“Nothing will ever bring Celia Marsh back and the grief endured by her family will always remain. But the Coroner's clear and concise recommendations should herald a transformation of the way anaphylaxis cases are dealt with in this country and mean that Celia's death was not in vain.
"We are particularly pleased to see that the Coroner has called for anaphylaxis to be considered a notifiable disease with a national register of fatal and near fatal cases of severe food allergic reactions.
"She has also called for a thorough overhaul of potentially misleading and dangerous precautionary allergen labelling, and the implementation of robust allergen testing by food producers. These well overdue measures will save lives.
"We also strongly welcome the recommendations for pathologists to prioritise cases where anaphylaxis is suspected as the cause of death. From personal experience, and the experience of others, the abject failures within the post-mortem system can deny justice to far too many families and put others at risk by failing to raise the alarm about contaminated or wrongly-labelled products." - Tanya Ednan-Laperouse OBE