Allergy to food is a chronic disease arising from a reaction of the immune system when exposed to certain ingredients that the body perceives as dangerous.
In the European Union, 17 million Europeans suffer from food reactions, of which 3.5 million are under the age of 25.
Allergic reactions to food
The eight most common foods that trigger an allergic reaction are cow’s milk, egg, soy, peanut, tree nuts, fish and shellfish. EU further recognises celery, gluten, lupin, molluscs, mustard, sesame and sulphites as allergens.
When a patient is exposed to the food they are allergic to, the body starts releasing histamine and other substances to fight the food ingested. Reactions may arise within a few seconds after eating the food or delayed by up to a couple of hours. Amongst many others, the symptoms of a food allergy reaction include itching of the lips, vomiting, skin swelling, fatigue, depression, headache or bloating.
Almost 10% of food allergic people may have acute anaphylactic reactions that could be fatal to their lives.
Food allergy treatments
While there is no cure for food allergies, the most important behaviour for patients is to avoid the food allergen causing reactions. It is therefore crucial that the full list of ingredients are disclosed to patients, be in a packed products or served by a food operator.
To avoid that people living with food allergies also suffering from bad nutrition, products need to carry labels in order for consumers to identify whether products contain ingredients they are sensitive to.
In case of exposure to the food allergen, patients are prescribed with antihistaminic and, in the case of severe allergic reaction and anaphylactic shocks, patients are prompted to receive an injection of adrenaline.
Food labelling legislation in Europe
Over the last decade, the number of allergic children younger than five years old has doubled, while visits to the emergency room due to anaphylactic shocks have increased seven-fold.
The European Union Regulation on the provision of food information for consumers, that entered into force in 2014, identifies a list of 14 allergens that need to be labelled (eggs, milk, fish, crustaceans, molluscs, peanuts, tree nuts, sesame seeds, cereals containing gluten, soybeans, celery and celeriac, mustard, lupin and sulphites).
Ingredients on food products must be emphasised and available all the time for consumers.
In the case of products may have been in contact with other allergens accidentally, something called cross-contamination, producers can choose to voluntarily indicate the risk of a presence of an allergen. Cross contamination may be caused during food production (when using same production machines) while transporting and storing food, and during food preparation (due to allergens on a surface or an object).
Differences between food allergy and food intolerance
In contrast to food allergies, food intolerances are caused by enzyme deficiency, responsible for a lack of tolerance against certain food ingredients. While the cause is different for food intolerances, it is eventually resulting in the same symptoms as for food allergies.
EFA’s work on food allergy
- EFA works closely with the European Commission Directorate General for Health and Food Safety (DG SANTE) on key aspects related to allergen management and labelling in the EU.
- As a registered stakeholder at the European Food Safety Authority (EFSA) since 2017, EFA brings the food allergy patient views on issues around allergenicity of foods, including novel products.
- Since 2019, EFA is an Observer at the Codex Alimentarius Commission (CAC) actively contributing to the discussions of the Codex Committee for Food Labelling (CCFL) and the Codex Committee for Food Hygiene (CCFH).
Emerging issues on food allergen labelling
Food labelling is a constantly evolving discussion at the global level. It is crucial that the views of the food allergy community are reflected in all decisions affecting their health.
The advancement of technology has helped the emergence of new means of accessing food and information about it. For example, e-commerce of food has flourished in recent years; similarly, more and more often food information is provided through electronic means.
EFA’s positions are based on the principle that consumers must always be aware about the safety of their food, including information on allergens. Therefore, e-commerce operators must ensure that consumers are informed in advance of the purchase. In the meantime, digital technology can improve access to food information. However, it must not replace information on the package, as this will put both practical and technical barriers on the access to food information.
To improve health and quality of life for people with food allergies, EFA advocates for:
- The full food ingredient list should be always indicated both for pre-packed and non-pre-packed foods (currently, there are exceptions based on the size of the package of the food), as some people may be allergic to foods, other than the 14 identified allergens in EU law.
- Written information on the presence of allergens in non-pre-packed foods e.g. in the hospitality sector is the most reliable means to provide detailed information for allergic consumers.
- Precautionary Allergen Labelling, typically stated as “may contain” should be mandatory, used and worded under common rules, backed by appropriate risk assessment and based on science-derived reference doses for each individual allergen.
- Training in allergen management and labelling must become mandatory for all involved actors across EU Member States, including food manufacturers, hospitality personnel, food inspectors, and patients living with food allergy
EFA’s documents and activities on food allergy
At the EU level:
- EFA-led discussion on the digitalisation of food information in the context of the EFSA Annual Stakeholder Forum meeting – November 2022
- EFA letter to DG SANTE on the issue of soy lecithin cross-contaminated with peanut – July 2022
- EFA letter to DG SANTE on Allergen labelling concerns resulting from the replacement of sunflower oil due to the war in Ukraine – April 2022
- EFA response to consultation and policy statement on Precautionary Allergen Labelling and the revision of EU legislation on Food Information to Consumers – March 2022
- EFA’s input to European Commission notice on food allergen cross-avoidance – February 2022
- EFA response to the consultation on the EU Farm-to-Fork Strategy – March 2020
- EFA Food Detectives report: Quality of Life for People with Food Allergies in Europe: A Menu for Improvement’ – December 2019
- EFA response to European Food Safety Authority consultation on the appropriate age for food diversification on babies – June 2019
- EFA participation in International Symposium on Food Allergens – October 2018
- EFA Presentation on European Commission and Joint Research Center workshop on precautionary labelling - June 2016
- EFA response to the public consultation on the draft EFSA Scientific Opinion on the evaluation of allergenic foods and food ingredients for labelling purposes - December 2014
- EFA response to the European Commission public consultation on Guidelines relating to the provision of information on substances or products causing allergies or intolerances as listed in Annex II of Regulation (EU) No 1169/2011 on the provision of food information to consumers
- Presentation Better labelling to empower people with food allergy in Europe – 8th International European Food and Feed Law Conference (16/10/2014)
- Report on the EFA Event “Eating safely: European best practices on allergens labelling”– November 2014
- Presentation Allergen and Intolerance Labelling – FIC and Food labelling June 2013
- Report on the EFA “Contains/May Contain – Food Allergen Labelling” Event – October 2012
- Better labelling is necessary to empower people with food allergy in Europe abstract and poster – August 2012
- Briefing on the Regulation (EU) No 1169/2011 of the European Parliament and of the Council on the provision of food information to consumers – January 2012
- “May contain” labelling and cross-contamination, information and best practices
- Position Paper on EU Food Labelling Regulation – May 2010
At the Codex level:
- EFA’s participation in the meeting of the CCFL in Ottawa, Canada – May 2023
- EFA response to the CCFL consultation on the revision of allergen provisions in the General Standard for the Labelling of Prepacked Food – April 2023
- EFA response to the CCFL consultation on Guidelines for the Use of Precautionary Allergen Labelling – April 2023
- EFA response to CCFL consultation on Guidelines for the Provision of Food Information for Prepackaged Foods offered via E-Commerce – April 2023
- EFA response to the CCFL consultation on Guidelines for the Use of Technology for Food Information – April 2023
- EFA statement in the 46th meeting of the CCFL on the proposed guidelines on e-commerce - September-October 2021
- EFA statement at the CCFH meeting in the context of the 43rd annual session of the Codex Alimentarius Commission (CAC) – September 2020