Turner PJ, Kemp AS, Campbell DE. Advisory food labels: consumers with allergies need more than “traces” of information. BMJ. 2011;343: d6180.

Article  PubMed  Google Scholar 

Meyer R, Wright K, Vieira MC, Chong KW, Chatchatee P, Vlieg-Boerstra BJ, et al. International survey on growth indices and impacting factors in children with food allergies. J Hum Nutr Diet. 2019;32(2):175–84.

Article  CAS  PubMed  Google Scholar 

Mehta H, Ramesh M, Feuille E, Groetch M, Wang J. Growth comparison in children with and without food allergies in 2 different demographic populations. J Pediatr. 2014;165(4):842–8.

Article  PubMed  Google Scholar 

Beck C, Koplin J, Dharmage S, Wake M, Gurrin L, McWilliam V, et al. Persistent food allergy and food allergy coexistent with eczema is associated with reduced growth in the first 4 years of life. J Allergy Clin Immunol Pract. 2016;4(2):248–56 e3.

Christie L, Hine RJ, Parker JG, Burks W. Food allergies in children affect nutrient intake and growth. J Am Diet Assoc. 2002;102(11):1648–51.

Article  PubMed  Google Scholar 

Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. J Allergy Clin Immunol. 2010;126(6):1105–18.

Article  PubMed  PubMed Central  Google Scholar 

Muraro A, de Silva D, Halken S, Makela M, Warner A. Managing food allergy: GA2LEN guideline 2022. World Allergy Organiza 2022;15(9):100687. https://doi.org/10.1016/j.waojou.2022.100687.

Taylor SL, Hefle SL. Ingredient and labeling issues associated with allergenic foods. Allergy. 2001;56(Suppl 67):64–9.

Article  PubMed  Google Scholar 

Hu W, Grbich C, Kemp A. Parental food allergy information needs: a qualitative study. Arch Dis Child. 2007;92(9):771–5.

Article  PubMed  PubMed Central  Google Scholar 

La Vieille S, Hourihane JOB, Baumert JL. Precautionary allergen labeling: what advice is available for health care professionals, allergists, and allergic consumers? J Allergy Clin Immunol Pract. 2023;11(4):977–85.

Article  PubMed  Google Scholar 

Dinardo G, Fierro V, del Giudice MM, Urbani S, Fiocchi A. Food-labeling issues for severe food-allergic consumers. Curr Opin Allergy Clin Immunol. 2023;23(3):233–8.

Article  PubMed  Google Scholar 

•• FAO and WHO. Risk assessment of food allergens: part 3: review and establish precautionary labelling in foods of the priority allergens: meeting report. Food Safety and Quality Series No. 16. Rome. 2023. This report reviews the current state of PAL, highlighting the need for improvement and suggests adoption of a risk-based single PAL statement.

Draft Guidance for industry: hazard analysis and risk-based preventive controls for human food 2018 [Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/draft-guidance-industry-hazard-analysis-and-risk-based-preventive-controls-human-food

Gupta RS, Taylor SL, Baumert JL, Kao LM, Schuster E, Smith BM. Economic factors impacting food allergen management: perspectives from the food industry. J Food Prot. 2017;80:1719–25.

Article  PubMed  Google Scholar 

Dzwolak W. Allergen cross-contact control plan supporting the implementation of food allergen management (FAM) in small food businesses. Food Control. 2022;135: 108777.

Article  Google Scholar 

Taylor SL, Hefle SL, Farnum K, Rizk SW, Yeung J, Barnett ME, et al. Analysis and evaluation of food manufacturing practices used to address allergen concerns. Compr Rev Food Sci Food Saf. 2006;5:138–57.

Article  CAS  Google Scholar 

Administration USFaD. Draft guidance for industry: hazard analysis and risk-based preventive controls for human food. Chapter 11: Food allergen program. In: Nutrition CfFSaA, editor. Washington D.C.: U.S. FDA; 2023. p. 108.

Gendel SM, Khan N, Yajnik M. A Survey of food allergen control practices in the U.S. food industry. J Food Prot. 2013;76(2):302–6.

Gendel SM. Comparison of international food allergen labeling regulations. Regul Toxicol Pharmacol. 2012;63(2):279–85.

