While anaphylactic reactions to peanuts can prove deadly on some occasions here in the US, peanut allergies are rare in developing nations. In fact, some physicians will go so far as to say non-existent. There is significant new research on peanut allergies that is proving helpful in understanding this phenomenon. This article from the NY Times may be helpful. Fortunately for the children who need MANA RUTF, allergies are not a concern.