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given increase childhood food allergy national local policies developed encourage schools stock undesignated epinephrine autoinjectors case anaphylactic emergency describe use epinephrine autoinjectors chicago public schools 20122013 school year specifically foodinduced allergic reactions districtissued epinephrine autoinjectors distributed public charter schools chicago prior start 20122013 school year data use collected frequencies computed autumn 2013 thirtyeight districtissued epinephrine autoinjectors administered inaugural year chicago public schools initiative epinephrine autoinjectors administered students 921 school staff 79 districtissued epinephrine autoinjectors administered elementary schools 632 chicagos northnorthwest side 368 half 550 districtissued epinephrine autoinjectors administered firsttime anaphylactic events foodinduced reactions accounted half 553 reactions requiring epinephrine autoinjector use whereas trigger one third 342 reactions requiring use epinephrine autoinjector remained unknown chicago public schools first large urban school district us develop implement districtissued emergency epinephrine initiative helped 38 students staff avoid potential morbidity mortality impact initiative first year underscores need stocking undesignated epinephrine schools across country