Proposal of 0.5 mg of protein/100 g of processed food as threshold for voluntary declaration of food allergen traces in processed food—A first step in an initiative to better inform patients and avoid fatal allergic reactions: A GA²LEN position paper

Author:

Zuberbier Torsten1ORCID,Dörr Tamara1,Aberer Werner2,Alvaro Montserrat3ORCID,Angier Elizabeth4,Arasi Stefania5ORCID,Arshad Hasan678ORCID,Ballmer‐Weber Barbara910,Bartra Joan1112ORCID,Beck Lisa13ORCID,Bégin Philippe14ORCID,Bindslev‐Jensen Carsten15ORCID,Bislimovska Jovanka16,Bousquet Jean11718ORCID,Brockow Knut19ORCID,Bush Andrew20ORCID,Cianferoni Antonella21ORCID,Cork Michael J.22ORCID,Custovic Adnan23ORCID,Darsow Ulf19,Jong Nicolette24,Deleanu Diana25,Del Giacco Stefano26ORCID,Deschildre Antoine2728ORCID,Dunn Galvin Audrey293031,Ebisawa Motohiro32ORCID,Fernández‐Rivas Montserrat33ORCID,Ferrer Marta34ORCID,Fiocchi Alessandro5ORCID,Gerth van Wijk Roy24ORCID,Gotua Maia35ORCID,Grimshaw Kate36,Grünhagen Josefine1,Heffler Enrico3738ORCID,Hide Michihiro39ORCID,Hoffmann‐Sommergruber Karin40ORCID,Incorvaia Cristoforo41ORCID,Janson Christer42ORCID,Malte John Swen4344,Jones Carla45,Jutel Marek46,Katoh Norito47ORCID,Kendziora Benjamin48ORCID,Kinaciyan Tamar49ORCID,Knol Edward5051,Kurbacheva Oksana52ORCID,Lau Susanne53ORCID,Loh Richard54,Lombardi Carlo55ORCID,Mäkelä Mika56,Marchisotto Mary Jane5758,Makris Michael59ORCID,Maurer Marcus1ORCID,Meyer Rosan60ORCID,Mijakoski Dragan16ORCID,Minov Jordan16ORCID,Mullol Joaquim61ORCID,Nilsson Caroline6263ORCID,Nowak–Wegrzyn Anna64ORCID,Nwaru Bright I.65ORCID,Odemyr Mikela66,Pajno Giovanni Battista67ORCID,Paudel Sushil68ORCID,Papadopoulos Nikolaos G.69ORCID,Renz Harald7071ORCID,Ricci Giampaolo72ORCID,Ring Johannes1973,Rogala Barbara74,Sampson Hugh757677ORCID,Senna Gianenrico78,Sitkauskiene Brigita79ORCID,Smith Peter Kenneth80ORCID,Stevanovic Katarina1ORCID,Stoleski Sasho16ORCID,Szajewska Hania81ORCID,Tanaka Akio82ORCID,Todo‐Bom Ana83,Topal Fatih Alexander1ORCID,Valovirta Erkka84,Van Ree Ronald85ORCID,Venter Carina86ORCID,Wöhrl Stefan87ORCID,Wong Gary W.K.88ORCID,Zhao Zuotao89ORCID,Worm Margitta1ORCID

Affiliation:

1. Department of Dermatology and Allergy Charité‐Universitätsmedizin BerlinHumboldt‐Uniersität zu Berlin and Berlin Institute of HealthComprehensive Allergy‐Centre Berlin Germany

