1 00:00:10,614 --> 00:00:15,294 Speaker 1: You're listening to a Mumma Mia podcast. Mamma Mia acknowledges 2 00:00:15,334 --> 00:00:18,174 Speaker 1: the traditional owners of land and waters that this podcast 3 00:00:18,214 --> 00:00:18,974 Speaker 1: is recorded on. 4 00:00:22,734 --> 00:00:22,934 Speaker 2: Hi. 5 00:00:23,094 --> 00:00:26,534 Speaker 1: I'm Claire Murphy. This is Mumma MIA's twice daily news podcast, 6 00:00:26,574 --> 00:00:32,094 Speaker 1: The Quickie. On December five, Disney influencer Dominic Brown passed away. 7 00:00:32,574 --> 00:00:35,614 Speaker 1: The circumstances around her death are still being debated, but 8 00:00:35,654 --> 00:00:38,854 Speaker 1: it's been reported that she suffered a reaction after consuming 9 00:00:38,894 --> 00:00:43,014 Speaker 1: food that contained peanuts, a food she was incredibly allergic to. 10 00:00:44,014 --> 00:00:46,934 Speaker 1: There are also allegations that possibly the people who were 11 00:00:46,934 --> 00:00:50,214 Speaker 1: around her at the time didn't take her symptoms seriously enough. 12 00:00:50,614 --> 00:00:53,254 Speaker 1: So today we speak to someone who has a severe 13 00:00:53,294 --> 00:00:56,214 Speaker 1: peanut allergy who explains why she has to fight to 14 00:00:56,214 --> 00:00:59,774 Speaker 1: be heard, sometimes even by staff in the emergency room. 15 00:01:00,094 --> 00:01:02,014 Speaker 1: But before we get into that, here's the latest from 16 00:01:02,054 --> 00:01:05,534 Speaker 1: the Quickie newsroom. Tuesday, December seventeen, Two of the four 17 00:01:05,574 --> 00:01:08,534 Speaker 1: Australians who are poisoned with methanol while drinking at a 18 00:01:08,574 --> 00:01:11,774 Speaker 1: resort in Fiji have returned home, with the other two 19 00:01:11,894 --> 00:01:14,374 Speaker 1: hoping to get medical clearance soon to do the same. 20 00:01:14,814 --> 00:01:17,134 Speaker 1: Guests have told police what they saw the day the 21 00:01:17,134 --> 00:01:20,454 Speaker 1: Aussies were drinking pinacladas at the Warwick Resort bar. The 22 00:01:20,494 --> 00:01:23,494 Speaker 1: pair bonded with the fellow Australians and an American woman 23 00:01:23,814 --> 00:01:26,614 Speaker 1: sharing the cocktails before guests said members of the group 24 00:01:26,694 --> 00:01:30,014 Speaker 1: fell to the ground, with one woman bleeding from her ears. 25 00:01:30,294 --> 00:01:33,854 Speaker 1: Other witnesses so the group suffered seizures, chills and tremors. 26 00:01:34,214 --> 00:01:36,854 Speaker 1: Nineteen year old Georgia Sando Simpson and her forty nine 27 00:01:36,894 --> 00:01:39,774 Speaker 1: year old mom Tania touchdown at Sydney Airport last night, 28 00:01:40,134 --> 00:01:44,814 Speaker 1: embraced by their family ours did. Syrian dictator Bashah Alissade 29 00:01:44,854 --> 00:01:47,694 Speaker 1: has released a statement saying he never intended to leave 30 00:01:47,734 --> 00:01:50,574 Speaker 1: the country, but that he was evacuated by the Russian 31 00:01:50,574 --> 00:01:53,734 Speaker 1: military when the base he was sheltering at came under attack. 32 00:01:54,094 --> 00:01:58,254 Speaker 1: Assad's words, posted on the Syrian Presidency's telegram account, claim 33 00:01:58,334 --> 00:02:01,934 Speaker 1: at no point did he consider stepping down or seeking refuge, 34 00:02:02,134 --> 00:02:05,214 Speaker 1: nor was any such proposal made by any party, but 35 00:02:05,254 --> 00:02:08,054 Speaker 1: that after relocating to the Russian base, which came under 36 00:02:08,094 --> 00:02:11,414 Speaker 1: intense fire, it was to cided an immediate evacuation to 37 00:02:11,494 --> 00:02:14,854 Speaker 1: Russia was required. He says he was prepared to continue 38 00:02:14,894 --> 00:02:18,094 Speaker 1: fighting the terrorists who'd overthrown his government, but he had 39 00:02:18,134 --> 00:02:21,334 Speaker 1: no choice after battle Lines fell last week, it was 40 00:02:21,374 --> 00:02:24,094 Speaker 1: reported that no one in Assad's closed circle was told 41 00:02:24,134 --> 00:02:28,094 Speaker 1: of his leaving, aides, officials and even his relatives blindsided 42 00:02:28,094 --> 00:02:31,054 Speaker 1: by his escape. He's now been granted asylum by Russian 43 00:02:31,094 --> 00:02:35,014 Speaker 1: President Vladimir Putin. The Royal family gathering will be a 44 00:02:35,054 --> 00:02:37,814 Speaker 1: lot smaller this year, with reports Andrew and his family 45 00:02:37,854 --> 00:02:41,334 Speaker 1: have not been invited. Andrew and ex wife Sarah Ferguson 46 00:02:41,414 --> 00:02:44,254 Speaker 1: will most likely spend Christmas at the Royal Lodge, the 47 00:02:44,294 --> 00:02:46,694 Speaker 1: home