Friday, September 28, 2018

Windmill® Calcium Citrate Oral Challenge for Corn/Corn-Derived Ingredients


I have been conducting oral challenges of products advertised as "corn free" by the manufacturer.  If I experience a corn allergy reaction, I then file reports with the manufacturer, the FDA, and the FTC.

WARNING:
I strongly recommend that you do not attempt any oral food challenges unless you are in the presence of your physician.  Although I have not yet experienced an anaphylactic reaction to corn or my other allergens, I did have epinephrine auto-injector pens available (prescribed for my allergy to most antibiotics).

September 22, 2018 through September 28, 20181
Oral challenges of Windmill® Calcium Citrate Dietary Supplement, 100 Tablets
UPC Code 035046001551
Lot #0314C8
Exp. Date: 03/21
Directions: Take 2 tablets once or twice daily as a dietary supplement or as directed by a healthcare professional.
Label states that this product is free of “sugar, yeast, corn, milk, soy, artificial colors, flavors or preservatives.”

I have been taking this dietary supplement as directed on the label since September 22, 2018, based on a recommendation by my primary care physician that I consume more calcium.  I have physician-diagnosed allergies to corn, yeast, soy, dairy, etc.; and have not experienced any allergic reaction to this product.  Therefore, I have deemed this product “safe for me.”  However, please trial with caution in the event they change their formulation or if ingredients are compromised due to cross-contamination.

In the event you experience a corn allergy reaction to a product that is labeled "corn free," refer to instructions for filing reports in the following links:

Non-FDA-Compliant "Corn-Free" Claims (Revised 11/16/17); Title 21 U.S.C. - Section 343, Chapter 1 - Adulterated or Misbranded Foods or Drugs


FTC Filing a Complaint to Report False and Misleading Labeling
FDA Warning Letter to Windmill Health Products, LLC, October 7, 2014
“The United States Food and Drug Administration (FDA) conducted an inspection of your firm, Windmill Health Products, LLC, located at 6 Henderson Drive, West Caldwell, NJ, from June 18 through July 17, 2013. The inspection revealed serious violations of the Current Good Manufacturing Practice (CGMP) regulations for Manufacturing, Packaging, Labeling, or Holding Operations for Dietary Supplements, Title 21, Code of Federal Regulations, Part 111 (21 CFR 111). These violations cause your dietary supplement products to be adulterated within the meaning of section 402(g)(1) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 United States Code (U.S.C.) § 342(g)(1)] in that the products have been prepared, packed, or held under conditions that do not meet CGMP requirements for dietary supplements. Our investigator's observations were noted on form FDA-483, lnspectional Observations, which was issued on July 17, 2013.


Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
https://cornallergyadvocacyresources.blogspot.com/
@CornAllergy911


Thursday, September 20, 2018

Do Vehicle Air Bags Contain Glyphosate? My 9/20/18 Email to the NHTSA.


My 9/20/18 email to the National Highway Traffic Safety Administration (NHTSA):  webmaster@dot.gov

Since approximately 88% of corn is GMO, and since cornstarch is the primary ingredient in air bags; has the NHTSA conducted studies to determine how much glyphosate is being ingested by individuals after their air bags deploy?

"Corn is the No. 1 crop grown in the U.S. and nearly all of it — 88 percent — is genetically modified. In addition to being added to innumerable processed foods, genetically modified corn is a staple of animal feed."

In addition, since corn allergies have increased by over 700% in the last 62 months; a physician-confirmed allergy to corn should be cause to request that an air bag be disengaged.

I believe the NHTSA has determined that cornstarch is safe based on the blatantly false statement by the American College of Allergy, Asthma, & Immunology (ACAAI); therefore, I am providing the NHTSA the following rebuttal statements to the ACAAI.

Argo Cornstarch Oral Challenge to Test Hypothesis Presented by the ACAAI
 [Conclusion: If you are allergic/intolerant to corn, do NOT consume cornstarch. I suffered a significant allergic reaction as a result of this oral challenge.]

My March 27, 2018, Certified Letter to the ACAAI  Re: Cornstarch and Corn Syrup

Petition to Demand that the ACAAI Remove False Statement Re: Cornstarch/High Fructose Corn Syrup

Removing a Food Protein Does Not Guarantee an Allergen Hypoallergenic

Corn Allergy Statistics (Monthly) [Corn allergies have increased by over 700% in the last 62 months.]

Strict avoidance of a person's allergen is always advised to avoid a possible anaphylactic reaction.
 “Symptoms of a food allergy can range from mild to severe. Just because an initial reaction causes few problems doesn’t mean that all reactions will be similar; a food that triggered only mild symptoms on one occasion may cause more severe symptoms at another time.”

