States will see the same drop in peanut allergy reported in the LEAP trial. But even a 50 percent reduction would be huge,
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, Togias says. By his back-of-the-envelope calculation, the U.S. sees roughly 80,000 new cases of peanut allergy every year. “If we cut that in half,
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, we’re saving 40,000 kids right away,” he says.
Still, allergist Katie Allen says the guidelines’ nuanced instructions risk complicating the message that peanuts are OK.
“There’s a lot of merit to these guidelines, but I’m a little worried that the general population will read this and say ‘I’m scared my child has a peanut allergy so I’m going to get him tested,’” says Allen, of Murdoch Childrens Research Institute in Victoria, Australia.
The skin prick test used for screening is not that reliable,
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, she says. And a false-positive result could turn people away from peanuts unnecessarily.
Australia’s guidelines are more straightforward,
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, Allen points out. They recommend that all infants be fed allergenic foods, including peanut butter, within the first year of life (around 6 months,
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, but not before 4 months).
For me,
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, that’s an easier message to digest. Already,
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, Bird has picked up on confusion about the U.S. guidelines. “I saw a mom who said,
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, ‘OK, now this is telling me that my peanut-allergic kid should be eating peanuts every day?’”
That answer to that is a big “no.” These guidelines aim to prevent peanut allergies, not treat them, Bird says

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