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,
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, the U.S. sees roughly 80,000 new cases of peanut allergy every year. “If we cut that in half, 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,
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,’” says Allen,
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, of Murdoch Childrens Research Institute in Victoria,
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, Australia.
The skin prick test used for screening is not that reliable, she says. And a false-positive result could turn people away from peanuts unnecessarily.
Australia’s guidelines are more straightforward, 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, that’s an easier message to digest. Already, Bird has picked up on confusion about the U.S. guidelines. “I saw a mom who said, ‘OK,
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, 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,
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, Bird says

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