Epinephrine stocked in schools: A US trend to combat allergic reactions
Epinephrine is a drug used to alleviate symptoms of an allergic reaction. Some states are making an epinephrine exception to a ban on stocking and administering over-the-counter drugs in schools.
When a third-grade student who had been stung by a wasp developed welts on his neck and had trouble breathing, school nurse Amanda Williams has a stock of epinephrine and used it to counter the allergic reaction.Skip to next paragraph
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A law Tennessee enacted this year makes it easier for schools to stock the drug. Williams said the emergency room doctor told the boy's parents that he probably wouldn't have survived without the injection at Tellico Plains Elementary because it's a 30-minute drive to the nearest hospital.
"It would have been tragic," she said.
Fifteen other states enacted similar laws in 2013, joining 11 others that already had them, according to the Asthma and Allergy Foundation of America. While only four of the states require schools to have the medication on hand, all the laws allow schools to stock it without a prescription for an individual person — a legal hurdle in many places — and provide legal protection for staff members who administer it. Most states have laws that require a doctor's note before administering an over-the-counter drug.
Charlotte Collins is senior vice president of public policy and advocacy for the allergy foundation and has been keeping track of which states are enacting laws to encourage schools to stock the devices. She says the trend was sparked by last year's death of a Virginia first-grader who had an allergic reaction on a playground after eating a nut. She went into cardiac arrest and died at a local hospital.
Some doctors have said the little girl, who had a peanut allergy, would probably be alive if her elementary school had been able to give her an epinephrine injection.
"Epinephrine is the first line treatment for these severe reactions," said Dr. Michael Pistiner, a pediatric allergist. "Studies show that delays in treatment with epinephrine increase risk of death."
Shortly after the girl's death, Virginia passed a law requiring all its schools to stock the medication.
Fifteen other states followed suit, mostly with legislation that allows schools to have the epinephrine. Bills are also pending in Ohio and Michigan.
So far Virginia, Maryland, Nebraska and Nevada are the only states to require it.
"I think that was just a major trigger in the public consciousness," Collins said of the girl's death, which made national news.
In July, the U.S. House passed legislation that would give states that come up with policies to make epinephrine available in schools special preference when they apply for asthma-related grants. The law could give states further incentive to pass such laws.