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CUH launches Ireland's first public treatment programme for children with peanut and tree nut allergies

CUH launches Ireland's first public treatment programme for children with peanut and tree nut allergies

Irish Examiner2 days ago
Cork University Hospital (CUH) has launched the country's first publicly-funded specialist treatment programme for children with peanut and tree nut allergies – a move hailed by experts as a major milestone for allergy care in Ireland.
The hospital has become the first and only public hospital here to offer the life-changing food oral immunotherapy (OIT) programme to children aged under five, as part of routine clinical care.
Professor Colin Hawkes, the clinical director of the paediatrics directorate at CUH, described it as a major milestone for allergy care in Ireland.
'We know that children with nut allergies and their families live with constant vigilance and fear," he said.
"By offering oral immunotherapy in the public healthcare system, CUH is not only improving safety but also restoring a sense of normalcy and freedom for these young patients. This development is one of many ways in which CUH is delivering excellence in paediatric care, innovation, and research.'
A child with a nut allergy lives with the worry of accidentally eating them, and of serious allergic reactions like anaphylaxis, which often need emergency medicine, hospital visits, and causes a lot of stress.
(Left to right) Dr Sadhbh Hurley, Dr Juan E. Trujillo Wurttele and Dr Colin Hawkes at Cork University Hospital.
OIT treatment involves the gradual introduction of an allergenic food into their diet in increasing amounts, helping patients build tolerance, and helping the immune system reduce the risk and severity of allergic reactions, including anaphylaxis.
While not a cure, it is proven to reduce accidental reactions and improve day-to-day safety and confidence.
Until now, Irish families hoping to access OIT have had to travel abroad, facing annual private costs ranging from €6,000 to €18,000. But since its launch in May, CUH says more than 30 oral immunotherapy courses have been completed through the programme, with participating families reporting fewer allergic reactions and a significant reduction in day-to-day anxiety.
Referrals to the service are now being accepted nationwide, and by 2027 it is expected that 170 to 200 new nut-allergic children will begin treatment through the programme annually. The CUH team plans to launch new supra-regional specialty allergy clinics in Limerick and Clonmel, to extend the reach of the specialist service to children and families across Munster and beyond.
Dr Juan Trujillo, a consultant paediatric allergist at CUH, and Dr Sadhbh Hurley, a consultant paediatrician, said the new service is a major step toward equitable access to allergy care.
'Initiating this service has been a priority of the allergy team in CUH for some time,' Dr Trujillo said. 'We are delighted to now be able to provide this care which will dramatically increase the quality of life and safety of nut-allergic patients attending CUH.'
CUH, in partnership with University College Cork, is also the only centre of excellence in Ireland accredited by the World Allergy Organisation (WAO) and has been involved in global OIT clinical trials for more than a decade.
The new OIT programme brings that international expertise directly to Irish patients, delivering both cutting-edge treatment and significant quality of life improvements for affected families.
'The WAO centre of excellence in allergy is a result of CUH and UCC's collaboration, which has enabled the integration of clinical care and research,' Dr Trujillo, co-director of the Centre of Excellence, said.
'Our OIT program is an example of this and will deliver even higher standards of care for children across the region and beyond.'
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EY Entrepreneur of the Year profiles: From wellness and hair taming to organic bread baking

Irish Times

time2 hours ago

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EY Entrepreneur of the Year profiles: From wellness and hair taming to organic bread baking

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Irish Examiner

time2 hours ago

  • Irish Examiner

Sun, sea and a slippery slope: what your sunscreen isn't telling you

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Combatting potato blight fungicide resistance key focus for researchers
Combatting potato blight fungicide resistance key focus for researchers

Agriland

time9 hours ago

  • Agriland

Combatting potato blight fungicide resistance key focus for researchers

The continuing work of Teagasc scientists to successfully confront the challenge of potato blight has been highlighted. This work is taking place against the backdrop of the fast-evolving blight populations that now impact on Irish potato crops. Details of this research input are contained in the recently published Teagasc Research Impact Highlights in 2024. In late autumn 2023, a single sample of Phytophthora infestans with resistance to the carboxylic acid amide group of fungicides was detected in Ireland. Currently, the control of potato late blight caused by P. infestans is almost exclusively reliant on the application of fungicides. This highlights the immediate and significant threat the detection of this strain posed to the Irish potato industry. To prevent such devastating impacts, it is essential to be able to rapidly detect this strain, devise control strategies to prevent its spread, and effectively communicate this to the industry. The Teagasc report outlined how a coordinated approach was taken between crops researchers and specialists to develop detection tools, and devise and disseminate field control strategies. To detect resistance, the team developed a digital droplet polymerase chain reaction (PCR) capable of detecting P. infestans and associated fungicide resistance in a variety of matrices including potato leaves, FTA preservation cards, and spore samples. This allowed for the rapid and extremely sensitive detection of resistance. In parallel, control strategies were devised which ensured both the mixing and alternation of fungicides at each application, guaranteeing field control whilst limiting potential selection for the resistant strain. These strategies were communicated to the industry throughout the season via dedicated workshops, crop walks, and a trials tour. Whilst the strain was again detected in 2024, its impact on late blight control has been contained. Potato growers attending a recent Teagasc farm walk in Co. Meath were told that the threat of blight remains very real. And this despite a continuing spell of dry weather, during which humidity levels remains very low. Testing carried out last year confirmed that 36A2 was the main strain of blight circulating in Ireland at that time, a strain that is not strongly associated with mutations that bring about resistance to specific fungicide chemistries. But according to Teagasc plant disease specialist, Dr. Steven Kildea, potato growers should not be lulled into any form of false security. He explained: 'Last year's survey work tells us one fundamental thing: 36A2 is a very active form of blight. It has imposed itself relative to other blight strains known to be in Ireland. 'This means that A36 has the potential to create serious damage within Irish potato crops if farmers do not take the required preventative steps.' As was the case last year, Teagasc agronomists have compiled a comprehensive blight spraying programme for 2025.

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