that King Charles has been trying to evict Andrew 48 00:02:46,734 --> 00:02:49,814 Speaker 1: from for the past year. They had been widely expected 49 00:02:49,854 --> 00:02:52,534 Speaker 1: to attend the family Christmas at Sandringham, as they did 50 00:02:52,614 --> 00:02:55,814 Speaker 1: last year, but Andrew has reportedly been under pressure to 51 00:02:55,894 --> 00:02:58,534 Speaker 1: stay away and out of the spotlight because of all 52 00:02:58,534 --> 00:03:01,534 Speaker 1: the scandal he's been attached to in recent years, including 53 00:03:01,534 --> 00:03:04,134 Speaker 1: the most recent allegation that he has ties to a 54 00:03:04,214 --> 00:03:08,494 Speaker 1: Chinese spy. It's believed Andrew and Sarah's children, Princesses Eugenie 55 00:03:08,494 --> 00:03:11,014 Speaker 1: and Beatrice, have both been invited by their in laws 56 00:03:11,014 --> 00:03:14,694 Speaker 1: for Christmas this year, leaving Andrew and Sarah to celebrate solo. 57 00:03:15,494 --> 00:03:19,214 Speaker 1: A lost collaboration between Ozzie Pop, Princess, Kylie Minogue and 58 00:03:19,374 --> 00:03:23,534 Speaker 1: Prince has suddenly resurfaced online, with everyone confused as to 59 00:03:23,574 --> 00:03:26,614 Speaker 1: how it got there. Kylie revealed back in twenty twenty 60 00:03:26,654 --> 00:03:29,054 Speaker 1: that she'd hung out with Prince back in nineteen ninety 61 00:03:29,094 --> 00:03:31,614 Speaker 1: two when he was on his Diamonds and Pearls tour, 62 00:03:31,974 --> 00:03:34,054 Speaker 1: explaining that he'd put her on the spot and asked 63 00:03:34,094 --> 00:03:36,654 Speaker 1: her for the lyrics to a collaboration, which she did. 64 00:03:37,014 --> 00:03:39,214 Speaker 1: She says she was later handed a cassette tape of 65 00:03:39,294 --> 00:03:42,134 Speaker 1: Prince's version of her song Baby Doll, but they never 66 00:03:42,214 --> 00:03:45,214 Speaker 1: recorded it, Kylie's label putting a stop to the project. 67 00:03:45,534 --> 00:03:48,134 Speaker 1: The other copies were then locked away in Prince's vault, 68 00:03:48,214 --> 00:03:50,854 Speaker 1: never to see the light of day. Now it suddenly 69 00:03:50,894 --> 00:03:53,414 Speaker 1: found its way onto the internet. A source telling a 70 00:03:53,534 --> 00:03:56,534 Speaker 1: UK publication that Kylie is just as baffled as everyone 71 00:03:56,614 --> 00:03:59,254 Speaker 1: else as to where it's come from. There's no word 72 00:03:59,294 --> 00:04:01,734 Speaker 1: on whether Kylie will now record her part of the song. 73 00:04:01,934 --> 00:04:04,574 Speaker 1: But here's what it sounds like with just Prince's vocals. 74 00:04:04,894 --> 00:04:05,134 Speaker 3: Sure. 75 00:04:07,814 --> 00:04:15,014 Speaker 1: Wow, that's what's going on in the world today. Next, 76 00:04:15,094 --> 00:04:17,214 Speaker 1: Australia has some of the worst numbers in the world 77 00:04:17,294 --> 00:04:19,734 Speaker 1: when it comes to peanut allergies, So how do we 78 00:04:19,774 --> 00:04:22,174 Speaker 1: go about changing that? And what does someone who has 79 00:04:22,174 --> 00:04:31,854 Speaker 1: a severe peanut allergy want you to know? Dominic Brown 80 00:04:32,254 --> 00:04:35,574 Speaker 1: loved Disney. She co created the black Girl Disney Instagram 81 00:04:35,654 --> 00:04:38,174 Speaker 1: account back in twenty eighteen to make space for more 82 00:04:38,174 --> 00:04:40,934 Speaker 1: people of color in the Disney universe, an account which 83 00:04:40,934 --> 00:04:43,014 Speaker 1: now has more than twenty one thousand followers. 84 00:04:43,454 --> 00:04:46,734 Speaker 2: Okay, so we are on our way, day one, day 85 00:04:46,894 --> 00:04:50,174 Speaker 2: one to Magic Kingdom. 86 00:04:50,294 --> 00:04:52,574 Speaker 1: It was in her role as an influencer that saw 87 00:04:52,614 --> 00:04:55,534 Speaker 1: her invited to an event in La last week, posting 88 00:04:55,534 --> 00:04:57,494 Speaker 1: a selfie of her wearing a Winnie the Pooh card, 89 00:04:57,534 --> 00:05:00,454 Speaker 1: again made by the brand, and a plush Pooh hat, 90 00:05:00,614 --> 00:05:04,174 Speaker 1: posting I'm just here to say, get the obnoxious plush hat. 91 00:05:04,894 --> 00:05:07,734 Speaker 1: She reportedly told the venue of her severe peanut allergy 92 00:05:07,934 --> 00:05:10,374 Speaker 1: that started to feel the effects of a real and 93 00:05:10,414 --> 00:05:13,734 Speaker 1: shortly after she was taken to hospital where she passed away. 94 00:05:16,014 --> 00:05:18,534 Speaker 1: A Change dot org petition started by one of Brown's 95 00:05:18,574 --> 00:05:21,654 Speaker 1: friends allegasa venue she was at that day was not 96 00:05:21,734 --> 00:05:25,174 Speaker 1: equipped to respond to a situation like someone experiencing a 97 00:05:25,214 --> 00:05:29,134 Speaker 1: severe allergic reaction. They're calling for all establishments who serve 98 00:05:29,214 --> 00:05:32,334 Speaker 1: food to have an epupen on hand for such an emergency. 