"Patient education: Food allergy treatment and avoidance (Beyond the Basics)," Scott H. Sicherer, MD, FAAAAI, UpToDate, April 25, 2017
"People with food allergies can have serious or even life-threatening reactions after consuming certain foods. The most important strategy in the management of food allergies is to avoid eating these foods."

Recommendation:
Due to the significant increase in food allergies, I would recommend that each individual be given the choice as to which starch is used in air bags; e.g., tapioca starch, potato starch, etc.  In addition, these starches must be guaranteed to be derived from non-GMO sources.

"Facts and Statistics"

Thank you for your attention to this growing concern.


Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
@CornAllergy911

P.S.  I have shared the following blog link with members of my corn allergy groups:

NHTSA Form: “Request for Air Bag On-Off Switch” Due to Corn Allergy




Sunday, September 16, 2018

NHTSA Form: “Request for Air Bag On-Off Switch” Due to Corn Allergy


I do NOT recommend that anyone request that their vehicle air bags be turned off due to their allergy to corn; however, especially if you are anaphylactic to corn, following are the instructions for disengaging the air bags.

Even though I am not anaphylactic to corn (yet), I recently requested that my mechanic turn off the air bag in my car due to my allergy to corn (I always wear my seat belt), since cornstarch and/or talc are the primary ingredients.  He stated that this disconnect can only be approved by the NHTSA; and if it is due to a medical condition; e.g., allergy to corn, the request must be accompanied by certification from my physician.

This is the 2-page "Form to Request Air Bag On-Off Switch" that I will be submitting to the NHTSA due to my corn allergy.
United States Department of Transportation, National Highway Traffic Safety Administration

Instructions for Completing Form:
"An individual with a medical condition is safer if the frontal air bag is turned off. A written statement from a physician must accompany each request based on a medical condition unless the request is based on a medical condition for which the National Conference on Medical Indications for Air Bag Deactivation recommends deactivation. (For driver and/or passenger frontal air bag as appropriate.)"

Contact the NHTSA via email (I sent them an email 9/16/18 with documentation confirming that cornstarch is NOT safe for corn-allergic individuals)

Since I believe the NHTSA has determined that cornstarch is safe based on the blatantly false statement by the ACAAI, I emailed them my rebuttals to the ACAAI concerning cornstarch and corn syrup.

Argo Cornstarch Oral Challenge to Test Hypothesis Presented by the ACAAI
 [Conclusion: If you are allergic/intolerant to corn, do NOT consume cornstarch. I suffered a significant allergic reaction as a result of this oral challenge.]

My March 27, 2018, Certified Letter to the ACAAI  Re: Cornstarch and Corn Syrup

ACAAI - My Rebuttal Concerning Cornstarch and High Fructose Corn Syrup

Petition to Demand that the ACAAI Remove False Statement Re: Cornstarch/High Fructose Corn Syrup

Removing a Food Protein Does Not Guarantee an Allergen Hypoallergenic

Corn Allergy Statistics (Monthly) [Corn allergies have increased by over 700% in the last 62 months.]


Other supporting articles you can submit with your request that your air bag be disconnected:

"IS THE DUST THAT COMES OUT OF AN AIRBAG TOXIC?", The Law Offices of Sean M. Cleary
"The dust released from an airbag after deployment is not toxic, but rather a mixture of corn-based powder that helps the rapid propulsion of the airbag. It might cause irritation of the throat and itching, watery eyes."

"So, the smoke and dust particles you see when an airbag deploys may come from these various chemicals used to make the airbag open and expand rapidly in the event of an emergency. Sodium azide (NaN3) ensured the airbag device worked efficiently as soon as impact triggered it but it is a potentially deadly chemical. Also, all the sodium azide from discarded airbags was dangerous for the environment."

"Airbag saves man, then kills him,' by Chris Matyszczyk, May 31, 2012, CNET

". . . a forensic pathologist talked about how Smith's lungs were infected and that he died of bronchial pneumonia."

"Washington University's chemistry department says that inside airbags is a mixture of NaN3, KNO3, and SiO2. The end result of the chemical reaction is supposed to be silicate glass, which is safe."

"Still, even if Smith had known the airbag contained dangerous chemicals, what could he have done to prevent himself breathing in the noxious fumes?

"The Hidden Dangers of Airbags" June 22, 2010, SciJourner
"Although in only small amounts, the NHTSA has found that sodium hydroxide is causing coughing fits and asthma attacks in the drivers and passengers. Rescue workers are advised to wear gloves and safety glasses and to completely ventilate the car for several minutes before entering. The excessive coughing caused by the air bag powder can also make a chest injury worse."

