Our Peanut Allergy Epidemic Sprang From Experts' Exactly-Wrong Guidance
...proving that public health's calamitous Covid interventions weren't an anomaly
In the 1980s, peanut allergies were almost entirely unheard-of. Today, the United States has one of the highest peanut-allergy rates in the world. Disturbingly, this epidemic was precipitated by institutions that exist to promote public health. The story of their malpractice illuminates the fallibility of respected institutions, and confirms that public health’s destructive performance during the Covid-19 pandemic wasn’t an isolated anomaly.
The roots of this particular example of expert-inflicted mass suffering can be found in the early 1990s, when the existence of peanut allergies — still a very rare and mostly low-risk phenomenon at the time — first came to public notice. Their entry into public consciousness began with studies published by medical researchers. By the mid-1990s, however, major media outlets were running attention-grabbing stories of hospitalized children and terrified parents. The Great Parental Peanut Panic was on.
As fear and dread mounted, the American Academy of Pediatrics (AAP), a professional association of tens of thousands of US pediatricians, felt compelled to tell parents how to prevent their children from becoming the latest victims. “There was just one problem: They didn’t know what precautions, if any, parents should take,” wrote then-Johns Hopkins surgeon and now-FDA Commissioner Marty Makary in his 2024 book, Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.
Ignorance proved no obstacle. Lacking humility and seeking to bolster its reputation as an authoritative organization, the AAP in 2000 handed down definitive instructions: Parents should avoid feeding any peanut product to children under 3 years old who were believed to have a high risk of developing a peanut allergy; pregnant and lactating mothers were likewise cautioned against consuming peanuts.
The AAP noted that “the ability to determine which infants are at high risk is imperfect.” Indeed, simply having a relative with any kind of allergy could land a child or mother in the “high risk” category. Believing they were erring on the side of caution, pediatricians across the country started giving blanket instructions that children shouldn’t be fed any peanut food until age 3; pregnant and breastfeeding mothers were told to steer clear too.
What was the basis of the AAP’s pronouncement? The organization was simply parroting guidance that the UK Department of Health had put forth in 1998. Makary scoured that guidance for a scientific rationale, and found a declaration that mothers who eat peanuts were more likely to have children with allergies, with the claim attributed to a 1996 study.
When he checked the study, however, he was shocked to find the data demonstrated no such correlation. The study’s author, Irish pediatric professor Jonathan Hourihane, was himself shocked to see his study used to justify the policy. “It’s ridiculous,” he told Makary. “It’s not what I wanted people to believe.”
Despite the policy’s lack of scientific foundation, the US government’s National Institute of Allergy and Infectious Diseases (NIAID) fully endorsed the AAP guidance. In time, it would be all too apparent that — as with public health’s later response to Covid-19 — the experts weren’t erring on the side of caution, they were erring on the side of catastrophe.
It didn’t take long. By 2003, a study found that the rate of peanut allergies being self-reported by US children and their parents had doubled from 1998 levels. Critically, it wasn’t only the frequency that was soaring, but also the severity. “We saw a new type of allergy, which is the severe anaphylactic reaction, the ultra-allergy where, if someone used the same ice cream scooper…even though they rinsed it, that kid could end up in the emergency room,” Makary explained in a September podcast appearance.
All along, the right thing to do was the opposite of what the AAP and NIAID had instructed: The best means of avoiding peanut allergies wasn’t to shield young children from peanuts, but rather to intentionally feed them peanuts. That was consistent with established principles of immunological tolerance — specifically, the knowledge that early-life contact with various substances can promote tolerance of would-be allergens.
Rather than decreasing peanut allergies, AAP and NIAID created an all-out epidemic, and then prolonged it by resisting the stark reality of what they’d done. Instead of re-examining the rationale for the peanut-avoidance instruction, the public health establishment only became more emphatic in pushing its bad medicine, assuming noncompliant parents must be to blame. In reality, as the allergy rate soared, parents were growing even more dedicated to keeping children away from peanuts. The vicious circle of the growing epidemic prompting even more peanut avoidance brought disaster, with ER trips for peanut allergy attacks tripling from 2005 to 2014.
There were dissident voices in medicine from the very start of the UK-led madness. One of them, London pediatric allergist and immunologist Gideon Lack, set out to prove the guidance was wrong. His initial, 2008 study showing that genetically similar populations with vastly different exposures to peanuts in infancy had correspondingly divergent peanut allergy rates wasn’t enough to overcome the entrenched dogma.
It was only after he created a randomized controlled trial — comparing the effects of peanut exposure on children between 4 and 11 months old — that he proved that, as is the case with so many other allergies, peanut exposure is preventative, not causative. Specifically, he observed that the group of children who were exposed to peanuts in their infancy had 86% fewer peanut allergies than children who’d been shielded from peanuts.
Lack’s study was published in 2015, but the AAP and NIAID held tight to their 2000 stance for another two years. Their final surrender to reality was just the beginning of the end, as they and the broader public health apparatus now faced the daunting task of undoing a 17-year campaign that chiseled the no-peanut approach into the minds of parents and medical practitioners. A 2017 USA Today headline about the reversal summed it up bluntly: “Peanut Allergy: Everything They Told You Was Wrong.”
