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Anaphylaxis in Australia (Read 3463 times)
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Anaphylaxis in Australia
04/13/14 at 10:46:54
 
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peter
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Re: Anaphylaxis in Australia
Reply #1 - 04/13/14 at 10:53:04
 
Fatal anaphylaxis

Deaths from anaphylaxis are relatively rare in Australia. In an examination of coroner’s reports of deaths attributed to anaphylaxis occurring 1995-2007, 112 deaths were recorded over a 9-year period. Causes were food, 7 (6%); drugs, 22 (20%); probable drugs, 42 (38%); insect stings, 20 (18%); undetermined, 15 (13%); and other, 6 (5%). All food-induced anaphylaxis fatalities occurred between 8 and 35 years of age, despite the majority of food-induced anaphylaxis admissions occurring in children less than 5 years of age (20). Despite these relatively low rates of fatal anaphylaxis, there are a number of reasons to consider that such data may underestimate true rates of fatal anaphylaxis: (a) reliance on the reliability of hospital coding, where some cases of anaphylaxis may be coded as asthma deaths, even though asphyxia is a common mechanism of anaphylaxis death (21); (b) elevation of blood tryptase measurements in some cases of unexplained deaths (22); and a rare phenomenon known as Kounis syndrome, where anaphylaxis may results in coronary artery spasm, coronary ischaemia, abnormal heart rhythms and sudden death (24). While coronial inquests are mandated for deaths in children aged less than 16 years in the UK with the aim to “learn lessons and reduce the incidence of preventable child deaths” ( https://www.gov.uk/government/publications/child-death-overview-panels-contacts), FAA is considered to be death by “natural causes” under Australian law and coronial inquests are not mandated.

Over the same 9 years the were Millions of Epipens given out
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