"Sodium azide is an extremely toxic poison, capable of destroying entire ecosystems. An undeployed airbag contains between 50 grams for the driver side and 200 grams for the passenger side. After the airbag reacts, all of the sodium azide should be converted to harmless nitrogen gas. Undeployed airbags should be removed from cars before they are “junked” or put into landfills in order to prevent unreacted sodium azide from getting into the environment, recommends Betterton."

"Talc," Wikipedia
"In loose form, it is (in ratio with or without corn starch) . . ."

"The American Academy of Pediatrics recommends that parents not use baby powder because it poses a risk of respiratory problems, including breathing trouble and serious lung damage if the baby inhales it. The small size of the particles makes it difficult to keep them out of the air while applying the powder."

"With intravenous use, it may lead to pulmonary talcosis, a granulomatous inflammation in the lungs."

"In the United States, the Occupational Safety and Health Administration and National Institute for Occupational Safety and Health have set occupational exposure limits to respirable talc dusts at 2 mg/m3 over an eight-hour workday. At levels of 1000 mg/m3, inhalation of talc is considered immediately dangerous to life and health."

Healthline
"If you’re allergic to corn, you’ll want to stay away from all of its forms, whether the corn is cooked, raw, in syrup, or in flour."

Strict avoidance of a person's allergen is always advised to avoid a possible anaphylactic reaction.
“Symptoms of a food allergy can range from mild to severe. Just because an initial reaction causes few problems doesn’t mean that all reactions will be similar; a food that triggered only mild symptoms on one occasion may cause more severe symptoms at another time.”

"Patient education: Food allergy treatment and avoidance (Beyond the Basics)," Scott H. Sicherer, MD, FAAAAI, UpToDate, April 25, 2017
"People with food allergies can have serious or even life-threatening reactions after consuming certain foods. The most important strategy in the management of food allergies is to avoid eating these foods."


UPDATE:  NHTSA’s 9/18/18 reply to my email:

Workspace:
NHTSA Hotline Center
Case:
Cornstarch is NOT safe for corn-allergic individuals
Case Number:
1270581

Date:
09/18/2018

Time:
11:00:27
Creation Date:
09/16/2018

Creation Time:
18:32:50

Symptom:
Entered on 09/18/2018 at 11:00:27 AM EDT (GMT-0400) by Ann Marie L Ambrose:
Thank you for contacting the U.S. Department of Transportation’s Vehicle Safety Hotline Information Center.

You may visit our web site at 
www.nhtsa.gov for information on Vehicle Air Bags. This site will provide you with answers to Frequently Asked Questions as well as the following:
 •Applying for Air Bag On/Off Switch
 •Air Bag Deactivation Requests

 
You may also send a request in writing to:
 
National Highway Traffic Safety Administration
Attention: Air Bag Deactivation Requests
1200 New Jersey AVE, SE
West Building
Washington, DC 20590

The request can also be faxed to 202-493-2833.

The request must contain the following: Name and address of the vehicle owner. The justification for the request (must be one of four conditions as stated in Under what circumstances will NHTSA allow air bag deactivation?). The letter should be as specific as possible about the justification and state whether the request applies to the driver or passenger air bag, or both. A description of the facts creating the need for deactivation.

A statement from a physician based on a medical condition—only if the condition is not one for which the National Conference recommended deactivation (see What are the medical conditions for which an air bag may be deactivated?). [Emphasis added.]

The physician's statement must identify the particular condition of the patient and include the physician's judgment that: Air bags pose a special risk to the person with the medical condition, and The potential harm from the air bag outweighs the potential harm from turning off the air bag and allowing the person's head, neck or breast bone to hit the steering wheel, dashboard or windshield. Note: Hitting the vehicle interior is likely in a moderate to severe crash, even if the person is using seat belts.  


If the request concerns a child who must ride in the front seat to enable the driver to monitor the child's medical condition, the supporting physician's statement must identify the condition and state that frequent monitoring by the driver is necessary.

We hope that you find this information helpful. However, if you need additional information on our services please feel free to contact us at 1-888-327-4236.

Thank you,

NHTSA.dot.gov Response Team

Disclaimer: "This response is for information purposes only and does not constitute an official communication of the U.S. Department of Transportation. For an official response, please write U.S. Department of Transportation, National Highway Traffic Safety Administration, 1200 New Jersey Ave, SE, West Building, Washington, DC 20590.


UPDATE, 9/19/18:  “What are the medical conditions for which an air bag may be deactivated?
Note that an allergy to cornstarch is not addressed.

