By Gary Fitzgerald

When Amanda Debus walks across the Miss America stage on Sept. 11 in Atlantic City, she hopes to inspire the millions of Americans living with food allergies and asthma. The reigning Miss Delaware has made allergy awareness part of her platform.

Itโ€™s an important issue for Amanda โ€“ and a personal one.

She knows firsthand what itโ€™s like to live with allergies and asthma. As a young child, Amanda was allergic to dairy products; she remains allergic to fish, pineapple, tomatoes and chocolate. When Amanda was 8, she was diagnosed with exercise-induced asthma.

โ€œIโ€™m looking forward to being on the Miss America stage and bringing light to an issue that is often swept under the rug,โ€ she says. โ€œA lot of times people donโ€™t realize some of us are living with food allergies. Itโ€™s definitely something that needs to be talked about. I already know Iโ€™m raising awareness just being on that stage.โ€

When Anaphylaxis Strikesโ€ฆ

Six years ago, Amanda experienced an anaphylactic reaction during a backyard barbecue at her home after she ate a fruit salad that contained pineapple. At the time, she was unaware she had a pineapple allergy. In fact, sheโ€™d eaten it many times and never had an allergic reaction until that day.

โ€œMy throat felt scratchy, I had trouble breathing, and my tongue started to swell,โ€ Amanda says. โ€œFortunately there was an ER nurse at the barbecue and she recognized it was anaphylaxis. We immediately went to the ER for treatment.โ€

After her diagnosis, Amanda worked to become more involved with food allergy advocacy, especially in schools. She worked with the Delaware governorโ€™s office to help pass a law allowing schools to stock emergency epinephrine auto-injectors and train staff how to use them.

โ€œMy allergic reaction to pineapple was accidental, and Iโ€™m sure kids in schools experience accidental reactions to foods they have no idea they are allergic to,โ€ she says. โ€œSo having stock epinephrine is important. Schools need to be prepared to treat kids with food allergies.โ€

Amanda is focusing onย expanding stock epinephrine to public places in Delaware, such as restaurants, daycare centers and Boys and Girls Clubs. โ€œI think itโ€™s a great idea to have it on hand just like any other medicine or medical device,โ€ she says.

Raising Awareness In Schools โ€“ And Beyond

As Miss Delaware, Amanda recently visited a school to share her story of living with food allergies. She was encouraged to see how engaged students were and how much they wanted to help their classmates with food allergies.

โ€œWhat I learned is that if you can frame the conversation in a way that shows schoolchildren how food allergies affect them or those around them, they will listen, learn and be willing to step up to help their friends,โ€ she says.

A University of Delaware senior majoring in health and physical education, Amanda hopes more schools adopt lesson plans that teach students to be accepting of those with both food allergies and asthma.

โ€œIt would be great to start in the kindergarten to fifth-grade range because thatโ€™s when students are starting to recognize differences and make judgments good and bad โ€“ especially on things you canโ€™t control like carrying an epinephrine auto-injector or using an asthma inhaler in gym class,โ€ she says. โ€œIf you start teaching that itโ€™s okay to be different at an early age, students will be more accepting in middle school and high school.

โ€œI want to stand up for kids who feel different and tell them, โ€˜Thereโ€™s no reason to feel bad because you have to carry something that can potentially save your life.โ€™ I try to break down the stereotypes and barriers some kids are facing in school because I know what they are going through.โ€

โ€˜Be Your Own Advocateโ€™

How does Amanda manage her food allergies and asthma. โ€œI carry my epinephrine auto-injector with me and I work on being my own advocate,โ€ she says. โ€œThatโ€™s what I tell others โ€“ โ€˜just be your own advocate.โ€™โ€

Amanda double-checks food labels to make sure a product does not contain any of her allergens. At restaurants, she talks with the wait staff and chef to confirm ingredients of food on the menu. โ€œOftentimes people think you just donโ€™t like a food, but itโ€™s really youโ€™re allergic to it,โ€ she says. โ€œYou have to tell the waiter youโ€™re very serious and eating an allergic could harm you.โ€

For her asthma, Amanda takes an inhaled corticosteroid daily and uses a quick-relief inhaler before exercise and when symptoms occur. She stays in shape by focusing on cardio. โ€œIโ€™ve found using an elliptical or a step machine is easier on my breathing,โ€ Amanda says. โ€œAnd recently Iโ€™ve developed a love of rowing.โ€

Being an advocate extends to parents and caregivers, too.

โ€œYou have to speak up,โ€ she says. โ€œMake sure your child is safe at school by discussingย your child’s food allergy and treatment planย withย teachers, the school nurse, the cafeteria manager and staff.โ€