99 00:05:33,534 --> 00:05:36,934 Speaker 1: Peanut allergies are one of the most severe and persistent 100 00:05:36,974 --> 00:05:40,894 Speaker 1: food allergies affecting people around the world. In twenty twenty, 101 00:05:41,054 --> 00:05:45,014 Speaker 1: newcastleman James Atkinson died after eating a slice of pizza 102 00:05:45,094 --> 00:05:49,334 Speaker 1: contaminated with peanuts. Earlier this year, US woman La Oxendale 103 00:05:49,374 --> 00:05:52,534 Speaker 1: died after eating a cookie that had been mislabeled as 104 00:05:52,614 --> 00:05:56,494 Speaker 1: not containing peanuts, and in twenty sixteen, an Indian restaurant 105 00:05:56,534 --> 00:05:59,934 Speaker 1: owner in the UK was jailed after he knowingly swapped 106 00:05:59,934 --> 00:06:02,894 Speaker 1: out almond powder in the recipes for the cheaper version 107 00:06:02,894 --> 00:06:06,294 Speaker 1: that contained peanuts. That decision led to the death of 108 00:06:06,334 --> 00:06:09,054 Speaker 1: thirty eight year old Paul Wilson after he ordered a 109 00:06:09,054 --> 00:06:15,694 Speaker 1: takeaway ensuring to ask for no peanuts. The condition occurs 110 00:06:15,734 --> 00:06:19,534 Speaker 1: when the immune system mistakenly identifies certain peanut proteins as 111 00:06:19,614 --> 00:06:24,814 Speaker 1: harmful pathogens, triggering a type of hypersensitivity reaction. At least 112 00:06:24,934 --> 00:06:28,854 Speaker 1: eleven different peanut proteins can trigger that allergic reaction, and 113 00:06:28,894 --> 00:06:31,974 Speaker 1: when those proteins enter the body, they trigger that complex 114 00:06:32,014 --> 00:06:36,294 Speaker 1: immune response, where specialized cells release inflammatory chemicals, leading to 115 00:06:36,294 --> 00:06:41,374 Speaker 1: symptoms ranging from mild itching to life threatening anaphylaxis. Our 116 00:06:41,454 --> 00:06:44,774 Speaker 1: MoMA Mere colleague, Charlie Begg, suffers from a severe peanut allergy, 117 00:06:44,894 --> 00:06:47,094 Speaker 1: and she says there are times that she struggles to 118 00:06:47,134 --> 00:06:49,054 Speaker 1: be taken seriously. Yeah. 119 00:06:49,134 --> 00:06:51,614 Speaker 2: So it was a couple of years ago. Actually at work, 120 00:06:51,654 --> 00:06:54,134 Speaker 2: I noticed myself having a reaction. And I'm one of 121 00:06:54,134 --> 00:06:56,774 Speaker 2: those people that hates making a fuss when that happens, 122 00:06:56,934 --> 00:06:59,414 Speaker 2: because I don't want people freaking out. And I just thought, okay, 123 00:06:59,454 --> 00:07:02,054 Speaker 2: I'm going to remove myself the situation and take myself 124 00:07:02,094 --> 00:07:04,294 Speaker 2: at the hospital, which was like five minutes in an 125 00:07:04,334 --> 00:07:06,454 Speaker 2: uber way. I jumped in a cab and I took 126 00:07:06,494 --> 00:07:09,174 Speaker 2: myself to the AI and I said to the triage nurse, hey, 127 00:07:09,214 --> 00:07:11,734 Speaker 2: I'm having a peanut reaction. I didn't have my AMPI 128 00:07:11,814 --> 00:07:14,414 Speaker 2: pen on me. That was a mistake by me, But 129 00:07:14,534 --> 00:07:18,254 Speaker 2: I said, I need adrenaline because this acts quite fast. 130 00:07:18,494 --> 00:07:21,294 Speaker 2: As anyone with a severe an reflect allergy would know, 131 00:07:21,854 --> 00:07:24,534 Speaker 2: You've only got twenty to thirty minutes before your airways 132 00:07:24,534 --> 00:07:27,574 Speaker 2: start closing over. So I mentioned to them. They asked 133 00:07:27,574 --> 00:07:30,294 Speaker 2: me to sit down and wait in emergency for a 134 00:07:30,334 --> 00:07:32,494 Speaker 2: doctor to come out and see me. And it started 135 00:07:32,494 --> 00:07:35,294 Speaker 2: getting so bad that I was having serious trouble breathing. 136 00:07:35,494 --> 00:07:38,374 Speaker 2: I was wheezing quite a lot. This poor, lovely homeless 137 00:07:38,374 --> 00:07:41,814 Speaker 2: man sitting next to me, and he starts like having 138 00:07:41,814 --> 00:07:43,814 Speaker 2: a go at the nurse and just say, hey, listen 139 00:07:43,814 --> 00:07:46,734 Speaker 2: to this girl needs help. She's not going to make it. 140 00:07:46,774 --> 00:07:49,174 Speaker 2: And it's funny because it's not like a broken bone 141 00:07:49,254 --> 00:07:51,054 Speaker 2: or something. Oh, I guess it's the same. 142 00:07:51,134 --> 00:07:51,334 Speaker 3: There. 