“National Conference on Medical Indications for Air Bag Disconnection”
https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/airbag_conference_report_july_1997.pdf


UPDATE, 9/19/18, ARE FOOD ALLERGIES CONSIDERED DISABILITIES UNDER THE ADA?:

My request to have my air bags deactivated due to my allergy to corn should be honored, since food allergies (in certain cases) are considered a disability under the ADA.


"Are Asthma and Allergies Disabilities?" -  Article by Asthma and Allergy Foundation of America (AAFA)
http://www.aafa.org/page/asthma-allergies-and-the-american-with-disabilities-act.aspx



Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
@CornAllergy911

Friday, July 27, 2018

Corn Allergen Lists

(Revised March 25, 2021)

Physicians are required to verify if prescribed drug/biologic products contain corn-derived excipients for the safety of corn-allergic patients, even if no contraindication warning is indicated in the package insert.  Since pharmaceutical companies occasionally change their formulations, physicians should consult with the manufacturer each time a drug is prescribed to confirm if the prescribed drug/biologic products contain any excipients derived from corn.  This is an arduous task for physicians; therefore, I would suggest they appeal to the FDA to require contraindication warnings on all drug/biologic products based on the “source of excipients.” [1-13]

 CORN ALLERGEN REFERENCE LISTS
[These lists are not all-inclusive, so extreme caution is advised.]

"Corn Allergy Food List"
https://www.leavesoflife.com/corn-allergy-food-list/?fbclid=IwAR1v_17JjwBItTzKGX9NcGwSpiwC_3Hgggq6mYQawQOlrdQWfn8vm18nB_4

"How to Avoid Corn," Dr. Sarah Ballantyne's The Paleo Mom
https://www.thepaleomom.com/wiki/how-to-avoid-corn/?fbclid=IwAR3478poccsxa3URPu9s8cj9AfU0GmzMZBFPu-jo-6MsP-WoiTYWWb40fwI

"Corn-Free Foods (& Products) List"
http://corn-freefoods.blogspot.com/2017/11/corn-allergen-list-corn-derivatives.html

"Corn Derivatives List," Corn Allergy Mom
https://cornallergymom.wordpress.com/corn-derivatives-list/

"Ingredients Derived From Corn - What to Avoid," By Sharon Rosen, Live Corn Free
http://www.livecornfree.com/2010/04/ingredients-derived-from-corn-what-to.html

"Corn-Free Diet," Golisano Children's Hospital
https://www.urmc.rochester.edu/childrens-hospital/nutrition/corn-free.aspx

"Hidden Corn Based Ingredients," Gluten Free Society
https://www.glutenfreesociety.org/hidden-corn-based-ingredients/#icPVQQAyIEZyMsjX.01

“Acids of Many Uses From Corn,” C L. Mehltretter
https://naldc.nal.usda.gov/download/IND43894163/PDF


Important Notes Regarding the American College of
Allergy, Asthma and Immunology (ACAAI)


[The ACAAI has NOT complied with the FDA’s directive.]
My October 20, 2020, Email to the ACAAI Re: Directive from the FDA Addressing the ACAAI’s Claims Regarding Corn Allergenic Proteins
https://cornallergyadvocacyresources.blogspot.com/2021/02/my-october-20-2020-email-to-acaai-re.html

The ACAAI's Endangerment of Corn-Allergic Infants (Documented)
https://cornallergyadvocacyresources.blogspot.com/2021/03/the-acaais-endangerment-of-corn.html

Update March 25, 2021: The ACAAI has suspended this page from their website.
The ACAAI is endangering the lives of corn-allergic consumers w/their statement re: HFCS/other corn products, and have not yet responded to the directive from the FDA, Case #247714, to provide documentation supporting their claims.
https://acaai.org/allergies/types/food-allergies/types-food-allergy/corn-allergy

ACH Foods confirmed that Argo cornstarch contains 0.26 gms of corn protein per 100 gms of cornstarch (sufficient amount to elicit an allergic response). The ACAAI is endangering the lives of corn-allergic infants, and must redact this claim.
https://acaai.org/resources/connect/ask-allergist/infant-formulas-and-corn-allergy

PETITION TO DEMAND THAT THE ACAAI REMOVE FALSE STATEMENT RE: CORNSTARCH AND HIGH FRUCTOSE CORN SYRUP
[The ACAAI has redacted their claim re: cornstarch, but refuses to redact their equally-false claim re: high fructose corn syrup and other corn products.]
https://sign.moveon.org/petitions/demand-that-the-acaai

My March 27, 2018, Certified Letter to the ACAAI  Re: Cornstarch and Corn Syrup
https://cornallergyadvocacyresources.blogspot.com/2018/03/my-march-27-2018-certified-letter-to.html

