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Karanbir Cheema, 13, died of a severe allergic reaction at her school in West London on June 28, 2017.
And what caused this fatal allergy, is that another comrade threw him cheese in the face.
Adam Fox, a pediatrician specializing in allergies at the Evelina Children's Hospital in London, said that severe reactions to skin contact were "very rare" and that "I did not realize that there were other fatal cases ".
The cause of the reaction is what made it "extraordinarily unusual," Fox said in a court statement in which an investigation was launched into Cheema's death.
Forensic Pathologist Mary Hbadell, who was also part of the investigation, said that throwing the cheese at Cheema was "childish and without thinking", but that it could not do it any harm.
The specialist said that when the boy took cheese from a friend's wand and threw it at Cheema, "I just did not think."
The doctor stated that William Perkin School in Greenford had "missed an opportunity to inform students of the danger of their" severe allergies ".
Karanbir Cheema, who was suffering from allergies to wheat, gluten, eggs, milk and nuts, was immediately treated at school when the cheese fell on his neck.
But according to his investigation, his condition quickly deteriorated and he began to scratch his skin vigorously.
"He took off his shirt, shouted and ran around the panicked room, I could not breathe," said the coroner.
The boy was transferred to Great Ormond Street Hospital and died nearly two weeks later as a result of post-cardiac heart syndrome.
Prevention
The Hbadell coroner stated that Karanbir Cheema's medical treatment at school was "inadequate" and that one factor contributing to his death was the fact that the allergy action plan did not was not in the pharmacy box or in the procedure. that the educational institution should follow.
After a long stay at school, Karanbir Cheema received an EpiPen containing adrenaline that had expired a year.
However, it is not possible to say whether the presence of current adrenaline would have changed the outcome, Hbadell said.
The doctor said she was preparing to prepare a report intended to prevent future deaths to be sent to Cheema School, emergency services, government departments and experts.
"Despite what happened to my son, I think it would help a lot of kids, I wish schools, institutions, hospitals and paramedics would realize the seriousness of allergies," said Rina Cheema, Karanbir's mother. , after the investigation.
"My son knew, he knew how fast he had to react." His words at the school were: "Please, help me or I will die." That said everything. "
Alice Hudson, executive director of the Twyford Trust, which runs William Perkin School, said, "In my opinion, there was a very good general awareness of their bread and cheese allergies."
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