How To Survive In Jail With Food Allergies

On July 2, 2012, Michael Saffioti age 22 turned himself in to police for a warrant stemming from a missed court appearance. At booking, a medical professional was informed of his life-threatening dairy allergy and severe asthma, and he had a letter from his doctor and appropriate medication. He expected to be sent to the medical unit at Snohomish County Jail, but he was placed into the general population instead. He died the next day, and the autopsy revealed he died from bronchial asthma brought on by his severe milk allergy.

Michael had been given a pancake for breakfast in violation of his doctor’s orders, and he was told he had to eat it. Prisoners who were there have advised that when he had a severe reaction, his complaints initially went ignored by jail staff, and by the time he received medical treatment, it was too late. The Snohomish Sheriff’s Office which runs the jail is investigating, after which the Prosecutor’s Office may lay criminal charges against the jail workers. A possible charge of involuntary manslaughter is being recommended by the lawyer for Michael’s family. Michael’s mother will likely sue the county as well.

My purpose, as always, is to provide information to help others live safely with food allergies. My advice is always to avoid your allergen even in trace amounts, and to have EpiPens within reach at all times as well as asthma meds, if you have asthma. I’ve never considered how to stay safe in jail, where you have no control over the food provided, and an EpiPen would be considered a weapon. Surely diabetics are fed appropriately in jail and have access to insulin, syringes, and other medical requirements. Those with seizures or other chronic conditions would receive appropriate care. Why was Michael given food that contained dairy, and why was immediate medical treatment withheld?

The Journal of Correctional Health recently published this article “Food Allergies: The Implications For Correctional Facilities.” The authors wrote that “The prevalence of food allergies in the inmate population is a relatively unknown and perhaps underreported health issue. An inmate with an undetected food allergy [emphasis added] is at risk for anaphylaxis or less serious complications and is becoming an increasing concern to correctional facilities. Allergic responses to foods cause many symptoms, including cutaneous, gastrointestinal, respiratory, cardiovascular, and anaphylactic. These nonspecific symptoms are often first thought to be related to other conditions. Cell-mediated disorders, food intolerances, and pharmacologic conditions should be considered in the differential diagnosis and appropriately ruled out. The symptoms may mimic other problems, and allergic reactions would not be among the first conditions considered in the differential diagnosis. Consideration of food allergies and recognition of the symptoms should prompt a diagnostic evaluation. Not all correctional institutions have access to a dietitian or conduct allergy testing and the need to prepare special meals may create challenges.”

My hope is that Michael Saffioti’s death serves as a wake up call to the penal system. His allergies were known: His death was not a death due to undetected food allergies. In fact, one in thirteen children has food allergies, and with this wave of allergic children reaching the age of criminal responsibility for their actions, inmates with food allergies will become common. Jails and prisons need training to recognize anaphylaxis to accommodate them safety or face claims for liability in negligence. No inmate should have to pay with his or her life, like Michael did.

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