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Allergies

Plain-language information about allergies in Canada, including anaphylaxis, and the research enrolling now.
Plain-language guide, not medical advice
Reading time3 min
In Canada3 million+ report a food allergy
Studies recruitingNone right now

An allergy is the immune system reacting to something harmless to most people. It takes four main forms: food, environmental, drug and insect sting. That can mean a blocked nose and itchy eyes, hives, or a reaction needing emergency care.

By the numbers in Canada
More than 3 millionpeople in Canada self-report having at least one food allergy, and Food Allergy Canada states that 1 in 2 Canadian households is affected by food allergy.
Source: Food Allergy Canada, 2026
  • Health Canada research based on a 2016 national survey found that 9.3 percent of Canadians self-reported a food allergy while 6.1 percent had a probable food allergy, meaning the reported reaction fitted an allergic pattern. Probable food allergy stayed about the same between 2010 and 2016, moving from 5.9 to 6.1 percent, while self-reported allergy rose from 7.1 to 9.3 percent, which the researchers attributed to increasing awareness. Source: Health Canada, research on the prevalence of food allergies and intolerances, 2020
  • Over 600,000 Canadian children under 18 have a food allergy, and peanut allergy affects about 2 in 100 Canadian children. Health Canada identifies eleven priority food allergens for labelling in Canada: crustaceans and molluscs, egg, fish, milk, mustard, peanut, sesame, soy, tree nuts, and wheat and triticale. Source: Food Allergy Canada, 2026
  • Environmental allergy is also common. The Public Health Agency of Canada reports that about 17 percent of adults in Quebec live with seasonal allergic rhinitis, describing this as a marked increase over the previous 30 years, and that ragweed pollen causes 50 to 90 percent of allergic rhinitis cases there. Source: Public Health Agency of Canada, Health Promotion and Chronic Disease Prevention in Canada, 2019
WorldwideAbout 400 million people worldwide are affected by allergic rhinitis, the nose and eye symptoms caused by airborne allergens. This is an international figure rather than a Canadian one.Source: Frontiers in Medicine review of allergic rhinitis, 2022

What allergy is, and what it is not

An allergy is not an intolerance. Lactose intolerance involves digestion, not the immune system, and does not cause anaphylaxis. Health Canada research shows the gap: 9.3 percent of Canadians self-reported a food allergy in the 2016 national survey, while 6.1 percent had a probable food allergy.

A positive test alone is also not an allergy. Allergists read results against what happens on exposure, because sensitisation can show without causing symptoms.

Signs and symptoms

  • Sneezing, a blocked or runny nose, itchy watery eyes
  • Itchy skin, hives, or an eczema flare
  • Coughing, wheezing or chest tightness, especially with asthma
  • Cramps, vomiting or diarrhoea after a trigger food
  • Swelling of the lips, face, tongue or throat
  • Feeling faint or suddenly very unwell

The last two point to anaphylaxis, an emergency covered below.

A woman standing by an open balcony door with houseplants, looking outside on a bright day.
Allergy symptoms can come from food, airborne triggers, medicines or insect stings. Illustrative photograph.

What raises the risk

Some risk factors cannot be changed:

  • A personal or family history of allergy, asthma or eczema
  • Already being allergic to one thing
  • Living with asthma, which makes chest symptoms likelier

Others can often be worked on, usually with support from a health care team:

  • Exposure at home or work: a pet, dust mite in bedding, a workplace substance
  • Tobacco smoke and poor ventilation indoors
  • Time outdoors in pollen season, and open windows at night

How allergy is diagnosed in Canada

Assessment starts with the history: what happened, how soon after exposure, and whether it has happened before. Testing is read against that. An allergist confirms an airborne or food allergy with a skin prick test, where allergen extract is placed on the skin and lightly pricked, or a blood test for allergen-specific IgE. A supervised oral food challenge settles uncertain food cases. Drug allergy is assessed similarly, sometimes to confirm or remove a label such as penicillin allergy carried for years.

