16-02 Annex E - ​​Allergic Reaction

Cadet Administrative and Training Orders (CATOs)

1. Allergies are common. It is important to solicit enough medical information to ascertain the severity of past reactions. An allergic response should be differentiated from unfavourable responses such as those produced by psychological dislikes, overindulgence, and in the case of drugs: overdose, side-effects and known adverse pharmacological reactions.

2. A cadet with a history of mild allergic reaction easily treated with non‑parenteral medication should require only the following restriction, if applicable:

1. when the offending agent(s) is(are) known it(they) must be adequately controlled in the cadet camp envionment.

3. A cadet with a history of a life threatening allergy or anaphylactic shock in a camp environment where the offending agent can not be easily controlled, requires the following restrictions:

1. the offending agent(s) is(are) known it(they) can not be easily controlled in the cadet camp environment;
2. must avoid known specific agents;
3. if the offending agent is an insect sting and the insect may be present in the camp environment, the cadet must carry a prescription adrenaline autoinjector from home on his/her person, and he should be familiar with the use of this item. Ideally, a second autoinjector from home should be kept in or near quarters;
4. to carry self-administered medication at all times; and
5. requires ready access to medical and physician services.

4. A cadet with a history of life threatening allergy or anaphylactic shock secondary to food allergies, which cannot be eliminated from field rations, and cannot be provided with alternative food, will have the following added restriction:

1. unfit field duty and training when only field military rations are provided and alternative food cannot be provided; and
2. unfit cadet camp when specific agent can not be fully eliminated from all food services.

5. A cadet undergoing desensitization requires the restriction mentioned in para 2. Furthermore, desensitization therapy (immunotherapy) must be administered at a civilian clinic or CF Immunization or Allergy Clinic, if the CSTC Medical Clinic does not meet Medical Directives standards for administering immunotherapy.

6. Formation Surg’s assisted by RCMLO will evaluate fitness for camp for every cadet with a history of serious allergic reactions according to above stated limitations.

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