Breastfeeding Shouldn’t Hurt

Feeding your new little baby shouldn’t hurt. In fact, if there is any pain at all, this is a sign that your baby isn’t breastfeeding properly.

Take you infant off the breast – by putting your finger in your baby’s mouth and breaking the seal between her tongue and the roof of her mouth – and try again. (Do not just pull the baby off…that will hurt!) If you carry on feeding while you are hurting, you are very likely to end up with very sore nipples. (Ouch!)

If your baby starts to feed almost immediately after latching on, this is a good sign that she’s done it properly. Her feeding pattern should change from a few short, quick sucks to slow deep ones. While breastfeeding, she will probably pause a few times to catch her breath or rest. She will then start sucking again without you having to coax her into starting again.

 

thanks to latching on magazine (ron)

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Breastfeeding Advocates in the Philippines

Breastfeeding advocates hit promo
By Rhodina Villanueva (The Philippine Star)
Updated August 16, 2012
MANILA, Philippines -
Breastfeeding advocates yesterday denounced the proposed Breastfeeding Promotion and Infant Formula Regulation Act pending in the House of Representatives, saying it does not serve the interest of the Filipino people, but rather propagates the commercial interests of multi-national companies.
Innes Fernandez, lead convener of Save the Babies Coalition, said the true intention of the bill is to water down the Milk Code or Executive Order 51.
Under the measure, milk companies will be allowed to advertise their products intended for children over six months; conduct promotion on breastfeeding and child care; give information, education, and communication materials about breastfeeding and infant and young child care; place health and nutritional claims on their products; and donate infant formula during times of disaster, calamities, and emergency cases.
But Fernandez noted that these provisions are prohibited under EO 51 signed by former President Corazon Aquino in October 1986 based on the International Code of Marketing of Breastmilk Substitutes and relevant resolutions of the World Health Assembly. It was given a very good rating by the Breastfeeding Scorecard, and was positively noted by the Concluding Observation of the United Nations Conventions on the Rights of the Child in 2009.
Fernandez said the lawmakers supporting the bill were “misled, misinformed, and even deceived to believe that the proposed bill will help improve the health and welfare of children and women.”
Even various medical professional organizations released a position statement on the consolidated House Bill on breastfeeding.
The group expressed dissent over the attempts to “substantively amend the existing breastfeeding-related laws” which have shown positive impact in improving breastfeeding rates in the country.
“The efforts at amending the existing Milk Code serve only the interests of multi-national milk and infant feeding industry, but leave pregnant and lactating mothers in confusion, endangering the health of our children,” the statement read.
The bill is a substitution of House Bills No. 3396, 3525, 3527, 3537 as approved by the Technical Working Group on July 2.
Fernandez said the consolidated bill includes provisions authored by Representatives Magtanggol Gunigundo, Josephine Veronique Lacson-Noel, Lani Mercado-Revilla, Lucy Torres-Gomez and Rufus Rodriguez.

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How Formula Advertisements Try to Fool New Parents

Defend the Code

While the WHO code is an honorable attempt to let all parents know how beneficial breastfeeding is to the littlest members of our society, there is one problem with the code: it is nearly impossible to enforce. Companies like Nestle have been charged with breaking the code on numerous instances, and there are no consequences for their behavior. Countries signing to the code seem unable to hold companies accountable for their aggressive advertising schemes on behalf of formula products.

This is why the new formula brewing kitchen appliance put out by Nestle is raising so much criticism. It’s not that some parents won’t find the machine useful or that Nestle has no right to explore new forms of technology. The problem is that they don’t have the right to mislead parents into thinking machines like this are better for their babies than breast milk.

The best thing parents can do is defend the WHO code by refusing to use formula products in their household. You cannot control what other parents are feeding their babies, but you can make sure you give your baby the healthiest feeding options. This is always going to be breast milk created by your own body, not by a percolating machine in the kitchen!

The more parents are informed of the health benefits of breastfeeding, the more they will be able to see through the heavy marketing tactics of companies like Nestle. Parents who are informed are much less likely to put the profit of a company ahead of the health of their babies.

