First Aid and Allergies: What Every South African Should Know
Allergies are far more common than many people realise. For some, they show up as a mild skin rash or hay fever. For others, an allergic reaction can escalate quickly and become frightening, even life-threatening. What makes allergies particularly challenging is that they do not always follow a predictable script. A reaction can happen at home, at school, at work, or while enjoying a meal with friends.
Understanding first aid in relation to allergies is not about fear. It is about awareness, preparation, and knowing what to do in those critical moments when time matters.
Understanding Allergic Reactions
An allergic reaction occurs when the immune system overreacts to a substance it sees as harmful. Common allergens include foods such as nuts, shellfish, dairy, and eggs, insect stings, medication, latex, and environmental triggers like pollen or dust.
Reactions can range from mild symptoms such as itching, swelling, sneezing, or stomach discomfort to severe reactions known as anaphylaxis. Anaphylaxis can involve difficulty breathing, swelling of the throat or tongue, dizziness, a sudden drop in blood pressure, and loss of consciousness. Without prompt treatment, it can be fatal.
What makes allergies particularly dangerous is that a person may not realise how severe their reaction could be until it happens.
First Aid Response to Allergic Reactions
First aid for allergies focuses on early recognition and quick action. Mild reactions may be managed by removing the allergen if possible and monitoring the person closely. Severe reactions require immediate medical attention.
If someone is experiencing signs of anaphylaxis, emergency services must be contacted immediately. First aiders should keep the person calm, help them lie down if appropriate, and monitor breathing and responsiveness until help arrives.
Knowing these steps in advance can reduce panic and improve outcomes.
What South African law says
In South Africa, employers and organisations have a legal duty to provide a safe environment, as outlined in the Occupational Health and Safety Act (Act 85 of 1993). This includes identifying risks and ensuring appropriate first aid measures are in place.
While the law does not list specific allergens, it requires that foreseeable risks be managed. In schools, workplaces, sports facilities, and public venues, this means understanding potential allergy risks.
For parents, caregivers, and individuals, there is no legal requirement to have first aid training, but being trained empowers you to act confidently and responsibly when someone depends on you.
Why First Aid Training Matters
Allergic emergencies rarely wait for perfect conditions. They happen during family meals, school activities, workplace events, or everyday routines. First aid training builds confidence, reduces hesitation, and helps people respond with clarity rather than fear.
For families with known allergies, training provides reassurance. For those without a known history, it prepares them for the unexpected.
Taking the next step
Taking the next step
Since 1935, the South African First Aid League has focused on equipping ordinary people with practical skills to respond calmly and effectively during emergencies. Allergic reactions are one of those situations where simple knowledge can make a significant difference.
Understanding first aid gives you the tools to respond when it matters most, whether for your child, a colleague, a friend, or a stranger.