143 00:07:51,334 --> 00:07:53,454 Speaker 2: They've got no idea how bad it's getting, and it 144 00:07:53,494 --> 00:07:55,414 Speaker 2: does quite rapidly and deteriorate. 145 00:07:55,894 --> 00:07:59,454 Speaker 1: How frustrating is it that people don't take a peanut 146 00:07:59,494 --> 00:08:02,774 Speaker 1: allergy seriously? And when you start to say something to people, 147 00:08:02,774 --> 00:08:04,334 Speaker 1: do you feel like they kind of brush it off? 148 00:08:04,374 --> 00:08:05,614 Speaker 1: Do people take it seriously? 149 00:08:05,974 --> 00:08:09,614 Speaker 2: It's funny like family and friends when I mentioned like 150 00:08:09,974 --> 00:08:13,014 Speaker 2: it's life and death if I eat them and my allergies. 151 00:08:13,014 --> 00:08:15,774 Speaker 2: I'm getting older, it's getting worse and the symptoms present 152 00:08:15,934 --> 00:08:19,454 Speaker 2: much faster, and so my window of making sure I 153 00:08:19,494 --> 00:08:22,454 Speaker 2: stay alive is much smaller. So they understand. But I 154 00:08:22,534 --> 00:08:25,254 Speaker 2: was quite shocked that day that I wasn't taken seriously 155 00:08:25,254 --> 00:08:25,774 Speaker 2: at the paspital. 156 00:08:26,214 --> 00:08:27,894 Speaker 1: What's day to day look like for someone with a 157 00:08:27,894 --> 00:08:31,774 Speaker 1: severe peanut allergy? I imagine you feel like there's you know, 158 00:08:31,894 --> 00:08:34,174 Speaker 1: potential risk in everything you put in your mouth or 159 00:08:34,254 --> 00:08:37,774 Speaker 1: even on your face or even accidentally touch a surface, 160 00:08:37,854 --> 00:08:38,774 Speaker 1: Like how bad is it? 161 00:08:38,934 --> 00:08:41,934 Speaker 2: I'm really lucky that some people with ataphylaxis they can't 162 00:08:41,974 --> 00:08:44,494 Speaker 2: even like touch or smell peanuts around them, like thankfully. 163 00:08:44,534 --> 00:08:46,574 Speaker 2: Like if a colleague work is eating a pea butter 164 00:08:46,614 --> 00:08:48,694 Speaker 2: and toast, that's not an issue. I don't like the 165 00:08:48,734 --> 00:08:50,694 Speaker 2: smell because I know what it does to be but 166 00:08:50,734 --> 00:08:53,614 Speaker 2: it's not going to actually cause me symptoms. But for me, 167 00:08:54,254 --> 00:08:57,014 Speaker 2: there could be a peanut like one loan peanut sitting 168 00:08:57,054 --> 00:08:59,374 Speaker 2: on a plate of food and just that much cross 169 00:08:59,374 --> 00:09:02,254 Speaker 2: contamination that can set me off. So it just means 170 00:09:02,374 --> 00:09:05,574 Speaker 2: I now carrying maybe pen wherever I go. If I'm traveling, 171 00:09:05,614 --> 00:09:08,014 Speaker 2: I take two with me always because there's a risk 172 00:09:08,134 --> 00:09:11,134 Speaker 2: of you needing a second epipenn after having a reaction 173 00:09:11,374 --> 00:09:14,094 Speaker 2: or say the first one doesn't take doesn't work. So 174 00:09:14,134 --> 00:09:16,534 Speaker 2: it's always having it in my handbag on me, and 175 00:09:16,654 --> 00:09:19,014 Speaker 2: it's making sure people around me known what to do 176 00:09:19,254 --> 00:09:21,614 Speaker 2: when it happens. And then whenever I'm at a restaurant, 177 00:09:21,654 --> 00:09:23,934 Speaker 2: it's making it very clear I have an allergy. Please 178 00:09:24,014 --> 00:09:26,934 Speaker 2: let the kitchen know I understand there are risks and 179 00:09:27,054 --> 00:09:29,854 Speaker 2: there's a possibility, so it's not your fault. But as 180 00:09:29,854 --> 00:09:33,174 Speaker 2: long as everyone around me knows, that's the safest that. 181 00:09:35,094 --> 00:09:38,974 Speaker 1: Australia has earned the concerning title of allergy capital of 182 00:09:39,014 --> 00:09:44,574 Speaker 1: the world, with approximately one in ten babies experiencing food sensitivities. Specifically, 183 00:09:44,654 --> 00:09:48,054 Speaker 1: peanut allergies affect about three percent of Australian children by 184 00:09:48,094 --> 00:09:51,934 Speaker 1: their first birthday, and unlike other food allergies, most children 185 00:09:51,974 --> 00:09:56,254 Speaker 1: will never outgrow it. In a world first initiative, Australia 186 00:09:56,294 --> 00:10:00,614 Speaker 1: launched a groundbreaking national treatment program for infants with peanut allergies. 187 00:10:00,894 --> 00:10:05,934 Speaker 1: The program, conducted across ten pediatric hospitals, involves administering carefully 188 00:10:05,974 --> 00:10:09,374 Speaker 1: measured doses of peanut powder daily over a two year period. 