Argo Cornstarch Oral Challenge to Test Hypothesis Presented by the ACAAI
[Conclusion: If you are allergic/intolerant to corn, do NOT consume cornstarch. I suffered a significant allergic reaction as a result of this oral challenge.]
https://cornallergyadvocacyresources.blogspot.com/2018/03/argo-cornstarch-oral-challenge-to-test.html

Removing a Food Protein Does Not Guarantee an Allergen Hypoallergenic
https://cornallergyadvocacyresources.blogspot.com/2017/12/removing-food-protein-does-not.html

 

 Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
https://cornallergyadvocacyresources.blogspot.com/
Email:  cornallergyinitiative@gmail.com
Twitter:  @CornAllergy911

References:

[1] "The doctor prescribes a medication which contains an ingredient to which the patient is allergic"
https://www.nolo.com/legal-encyclopedia/my-doctor-prescribed-the-wrong-medication-is-malpractice.html

[2] ALLERGIC TO YOUR MEDICATION: WHAT YOUR DOCTOR SHOULD KNOW
“Doctors should have your medical history, including all known allergies, on file. OF course, many patients aren’t aware of the full extent of their drug allergies, so it is important that a doctor discloses to their patient what the drug is they’re prescribing and whether it has known side-effects or might cause an allergic reaction.”
https://novak-law.com/allergic-to-your-medication-what-your-doctor-should-know/

[3] "Inactive" ingredients in oral medications
https://stm.sciencemag.org/content/11/483/eaau6753

[4] 93 percent of medications contain 'potential allergens'
https://www.medicalnewstoday.com/articles/324681

[5] My June 2, 2020, Email to the World Allergy Organization (WAO) Re: Prescribing Drug/Biologic Products to Patients with IgE-Mediated Allergies to Excipients
https://cornallergyadvocacyresources.blogspot.com/2020/06/my-june-2-2020-email-to-world-allergy.html

[6] My June 5, 2020, Email to the FDA Re: Emergency Mandate Requiring Contraindication Warnings be Listed for Drug/Biologic Products Based on the "Source of Excipients"
https://cornallergyadvocacyresources.blogspot.com/2020/06/my-june-5-2020-email-to-fda-re.html

[7] My June 16, 2020, Email to the FDA Re: Corn Labeling in Drug/Biologic Products
https://cornallergyadvocacyresources.blogspot.com/2020/06/my-june-16-2020-email-to-fda-re-corn.html

[8] My June 24, 2020, Email to the FDA and CDC Addressing Contraindication Warnings for Drug/Biologic Products Based on the Source of Excipients
https://cornallergyadvocacyresources.blogspot.com/2020/06/my-june-24-2020-email-to-fda-and-cdc.html

[9] Probable anaphylactic reaction to corn-derived dextrose solution
“. . . clinicians should be aware of the possibility of corn allergy due to the administration of i.v. fluids containing corn-derived dextrose.” Guharoy SR, Barajas M. Probable anaphylactic reaction to corn-derived dextrose solution. Vet Hum Toxicol. 1991;33(6):609-610.
https://pubmed.ncbi.nlm.nih.gov/1808842/

[10] BCPharmacists, "Warning: corn-related allergens . . ."
College of Pharmacists of British Columbia, Warning: corn-related allergens, Non-medicinal ingredients don’t appear on drug labels, ReadLinks, May/June 2007, Vol. 32, No. 3
http://library.bcpharmacists.org/6_Resources/6-7_ReadLinks/ReadLinks-MayJun2007.pdf

[11] LACTATED RINGER’S IN 5% DEXTROSE CONTRAINDICATED FOR CORN-ALLERGIC PATIENTS
https://cornallergyadvocacyresources.blogspot.com/2019/12/lactated-ringers-in-5-dextrose.html

[12] Corn Allergy References, Surveys, Studies (“. . . Maize major allergen . . .”), Statistics, & Petitions
https://cornallergyadvocacyresources.blogspot.com/2018/04/corn-allergy-reference-links.html

[13] Corn: It's Everything, Iowa Corn
https://www.iowacorn.org/education/corn-its-everything/

 

Blog Post Reference Link:

Corn Allergen Lists
https://cornallergyadvocacyresources.blogspot.com/2018/07/corn-allergen-lists.html

 

Wednesday, June 27, 2018

Food and Beverage Manufacturers Contacted Re: Corn Labeling Requirements


The FDA's Food and Cosmetic Information Center (FCIC) and Technical Assistance Network (TAN) have confirmed that corn/corn-derived ingredients are not exempt from food labeling requirements (see references below).  As a result, I have contacted the following world-wide food and beverage manufacturers concerning corn labeling requirements.

