Saturday, November 14, 2015

Importing

We've gotten more organized lately about the nut allergy in our house. I'm in the process of creating a backpack that goes whereever he goes with epi-pens and snacks.  We've had a few emergency drills, especially for babysitters on what to do if there is an allergic reaction.  We also reviewed with the kids how to check labels for certain words.

These websites were helpful.  Also a nut-free mom group on FB.
http://allergyready.com/

https://www.etsy.com/listing/202970778/child-allergy-necklace-medical-alert?ref=market


https://www.etsy.com/listing/241436804/food-allergy-allergy-medical-alert?ref=market

http://www.americanmedical-id.com/product/child-treenut-allergy-bracelet-428

http://www.americanmedical-id.com/product/kids-train-medical-id-bracelet-436

https://www.etsy.com/listing/213015653/allergic-to-multiple-foods-tag-with?ref=shop_home_active_15

https://www.etsy.com/listing/221185003/epipen-bags-embroidery-machine-design?ga_order=most_relevant&ga_search_type=all&ga_view_type=gallery&ga_search_query=epipen%20case&ref=sr_gallery_19

http://zoobearsmedicalid.com/medical_id_sport_bands

http://www.peanutallergy.com/boards/epi-pens-are-available-in-canada-without-a-prescription


http://www.news-medical.net/news/2007/08/13/28724.aspx


While on my quest to buy an affordable epi-pen jr. I learned that a friend of mine had some that she didn't need anymore and she mailed me her extra's that are 100% covered under her military insurance (she's a veteran).  I also commented on a blog and she responded back about how epi-pens are sold over the counter and really cheap in Canada.  She was heading there from Seattle and would pick me up one.  So, in a very short amount of time, I had a friend and a stranger answer my prayer of getting epi-pens that weren't expired and even going so far as importing from another country!

Here is Max with his new epi-pen fresh from Canada and our new friend in Seattle, who wrote him the sweetest letter.




Here is some of the info I collected about cashews and pistachios to teach our kids about it!

CASHEWS


The Anacardiaceae (the cashew or sumac family) are a family of flowering plants bearing fruits that are drupes and in some cases producing urushiol, anirritant. The Anacardiaceae include numerous genera with several of economic importance. Notable plants in this family include cashew (in the type genusAnacardium), mangopoison ivysumacsmoke treemarulayellow mombin, and cuachalalate. The genus Pistacia (which includes the pistachio andmastic tree) usually is now included, but has sometimes been placed in its own family, Pistaciaceae.[1]


This allergy tends to be lifelong; recent studies have shown that only about 9% of children outgrow their tree nut allergy.[2]


In the United States, the federal Food Allergen Labeling and Consumer Protection Act (FALCPA) requires that any packaged food product that contains tree nuts as an ingredient must list the specific tree nut on the label.[2] Foods that almost always contain tree nuts include pestomarzipanNutellabaklavapralinesnougatgianduja, and turrón. Other common foods that may contain tree nuts include cereals, crackers, cookies, baked goods, candy, chocolates, energy/granola bars, flavored coffee, frozen desserts, marinades, barbecue sauces, and some cold cuts, such asmortadella. Tree nut oils (especially shea nut) are also sometimes used in lotions and soaps. Asian and African restaurants, ice cream parlors, and bakeries are considered high-risk for people with tree nut allergy due to the common use of nuts and the possibility of cross contamination.
There has been a single documented case of pink peppercorns (often used in four-blend peppers) causing an allergic reaction in those with nut allergies.[5][6] Pink peppercorn is not a true pepper, but dried roasted berries derived from Schinus terebinthifolius, a flowering plant in the family Anacardiaceae, native to South America. Common names include Brazilian Pepper, Rose Pepper and Christmasberry. Pink peppercorns are used as a spice to add a mild pepper-like taste to foods. It may potentially cause an irritating skin effect and has been associated with atopic dermatitis in canines. Interestingly, S. terebinthifolius is a member of the family Anacardiaceae, which include plants in the genera Anacardium (cashew) and Pistacia (pistachio). No allergens from this plant have been characterized but there is potential for cross-reactivity among different members of the Anacardiaceae family.
Treatment usually involves an exclusion diet and vigilant avoidance of foods that may be contaminated with tree nuts, nut particles, or oils. The most severe nut allergy reaction is anaphylaxis,[7]an emergency situation requiring immediate attention and treatment with epinephrine.



