As severe food allergies grow, is air transport doing enough?

TORONTO: With severe food allergies on the rise in both in children and adults, are airlines prepared to meet the needs of these passengers? Some operators like low-cost carrier WestJet garner praise for their efforts to minimize threats to allergy sufferers. But a recent Air Canada flight between Toronto Pearson (YYZ) and Harrisburg International (MDT) in Pennsylvania revealed that much work still needs to be done at various touchpoints of the passenger experience.

For the uninitiated, severe allergic reactions (e.g. serious and potentially life threatening anaphylactic reactions) “occur when the body’s immune system strongly reacts to a particular allergenic protein or irritant”, according to Health Canada. Some of the most common allergens people tend to avoid are peanuts, tree nuts and gluten, but the list is not limited to these. And there are more allergy sufferers than you might think. Health Canada estimates that in Canada alone, up to 5-6% of young children and 3-4% of adults have been diagnosed by a physician as having a food allergy – that’s 1.7 children and 1.1 million adults.

So what obstacles might a severely allergic passenger encounter when traveling by air? Let’s start with the on-the-ground experience, and our YYZ-MDT case study.

In Terminal 1 at YYZ, the dining options are few. Indeed, when the author surveyed the scene, burger joint Wahlburger’s stood out as the most accommodating restaurant, as it was willing to serve someone with food allergies or Celiac’s Disease. A gluten-free bun was offered on the menu and when it turned out that the bun contained another ‘top 10’ allergen (soy), staff offered to create a lettuce wrap that would ensure restricted foods were not present.

Most importantly, Wahlburger’s was knowledgeable about what was in its food selections, and its staffers were clearly trained in allergy management.

Apropos, which focuses on light meals and cocktails, offered two gluten free menu items – one consisting of a $10 lettuce salad that was, how shall we say, heavy on the lettuce. The Hearth restaurant by Lynn Crawford, whose specialty is flatbreads, fresh salads and sandwiches, turned the author away at the desk, with the host explaining that the establishment does not accommodate people with allergies.

Hearth by Lynn Crawford turned me away at the front because they could not serve someone with allergies.

The Hearth has a nice menu; alas, the restaurant doesn’t accommodate allergy sufferers. Image: Becca Alkema

On arriving at MDT, the airport did not have much in the way of an early breakfast, but showed sincere concern after learning that someone was having difficulty in finding food at the airport. It tweeted suggestions for the future.

Beyond airport terminals, Air Canada has phased out peanuts from all packaged snacks on board its aircraft in all classes of service. Additionally, it has also replaced other packaged snack products with non-peanut alternatives wherever possible.

However, Air Canada’s policy states that it cannot offer a special meal that is nut-/peanut-free. Moreover it says:

  • We cannot guarantee that the complimentary meal or other food items served on board will be free from peanuts, peanut by-products or any other food to which a person may be allergic, as it would be impossible to manage with our many caterers, their suppliers and sub-suppliers.
  • We cannot be responsible for passengers who may bring peanuts or other products on board, or for any residue that may remain on or between seat cushions.
  • In addition to carrying one or more EpiPen Auto-Injectors, customers with severe nut/peanut allergies are responsible for taking any other precautions, such as packing their own snacks, using a hand sanitizer, and bringing wet wipes to clean surrounding areas.
Making an Epipen visible, makes it more real to those around.

Making an Epipen visible on board makes it more real to those around. Image: Becca Alkema

Air Canada offers to set up a buffer zone around the seat of a passenger with severe allergies, though it does not explicitly define what this buffer zone entails. According to reports, Air Canada adheres to a five-row buffer. The carrier notes that the buffer zone in its international business class cabin is the suite occupied by the person with allergies only.

According to Air Canada’s competitor WestJet, a buffer zone is defined as the two rows in front of, and two rows behind, the person with the allergy. So if, for example, a nut allergy sufferer is in row 5, then rows 3, 4, 5, 6 and 7 will not be served anything containing that nut allergen, and also will be asked to abstain from consuming anything containing the allergen. The carrier says, “It is important to note that WestJet cannot enforce compliance.”

Explaining its policy to RGN, WestJet says, “There is no way to ensure 100 percent compliance as it is not against the law to bring nuts on board. If a flight attendant were to ask a guest to refrain from eating a bag of peanuts he/she brought with them, the guest is under no obligation to comply. Naturally, we believe the vast majority, if not all, guests would comply. However, there is simply no way for us to force a guest to comply.”

And whereas Air Canada does not make a general announcement about the buffer zone – only informing customers seated within the buffer zone of the presence of the allergy sufferer, and the fact that they will not be offered any Air Canada Cafe items containing nuts/peanuts – WestJet takes a different, more proactive approach. The airline will announce that there is a passenger with allergies on board, so that other passengers are aware of the buffer zone’s existence on the plane. This may also inspire passengers seated nearby to take extra precautions, like washing their hands.

Offering Signature Dishes by Chef David Hawksworth, but they are unable to create meals the they can promise will not contain an allergen of choice.

Air Canada offers signature dishes by Chef David Hawksworth, but does not cater to allergy sufferers. Image: Air Canada

Though Air Canada does not announce the presence of a severe allergy sufferer on the PA, it says it believes it’s policy is “the most effective way to provide a safe environment for our customers with allergies and Canadian Transportation Agency (CTA) has approved this approach.” The CTA tells RGN that airlines “are responsible for their own allergy-related policies”.

Advocates of allergy sufferers would like to see more action on the part of industry. Children’s book author Kelly Sheehy DeGroot, whose daughter suffers from an anaphylactic tree nut allergy, in a prior Op-Ed for RGN made the case for why “every airline should already have a plan of action in place for accommodating passengers with anaphylaxis, such as alternative snacks free of the top eight allergens, appropriate announcement procedures for flights where a passenger with an allergy is present, and a thorough sanitation process for wiping down seats in between flights.”

Knowing how an airplane is being cleaned prior to boarding is an important detail for someone with severe allergies. Image: West Jet

WestJet’s policy outlines how and when its aircraft are cleaned, as well as what access to medical care exists if someone has a reaction in-flight, including what supplies and medical information is available. Image: WestJet

But some people believe their right to peanuts supersedes another person’s right to safety, and so it is imperative for passengers with severe allergies – or the parents of allergic children – to come fully prepared.

Here are some tips to consider from this parent whose daughter suffers from severe allergies:

  1. Bring your own food, but be sure to check the regulations on how said items should be packaged for security purposes.
  2. Bring wipes to clean the tray table on on board or any surface at the airport before dining.
  3. Make others in your immediate space aware. If you make your EpiPen visible, it can put a face on the situation and make it personal.
  4. Don’t be afraid to speak up. Most people who don’t suffer from severe allergies or haven’t encountered someone who fits this description are unaware of the seriousness.

3 Comments

  1. MJ

    Great article Becca. This topic is important to so many people… airlines can’t afford to be vague about their protocols!

  2. Dianna Sabo

    From what I have seen, if the FAA and EASA do not make a rule, nothing really gets done. This is a life threatening issue to many children. By eliminating nuts, it reduces the chances greatly. I think these two agencies need to look into the matter like many schools have done. Excellent article!

  3. Nibor Yelyab

    Air Canada is aware that hand sanitizer does nothing to remove allergens (they have been provided with studies), yet they persist in providing this erroneous and dangerous advice on its page for allergic passengers. Allergic passengers (note, NOT “allergy sufferers” – an outdated, stereotypical term) – do not rely on hand sanitizer to clean surfaces of allergens.

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