Article  PubMed  Google Scholar 

Linders YFM, Lentz LR, Blom WM, Michelsen-Huisman A, Strikwerda J, van Dijk LM, et al. Precautionary allergen labeling: current communication problems and potential for future improvements. Food Control. 2023;147: 109561.

Article  Google Scholar 

Jackson LS, Al-Taher FM, Moorman M, DeVries JW, Tippett R, Swanson KMJ, et al. Cleaning and other control and validation strategies to prevent allergen cross-contact in food-processing operations. J Food Prot. 2008;71(2):445–58.

Article  PubMed  Google Scholar 

Taylor SL, Hefle SL. Allergen control. Food Technol. 2005;59(40–3):75.

Google Scholar 

Crotty MP, Taylor SL. Risks associated with foods having advisory milk labeling. J Allergy Clin Immunol. 2010;125:935–7.

Article  PubMed  Google Scholar 

Bedford B, Yu Y, Wang X, Garber EAE, Jackson LS. A limited survey of dark chocolate bars obtained in the United States for undeclared milk and peanut allergens. J Food Prot. 2017;80(4):692–702.

Article  CAS  PubMed  Google Scholar 

Taylor SL, Baumert JL. Allergen Control Food Quality Saf. 2019;18–9:43.

Google Scholar 

Ford LS, Taylor SL, Pacenza R, Niemann LM, Lambrecht DM, Sicherer SH. Food allergen advisory labeling and product contamination with egg, milk, and peanut. J Allergy Clin Immunol. 2010;126:384–5.

Article  PubMed  Google Scholar 

Pieretti MM, Chung D, Pacenza R, Slotkin T, Sicherer SH. Audit of manufactured products: use of allergen advisory labels and identification of labeling ambiguities. J Allergy Clin Immunol. 2009;124:337–41.

Article  PubMed  Google Scholar 

Blom WM, Michelsen-Huisman AD, van Os-Medendorp H, van Duijn G, de Zeeuw-Brouwer M-l, Versluis A, et al. Accidental food allergy reactions: Products and undeclared ingredients. J Allergy Clin Immunol. 2018;142(3):865–75.

Gupta R, Kanaley M, Negris O, Roach A, Bilaver L. Understanding precautionary allergen labeling (PAL) preferences among food allergy stakeholders. J Allergy Clin Immunol Pract. 2021;9(1):254–64.

Hefle SL, Furlong TJ, Niemann L, Lemon-Mule H, Sicherer S, Taylor SL. Consumer attitudes and risks associated with packaged foods having advisory labeling regarding the presence of peanuts. J Allergy Clin Immunol. 2007;120:171–6.

Article  PubMed  Google Scholar 

Groetch ME, Christie L, Vargas PA, Jones SM, Sicherer SH. Food allergy educational needs of pediatric dietitians: a survey by the consortium of food allergy research. J Nutr Educ Behav. 2010;42:259–64.

DunnGalvin A, Chan CH, Crevel R, Grimshaw K, Poms R, Schnadt S, et al. Precautionary allergen labelling: perspectives from key stakeholder groups. Allergy. 2015;70(9):1039–51.

Article  CAS  PubMed  Google Scholar 

Maslin K, Meyer R, Reeves L, Mackenzie H, Swain A, Stuart-Smith W, et al. Food allergy competencies of dietitians in the United Kingdom, Australia and United States of America. Clin Transl Allergy. 2014;4(1):37.

Article  PubMed  PubMed Central  Google Scholar 

Marchisotto MJ, Harada L, Kamdar O, Smith BM, Waserman S, Sicherer S, et al. Food allergen labeling and purchasing habits in the United States and Canada. J Allergy Clin Immunol Pract. 2017;5(2):345–51.

Holleman BC, van Os-Medendorp H, van den Bergh H, van Dijk LM, Linders YFM, Blom WM, et al. Poor understanding of allergen labelling by allergic and non-allergic consumers. Clin Exp Allergy. 2021;51(10):1374–82.

Article  PubMed  PubMed Central  Google Scholar 

Brooke-Taylor S, Christensen G. Allergen labeling—a global overview. Reference Module in Food Science: Elsevier. 2023.

Bugyi Z, Muskovics G, Tömösközi S. Rethinking precautionary allergen labelling – Threshold doses, risk assessment approaches and analytical implications. Acta Alimentaria. 2023.

