{"id":505153,"date":"2026-02-26T10:50:14","date_gmt":"2026-02-26T10:50:14","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/505153\/"},"modified":"2026-02-26T10:50:14","modified_gmt":"2026-02-26T10:50:14","slug":"teenager-died-from-meat-allergy-triggered-by-tick-bite-in-australian-first-health","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/505153\/","title":{"rendered":"Teenager died from meat allergy triggered by tick bite in Australian first | Health"},"content":{"rendered":"<p class=\"dcr-130mj7b\">On a June night in 2022, 16-year-old Jeremy Webb was camping with friends on the <a href=\"https:\/\/www.theguardian.com\/australia-news\/new-south-wales\" data-link-name=\"in body link\" data-component=\"auto-linked-tag\" rel=\"nofollow noopener\" target=\"_blank\">New South Wales<\/a> Central Coast, north of Sydney, when he vomited after eating beef sausages.<\/p>\n<p class=\"dcr-130mj7b\">Struggling to breathe, the teenager ran from the campground to knock on the window of a nearby camper van, and asked the occupants to call an ambulance. Then he collapsed.<\/p>\n<p class=\"dcr-130mj7b\">His friends administered CPR until the ambulance arrived at 11.26pm. He was declared dead at hospital just over an hour later. <\/p>\n<p class=\"dcr-130mj7b\">Webb\u2019s death was originally attributed to asthma. But a coronial inquest has now found an allergic reaction to meat \u2013 triggered by a tick bite \u2013 caused the acute asthma attack.<\/p>\n<p class=\"dcr-130mj7b\"><a href=\"https:\/\/www.theguardian.com\/email-newsletters?CMP=copyembed&amp;CMP=emailbutton\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">Sign up: AU Breaking News email<\/a><\/p>\n<p class=\"dcr-130mj7b\">It is the first documented fatal case of mammalian meat allergy in Australia.<\/p>\n<p class=\"dcr-130mj7b\">Prof Sheryl van Nunen, a clinical immunologist and allergist at the National Allergy Centre of Excellence, is only aware of one other case in the world: that of a 47-year-old pilot in New Jersey, who died <a href=\"https:\/\/www.jaci-inpractice.org\/article\/S2213-2198(25)00953-5\/fulltext\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">in 2024<\/a>.<\/p>\n<p class=\"dcr-130mj7b\">\u201cJeremy was the first worldwide,\u201d Van Nunen told Guardian Australia.<\/p>\n<p class=\"dcr-130mj7b\">The inquest followed extensive advocating from Jeremy\u2019s parents, who wanted to improve public awareness about the issue. In findings handed down on Thursday, the deputy NSW state coroner Carmel Forbes said that \u201cJeremy died as a result of anaphylaxis due to mammalian meat allergy after tick bite, causing an acute exacerbation of asthma.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Van Nunen <a href=\"https:\/\/www.theguardian.com\/news\/2018\/dec\/11\/mysterious-allergy-to-meat-alpha-gal-lone-star-tick\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">first identified the connection between tick bites and developing mammalian meat allergy<\/a> \u2013 an association that has since been confirmed by researchers on all six continents where tick bites occur.<\/p>\n<p>After two or more tick bites, one in two people\u2019s bodies will make an alpha-gal allergy antibody. When the person eats meat, the alpha-gal is released, triggering the allergy. Photograph: John Tann\/Wikipedia Commons<\/p>\n<p class=\"dcr-130mj7b\">The allergen associated with reactions, alpha-gal, is a sugar molecule present in the saliva and gut of ticks, as well as many mammals, including beef, lamb, pork, goat, kangaroo and venison.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThis is a 21st-century allergy,\u201d Van Nunen said, on the rise because of ecological change.<\/p>\n<p class=\"dcr-130mj7b\">After two or more tick bites, one in two people\u2019s bodies will make an alpha-gal allergy antibody. When the person eats meat, the alpha-gal is released, triggering the allergy.<\/p>\n<p class=\"dcr-130mj7b\">The symptoms occur three to six hours after eating meat, because that is the time it takes to digest the food and for the alpha-gal to be released, Van Nunen said.<\/p>\n<p class=\"dcr-130mj7b\">Symptoms can range from gastrointestinal symptoms to welts and swellings and anaphylaxis.