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20 food challenges were positive in 17 children, including seven to hazelnut and three to peanut. Another seventy-one children were estimated to suffer FA among those who were eligible but refused DBPCFC. This yielded prevalence estimates for FA in school-age between 1.4% (88 related to all 6,105 participants of this follow-up) and 3.8% (88 related to 2,289 with completed eligibility assessment). INTERPRETATION In primary school children in eight European countries, the prevalence of FA was lower than expected even though parents of th