AdvancePierre Foods, @AdvancePierre
Agropur Cooperative, @agropurcoop
Ajinomoto Park, @AJINOMOTOPARK
Anheuser-Busch, @AnheuserBusch
Annie's Homegrown, @annieshomegrown
Archer Daniels Midland Company, @ADMupdates
Arla Foods USA, @ArlaFoodsUS
B&G Foods, Inc., online contact form
Bacardi, @BACARDI
Barilla US, @BarillaUS
Barry Callebaut, @BCgroupnews
Bertolli, @Bertolli
Betty Crocker (General Mills), @BettyCrocker
Bigelow Tea, @bigelowtea
Blue Bunny (Wells Enterprises, Inc.), @Blue_Bunny
Breyers, @Breyers
BRF Brasil Foods, @BRF_Brasil, @BRF_Global
Brown-Forman, @BrownFormanJobs
Bunge Limited, Email: susan.burns@bunge.com
Campbell Soup Company, @CampbellSoupCo
Cargill, @Cargill
Chicago Bar Company (see RXBAR)
Chiquita, @Chiquita
Chobani, @Chobani
CHS Inc., @CHSGovAffairs
Coca-Cola Amatil, @CocaColaAmatil
Coca-Cola Company, The, @CocaColaCo
Conagra Brands, @ConagraBrands
Constellation Brands, @cbrands
Dairy Farmers of America (DFA), @dfamilk
Danish Crown, Email: dc@danishcrown.dk
Dannon Company, The, @Dannon
Danone Food Company, @Danone
Dean Foods Company, @deanfoods
Del Monte Foods, @DelMonte
Diageo, @Diageo_News
Dole Food Company, @DoleTweets
Doritos, @Doritos
Dr Pepper Snapple Group, @DrPepperSnapple
Dunkin' Donuts, @dunkindonuts
E. & J. Gallo Winery, @gallocareers
FEMSA, @FEMSA
Ferrero UK & Ireland, @FerreroUK
Flowers Foods, @flowersfoods
Fonterra, @Fonterra
Foster Farms, @FosterFarms
FrieslandCampina, @FrieslndCampina
General Mills, @GeneralMills
Glanbia, @GlanbiaPlc
Gorton's Seafood, @gortonsseafood
Grassland Dairy, @GrasslandDairy
Grupo Bimbo, @Grupo_Bimbo
Heineken, @Heineken_AR
Hershey Company, The, @HersheyCompany
Hidden Valley, @HVRanch
Hormel Foods Corporation, @HormelFoods
Hostess Brands, LLC, @Hostess_Snacks
HP Hood, @hphood
Ingredion, Inc., online contact form
Ito En, @ITO_EN
J R Simplot, online contact form
J&J Snack Foods, @JJSnackFoods
JBS, online contact form
JM Smucker Company, The, @smuckers
Johnsonville, @Johnsonville
Juicy Juice, @JuicyJuiceUSA
Kellogg Company, @KelloggCompany
Kerry Group, online contact form
Keystone Foods, online contact form
Kraft Heinz Company, @KraftHeinzCo
Krispy Kreme Doughnut Corp., @krispykreme
Lactalis American Group, Inc., online contact form
Land O' Lakes, Inc., @LandOLakesKtchn
Libby's Brand Holding, online contact form
Lindt Chocolate USA, @Lindt_Chocolate
Little Debbie, @LittleDebbie
Maple Leaf Foods, @MapleLeafFoods
Marfrig Global Foods, online contact form
Mars, Incorporated, @MarsGlobal
McCain Foods Limited, @McCainUK, @McCainFoodsGB
McCormick Corporation, @McCormickCorp + online contact form
McCormick Spices, @mccormickspices
McKee Foods (see Little Debbie)
Meiji America, @meijiamerica
Mizkan America, Email:  Customer.Service@Mizkan.com
Molson Coors Brewing Company, @MolsonCoors
Mondelez International, @MDLZ
Morinaga Milk Industry, online contact form
Morton Salt, @mortonsalt
Mott's, @Motts
Nestlé US, @NestleUSA
Nissin Foods Group, @OrigCupNoodles
Ocean Spray, Inc., @OceanSprayInc
Oetker Group, Dr. Oetker Baking UK, @DrOetkerBakes
Olam International, @Olam
OSI Group, online contact form
Parmalat Spa, Email: parmalat@consumer-care.it
Pepperidge Farm, @PepperidgeFarm
PepsiCo, @PepsiCo
Perdue Farms, @PerdueFarms
Pernod Ricard, online contact form
Pillsbury, @Pillsbury
Pinnacle Foods, Inc., @pinnaclefoods
Post Consumer Brands, online contact form
Quaker Oats, @Quaker
Ragu (Mizkan America), @ragusauce
Red Bull, @redbull
Reser's Fine Foods, @Resers
Rich Products Corporation, @RichProducts
RXBAR, @RXBAR
Saputo, online contact form
Schreiber Foods, online contact form
Schwan's Company, @SchwansCompany
Smithfield, @SmithfieldBrand
Smithfield Foods/WH Foods, @SmithfieldFoods
Sodiaal, online contact form
Stonyfield Organic, @Stonyfield
Stouffer's, @stouffers
Sudzucker, Email: info@suedzucker.de
Sunkist Growers, @Sunkist
Suntory, @SuntoryGlobal
Tate & Lyle, online contact form
The Honest Company, @Honest
TreeHouse Foods, online contact form
Tropicana, @Tropicana
Tyson Foods, @TysonFoods
UnileverUSA, @unileverusa
Van's Foods, @vansfoods
Vion Food Group, online contact form
Welch's, @Welchs
Wells Enterprises, Inc., online contact form
WhiteWave Foods (see Danone Food Company)
Yoplait Yogurt, @Yoplait