<\/p>\n<p class=\"dcr-130mj7b\">Irritable bowel-like symptoms are the most common, and the Australasian Society of Clinical Immunology and Allergy recommends people living in tick-infested areas who experience regular gut discomfort should be screened for the alpha-gal allergy.<\/p>\n<p class=\"dcr-130mj7b\">The allergy can also be triggered by mammalian products including milk and gelatin.<\/p>\n<p class=\"dcr-130mj7b\">The meat product eaten can also determine the severity of the reaction, the coroner\u2019s report noted.<\/p>\n<p>Prof Sheryl van Nunen from the National Allergy Centre of Excellence.<\/p>\n<p class=\"dcr-130mj7b\">\u201c[A]lpha-gal is present in higher concentrations in offal, so a meal including offal, such as sausages encased in mammalian intestines, may trigger a more severe reaction.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Jeremy experienced a number of tick bites after his family moved to a large block of land surrounded by dense bush on the NSW Central Coast, the coroner\u2019s report stated.<\/p>\n<p class=\"dcr-130mj7b\">When he started having reactions to eating red meat around the age of 10, his family suspected that he had mammalian meat allergy caused by the tick bites.<\/p>\n<p class=\"dcr-130mj7b\">However, \u201cJeremy, his family and his GP were unaware that his allergy may have carried an attendant risk of life-threatening anaphylaxis,\u201d the report stated.<\/p>\n<p class=\"dcr-130mj7b\">The coroner\u2019s report noted previous episodes of illness, including when he was taken to hospital by ambulance with severe respiratory distress, which was diagnosed as an asthma attack. (Jeremy had also suffered from asthma throughout his life.)<\/p>\n<p class=\"dcr-130mj7b\">But the discharge summary did not mention anaphylaxis as a possible diagnosis \u2013 a \u201cmissed opportunity\u201d, said Van Nunen, given features that were unusual for asthma but consistent with anaphylaxis \u2013 in particular, the sudden and severe onset of his symptoms, as well as his need for multiple doses of adrenaline and the teenager\u2019s positive response to it.<\/p>\n<p class=\"dcr-130mj7b\">Van Nunen, who was commissioned to write the expert report, emphasised that asthma is also a risk factor for dying from food allergy anaphylaxis \u2013 with 85% of food allergy deaths caused by anaphylaxis triggering asthma.<\/p>\n<p class=\"dcr-130mj7b\">Jeremy\u2019s mother, Dr Myfanwy Webb, told the coroner\u2019s court of the pain she experienced \u201ceach and every day in missing her kind and loving son\u201d who loved martial arts, and tinkering with computers and engines.<\/p>\n<p class=\"dcr-130mj7b\">The family recalled hearing neglected motors \u2013 from lawn mowers to jetskis \u2013 \u201cchange from silence to spluttering to humming\u201d thanks to Jeremy, the report mentioned<\/p>\n<p class=\"dcr-130mj7b\">\u201cThree of his mates have tattoos in remembrance of Jeremy,\u201d the report also stated.<\/p>\n<p class=\"dcr-130mj7b\">Preventing a tick bite from occurring is the most important strategy, Van Nunen said. If a bite does occur, she recommended people make sure the tick is removed correctly and check the  <a href=\"https:\/\/www.tiara.org.au\/tick-anaphylaxis-mammalian-meat-allergy-resources\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">Tick Anaphylaxis and Mammalian Meat Allergy Resources (Tiara) website<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"On a June night in 2022, 16-year-old Jeremy Webb was camping with friends on the New South Wales&hellip;\n","protected":false},"author":2,"featured_media":505154,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[64,63,44],"class_list":["post-505153","post","type-post","status-publish","format-standard","has-post-thumbnail","category-australia","tag-au","tag-australia","tag-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/505153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=505153"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/505153\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/505154"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=505153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=505153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=505153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}