Self-Create…Don’t Percolate!

While no one wants to stomp on advancing technology, it is important that parents see through the gimmicks currently coming out in the artificial formula market. Nestle may very well find parents who choose to bottle feed for their own reasons and convince them that they need to pay an outrageous price for formula pods and a formula brewing machine. What Nestle should not be allowed to do is convince unsuspecting parents that they should switch from breastfeeding to bottle feeding because of these conveniences.

There are definitely advantages to breastfeeding that no technology can beat. The comfort of knowing the food you put into your little one’s mouth is protecting them from illness is far more important than being able to quickly percolate a warm bottle along with your morning coffee. In fact, there is nothing faster than propping your breast up for your baby to feed from. Your natural milk is always ready to go…no percolating necessary!

 

Breastfeeding-Magazine.com: An Online Breastfeeding Magazine with tips and support for new moms.

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How Formula Advertisements Try to Fool New Parents

Gimmicks won’t do your baby any good, but formula
advertisements will try anything to fool you into not breastfeeding.

You get up early in the morning, wrap yourself in a warm robe, and make yourself to the kitchen. You turn on a small kitchen appliance and pour in some water. Minutes later you don’t have a cup of coffee to wake yourself up, but a warm bottle of formula to nourish the baby starting to cry down the hall. This is the picture Nestle hopes you will see as desirable as they start to roll out a new formula maker that operates on pods much like a coffee maker.

This is only one example of the way some manufacturers are now catering to parents who prefer to bottle feed. Since there are many such parents around the world this may not seem like a big deal, but there is harm in marketing formula as the best way to feed an infant. All parents need to know the truth about artificial formulas and breast milk, so they can make decisions that protect the health and well being of their babies.

Know the Code

So many parents do not realize that there is an active code sponsored by the World Health Organization (WHO) advocating the health and safety of breastfeeding. This code specifies that all companies signing onto the code stop advertising and promoting artificial infant formulas. There will always be people who want or need to use these formulas for their own reasons, but the advertisement of formula sends the wrong message to unsuspecting parents. It makes them feel that bottle feeding with formula is preferred, more convenient, or even more damaging, just as good as breastfeeding.

There is clear evidence that breast milk is far superior to artificial infant formula. A mother’s milk protects a baby from illness, disease and infection in a powerful way. No matter what advancements are made in the formula industry, there is no way for an artificial product to mimic the health protections that are passed between a mother and her baby through natural breast milk.

There are some formula companies that advertise in a manner that seems to say “our formula is just as natural and wholesome as breast milk.” This is deceptive, since there are protections offered through breast milk that simply cannot come through an artificial formula.

 

Thanks to 

Breastfeeding-Magazine.com: An Online Breastfeeding Magazine with tips and support for new moms.

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Joey Velasco 2009 Calendars

Joey Velasco 2009 Calendars

Joey Velasco is a social-realist artist. He possesses a profound sensitivity to the human drama. He touches the mystery of God in what is otherwise ugly and mundane.

His paintings are a momentary peek into eternity, a passing moment that captures the meaning of ordinary life in all its grandeur. The human soul finds genuine rest in the love of the Almighty. Hope beats with courage again. I call it inspiration; and we all need it.

Joey acknowledges that his profoundest gain from the Salesians is acquiring a heart for the poor. Having given some of his best years to the apostolate in the Don Bosco Youth Centers, he has never forgotten the faces of poverty and uncertainty that stared back at him. His paintings in oil convey messages of life-giving especially to the unfortunate.

I purposely placed the sample pictures of the paintings of Joey Velasco in my blog in order to sell it online especially among the people in the provinces or outside the country who are interested with the 2009 set.

Thank you very much!


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Lethal bacteria also found in tainted milk


Pathogen in some Sanlu formulas can cause meningitis or gut infections

Reuters, Associated Press

In another blow to China’s food safety record, the Gansu authorities revealed that a pathogenic bacteria has been found in Sanlu’s milk powder that was also contaminated with melamine, the Lanzhou Morning Post reported.

