Table 5 Recommendations to prevent and manage in-flight allergic events

• Promote the prevention of allergic diseases via passenger education

• Medical consultation for high-risk passengers before traveling

• Train and re-train aircrews

• Promote general preventive measures during the flight: hydration, food allergen avoidance (especially peanuts, tree nuts, other foods, as necessary)

• Provide an appropriate place for furry pets away from subjects with pet allergy

• Provide for sufficient quantities of appropriate medications: epinephrine (adrenaline), β2 agonists for inhalation and nebulization, oral and injectable corticosteroids and antihistamines

• Oxygen