Hirst B. Survey of allergen advisory labelling and allergen content of UK retail pre-packed processed foods. Reading Scientific Services, Ltd.; 2014 2014, November 4. Report No.: FS241038 (T07067).

Manny E, La Vieille S, Barrere V, Théolier J, Godefroy SB. Peanut and hazelnut occurrence as allergens in foodstuffs with precautionary allergen labeling in Canada. NPJ Sci Food. 2021;5(1):11.

Article  PubMed  PubMed Central  Google Scholar 

Zurzolo GA, Mathai ML, Koplin JJ, Allen KJ. Precautionary allergen labelling following new labelling practice in Australia. J Paediatr Child Health. 2013;49(4):E306–10.

Article  PubMed  Google Scholar 

Zurzolo GA, Koplin JJ, Mathai ML, Taylor SL, Tey D, Allen KJ. Foods with precautionary allergen labeling in Australia rarely contain detectable allergen. J Allergy Clin Immunol Pract. 2013;1(4):401–3.

Article  PubMed  Google Scholar 

• Manny E, La Vieille S, Barrere V, Theolier J, Godefroy SB. Occurrence of milk and egg allergens in foodstuffs in Canada. Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2021;38(1):15–32. Findings from this study showed that 25% of products, mostly chocolates, with milk PAL contained milk. When evaluating egg UAP, very low levels were found in few products.

Remington BC, Baumert JL, Marx DB, Taylor SL. Quantitative risk assessment of foods containing peanut advisory labeling. Food Chem Toxicol. 2013;62:179–87.

Article  CAS  PubMed  Google Scholar 

Pele M, Brohee M, Anklam E, van Hengel AJ. Peanut and hazelnut traces in cookies and chocolates: relationship between analytical results and declaration of food allergens on product labels. Food Addit Contam. 2007;24:1334–44.

Article  CAS  PubMed  Google Scholar 

Burndred F, Peace L. Food safety in chocolate manufacture and processing. Beckett's Industrial Chocolate Manufacture and Use2017. p. 598–619.

Brough HA, Turner PJ, Wright T, Fox AT, Taylor SL, Warner JO, et al. Dietary management of peanut and tree nut allergy: what exactly should patients avoid? Clin Exp Allergy. 2015;45(5):859–71.

Article  CAS  PubMed  Google Scholar 

Sheehan WJ, Taylor SL, Phipatanakul W, Brough HA. Environmental food exposure: what is the risk of clinical reactivity from cross-contact and what is the risk of sensitization. J Allergy Clin Immunol Pract. 2018;6(6):1825–32.

•• Sicherer SH, Abrams EM, Nowak-Wegrzyn A, Hourihane JOB. Managing food allergy when the patient is not highly allergic. J Allergy Clin Immunol Pract. 2022;10(1):46–55. This report defines “highly allergic,” as always having a severe reaction to a low dose of allergen, reinforces that not all patients with food allergy are highly allergic, and suggests alternative avoidance approaches for those who are not highly allergic.

Patel N, Adelman DC, Anagnostou K, Baumert JL, Blom WM, Campbell DE, et al. Using data from food challenges to inform management of consumers with food allergy: A systematic review with individual participant data meta-analysis. J Allergy Clin Immunol. 2021;147(6):2249-62.e7.

Article  PubMed  PubMed Central  Google Scholar 

Turner PJ, Patel N, Campbell DE, Sampson HA, Maeda M, Katsunuma T, et al. Reproducibility of food challenge to cow’s milk: systematic review with individual participant data meta-analysis. J Allergy Clin Immunol. 2022;150(5):1135-43.e8.

Article  PubMed  Google Scholar 

Hourihane JOB, Allen KJ, Shreffler WG, Dunn-Galvin G, Nordlee JA, Zurzolo GA, et al. Peanut Allergen Threshold Study (PATS): novel single-dose oral food challenge study to validate eliciting doses in children with peanut allergy. J Allergy Clin Immunol. 2017;139(5):1583–90.

Article  CAS  PubMed  Google Scholar 

Turner PJ, d’Art YM, Duca B, Chastell SA, Marco-Martin G, Vera-Berrios RN, et al. Single-dose oral challenges to validate eliciting doses in children with cow’s milk allergy. Pediatr Allergy Immunol. 2021;32(5):1056–65.

Article  CAS  PubMed  Google Scholar 

Turner PJ, Arasi S, Ball