Absence of national register for fatal food allergic reactions
Food Standards Agency received 2 coroners' reports about this hazard between 30 Sept 2019 and 18 Dec 2020.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 4 specific actions.
The story, report by report
Spacing grows with the time between reports.
“there is therefore no national register recording the circumstances of these deaths which could then be analysed and learnt from by allergy specialists”
Original on judiciary.uk ↗ Food Standards Agency responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“The BSACTI believes that there is a need for 2 distinct registries. The first is a national register for all anaphylactic reactions, that can be contributed to by any health care professional and would provide invaluable data on emerging patterns of reactions and their circumstances and effectively operate as an early warning signal for new risks and highlight specific situations where risk is higher so that they can be actively mitigated. Such a registry already exists in Europe and the Food St”
“The FSA will be hosting an Allergy Symposium in”
Stated timescale: early 2020
- 1 year 3 months laterIdentical hazardConfidence 0.96 · higha different coroner
“It would welcome improved appropriate sharing of information on fatalities as they are not routinely notified in a timely manner when there is a report of a fatality by the local authority or coroner.”
Original on judiciary.uk ↗ Food Standards Agency responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“The FSA has started work on a project designed to collect more reported data on food-based allergic reactions that do not result in death. Work on this project is progressing despite some disruption due to the COVID-19 pandemic. We are currently undertaking discovery work with people with allergies to understand the type of information they could provide and the data that the FSA could receive on allergic reactions. This will enable us to assess expectations and the perceived usefulness of such”
Stated timescale: end of next year
“the AAI EWG recommended in principle that AAIs should be made available in public locations for use to treat anaphylaxis in unforeseen, critical circumstances, provided suitable safeguards can be implemented to ensure effective and safe use of the AAIs.”
Stated timescale: end of May 2021
- All reports to Food Standards Agency
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2019 → 2020Ruben Bousquet1 year 3 months after Owen Carey · different coronerIdentical hazardConfidence 0.96 · high
Identical hazardConfidence 0.96 · highBoth reports highlight the absence of a national register or reporting system for fatal food allergic reactions, which hinders analysis and prevention.
Owen Carey · 30 Sept 2019
“there is therefore no national register recording the circumstances of these deaths which could then be analysed and learnt from by allergy specialists”
Original on judiciary.uk ↗ Ruben Bousquet · 18 Dec 2020
“It would welcome improved appropriate sharing of information on fatalities as they are not routinely notified in a timely manner when there is a report of a fatality by the local authority or coroner.”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“The BSACTI believes that there is a need for 2 distinct registries. The first is a national register for all anaphylactic reactions, that can be contributed to by any health care professional and would provide invaluable data on emerging patterns of reactions and their circumstances and effectively operate as an early warning signal for new risks and highlight specific situations where risk is higher so that they can be actively mitigated. Such a registry already exists in Europe and the Food St”
Stated action
“The BSACTI believes that there is a need for 2 distinct registries. The first is a national register for all anaphylactic reactions, that can be contributed to by any health care professional and would provide invaluable data on emerging patterns of reactions and their circumstances and effectively operate as an early warning signal for new risks and highlight specific situations where risk is higher so that they can be actively mitigated. Such a registry already exists in Europe and the Food St”
Stated action · timescale: early 2020
“The FSA will be hosting an Allergy Symposium in”
Stated action · timescale: end of next year
“The FSA has started work on a project designed to collect more reported data on food-based allergic reactions that do not result in death. Work on this project is progressing despite some disruption due to the COVID-19 pandemic. We are currently undertaking discovery work with people with allergies to understand the type of information they could provide and the data that the FSA could receive on allergic reactions. This will enable us to assess expectations and the perceived usefulness of such”
Stated action · timescale: end of May 2021
“the AAI EWG recommended in principle that AAIs should be made available in public locations for use to treat anaphylaxis in unforeseen, critical circumstances, provided suitable safeguards can be implemented to ensure effective and safe use of the AAIs.”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Food Standards Agency at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2019 → 2020 | 0.82 | 0.08 | Identical · 0.96 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.