Corn/Corn-Derived Ingredients are Required on Food Labels, FDA's FCIC/TAN (Revised 6/20/18)

Critical Corn Allergy References, Studies, Statistics, & Petitions
(Includes my submission to The Joint Commission, Congress, FDA, & U.S. Dept. of Health requesting emergency mandate that hospitals stock corn-free foods, liquids, & drugs.)

My February 25, 2018, certified letter to the U.S. Department of Health & Human Services Re: mandate that hospitals stock corn-free foods, fluids, & drugs for the safety of corn-allergic patients.

My March 27, 2018, Certified Letter to the ACAAI  Re: Cornstarch and Corn Syrup






Monday, June 18, 2018

Corn/Corn-Derived Ingredients are Required on Food Labels, FDA's FCIC/TAN


CRITICAL UPDATE, JUNE 16, 2020

FDA CONFIRMS THAT CORN IS EXEMPT FROM FDA LABELING REQUIREMENTS


(Revised June 20, 2018)

My First Inquiry to the FDA’s FCIC/TAN:
Corn-allergic patients are currently required to provide our own previously-prepared corn-free foods, liquids, and medications while hospitalized (the only corn-free product stocked by hospitals is straight, saline-only IV fluid). What would happen if our admissions were due to an emergency? Please let me know how to proceed with a request that hospitals be mandated to stock corn-free foods, fluids, and medications (compounded to exclude corn) for the safety of corn-allergic patients. After my surgery in March, 2017, the hospital could not comply with the surgeon-ordered, liquid-only diet; since all of the liquids they offered me contained corn even though my allergy to corn was clearly indicated in my medical records. The hospital failed in their responsibility to contact the manufacturers of each liquid to confirm if the products contained corn/corn derivatives.  Therefore, a corn allergy is potentially a life-threatening diagnosis; since hospitals are ill-equipped to treat/nourish us. Thank you!

The Food and Drug Administration’s (FDA) Food and Cosmetic Information Center (FCIC)/Technical Assistance Network (TAN) has prepared a response for case number 00167188.

First Reply by the FDA’s FCIC/TAN, May 25, 2018:
Good afternoon, we are sorry to hear about your experience. We would like to offer a point of clarification: while corn is not one of the eight major allergens, it still must be listed as an ingredient in foods that contain corn. Corn is not exempt from FDA labeling requirements. [Emphasis added.]

Hospitals and other public health or medical facilities are not regulated by FDA. You may want to contact your state and local health officials to offer your suggestion regarding food service facilities in hospitals.

We hope this information is helpful.

Thank you for contacting FDA’s FCIC/TAN.

My Second Inquiry to the FDA’s FCIC/TAN:
Case 00167188: Food/Allergen [ ref:_00D60KbN0._500t0AfLBa:ref ]

The FDA representative responding to my inquiry does not understand that corn/corn derivatives, as of now, are EXEMPT from FDA labeling requirements. I have had a corn allergy for 10 years; and, as a result, I must contact manufacturers prior to consuming their products due to the fact that corn/corn derivatives do not have to be labeled; e.g., I experienced severe reactions to Mott's and Ocean Spray 100%-advertised "pure" fruit juices. When I contacted these companies, they explained that corn/corn-derived ingredients in their products (corn-derived ascorbic acid) were exempt from labeling requirements, since corn has not been declared an official allergen. The corn-derived ascorbic acid was "hidden" under "natural flavors." Another severe reaction was to Morton's iodized salt. Again, the company explained that their iodized salt contains corn-derived dextrose which is EXEMPT from FDA labeling requirements.

