and Other Culinary Menaces to Camper Society list at www.webmd.com/allergies/guide/ milk-allergy. It is important to note what milk allergy is NOT. Lactose intolerance, unlike milk allergy, does not involve the immune system, but instead involves gastrointestinal symptoms such as diarrhea, constipation, and bloating. Accommodating guests with lactose intolerance can be as simple as providing lactose-free milk products, but always consult with the camper or camper’s parents about specific substitutes before arrival. Egg Egg allergy is second in prevalence after milk. With egg allergy, egg white must be avoided as well as yolk to prevent cross-contamination. Eggs appear in a variety of foods, such as batters, mixes, puddings, salad dressings, and processed meats. As with any food allergy, egg can appear in other ingredients without “egg” in the name, so it’s important to always read food labels and be on the lookout for ingredients like lecithin, nougat, artificial flavoring, and natural flavoring. Egg allergy symptoms can range from mild, such as hives, to severe, causing anaphylaxis (Food Allergy Research and Education, 2013). Find a list of foods that commonly contain egg products at http://aafa.org/ display.cfm?id=9&sub=20&cont=523. Peanut Peanut allergy can be a lifelong allergy for 80 percent of children diagnosed. The most severe allergy, it can have life-threatening symptoms, including anaphylaxis. Up to 20 percent of those with peanut allergy experience anaphylaxis, which is a severe, multisystem reaction (Venter & Arshad, 2011; Keet, 2011). Symptoms range from hives to slurred speech; swelling of tongue, eyes, and face; difficulty swallowing and breathing; and unconsciousness. Up to 62 percent of fatal anaphylaxis occurs from peanut allergies (Keet and Wood, 2007). Find a list of foods that commonly contain peanut products at http://aafa.org/ display.cfm?id=9&sub=20&cont=517. Tree Nuts Between 28 and 50 percent of tree nut allergies occur alongside peanut allergies. Like peanut allergies, 20 percent of tree nut allergy reactions are anaphylaxic (American College of Allergy, Asthma, and Immunology ACAAI, 2010b). A tree nut allergy avoidance list can be found at www.kidswithfoodallergies.org/ resourcespre.php?id=60. Fish Of the approximately 0.4 percent of the population that have fish allergy, 30 percent are children. Symptoms range from mild to severe, including anaphylaxis. Fish allergy can be lifelong. Fish ingredients are often included in Worcestershire sauce, Caesar salad dressing, imitation crab, and Asian foods (ACAAI, 2010a). A fish allergy avoidance list is found at www.foodallergy.org/ allergens/fish-allergy. Shellfish Shellfish allergy symptoms can appear within minutes and can include hives; wheezing; trouble breathing; gastrointestinal symptoms; swelling of face, lips, tongue, or throat; and anaphylaxis. Those with shellfish allergy typically do not outgrow it. Sixty percent with the allergy are adults (Venter & Arshad, 2011). A list of foods to avoid is located at http:// my.clevelandclinic.org/disorders/shellfish_ allergies/hic_shellfish_allergies.aspx. Wheat Wheat allergy is an IgE-mediated reaction to one of the proteins in wheat, which are albumin, globulin, gliadin, and glutenin (gluten). Wheat allergy is often confused with celiac disease, which Ki mberly Whit esid e Truitt , CFM
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