Cashews are not actually nuts but seeds. They are a popular snack and food source. Cashews, unlike oily tree nuts, contain starch to about 10% of their weight. This makes them more effective than nuts in thickening water-based dishes such as soups, meat stews, and some Indian milk-based desserts. Many Southeast Asian cuisines use cashews for this unusual characteristic, rather than other nuts.[6]
The shell of the cashew nut is toxic, which is why the nut is never sold in the shell to consumers.[7]
Cashew nuts are commonly used in Indian cuisine, whole for garnishing sweets or curries, or ground into a paste that forms a base of sauces for curries (e.g., korma), or some sweets (e.g., kaju barfi). It is also used in powdered form in the preparation of several Indian sweets and desserts. In Goan cuisine, both roasted and raw kernels are used whole for making curries and sweets.

PISTACHIOS


The kernels are often eaten whole, either fresh or roasted and salted, and are also used in pistachio ice creamkulfispumoni, historically in Neapolitan ice cream, pistachio butter,[19][20] pistachio paste[21] and confections such as baklava, pistachio chocolate,[22] pistachio halva,[23] pistachio lokum or biscottiand cold cuts such as mortadellaAmericans make pistachio salad, which includes fresh pistachios or pistachio pudding, whipped cream, and canned fruit.[24]

Members of this family produce cashew and pistacia nuts and others produce mango and marula fruits.[2]
Some members produce a viscous or adhesive fluid which turns black and is used as a varnish or for tanning and even as a mordant for red dyes.[2]
The marula fruit is also eaten by various animals in Southern Africa. marula oil is used as an ingredient in cosmetics.

The cashew nut can also be harvested in its tender form, when the shell has not hardened and is green in color. The shell is soft and can be cut with a knife and the kernel extracted, but it is still corrosive at this stage, so gloves are required. The kernel can be soaked in turmeric water to get rid of the corrosive material before use. Cashew nuts are also used in Thai and Chinese cuisine, generally in whole form.
In the Philippines, cashew is a known product of Antipolo, and is eaten with sumanPampanga also has a sweet dessert called turrones de casuy, which is cashew marzipan wrapped in white wafers.
In Indonesia, roasted and salted cashew nut is called kacang mete or kacang mede, while the cashew apple is called jambu monyet (literally means monkey rose apple).
In Mozambiquebolo polana is a cake prepared using powdered cashews and mashed potatoes as the main ingredients. This dessert is popular in South Africa, too.[8]
South American countries have developed their own specialties. In Brazil, the cashew fruit juice is popular all across the country. In Panama, the cashew fruit is cooked with water and sugar for a prolonged time to make a sweet, brown, paste-like dessert called dulce de marañónMarañón is one of the Spanish names for cashew.


Cashew nut oil has mild and attractive aroma and widely used in the production of a variety of cosmetic products. It is of pale yellow to dark yellow in color with the watery viscosity. This oil is very effective in case of fungal infection of skin or hair. It is widely used in the production of dental products due to its amazing properties to fight against the dental cavities.

This oil is highly effective in the treatment of fungal infection and widely used in the production of cosmetic products.


Cashew oil may conquer cavities. - Free Online Library
Cashew cashew (kăsh`, kəsh`), tropical American tree (Anacardium occidentale) of the family Anacardiaceae (sumac family), valued chiefly for the cashew nut of commerce. oil may conquer cavities 

Don't be surprised if a nut-flavored toothpaste makes its way to the drugstore shelf sometime in the next decade. Increased consumer demand for all-natural products has revived interest in tapping foods--edible plants in particular -- for useful chemicals. In this quest, two organic chemists have discovered that the cashew may fight tooth decay and other bacterial infections, according to a report in the February JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY.

In their research, Masaki Himejima and Isao Kubo tested various tropical fruits and vegetables for antimicrobial activity. The oil from the cashew nut shell, normally a waste product
The shell oil is not edible, but Kubo notes that its bacteria-fighting components also exist in the nut and in the juice of the surrounding fruit. This fruit, called cashew apple, is eaten in tropical countries with no ill effects. Kubo thinks the cashew compounds may prove safe when mixed into toothpaste or mouthwash mouthwash /mouth·wash/ (mouth´wosh) a solution for rinsing the mouth.
http://www.speckdentist.com/articles/cashew-oil-may-conquer-cavities.-free-online-library.html


https://www.facebook.com/notes/al-rifai/health-fitness-eliminate-tooth-decay-with-cashew-nuts/51509633865
BAD



According to the World Dental Organization, Gram positive bacteria, which cause tooth decay, acne, tuberculosis, and leprosy are killed by chemicals in cashew nuts, cashew apples, and cashew shell oil.

Dr. Charles Weber had made raw cashew nuts the main part of his diet for 24 hours on five occasions and had eliminated an abscessed tooth all five times. It is possible that just eating a couple of ounces each day for a week or so would work also and might avoid any intolerance to cashew nuts.
http://worldental.org/teeth/eliminate-tooth-abscess-with-cashew-nuts/


Urushiol /ʊˈrʃi.ɒl/ is an oily organic allergen found in plants of the family Anacardiaceae, especially Toxicodendron spp. (e.g., poison oakLacquer Treepoison ivypoison sumac) and also in mangos.