This latest revelation came as China said yesterday that the melamine-tainted milk scandal had been brought under control and recently tested liquid milk samples showed no traces of the toxic chemical.

The Gansu Bureau of Quality and Technical Supervision in north-western China issued an emergency notice on Sunday saying that Sanlu’s formulas for older babies contained enterobacter sakazakii as well as the toxic chemical melamine, the newspaper said.

The bacteria, enterobacter sakazakii, can cause meningitis or severe gut infections. It is a new species defined in recent years and recognised by the World Health Organisation as one key pathogen that leads to infant mortality.

This is not the first time that the bacteria is found in powdered infant formula. In September 2002, the Hong Kong Food and Environmental Hygiene Department found enterobacter Sakazakii in a German infant formula Special Batch Milupa HN25.

It is not yet known when, and how the bacteria entered the Sanlu formula, the Lanzhou Morning Post said.

The Gansu authorities have sent the test results to the national-level food quality and safety inspection centre for further action.

Besides affecting premature babies, the bacteria is also harmful to people of all ages, particularly those with weakened immune systems.

So far, there have been no reports of sickness or deaths triggered by enterobacter sakazakii infection involving Sanlu’s products, according to the Post.

In a bid to assure the world that Chinese products are safe, China’s national quality watchdog chief inspection official Xiang Yuzhang told reporters in Beijing: ” There is no problem.”

” It has been brought under control, more or less. There are no more problems in the market. As far as I know, there will be no more bad news.”

China’s quality control agency said on it’s website ( http://www.aqsiq.gov.cn ) that 235 samples of carton milk and drinking yogurts produced since last Sunday and sold across the country had shown no signs of melamine.

Chinese Premier Wen Jiabao told an audience in New York that China would strive to bring its food safety standards up to international levels, describing as a painful lesson the more than 50,000 children sick from drinking chemical-laced milk, which also left four dead.

Speaking to China, where United States and European officials were attending seminars on product safety, Ms Nancy Nord, acting head of the US Consumer Products Safety Commission, said: ” The melamine situation just underscores the message that we are trying to deliver, and that is you have to know what’s coming into your factory and what’s going out of your factory.”

Yesterday, Mr Li Weiyi, a spokesman for the Cabinet-level Taiwan Affairs Officers, issued a public apology to consumers in Taiwan as the authorities there ordered China-made milk products and vegetables-based proteins off store shelves.

Taiwanese officials say at least seven Taiwanese companies have imported contaminated proteins from China. They say the proteins are made from corn or other vegetables but may be mixed with tainted milk products to improve their favour.

Global consumer goods giant Unilever also said it had removed its Lipton green milk tea product from store shelves in Taiwan as it might have used tainted milk from Chinese companies.

Taiwanese President Ma Ying-jeou yesterday called for the creation of a food safety hot-line with China.

Further away, British supermarket chain Tesco removed White Rabbit Creamy Candies from its shelves after tests elsewhere found traces of melamine in the Chinese-made sweets.

From Ivory Coast in West Africa to Tanzania in the east, governments have also joined the list of countries blocking Chinese milk imports over concerns that they could be contaminated.

Sanlu Group, the Hebei-based dairy at the centre of the scandal, will not recover from the damage it has suffered, its New Zealand partner said yesterday.

The Chinese government has now taken control of Sanlu –43 per cent owned by New Zealand’s Fonterra Cooperative –and shut down its operations, Fonterra Chief Executive Andrew Ferrier said at a briefing.

According to the Cabinet probe, Sanlu had received complaints about its infant formula as early as December last year. It discovered melamine in its milk powder in June but did not alert the government officials until Aug 2.

Nitrogen-rich melamine has been added to substandard or watered-down milk to fool quality checks, which often use nitrogen levels to measure the amount of protein in milk.