Treatment and day-to-day management

Care combines avoiding a confirmed trigger, treating symptoms, and readiness for a severe reaction:

  • Reducing exposure, with an allergist and, for food, a dietitian
  • Antihistamines, corticosteroid nasal sprays, and allergy eye drops
  • An epinephrine auto-injector for people at risk of anaphylaxis, with a written emergency plan
  • Allergen immunotherapy through an allergist, by injection or under the tongue, over three to five years
  • Venom immunotherapy, which the Canadian Society of Allergy and Clinical Immunology lists as indicated after anaphylaxis to a sting
  • Asthma care where exposure affects the chest

These are decisions for you and your own clinician.

When to talk to a doctor

  • Anaphylaxis is a medical emergency. Signs include trouble breathing, wheezing, throat tightness, swelling of the lips, tongue or throat, widespread hives, and feeling faint or passing out. The Canadian Society of Allergy and Clinical Immunology’s anaphylaxis emergency plan directs that the epinephrine auto-injector be used at the first sign of a confirmed or suspected anaphylactic reaction, then that you call 9-1-1 and tell them someone is having an anaphylactic reaction.
  • One dose is not always enough. The same plan states that another dose of epinephrine can be given as soon as five minutes after the first if symptoms have not improved, and that the person should go to the nearest hospital immediately, ideally by ambulance, because the reaction can worsen or come back. If the person is unresponsive and not breathing normally, start CPR.
  • Go to hospital after any reaction that needed epinephrine, even if the person recovers.
  • Book an appointment, or ask about an allergist referral, if over-the-counter treatment is not controlling symptoms, and after any reaction to a food, medicine or sting.

Why clinical research matters for allergies

Nothing available makes an allergy go away for good. Allergen immunotherapy comes closest, and the CSACI manual describes courses running three to five years, so it is neither quick nor suitable for everyone. Research is aimed at shorter, more targeted approaches: peptide and recombinant allergen preparations, and biologic medicines that block IgE and type 2 inflammation. Food allergy studies are testing oral immunotherapy.

Taking part is voluntary, informed consent comes first, you can stop at any time without affecting your regular care, and no one can say in advance whether a study will help you.

Learn more from Canadian sources

Where this information comes from (6 sources)
  1. Food Allergy Canada, food allergy FAQs, 2026
  2. Health Canada, research related to the prevalence of food allergies and intolerances, 2020
  3. Canadian Society of Allergy and Clinical Immunology, anaphylaxis emergency plan, 2026
  4. Summarizing the 2024 immunotherapy manual of the CSACI, Allergy, Asthma and Clinical Immunology, 2026
  5. Public Health Agency of Canada, pollens, climate and allergies, 2019
  6. Frontiers in Medicine, allergic rhinitis: a clinical and pathophysiological overview, 2022

This page is written in plain language for people considering clinical research. It is general health information, not medical advice, and it does not replace a conversation with your own doctor or nurse practitioner.

Common questions

What is the difference between an allergy and an intolerance?

An allergy involves the immune system reacting to a substance, and it can affect the skin, the nose and eyes, the airways, the gut and the circulation at once. An intolerance, such as lactose intolerance, involves digestion rather than the immune system, is usually limited to the gut, and does not cause anaphylaxis. The distinction matters for how a reaction is treated and for whether you need to carry epinephrine. Health Canada research found many more Canadians report a food allergy than have a reaction fitting an allergic pattern, which is one reason allergist assessment is useful.

If I use my epinephrine auto-injector and feel better, do I still need to go to hospital?

Yes. The Canadian Society of Allergy and Clinical Immunology's anaphylaxis emergency plan directs that after epinephrine is given, you call 9-1-1 and go to the nearest hospital immediately, ideally by ambulance, because the reaction can worsen or come back. The plan also states that a second dose can be given as soon as five minutes after the first if symptoms have not improved, and advises staying near a hospital or within reach of emergency services for 48 hours afterwards.

Why would someone with allergies join a clinical trial?

Because avoidance is not always possible and current treatments do not suit everyone. Allergen immunotherapy takes three to five years, and daily medicines control symptoms without changing the allergy. Studies are testing shorter immunotherapy schedules, biologic medicines that block allergic pathways, and oral immunotherapy for food allergy. Seasonal allergy studies are timed around the pollen calendar, so recruitment often happens months before the season starts. Taking part is voluntary, you give informed consent first, and you can withdraw at any time without affecting your regular care.

What to do next
  1. Talk to your doctor. This guide is information, not medical advice.
  2. Check for a match. Find your study match
  3. Not ready yet? Join the community and we will write to you when something opens.
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