189 00:10:09,854 --> 00:10:14,094 Speaker 1: This oral immunotherapy aims to build tolerance and potentially transform 190 00:10:14,134 --> 00:10:18,134 Speaker 1: the lives of affected children. Recent research also suggests that 191 00:10:18,254 --> 00:10:21,774 Speaker 1: early introduction of peanuts in babies diets, particularly in high 192 00:10:21,894 --> 00:10:25,894 Speaker 1: risk infants, may help prevent the development of allergies. So 193 00:10:25,974 --> 00:10:29,454 Speaker 1: are peanut allergies still rising? Are the treatments working and 194 00:10:29,494 --> 00:10:31,654 Speaker 1: are there any other breakthroughs that could help avoid a 195 00:10:31,694 --> 00:10:35,614 Speaker 1: situation like the one we saw Dominice Brown suffer. Doctor 196 00:10:35,694 --> 00:10:38,254 Speaker 1: Cant Priest is an allogist and the Deputy chair of 197 00:10:38,294 --> 00:10:43,174 Speaker 1: the ASCIA Pediatric Practice Committee the Australasian Society of Clinical 198 00:10:43,214 --> 00:10:46,934 Speaker 1: Immunology and Analogy, Doctor Priest? Are we still seeing rising 199 00:10:46,974 --> 00:10:49,454 Speaker 1: numbers of OSSI's forming allergies to peanuts? 200 00:10:49,694 --> 00:10:54,934 Speaker 3: I think the evidence is that genuinely allergies are creeping upwards. 201 00:10:55,214 --> 00:10:59,694 Speaker 3: There is some movement in how we're approaching foodology, particularly 202 00:10:59,694 --> 00:11:03,254 Speaker 3: in very young kids early introduction to try and induce 203 00:11:03,814 --> 00:11:06,294 Speaker 3: young babies to be tolerant to foods before they get 204 00:11:06,334 --> 00:11:08,734 Speaker 3: a chance to be synthesized and then allergic to the 205 00:11:08,774 --> 00:11:12,574 Speaker 3: Idea is that that'll level things off. And also there's 206 00:11:12,574 --> 00:11:15,934 Speaker 3: a lot more work going into things like immunotherapy where 207 00:11:16,094 --> 00:11:19,694 Speaker 3: we can provide children who had a diagnosis of penutalergy 208 00:11:20,334 --> 00:11:23,814 Speaker 3: some peanut regularly, which hopefully reduced the long term likelihood 209 00:11:23,814 --> 00:11:26,374 Speaker 3: that they'll be allergic as adults, so it increases their 210 00:11:26,454 --> 00:11:29,454 Speaker 3: likelies of developing tolerant about growing the allergy. 211 00:11:29,734 --> 00:11:32,614 Speaker 1: Do you think we've actually nailed why Australia doesn't do 212 00:11:32,734 --> 00:11:34,774 Speaker 1: that great as far as food allergies go. Is it 213 00:11:34,814 --> 00:11:37,654 Speaker 1: something in our genetics is it environmental, is it cultural? 214 00:11:37,694 --> 00:11:38,374 Speaker 1: Do we really know? 215 00:11:38,854 --> 00:11:40,374 Speaker 3: Yeah, I don't think we know. I think we know. 216 00:11:40,414 --> 00:11:43,494 Speaker 3: It would be great, we probably fix it. There's some 217 00:11:43,774 --> 00:11:47,934 Speaker 3: really interesting characteristics about different populations around the world with 218 00:11:48,294 --> 00:11:50,614 Speaker 3: the rates of penaalergy. And one of the reasons that 219 00:11:51,214 --> 00:11:53,734 Speaker 3: we've moved into a space of early introduction was that 220 00:11:53,814 --> 00:11:56,374 Speaker 3: there was some work done by some of our colleagues 221 00:11:56,374 --> 00:11:58,974 Speaker 3: in the UK showing that early introduction in places like 222 00:11:59,094 --> 00:12:02,534 Speaker 3: Israel using a peanut snack in babies, the rates of 223 00:12:02,614 --> 00:12:06,814 Speaker 3: penaalergy in Israel would virtually zero, whereas in places which 224 00:12:06,854 --> 00:12:11,094 Speaker 3: had delayed introduction like Australia in the US, the allergies 225 00:12:11,134 --> 00:12:14,374 Speaker 3: were substantial. So you know, the baseline rate of populationalogy 226 00:12:14,374 --> 00:12:16,654 Speaker 3: in those countries are one to two percent. There's a 227 00:12:16,694 --> 00:12:18,574 Speaker 3: lot of kids when you think about all of the 228 00:12:18,654 --> 00:12:21,414 Speaker 3: kids who were born. So that was the premise behind 229 00:12:21,774 --> 00:12:25,854 Speaker 3: developing a study where they compared early introduction to delayed 230 00:12:25,854 --> 00:12:28,414 Speaker 3: introduction children who were at risk of a peanutalergy so 231 00:12:28,774 --> 00:12:31,774 Speaker 3: severe exma or egalogy, and it showed that there was 232 00:12:31,814 --> 00:12:34,894 Speaker 3: a substantial reduction. Therefo we're letting these kids eat the 233 00:12:34,974 --> 00:12:36,814 Speaker 3: foods when they were very young It's. 234 00:12:36,694 --> 00:12:38,574 Speaker 1: Really interesting because when I was pregnant, I had a 235 00:12:38,614 --> 00:12:41,574 Speaker 1: midwife tell me that she actually felt a little bit 236 