Summary
This consensus statement, developed by a multidisciplinary panel of Indian allergy experts using structured Delphi methodology, addresses the emerging public health burden of food allergy in India driven by urbanisation and changing dietary patterns. The document provides standardised, context-specific diagnostic and management frameworks adapted to Indian clinical practice, with particular attention to region-specific allergens and culturally appropriate nutritional counselling. It emphasises the need for policy-level interventions including food labelling standards, allergy education, and school-based preparedness programmes to improve diagnostic accuracy and patient outcomes.
Regional applicability
This consensus directly applies to United Kingdom practice in terms of methodological rigour and standardisation principles; however, the region-specific allergen profile (chickpea, lentils, sesame prominence; different prevalence patterns for wheat and egg) reflects India's distinct dietary landscape. UK clinicians may adapt the diagnostic framework but should reference local allergen epidemiology and existing UK food allergy guidance (NICE, BDA). The document's emphasis on food labelling and school preparedness offers comparative policy insights applicable to UK public health strategy.
Key measures
Expert consensus on diagnostic protocols (clinical history, skin prick testing, serum-specific IgE, oral food challenges); region-specific allergens (milk, wheat, egg, peanut, fish, chickpea, lentils, sesame); management strategies (allergen avoidance, nutritional planning, psychosocial support); public health policy recommendations.
Outcomes reported
A consensus statement providing evidence-based diagnostic and management recommendations for food allergy adapted to Indian clinical practice, including standardised frameworks and region-specific allergen recognition. The document addresses public health policy recommendations including food labelling, education, and school-based preparedness programmes.
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