Of course, the greatest burden fell on the many children and young adults condemned to living with peanut allergies because their parents followed the 180-degree-wrong instructions of federal public health authorities and the country’s largest pediatric association. That means living in fear of accidental exposure, which, depending on the patient and the exposure, can result in itchiness, hives, eczema, swelling of the face, lips and eyes, nausea, vomiting, diarrhea, difficulty breathing, cardiac arrest or even death. For some, having a peanut allergy means carrying an expensive EpiPen, and making concessions like avoiding social events and restaurants.
With an eye on eliminating these allergies or at least reducing their severity, various therapies are being honed; unsurprisingly, they typically center on some form of controlled exposure to peanuts. Last month, a new study brought welcome news for children with milder versions of peanut allergies. By consuming increasing amounts of peanut butter over an 18-month period, all 32 children in the study were ultimately able to eat three tablespoons — comparable to the content of a peanut butter and jelly sandwich — without a reaction.
Beyond patients, others in our society have faced different kinds of consequences of the expert-inflicted epidemic. Families and insurers have had to shell out money for treatments — and for those expensive EpiPens, which come with expiration dates. Schools have created peanut-free zones or banned peanuts altogether. Food manufacturers and restaurants faced new labelling requirements. Some airlines have stopped serving the widely-loved snacks. Spurred on by specialty law firms, people who’ve suffered allergic reactions to peanuts have filed suits against schools, restaurants, grocery stores and amusement parks. Then there’s the guilt, regret and resentment that hangs heavy on parents who heeded bad advice to the detriment of their children’s health.
Those parents might feel a little better if they received the apologies they’re due from AAP and NIAID. It’s unlikely one will ever come, and it’s clear that nobody should expect one from Anthony Fauci, who was NIAID director during the entire 17-year span covering the both bad advice and its reversal.
In a 2019 interview on CBS Sunday Morning, Fauci put on a truly grotesque display of arrogant indifference to the suffering his organization had inflicted. Attempting to distance himself from his own agency’s flawed guidance, Fauci shared a hearty laugh with CBS’s Tony Dokoupil, telling him, “I didn’t make the recommendation, that’s for sure!!”
A few years later, Fauci would make similar obfuscating statements about his hand in pushing the Covid-era lockdown regime. "Show me a school that I shut down and show me a factory that I shut down," he told the New York Times. "I gave a public-health recommendation that echoed the CDC's recommendation, and [other] people made a decision based on that."
The CBS interview aired almost exactly a year before the Covid pandemic exploded. To look at the interview now is to appreciate that Fauci has always been the slippery, turf-guarding bureaucrat in a lab coat we witnessed as he and the public health establishment mismanaged Covid with truly devastating consequences.
Much as we’d see when the Covid era unfolded, in 2019 Fauci refused to acknowledge that public health had made a mistake regarding peanut allergies. “I wouldn’t say it was an error,” he said. “I think…it was a judgement call that in retrospect was the wrong call…It was a recommendation based on this intuitive feeling that if you withhold, therefore you’re going to protect the children.” The man who later claimed that “attacks on me, quite frankly, are attacks on science” wouldn’t even volunteer that AAP and NIAID were dead-wrong to rely on “intuitive feelings.”
Beyond Fauci’s self-aggrandizing arrogance, there are other similarities between the disastrous public health responses to peanut allergies and Covid-19. In both crises, public health:
Disregarded knowledge that suggested a different approach. Much as knowledge of immune response suggested peanut avoidance could be a counterproductive avenue, public health “experts” disregarded pre-Covid studies that rejected the notions of quarantines, widespread school, restaurant and workplace closures, and the use of surgical masks to mitigate contagious respiratory ailments.
Mindlessly followed the bad example of the first country to react to the crisis. For peanuts, that meant copying and pasting the guidance of the UK Department of Health. With Covid, Western public health took its cues from Communist China.
Blamed poor outcomes on noncompliant citizens. In the face of soaring allergy rates, health officials pinned the blame on parents failing to heed their advice. In the Covid era, public health was likewise prone to pushing failed health interventions ever-harder.
Marginalized and demonized dissidents. Adherents to the standing peanut dogma attacked Lack for even initiating his pivotal study. “I was accused of unethical behavior. There was huge pressure to stop the study,” he told Makary. “Testing the hypothesis was seen as unethical because it seemed preposterous.” Of course, the Covid era saw even the best-credentialed questioners of the lockdown, mask and hyper-testing regime treated far worse.
None of this is to say that prominent health organizations and officials are always wrong. However, what’s true at the individual healthcare level is true at the societal level: When the stakes are high, one should always be eager to hear dissenting second opinions.
Found this: They are trying to hide the fact that peanut oil is used in vaccines going back to the mid 70s. https://pmc.ncbi.nlm.nih.gov/articles/PMC2130368/
I wonder if gluten and (cow) milk fall into the same category. When I was a kid I knew nobody sensitive to gluten, and I still know not a single case. Ditto for milk. At least the problems of milk could be linked to the usage of antibiotics. I wonder what gives gluten a bad name.