00:12:41,614 --> 00:12:45,134 Speaker 1: responsible for the level of peanut allergies in the children 237 00:12:45,174 --> 00:12:47,734 Speaker 1: that were born under her care because she was advised 238 00:12:47,774 --> 00:12:50,534 Speaker 1: to tell them to avoid those foods during pregnancy even 239 00:12:50,614 --> 00:12:54,534 Speaker 1: and then again when the child is in infancy. Has 240 00:12:54,694 --> 00:12:59,414 Speaker 1: that attitude towards introducing those foods like eggs and peanuts, 241 00:12:59,454 --> 00:13:01,174 Speaker 1: et cetera when children are very young. Do you think 242 00:13:01,174 --> 00:13:03,654 Speaker 1: that attitude has changed across the medical system here in 243 00:13:03,694 --> 00:13:06,654 Speaker 1: Australia or are there still people avoiding those foods? 244 00:13:06,894 --> 00:13:09,094 Speaker 3: Just in case, I think it's getting there. I think 245 00:13:09,294 --> 00:13:12,814 Speaker 3: there's this fear in a lot of families about introducing foods, 246 00:13:12,814 --> 00:13:15,094 Speaker 3: particularly if you've had another child who's already got a 247 00:13:15,134 --> 00:13:19,294 Speaker 3: food alogy. There's this sort of anxiety about introducing foods 248 00:13:19,334 --> 00:13:21,894 Speaker 3: into subsequent children, or if you've got a friend with 249 00:13:21,974 --> 00:13:25,894 Speaker 3: a child with analogy, which is hard to overcome because 250 00:13:25,974 --> 00:13:28,134 Speaker 3: obviously there is that concern that what if I make 251 00:13:28,174 --> 00:13:30,214 Speaker 3: my kids sick. The good thing which I've sort of 252 00:13:30,254 --> 00:13:33,254 Speaker 3: reinforced with families that we see in the pediatric think 253 00:13:33,374 --> 00:13:36,414 Speaker 3: is that the rates of having a fatal food reaction 254 00:13:36,494 --> 00:13:38,974 Speaker 3: so severe or fatal. Food reaction in infancy so under 255 00:13:38,974 --> 00:13:41,694 Speaker 3: twelve months of the age is almost heero so there's 256 00:13:41,694 --> 00:13:44,694 Speaker 3: a lot of opportunity there where kids get food, some 257 00:13:44,734 --> 00:13:46,534 Speaker 3: of them may have a foodlogy. The rate of egg 258 00:13:46,574 --> 00:13:49,414 Speaker 3: allergy in very young babies in a Melbourne study with 259 00:13:49,454 --> 00:13:52,454 Speaker 3: about ten percent. There's a lot of babies having a 260 00:13:52,494 --> 00:13:56,534 Speaker 3: reaction to egg. That's the best way to diagnose thealogy. 261 00:13:56,814 --> 00:14:00,134 Speaker 3: There's lots and lots of work on the rates of 262 00:14:00,174 --> 00:14:05,014 Speaker 3: foodology in children depending on mum's diets during breastfeeding or 263 00:14:05,094 --> 00:14:08,174 Speaker 3: during pregnancy, and it seems to make absolutely no difference. 264 00:14:08,494 --> 00:14:11,774 Speaker 3: We can reassure mums and midwifes and other people caring 265 00:14:11,774 --> 00:14:13,854 Speaker 3: for a pregnant lady or breastfeeding ladies that it doesn't 266 00:14:13,854 --> 00:14:16,654 Speaker 3: actually matter what mums do in that stage to reduce 267 00:14:16,934 --> 00:14:20,454 Speaker 3: or increase the risk of their babies becoming allergic to foods. 268 00:14:20,694 --> 00:14:22,974 Speaker 3: It's more what the baby actually does itself than when 269 00:14:22,974 --> 00:14:24,254 Speaker 3: they get the chance to eat the food. 270 00:14:24,894 --> 00:14:27,094 Speaker 1: Do we know why food allergies don't seem to be 271 00:14:27,134 --> 00:14:30,174 Speaker 1: amongst that group of allergies that we tend to grow 272 00:14:30,214 --> 00:14:32,254 Speaker 1: out of over time, like so many of us had 273 00:14:32,254 --> 00:14:34,414 Speaker 1: exma as a kid, but not as an adult. Like, 274 00:14:34,454 --> 00:14:36,374 Speaker 1: why don't we grow out of food allergies as much 275 00:14:36,374 --> 00:14:37,254 Speaker 1: as we do some others. 276 00:14:37,694 --> 00:14:40,694 Speaker 3: Yeah, we do. Some milk and egg in particular of 277 00:14:40,774 --> 00:14:43,494 Speaker 3: foods that are most likely to be outgrown the other 278 00:14:43,534 --> 00:14:45,054 Speaker 3: ones that are a bit more sticky and tend to 279 00:14:45,094 --> 00:14:48,574 Speaker 3: hang on a bit. Other nuts. Fish allergies rare in kids, 280 00:14:48,654 --> 00:14:50,414 Speaker 3: But that's another one that will tend to hang around 281 00:14:50,494 --> 00:14:53,734 Speaker 3: rather than go away. Why they're different, it's hard to know. 282 00:14:54,334 --> 00:14:56,614 Speaker 3: Interesting thing about the milk and the egg is that 283 00:14:57,094 --> 00:14:59,614 Speaker 3: it does seem no matter how the food's presented