Beginning next term, all schools in England will be required to maintain a stock of adrenaline auto-injectors, such as EpiPens, along with trained staff and protocols to manage severe allergic reactions, known as anaphylaxis. This initiative is introduced under Benedict’s Law, named in memory of Benedict Blythe, a five-year-old who died from anaphylaxis in 2021, likely triggered by accidental exposure to cow’s milk at his primary school. The legislation aims to enhance allergy safety in schools, with hopes that other parts of the United Kingdom will adopt similar measures.

Anaphylaxis is a serious and potentially life-threatening allergic reaction that can develop rapidly after exposure to triggers including certain foods, insect venom, and medications. Although deaths due to anaphylaxis are relatively rare, the prevalence of allergies has been increasing. In England alone, hospitals handle approximately 5,000 admissions annually related to anaphylactic episodes.

The introduction of stock auto-injectors in schools responds to the critical need for timely intervention. When anaphylaxis occurs, prompt administration of adrenaline is essential to prevent fatal outcomes. Symptoms typically begin with swelling or tingling of the lips and tongue, skin changes like rash or flushing, and may escalate to breathing difficulties, a drop in blood pressure, and collapse.

Guidance for responding to anaphylaxis emphasizes quick recognition and immediate action. Those affected often know their triggers and carry personal auto-injectors, but if not, bystanders are urged to call emergency services and administer adrenaline promptly. The outer thigh is the recommended injection site, and adrenaline can be given through clothing, eliminating delays. Each type of auto-injector has specific instructions on how long the device should remain in place to ensure proper drug delivery. If symptoms do not improve within five minutes, a second dose should be administered.

Medical professionals stress that adrenaline is the only effective immediate treatment and caution against relying on antihistamines, which act too slowly during severe reactions. In situations where adrenaline is unavailable, the affected individual should be placed flat with legs elevated to counteract low blood pressure unless breathing difficulties make sitting up preferable. Continuous monitoring and readiness for cardiopulmonary resuscitation (CPR) may be necessary until emergency responders arrive.

Health experts also highlight the importance for individuals with known anaphylaxis risk to carry two auto-injectors at all times and ensure those close to them—family, friends, and colleagues—are familiar with how to use these devices.

The implementation of Benedict’s Law marks a significant step toward reducing preventable deaths from allergies in schools and raising awareness of anaphylaxis management across England.