As the holiday season approaches, families prepare for festive meals—but for those with food allergies, seasonal treats can pose serious risks.
A food allergy occurs when the body’s immune system reacts to a specific food as a threat. According to Food Allergy Research & Education (FARE), over 33 million Americans have food allergies, including those at risk for life-threatening anaphylaxis. Emergency visits for anaphylaxis rose 377% between 2007 and 2016. Meanwhile, the CDC reports that more than one in four children—about 27%—has at least one allergic condition, such as seasonal allergies, eczema, or food allergies.
The rise in food allergies among children is real. Dr. Joanna Dolgoff, a pediatrician at Wellstar, says roughly 5.8% of U.S. children—about 1 in 20—have a diagnosed food allergy.
“Part of this increase comes from better diagnosis,” Dr. Dolgoff said. “But changes in children’s immune system development, modern lifestyles, reduced exposure to certain microbes, diet, and environmental factors also play a role. So if it feels like more kids have allergies than in previous generations, that perception is accurate.”
Receiving a new allergy diagnosis can feel overwhelming, especially during the busy holiday season. But with preparation, managing food allergies becomes routine, allowing families to enjoy safe, joyful celebrations. The most important rule: always keep epinephrine nearby and allow yourself grace while learning.
Many families are surprised to learn that nasal epinephrine is now available. It works like traditional EpiPens but is sprayed into the nose instead of injected, making it less intimidating for children who fear needles. However, EpiPens remain the most widely used and trusted option, and many parents carry both as a backup.
Holiday Safety Tips for Families with Food Allergies:
Communicate early with hosts, teachers, and relatives about your child’s allergies.
Read every label, even on familiar foods, as holiday versions may have different ingredients.
Bring your own allergy-safe dish when in doubt.
Teach children to ask before eating anything and to always carry their epinephrine.
Set boundaries—saying no to uncertain foods is okay.
For families traveling during the holidays, Dr. Dolgoff recommends packing allergy-safe snacks and two epinephrine auto-injectors in carry-on luggage. Wipe down tray tables and armrests on flights, alert the crew to your child’s allergy, and know the location of nearby urgent care or hospitals.
With thoughtful planning, families can continue to enjoy holiday traditions while safely managing food allergies.
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