2. Department of Dermatology Medical University of Graz Graz Austria

3. Servei Al‐lergologia Immunologia Clinica Hospital Sant Joan de Deu Barcelona Spain

4. Primary Care, Population Science and Medical Education Faculty of Medicine University of Southampton Southampton UK

5. Pediatric Allergology Unit Bambino Gesù Hospital (IRCCS) Rome Italy

6. NIHR Southampton Biomedical Research Centre University Hospital Southampton NHS Foundation Trust Southampton UK

7. Clinical and Experimental Sciences Faculty of Medicine University of Southampton Southampton UK

8. The David Hide Asthma and Allergy Research CentreSt Mary's Hospital Isle of Wight UK

9. Department of Dermatology University Hospital Zürich Zürich Switzerland

10. Clinic for Dermatology and Allergology Kantonsspital St. Gallen St. Gallen Switzerland

11. Unitat d’Al.lergia Servei de Neumologia i Al.lergia RespiratoriaHospital Clinic Barcelona Spain

12. Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Barcelona Spain

13. Department of Dermatology University of Rochester Medical Center Rochester New York USA

14. CHU Sainte‐Justine Montréal Canada

15. Department of Dermatology and Allergy Center Odense Research Centre for Anaphylaxis (ORCA)Odense University Hospital Denmark Odense Denmark

16. Faculty of Medicine, Ss. Cyril and Methodius University in SkopjeInstitute of Occupational Health of RNMWHO Collaborating Center Skopje Macedonia

17. University Hospital Montpellier Montpellier France

18. MACVIA‐France Montpellier France

19. Department of Dermatology and Allergy Biederstein School of Medicine Technical University of Munich Munich Germany

20. Imperial College and Royal Brompton Hospital London UK

21. Department of Pediatrics University of PennsylvaniaThe Children's Hospital of Philadelphia Philadelphia Pennsylvania USA

22. University of Sheffield Sheffield UK

23. National Heart and Lung InstituteImperial College London London UK

24. Section of Allergology and Clinical Immunology Department of Internal Medicine Erasmus MC Rotterdam The Netherlands

25. University Medicine and Pharmacy Iuliu HatieganuIRGHAllergy Cluj‐Napoca Romania

26. Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy

27. CHU LilleUniv Lille Lille France

28. Pediatric Pulmonology and Allergy Unit Hôpital Jeanne de Flandre Lille France

29. University College Cork Cork Ireland

30. Sechenov University Moscow Moscow Russia

31. Anaphylaxis Ireland Cork Ireland

32. Clinical Research Center for Allergy and Rheumatology National Hospital Organization Sagamihara National Hospital Sagamihara Japan

33. Allergy Department Facultad de Medicina Hospital Clínico San CarlosUniversidad Complutense (UCM)IdISSC Madrid Spain

34. Department of Allergy Clinica Universidad de Navarra Pamplona Spain

35. Center of Allergy and Immunology Tbilisi Georgia

36. Dietetic Department Salford Care OrganisationSalford Royal Foundation Trust Salford UK

37. Personalized Medicine, Asthma and Allergy IRCCS Humanitas Research Hospital Rozzano (MI) Italy

38. Department of Biomedical Sciences Humanitas University Pieve Emanuele (MI) Italy

39. Department of Dermatology Hiroshima Citizens Hospital Hiroshima Japan

40. Department of Pathophysiology and Allergy Research Medical University of Vienna Austria

41. Cardiac/Pulmonary Rehabilitation ASST Pini/CTO Milan Italy

42. Department of Medical Sciences: Respiratory Allergy and Sleep Research Uppsala University Uppsala Sweden

43. Department of Dermatology Environmental Medicine Health Theory University of Osnabrueck Osnabrueck Germany

44. Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrueck Osnabrueck Germany

45. Allergy Kent UK

46. EAACI President ‐ The European Academy of Allergy and Clinical Immunology Zurich Switzerland

47. Department of Dermatology Kyoto Prefectural University of Medicine Kyoto Japan

48. Department of Dermatology and Allergy University HospitalLMU Munich Munich Germany

49. Department of Dermatology Medical University of Vienna Vienna Austria

50. Department of Dermatology and Allergology University Medical Center Utrecht Utrecht The Netherlands

51. Laboratory of Translational Immunology University Medical Center Utrecht Utrecht The Netherlands

52. NRC Institute of Immunology FMBA Moscow Russia

53. Pediatric Respiratory Medicine, Immunology and Critical Care Medicine Charité Universitätsmedizin Berlin Berlin Germany