The Food and Drug Administration’s (FDA) Food and Cosmetic Information Center (FCIC)/Technical Assistance Network (TAN) has prepared a response for case number 00167300.

Second Reply by the FDA’s FCIC/TAN, May 30, 2018:
Greetings. We are sorry to hear that you were unsatisfied with the response to case #00167188, but the answer provided to you was correct: products containing corn are not exempt from the FDA labeling requirements found in 21 CFR part 101. [Emphasis added.] However, as previously stated, corn is not one of the eight major allergens as defined by Federal law, namely the Food Allergen Labeling and Consumer Protection Act. If you feel that the legal definition of food allergens should be expanded to include corn, we encourage you to contact your elected officials.

Thank you for contacting FDA’s FCIC/TAN.

My Third Inquiry to the FDA’s FCIC/TAN:
Case 00167300: Complaint [ ref:_00D60KbN0._500t0AfRnX:ref ]

I called Mott's, Ocean Spray, and Morton's Salt companies on June 1, 2018. These companies (to which I experienced severe allergic reactions to the undeclared corn-derived ingredients in their products; e.g., corn-derived dextrose, corn-derived ascorbic acid) have explained to me over the last 10 years that due to the fact that corn has not been declared an official allergen, corn/corn derivatives are exempt from FDA labeling requirements. I explained to them that the FDA has stated to me, in writing, that corn/corn-derived ingredients must be labeled, and shared with them the FDA regulation you shared with me. I received a call from Morton's Salt on June 5, 2018; and, once again, they declared that they are not required to label corn in their products since corn has not been declared an official allergen (I cannot consume iodized salt due to corn-derived dextrose).

Every company I have contacted since I acquired an allergy to corn in 2008 (confirmed in 2011) have reiterated the same declaration. Only after corn is declared an official allergen will companies be required to label corn/corn-derived ingredients.

I have contacted all 535 members of Congress six times in the last 4 1/2 years. They, too, have confirmed that companies are exempt from labeling corn, because corn has not been declared an official allergen. 

My February 25, 2018, certified letter to the U.S. Department of Health & Human Services Re: mandate that hospitals stock corn-free foods, fluids, & medications for the safety of corn-allergic patients.
https://cornallergyadvocacyresources.blogspot.com/2018/02 

Third Reply by the FDA’s FCIC/TAN, June 20, 2018:
The Food and Drug Administration’s (FDA) Food and Cosmetic Information Center (FCIC)/Technical Assistance Network (TAN) has prepared a response for case number 00168167. 

While we appreciate your interest in this subject, we cannot be of further assistance as the Federal laws and regulations are clear on the food labeling and allergen labeling requirements.  In hopes of clearing up your confusion, we will reiterate our previous explanations. We also encourage you to review our previous correspondence and the Federal regulations we have cited for further information.

Corn is not exempt from FDA labeling requirements. Per the Food, Drug, and Cosmetic Act (FD&C Act):
[A food shall be deemed to be misbranded] Unless its label bears (1) the common or usual name of the food, if any there be, and (2) in case it is fabricated from two or more ingredients, the common or usual name of each such ingredient; except that spices, flavorings, and colors not required to be certified under section 721(c) 29 unless sold as spices, flavorings, or such colors, may be designated as spices, flavorings, and colorings without naming each. (Sec. 403(i))

This is further clarified in 
21 CFR 101.4, which elaborates upon the requirements for ingredients to be listed on food labeling.

The FD&C Act also states that "The introduction or delivery for introduction into interstate commerce of any food, drug, device, tobacco product, or cosmetic that is adulterated or misbranded [is prohibited]" (Sec. 201(a)).

We hope this clarifies that foods containing corn must include that information in their ingredient lists.

Corn derivatives are not exempt from FDA labeling requirements.Contrary to your previous assertion, regardless of whether they are derived from corn or not, dextrose and ascorbic acid are not exempt from FDA's food labeling regulations as codified in 21 CFR part 101. They are NOT, however, subject to food allergen labeling requirements because corn is not one of the eight major allergens as defined by the Food Allergen Labeling and Consumer Protection Act

Dextrose and ascorbic acid must be identified as ingredients in foods that contain them as "dextrose" and "ascorbic acid."

Furthermore, ascorbic acid is typically used as a preservative or nutrient, not as a flavor. If it is included in a food or beverage as a preservative or nutrient, it cannot be "hidden" under natural flavors--it must be identified by name.

We hope this is helpful. 

Thank you for contacting FDA’s FCIC/TAN.
View popular Food Safety Modernization Act (FSMA) questions and answers identified by the Technical Assistance Network (TAN), on ourwebsite.


Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
https://cornallergyadvocacyresources.blogspot.com/
@CornAllergy911









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