by Melissa Deng*

For many of us without food allergies, we don’t think twice about choosing to dine at a restaurant or order take-out––often, the biggest concern is picking which restaurant you feel like eating at, what to order, and comparing costs.  But for individuals with food allergies, the choice between dining in and ordering out can mean life or death.  Even so, cities you might think are more “food allergy-friendly” like Los Angeles, which has a colloquial reputation for having a vibrant food scene, may not have an ordinance specifically governing food allergen training in restaurants––even while more than fifty percent of adults with food allergies and over forty percent of children with food allergies in the United States have experienced a severe food allergic reaction (of note is that emergency treatment for anaphylaxis resulting from a food allergic reaction increased by 377 percent between 2007 and 2016). 

What gives?  For starters, the restaurant industry is of course profit-driven, and restaurant associations have a significant impact on lobbying for or against legislation.  From an economic perspective, restaurant management might be wary of the increased costs an ordinance specifically mandating food allergen training would impose, compounded by the fact that the restaurant industry generally experiences high turnover (reportedly, there was a 28% average turnover rate for restaurants in LA last year).  From a legal perspective, restaurants might not want to face increased liability: with an ordinance that mandates training, plaintiffs can more easily make a prima facie case of negligence by showing that the restaurant’s conduct deviated from an established standard of care.  And from a psychological perspective, restaurant staff might have misconceptions about their role in preventing food allergic reactions (for example, believing that the onus falls solely on customers to order a dish that doesn’t have food allergens) and might not realize the potentially fatal consequences, such as anaphylaxis resulting from a food allergic reaction.   What this means is that consumers with food allergies are unfairly subjected to a burdensome and dangerous dining experience where each restaurant chooses which food allergen procedures to follow and to what degree. 

It is precisely this issue that drove us at the Resnick Center for Food Law & Policy, in collaboration with a professor and clinical immunologist at UCLA, to begin collecting both hospital-based and anecdotal evidence on instances of food-related anaphylaxis in the city, and pursuing the task of proposing a food allergy ordinance in the City of Los Angeles that will mandate a separate food allergen training for all restaurant employees in the city.  In the beginning stages of the project, we sought to answer two underlying questions: how do restaurants communicate allergen information to their consumers; and are they effectively training their personnel in allergen disclosure for menu labeling or food handling?