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47. Business Section NYT: 'The Epi-Pen's Maker Invests in Expansion As Allergy Rates in Children Rise'

EXCERPT: A study last year in the journal Pediatrics found that about one in 13 children had a food allergy, and nearly 40 percent of those with allergies had severe reactions.

http://www.nytimes.com/2012/09/08/business/mylan-invests-in-epipen-as-child-allergies-increase.html?pagewanted=all

September 7, 2012
Tiny Lifesaver for a Growing Worry
By KATIE THOMAS

It has become an all-too-familiar story in schools across the country: a child eats a peanut or is stung by a bee and suffers an immediate, life-threatening allergic reaction known as anaphylaxis.

If parents and school authorities know about the allergy and a doctor’s prescription is on file, a nurse can quickly give an injection of epinephrine, saving the child’s life.

But school nurses in many districts face an agonizing choice if a child without a prescription develops a sudden reaction to an undiagnosed allergy. Should they inject epinephrine and risk losing their nursing license for dispensing it without a prescription, or call 911 and pray the paramedics arrive in time?

After a 7-year-old girl died in January in a similar case in Virginia, the state passed a law that allows any child who needs an emergency shot to get one. Beginning this month, every school district in Virginia is required to keep epinephrine injectors on hand for use in an emergency. Illinois, Georgia and Maryland have passed similar laws, and school nurses are pushing for one in Ohio. A lobbying effort backed by Mylan, which markets the most commonly used injector, the EpiPen, made by Pfizer, led to the introduction last year of a federal bill that would encourage states to pass such laws.

Mylan has also lobbied state legislatures around the country directly and is passing out free EpiPens this fall to any qualifying school that wants them.

“When a child is having an anaphylactic reaction, the only thing that can save her life is epinephrine,” said Maria L. Acebal, the chief executive of the Food Allergy and Anaphylaxis Network. “911 doesn’t get there fast enough.”

The efforts are an acknowledgment of the rising rates of food allergies among children and a handful of deaths from allergies across the country. In many schools, children carry their own epinephrine injectors in their backpacks to use themselves, if they’re old enough, or the devices are stored on their behalf in nurses’ offices.

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[font style=color:blue]Although no one knows exactly why, the rate of food allergies among children appears to be on the rise.[/font] One survey found that in 2008, one in 70 children was allergic to peanuts, compared with one in 250 in 1997.

“I don’t think it’s overdiagnosis,” said Dr. Scott H. Sicherer, the author of the report and a researcher at the Jaffe Food Allergy Institute at Mount Sinai Medical Center in Manhattan. “There really seems to be a difference.”

A study last year in the journal Pediatrics found that about one in 13 children had a food allergy, and nearly 40 percent of those with allergies had severe reactions. A recent survey in Massachusetts, where schools are permitted to administer epinephrine to any student, found that one-quarter of students who had to be given the drug for a reaction did not know they had an allergy. But in many schools, employees are not allowed to use epinephrine injectors on children who do not have a prescription.

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Also: http://www.ageofautism.com/2012/09/childhood-american-style.html#comments