | |
Floor cleaning | |
Tray and rack washing machines | |
Cleaning-in-place | |
Management of allergen cross-contamination | |
Cleaning management | |
The cleaning programme | |
References | |
Validation of cleaning and cross-contact | |
Introduction | |
Validation of a cleaning regime | |
Sampling to validate cleaning | |
What to measure to validate cleaning | |
Summary | |
References | |
Validation, standardisation and harmonisation of allergen activities in Europe and worldwide | |
Analytical methods | |
Method validation | |
Standardisation of methods | |
Harmonisation | |
References | |
Standardisation of analytical methodology with special reference to gluten analysis | |
Introduction | |
Methods and standards | |
Gluten analysis | |
Gluten determination | |
Analytical choices | |
Development of allergen testing | |
Test formats | |
Commercial test kits | |
Analytical issues specific to immunoassays | |
Conclusions | |
References | |
Food allergen method development programme at Health Canada: support to standard setting and consumer protection | |
Rationale to ACT on preventing food allergy incidents in Canada | |
Health Canadas food allergen methodology programme | |
Conclusion | |
References | |
Risk Communication | |
Finished product labelling and legislation | |
Introduction | |
Legislation on allergen labelling European Directive 2003/89/EC and subsequent amendments | |
Allergen cross-contamination and advisory labelling (such as May Contain statements) | |
Provision of allergy information for foods that are not pre-packed | |
Free from foods | |
Conclusions | |
References | |
Guidelines for manufacturing and certification programmes | |
Preface | |
Introduction | |
The law | |
Voluntary information | |
Guidelines | |
Certification schemes | |
Training | |
The use of risk assessment | |
Management | |
The environment | |
Labelling and communication | |
Thresholds | |
Testing | |
Conclusions | |
References | |
Risk communication a manufacturers perspective | |
Background | |
The process of going nut free | |
The factory changes | |
People disciplines | |
Verification | |
Retailer reaction | |
What is nut free? the problem of evolving science | |
The need for thresholds | |
Appendix: Useful web links | |
Index | |
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