as 284 00:14:59,654 --> 00:15:01,974 Speaker 3: to whether it's likely to still cause a reaction. So 285 00:15:02,054 --> 00:15:04,814 Speaker 3: if we got a child who's got an egg or 286 00:15:04,814 --> 00:15:07,174 Speaker 3: a milk allergy, when they've drunk the milk fresh from 287 00:15:07,254 --> 00:15:10,014 Speaker 3: formula or from yogurt or something like that, they can 288 00:15:10,454 --> 00:15:14,134 Speaker 3: often bake the milk protein into cakes or muffins and 289 00:15:14,174 --> 00:15:16,214 Speaker 3: then be tolerant to that. So we know that those 290 00:15:16,294 --> 00:15:19,294 Speaker 3: children who tolerate baked milk or baked egg are actually 291 00:15:19,374 --> 00:15:21,654 Speaker 3: much more likely to outgrow the milk and the egg 292 00:15:21,694 --> 00:15:24,374 Speaker 3: allergy than the ones who are still reactive to those 293 00:15:24,374 --> 00:15:27,214 Speaker 3: baked foods. That's another way that we've sort of moved 294 00:15:27,254 --> 00:15:31,054 Speaker 3: into managing children with milk and egg alergy in particular 295 00:15:31,134 --> 00:15:34,734 Speaker 3: to try and facilitate them outgrowing that allergy sooner. I 296 00:15:34,734 --> 00:15:37,014 Speaker 3: think is them a bit more freedom, I guess when 297 00:15:37,134 --> 00:15:38,934 Speaker 3: we're going to parties and things as a kid. 298 00:15:39,294 --> 00:15:42,654 Speaker 1: Have there been any breakthroughs as far as peanut allergies go, 299 00:15:42,814 --> 00:15:45,334 Speaker 1: can because we know that immunotherapy has been around for 300 00:15:45,334 --> 00:15:47,694 Speaker 1: a little while now and that's been helping people become 301 00:15:47,814 --> 00:15:50,534 Speaker 1: tolerant towards it is that the therapy that we're really 302 00:15:50,854 --> 00:15:53,894 Speaker 1: focusing on. Have there been other medication breakthroughs or a 303 00:15:53,934 --> 00:15:57,614 Speaker 1: way to utilize like a vaccine would against a food allergy. 304 00:15:58,014 --> 00:16:00,734 Speaker 3: Yeah, there's so much work in that space. The one 305 00:16:00,734 --> 00:16:04,054 Speaker 3: that is endorsed sort of across most of the practicing 306 00:16:04,054 --> 00:16:07,374 Speaker 3: allergy population in Australia for peanut is the oral immino 307 00:16:07,494 --> 00:16:10,614 Speaker 3: therapy and most pediatric sense to the RAND Australia has 308 00:16:10,654 --> 00:16:13,694 Speaker 3: started to offer that to children who were diagnosed with 309 00:16:13,734 --> 00:16:17,214 Speaker 3: a penutalergy prior to twelve months. Importantly, like you say, 310 00:16:17,254 --> 00:16:20,894 Speaker 3: it's not a cure necessarily for most people. It increases 311 00:16:20,934 --> 00:16:24,854 Speaker 3: the likelihood that the child will outgrow the penut allergy. 312 00:16:25,294 --> 00:16:28,574 Speaker 3: But there's a substantial portion of the patients who, despite 313 00:16:28,654 --> 00:16:31,174 Speaker 3: going through the two years of regular oral doses, will 314 00:16:31,174 --> 00:16:33,654 Speaker 3: still be allergic at the end of it. During the 315 00:16:33,654 --> 00:16:35,174 Speaker 3: course of the immunt there it be and what they're 316 00:16:35,174 --> 00:16:37,574 Speaker 3: seeing with most immunate theory be trials is they were 317 00:16:37,614 --> 00:16:40,534 Speaker 3: actually just changing the threshold dose instead of having a 318 00:16:40,574 --> 00:16:43,174 Speaker 3: reaction to a small amount of peanut butter. You can 319 00:16:43,254 --> 00:16:45,534 Speaker 3: accidentally eat a small amount of peanut, say when you're 320 00:16:45,534 --> 00:16:47,934 Speaker 3: out at a restaurant, and you won't have a reaction 321 00:16:48,054 --> 00:16:50,534 Speaker 3: if you're taking your daily dose. The problem with most 322 00:16:50,574 --> 00:16:52,454 Speaker 3: of the trials is that when the daily dose has 323 00:16:52,454 --> 00:16:54,494 Speaker 3: stopped for whatever reason, either you've come to the end 324 00:16:54,534 --> 00:16:56,374 Speaker 3: of the trial or you're sick for a week or 325 00:16:56,374 --> 00:16:58,534 Speaker 3: two and you can't take it, then you kind of 326 00:16:58,574 --> 00:17:00,614 Speaker 3: flip back to being where you were and you're actually 327 00:17:00,694 --> 00:17:04,014 Speaker 3: quite allergic again. You're sensitize and even a small amount 328 00:17:04,054 --> 00:17:06,774 Speaker 3: will still cause a reaction, so it doesn't switch the 329 00:17:06,814 --> 00:17:09,494 Speaker 3: allergy off. And that's the main problem with most imunat theory. 