1. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Managing Menu Curveballs Allergens, Special Diets & Ethnic Diversity Peggy Eller, RDCD Nutrition Services Coordinator of Hudson School District (Wisconsin) Jean Ronnei, SNS COO Saint Paul Public Schools, Former Nutrition Services Director SNA Vice President

2. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Student Demographics 39,000 students Students speak more than 100 languages and dialects Approximately 33% of students are English Language Learners Approximately 4,000 students are new to SPPS each year, 2,000 at the secondary level 73% of students are eligible for free or reduced-price lunch

3. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ethnic Dishes Chicken Suqaar with Vegetable Rice- Partnered with representatives from the Somali community to develop and re-tested with a Somali parent group to ensure its cultural authenticity after being scaled up for production

4. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ethnic Dishes Thai Sweet & Sour Chicken- This recipe was originally provided to us by local chef at True Thai Restaurant. While it is a peanut-free dish, it captures all of the wonderful flavors of authentic Thai cuisine.

5. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ethnic Dishes Coconut Chicken over Brown Rice- Developed to appeal to our district’s new, fastest growing ethnic group, the Karen; included turmeric, sweet potatoes, coconut milk… delish!

6. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ethnic Dishes Tips for trying new dishes: -Ask parents, community, and students to submit recipes -Post pictures, make marketing materials, have the principal announce a taste test during the morning announcements… -Have student ambassadors! Have students help prepare the dish or hand out samples

7. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… My staff tells me that the kids do not like the new ethnic food…

8. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org School Taste Tests Have the students try it! Post signs the day before to get students & staff excited Serve up sample cups in the lunch line Allow students to vote with their sample cup Students are full of opinions and ideas for how to improve upon the sample!

9. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Open Houses, Parent Fair, Community Events

10. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Foodservice Director- Best Special Event Concept “Parent Night at the Nutrition Center takes the mystery out of school food”

11. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Food Allergies Special Dietary Needs Gluten Free Modified Textures Renal Metabolic Disorders Controlled Carbohydrates/Diabetic Special Diets

12. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… You receive a special diet statement signed by a Traditional Naturopath for a gluten free, casein free diet.

13. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org

14. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org 2320 Special Diets (5.9% of student population of SPPS) 228 lactose intolerance 808 at risk for anaphylaxis 57 controlled carbohydrate 51 gluten free Special Diets ___Special Diets (__% of student population of Hudson School District)

15. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… You receive a legal “cease and desist” letter from the Food Allergy and Anaphylaxis Network regarding your breakfast in the classroom program.

16. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Food Allergies- Top 8

17. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Food Allergies

18. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… You receive a handwritten note from a parent saying that a non- anaphylactic food allergy has been outgrown and the child should now be allowed to eat the previously offending foods at school.

19. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Special Diets What is anaphylaxis? –Serious, quick reaction –Can restrict breathing & circulation –May cause death –Considered a disability

20. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Special Diets Food Intolerance Definition: –Adverse Reaction to food that does not involve the immune system Symptoms: –Stomach pain & cramps –Diarrhea –Gas –Nausea

21. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org POS Messages Working with Nursing Lingo –FA: Food Allergy –ANA: Anaphylaxis Risk –LI: Lactose Intolerant –GF: Gluten Free –Low Sodium –Controlled Carbohydrate

22. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… You are preparing a class’s field trip lunch and you notice there is a student with a peanut allergy. (Assumption: your standard filed trip meal includes a peanut butter & jelly sandwich)

23. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Field trips (Gluten Free on the go?) Food waste (unfamiliarity with ethnic or new foods) Cultural/Religious dietary restrictions (vegan/vegetarian) Other Challenges:

24. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org CURVEBALL… The school nurse asks your staff if something on the menu for that day is safe for a student to eat with an anaphylactic food allergy.

25. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Policies/Getting Legal Involved SPPS Policy: Managing Food Allergies in SchoolManaging Food Allergies in School Partnership with Nursing/student wellness, principals, and schools staff

26. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org NutriSlice- New Online Interactive Menus!

27. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org NutriSlice- Menu Smart Phone App

28. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Questions? Contact: Jim Hemmen (Director of Nutrition Services) Jim.hemmem@spps.org Angie Gaszak RDN, MPH (Nutrition Coordinator) Angie.gaszak@spps.org 651-603-4950 SPPS Website: ns.spps.org Menu: spps.nutrislice.com

29. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Questions? Contact: Peggy L. Eller, RDCD Nutrition Services Coordinator Hudson School District 1501 Vine St. Hudson, WI 54016 Phone: 715-377-3717 Fax: 715-377-3718 Email: ellerpl@staff.hudson.k12.wi.usellerpl@staff.hudson.k12.wi.us Hudson Website: http://www.hudson.edu/sites/faronm

30. Copyright © 2014 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org References Minnesota Office of the Reviser or Statutes –https://www.revisor.mn.gov/statutes/?id=121A.2205https://www.revisor.mn.gov/statutes/?id=121A.2205 Accommodating Children with Special Dietary Needs in the School Nutrition Programs: Guidance for School Food Servide Staff, United States Department of Agriculture Food and Nutrition Service, Fall 2001 Food Allergy and Anaphylaxis Network –www.foodallergy.orgwww.foodallergy.org Anaphylaxis and Food Allergy Association of Minnesota –http://www.minnesotafoodallergy.orghttp://www.minnesotafoodallergy.org