54. Department of Immunology Perth Children’s HospitalUniversity of Western Australia Perth Western Australia Australia

55. Unità Dipartimentale di Allergologia‐Immunologia Clinica & Malattie Apparato RespiratorioEnte Ospedaliero Fondazione Poliambulanza Brescia Italy

56. Skin and Allergy Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland

57. MJM Advisory New York New York USA

58. Mary H. Weiser Food Allergy Center University of Michigan Medicine Ann Arbor Michigan USA

59. Allergy Unit 2nd Dpt of Dermatology and Venereology National and Kapodistrian University of AthensAttikon University Hospital Athens Greece

60. Department of Paediatrics Imperial College London UK

61. Rhinology Unit & Smell Clinic ENT Department Hospital ClinicIDIBAPSUniversitat de BarcelonaCIBERES Barcelona Catalonia Spain

62. Sachs’ Children and Youth HospitalSödersjukhuset Stockholm Sweden

63. Department of Clinical Science and Education Södersjukhuset Karolinska Institutet Stockholm Sweden

64. Division of Allergy and Immunology Department of Pediatrics Jaffe Food Allergy InstituteIcahn School of Medicine at Mount SinaiKravis Children's Hospital New York New York USA

65. Krefting Research Centre Institute of Medicine University of Gothenburg Gothenburg Sweden

66. Asthma and Allergy Association Stockholm Sweden

67. Pediatric unit Policlinico HospitslUniversity of Messina Messina Italy

68. Civil Service Hospital Kathmandu Nepal

69. Allergy Dpt, 2nd Pediatric Clinic University of Athens Athens Greece

70. Institute of Laboratory Medicine and Pathobiochemistry Molecular Diagnostics Philipps University Marburg University Hospital Giessen and Marburg Marburg Germany

71. Department of Clinical Immunology and Allergology Laboratory of Immunopathology Sechenov University Moscow Russia

72. Pediatric Unit Department of Medical and Surgical Sciences University of Bologna Bologna Italy

73. Christine Kühne Center for Allergy Research and Education (CK‐Care) Davos Switzerland

74. Department of Internal Diseases Allergology & Clinical Immunology Medical University of Silesia Katowice Poland

75. Elliot and Roslyn Jaffe Food Allergy Institute New York New York USA

76. Division of Allergy and Immunology Kravis Children's Hospital New York New York USA

77. Department of Pediatrics Icahn School of Medicine at Mount SinaiNew York New York USA

78. Asthma Center and Allergy Unit Verona University and General Hospital Verona Italy

79. Department of Immunology and Allergology Lithuanian University of Health Sciences Kaunas Lithuania

80. Griffith University Southport Qld Australia

81. Department of Paediatrics The Medical University of Warsaw Warsaw Poland

82. Department of Dermatology Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan

83. Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra Portugal

84. Department of Lung Diseases and Clinical Allergology University of Turku, and Terveystalo TurkuAllergy Clinic Turku Finland

85. Departments of Experimental Immunology and Otorhinolaryngology Academic Medical Center University of Amsterdam Amsterdam The Netherlands

86. University of Colorado Denver School of Medicine and Children’s Hospital Colorado Aurora Colorado USA

87. Floridsdorf Allergy Center (FAZ) Vienna Austria

88. Department of Paediatrics The Chinese University of Hong Kong Hong Kong Hong Kong

89. Department of Dermatology First Hospital Peking University Beijing China

Publisher

Wiley

Subject

Immunology,Immunology and Allergy

Reference120 articles.

1. Consensus report from the Food Allergy Research & Education (FARE) 2019 Oral Immunotherapy for Food Allergy Summit

2. Quality of Life Among Food Allergic Patients and Their Caregivers

3. Food Allergen Labeling and Purchasing Habits in the United States and Canada

4. Japanese Food Allergen Labeling Regulation: An Update

5. BeerM.Informationsschreiben Nr. 161: Allergenkennzeichnung von unbeabsichtigten Vermischungen (Art. 8 Abs. 3‐5 der Verordnung über die Kennzeichnung und Anpreisung von Lebensmitteln LKV) Stand: 18.04.2011 ersetzt die Version vom 17.12.2010 B.f.G. BAG Editor.2011 Bern.

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