In order to avoid food that they cannot tolerate, consumers suffering
from food allergy or intolerance need sufficient and correct, informat
ion about food products. Labelling requirements are not satisfactory i
n this regard. Registration of adverse reactions in Sweden show that o
ut of 77 cases, 51 were a result of inadequate labelling, six cases we
re fatal and several others required hospitalization. International re
commendations for the labelling of food (Coder Alimentarius, a joint W
HO/FAO organization) do not require specification of ingredients in co
mposite ingredients if the composite ingredient constitutes less than
25% of the food (25% rule). Some ingredients are declared by category
names. Ingredients such as milk, eggs, nuts, peanuts, fish, cereals, e
tc., will not appear on the label in these cases. Amendments are being
discussed with a view to providing allergic consumers with more adequ
ate information. A lowered specification limit for declaring ingredien
ts in composite ingredients is suggested, combined with the establishm
ent of a list of certain specific potent allergenic ingredients that s
hould always be specified if present. Although many measures are neede
d to improve the situation for the allergic consumer, appropriate labe
lling of each product is fundamental. Adequate labelling is an importa
nt prerequisite for secondary prevention, a necessary basis for other
measures and in addition will increase knowledge, awareness and cautio
n in food production. (C) 1997 Elsevier Science B.V.