330 00:17:09,654 --> 00:17:13,974 Speaker 3: The options that are available, and there've been use of patches, 331 00:17:14,734 --> 00:17:18,414 Speaker 3: oral doses, there's pills, lots of drug companies are kind 332 00:17:18,454 --> 00:17:21,174 Speaker 3: of obviously keen to see if they can develop something 333 00:17:21,254 --> 00:17:24,814 Speaker 3: that people could pay for, which thankfully we're moving away 334 00:17:24,814 --> 00:17:27,654 Speaker 3: from a little in Australia in particular because if we 335 00:17:27,654 --> 00:17:31,014 Speaker 3: can use over the counter peanut sauce then that's going 336 00:17:31,094 --> 00:17:33,574 Speaker 3: to be much more user friendly. There are also other 337 00:17:33,934 --> 00:17:36,174 Speaker 3: FDA approved so in the state. It's not so much 338 00:17:36,174 --> 00:17:40,414 Speaker 3: in Australia, but injections that people are using, particularly kids 339 00:17:40,574 --> 00:17:43,014 Speaker 3: or adults who have a very low threshold or very 340 00:17:43,054 --> 00:17:46,694 Speaker 3: severe reactions, there is an injection that can be provided 341 00:17:46,694 --> 00:17:49,614 Speaker 3: that potentially makes those a little less severe in the 342 00:17:49,614 --> 00:17:52,374 Speaker 3: case of an accidental ingestion, But unfortunately, nothing that we 343 00:17:52,414 --> 00:17:54,454 Speaker 3: know of at the moment is a cure. 344 00:17:55,774 --> 00:17:57,694 Speaker 1: So what do we do if we have someone around 345 00:17:57,734 --> 00:18:00,734 Speaker 1: us with a severe allergy who tells us they aren't 346 00:18:00,734 --> 00:18:03,574 Speaker 1: feeling great and it might be that they've ingested a peanut. 347 00:18:03,934 --> 00:18:06,094 Speaker 2: The way I've described it to people around me, especially 348 00:18:06,134 --> 00:18:08,334 Speaker 2: maybe say I'm dating someone new, when I go, hey, Lessen, 349 00:18:08,414 --> 00:18:11,054 Speaker 2: you're going to be around the has ever happened? I say, 350 00:18:11,094 --> 00:18:13,494 Speaker 2: I will always have my EpiPen in my handbag. I 351 00:18:13,534 --> 00:18:15,534 Speaker 2: will show them how to use it. It's very easy 352 00:18:15,534 --> 00:18:18,534 Speaker 2: and the rules are all on there. I would say, 353 00:18:18,734 --> 00:18:21,774 Speaker 2: I will tell you I'm having a reaction, get the EpiPen, 354 00:18:21,894 --> 00:18:24,534 Speaker 2: but before you do, call triple zero. Just because the 355 00:18:24,534 --> 00:18:28,694 Speaker 2: EpiPen will work and save my life. There are symptoms 356 00:18:28,734 --> 00:18:31,174 Speaker 2: that come after that, and there's a chance of it 357 00:18:31,214 --> 00:18:34,214 Speaker 2: happening again. So we have to get an ambulance and 358 00:18:34,254 --> 00:18:36,134 Speaker 2: I have to go to the hospital, and once the 359 00:18:36,134 --> 00:18:38,094 Speaker 2: paramedics arrive, they will say, we have to take you 360 00:18:38,134 --> 00:18:40,214 Speaker 2: to the hospital for four hours and we will monitor 361 00:18:40,294 --> 00:18:43,974 Speaker 2: you because there's a chance of more symptoms presenting or 362 00:18:44,014 --> 00:18:47,174 Speaker 2: you going into a full ataphylactic reaction a second time. 363 00:18:47,374 --> 00:18:50,614 Speaker 2: It's unlikely, but it has happened, and it is very serious. 364 00:18:51,094 --> 00:18:54,054 Speaker 2: Last time it happened to me about this time last year. 365 00:18:54,174 --> 00:18:57,374 Speaker 2: I knew within two minutes I was having a reaction, 366 00:18:57,854 --> 00:19:00,614 Speaker 2: and within five my throat was completely closing over and 367 00:19:00,654 --> 00:19:03,614 Speaker 2: we caught. The paramedics immediately pop the EpiPen in my leg, 368 00:19:03,774 --> 00:19:08,014 Speaker 2: and yeah, really saved my life. So take it seriously, yes, 369 00:19:08,494 --> 00:19:10,694 Speaker 2: But the good thing is it depends. It easy to use, 370 00:19:10,774 --> 00:19:13,054 Speaker 2: and anyone who has at a flax swellfhe on them. 371 00:19:13,454 --> 00:19:15,094 Speaker 2: Just make sure you put your finger on the right 372 00:19:15,214 --> 00:19:18,014 Speaker 2: end and don't accidentally stab yourself with the needle, because 373 00:19:18,054 --> 00:19:20,774 Speaker 2: I've been told by paramedics that does happen more often 374 00:19:20,774 --> 00:19:22,894 Speaker 2: than you think, so just put it the right way. 375 00:19:23,894 --> 00:19:25,574 Speaker 1: Thanks for taking the time to feed your mind with 376 00:19:25,654 --> 00:19:28,374 Speaker 1: us today. The quickie is produced by me Claire Murphy 377 00:19:28,414 --> 00:19:31,614 Speaker 1: and our executive producer Taylor Strano, with audio production by 378 00:19:31,694 --> 00:19:32,534 Speaker 1: Teak and sad Love.