Proposal of 0.5 mg of protein/100 g of processed food as threshold for voluntary declaration of food allergen traces in processed food-A first step in an initiative to better inform patients and avoid fatal allergic reactions: A GA²LEN position paper.
Torsten ZuberbierTamara DörrWerner AbererMontserrat Álvaro-LozanoElizabeth AngierStefania ArasiSyed Hasan ArshadBarbara Ballmer-WeberJoan BartraLisa A BeckPhilippe BéginCarsten Bindslev-JensenJovanka BislimovskaJean BousquetKnut BrockowAndrew BushAntonella CianferoniMichael J CorkAdnan CustovicUlf DarsowNicolette de JongDiana DeleanuStefano R Del GiaccoAntoine DeschildreAudrey Dunn GalvinMotohiro EbisawaMontserrat Fernández-RivasMarta FerrerAlessandro Giovanni FiocchiRoy Gerth van WijkMaia GotuaKate GrimshawJosefine GrünhagenEnrico HefflerMichihiro HideKarin Hoffmann SommergruberCristoforo IncorvaiaChrister JanssonSwen Malte JohnCarla JonesMarek JutelNorito KatohBenjamin KendzioraTamar KinaciyanEdward KnolOksana KurbachevaSusanne LauRichard LohCarlo LombardiMika MäkeläMary Jane MarchisottoMichael MakrisMarcus MaurerRosan W MeyerDragan MijakoskiJordan MinovJoaquim MullolCaroline NilssonAnna Nowak-WegrzynBright Ibeabughichi NwaruMikela OdemyrGiovanni Battista PajnoSushil PaudelPapadopoulos G NikolaosHarald RenzGiampaolo RicciJohannes RingBarbara RogalaHugh A SampsonGianenrico SennaBrigita GradauskienėPeter Kenneth SmithKatarina StevanovicSasho StoleskiHania SzajewskaAkio TanakaAna Todo-BomFatih Alexander TopalErkka ValovirtaRonald van ReeCarina VenterStefan WöhrlGary Wing Kin WongZuo-Tao ZhaoMargitta WormPublished in: Allergy (2021)
Based on the literature studied for this review, it can be stated that cross-contamination of the 14 major food allergens below 0.5 mg/100 g is likely not to endanger most food allergic patients when a standard portion of food is consumed. We propose to use the statement "this product contains the named allergens in the list of ingredients, it may contain traces of other contaminations (to be named, e.g. nut) at concentrations less than 0.5 mg per 100 g of this product" for a voluntary declaration on processed food packages. This level of avoidance of cross-contaminations can be achieved technically for most processed foods, and the statement would be a clear and helpful message to the consumers. However, it is clearly acknowledged that a voluntary declaration is only a first step to a legally binding solution. For this, further research on threshold levels is encouraged.