The likelihood and severity of allergic reaction to urushiol is dependent on the degree of unsaturation of the alkyl chain.Before the urushiol has been absorbed by the skin, it can be removed with soap and water. However, time is of the essence, as 50% of the urushiol can be absorbed within 10 minutes. Once urushiol has penetrated into the skin, attempting to remove it with water is ineffective.[10] 


A 2007 study published in the journal Allergy confirmed the importance of cashew nut as a major allergen, ranking it higher than peanut in general terms of its potential to cause severe reactions (Clark, Anagnostou, Ewan, 2007).
The researchers from Addenbrookes Hospital, Cambridge, took a group of 47 children with cashew allergy from their clinic and matched each person with two peanut-allergic individuals from their database with similar experiences (including similarities in the amount of nut eaten that had caused the child's worst reaction and whether they had asthma).
They then compared the severity of reactions between the peanut and cashew groups. The results showed that the children in the cashew group were 8.4 times more likely to suffer wheeze, 25 times more likely to suffer severe anaphylaxis (severe breathlessness and/or collapse), and 13.3 times more likely to require adrenaline during their worst ever food reaction compared to the peanut group.
Anyone who suspects they are allergic to cashew nuts should consult their GP and seek a referral to an allergy clinic.

Avoiding other nuts
In the above study, almost one-third of children with cashew allergy were allergic to pistachios, which belong to the same botanical family as cashews. Other studies have made the same connection (including Rance et al, 2003).
If you are allergic to cashews, should you avoid other nuts (e.g. walnuts)? The answer is that each individual case requires an allergist’s assessment. Generally speaking, we advise people with nut allergy to avoid all nuts. A major reason for this view is the possibility of cross-contamination during food production. However if you are 100 per cent certain you can tolerate a particular type of nut, you could eat that nut from the shell.
In the case of children, clear rules are needed to avoid confusion. The “no nuts of any kind” rule would be sensible.
Where used
Cashew nuts are roasted and then eaten as a snack, either plain or salted. They are used in cooking in the Far East and in the Indian sub-continent and may be found in ethnic food from those areas.
Although pesto sauce is traditionally made from pine nuts, cashews are often added in commercial products.
Cashews can be used in baking, especially in Eastern pastries and in biscuits.
Cashew nut butter is produced and is the equivalent of peanut butter. It is found in supermarkets as well as whole food shops.
Oils and derivatives
Although it is technically possible to make a cashew nut oil from the nuts themselves none is commercially available for food use, as far as we know.
Derivatives of cashew are permitted in cosmetics and toiletries. The terms to watch out for on the label are Anacardium occidentale extract and Anacardium occidentale nut oil.
http://www.anaphylaxis.org.uk/what-is-anaphylaxis/knowledgebase/cashew-nuts



The Food Allergy Labeling Consumer Protection Act (FALCPA) was passed in 2004, requiring: labels to be marked such that a 7 year old could read and understand the ingredients, all allergens are declared even if they are in the spices or flavorings, and curtail the current widespread use of the ‘may contain statements.’ This act went into effect January 1, 2006.
It is safest to avoid all kinds of nuts even if your child is allergic to just one.  The processing of nuts in foods lends itself to cross-contamination easily and isn’t worth the risk.
Stay away from all your ‘standard’ tree nuts, which include almonds, cashews, pecans, and walnuts.
Any product that says ‘nuts’ must be avoided.  These would include macadamia nuts to name just one.  There are many kinds of nuts, so read labels carefully.  Remember pistachios are a nut!
In 2006, the FDA classified coconut as a nut; however the Food Allergy & Anaphylaxis Network (FAAN) does not recognize it as such. If coconut is in a product, the product may state that it contains tree nuts. This is confusing, especially if your child can tolerate coconut but not other tree nuts!
Sometimes cashews are used to make butter (cashew butter), oils or pastes.  Stay away from all of these.
Pesto sauce usually includes pine nuts – be careful of homemade recipes where nuts can be used and yet not recognized in sauces, etc.
Your allergist should be able to provide you with a complete listing of ingredients that may indicate nut protein.  There are always new products being created with newly processed ingredient names.  If you don’t know the exact nature of the ingredient, don’t eat it!
Tree nuts can show up in products that aren’t ingested, but used in lotions and shampoos.  Read the labels on these products also.  Contact allergies can cause severe reactions also.
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After reviewing all of that with the kids, we created a poster to put in the food pantry that lists the names of things that have cashews and pistachios in them (including all the weird science-y names of them) to avoid and presented him with his new medical alert bracelet.  






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