Reuters, Associated Press

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WHO–Melamine and Cyanuric acid: Toxicity, Preliminary Risk Assessment and Guidance on Levels in Food for everyone

Last reviewed/updated
25 September 2008
Melamine-contamination event, China, September 2008

Melamine and Cyanuric acid: Toxicity, Preliminary Risk Assessment and Guidance on Levels in Food

http://www.who.int/foodsafety/fs_management/Melamine.pdf

25 September 2008

Description of the event

Nearly 40 000 cases of kidney stones in infants with three deaths (and one unconfirmed) related to the consumption of melamine-contaminated powdered infant formula have been reported from across China as of 21 September 2008. Almost 12 900 are currently hospitalized. Kidney stones in infants are very rare.

While the exact onset date of illness resulting from contamination and the beginning of the contamination itself remain unknown, a manufacturer (Sanlu) received a complaint of illness in March 2008.

Chinese media reported at the beginning of September that Sanlu brand infant formula produced by Hebei-based Sanlu Group was contaminated with melamine. Sanlu’s powdered infant formula is widely consumed by infants across China because the product is relatively affordable compared to others.

Following inspections conducted by China’s national inspection agency, at least 22 dairy manufacturers across the country were found to have melamine in some of their products.

Two companies, Guangdong Yashili and Qingdao Suokang, exported their products to Bangladesh, Burundi, Myanmar, Gabon and Yemen. While contamination in those exported products remains unconfirmed, a recall has been ordered from China.

Other countries, however, have also reported finding melamine in dairy products manufactured in China.

So far, contamination has also been found in liquid milk, frozen yogurt dessert and in coffee drink. All these products were most probably manufactured using ingredients made from melamine contaminated milk.

In 2007, melamine was found in pet feed manufactured in China and exported to the United States of America, and caused the death of a large number of dogs and cats due to kidney failure.

Melamine contamination

Presentation of melamine

Melamine is a chemical compound that has a number of industrial uses, including the production of laminates, glues, dinnerware, adhesives, molding compounds, coatings and flame retardants. Melamine is a name used both for the chemical and for the plastic made from it. In this event, all references are to the chemical. There are no approved direct food uses for melamine, nor are there any recommendations in the Codex Alimentarius. Melamine is illegally added to inflate the apparent protein content of food products. Because it is high in nitrogen, the addition of melamine to a food artificially increases the apparent protein content as measured with standard tests.

Source of the contamination

In this event, contamination appears to have happened as fraudulent contamination in primary production. Chinese government officials have pinpointed milk collecting stations as the sites where the melamine was added. According to Sanlu, contaminated milk was used in the manufacture of powdered infant formula processed before 6 August 2008 and the tainted milk powder has also been used in the manufacture of a number of other products.

Contamination levels

There are a total of 175 infant formula manufacturers across China, of which 66 have halted production and the remaining 109 manufacturers have undergone inspection due to the current events of melamine contamination. The inspections’ results presented by the Administration of Quality Supervision, Inspection and Quarantine (AQSIQ) show evidence of the presence of melamine. Out of 491 batches tested, 69 of them, produced by 22 companies, tested positive for Melamine.

According to the State Council of China, the levels found in the batches ranged between 0.09 mg/kg and 619 mg/kg. Batches from the company Shijiangzhuang Sanlu Co. contained the highest levels, up to 2563 mg/kg.

Toxicology of melamine

Based on the previous incidents of melamine contaminated pet food and the development of kidney stones and subsequent acute kidney failure in cats and dogs, it appears that melamine and its structural analogues, such as cyanuric acid, may act together to form crystals. This crystal formation occurs at very high-dose levels and is a threshold and concentration dependent phenomenon, which would not be relevant at low levels of exposure (US FDA/CFSAN Interim Melamine and Analogues safety/risk assessment http://www.cfsan.fda.gov/~dms/melamra.html).

Exposure

Consumer exposure to melamine is considered to be low, but may occur through the extraction of melamine from compression moulds by acidic foods, such as lemon or orange juice or curdled milk, at high temperature. Taking into account these sources the estimated oral uptake of melamine is around 0.007 mg melamine/kg/day (OECD 1998).

Toxicity of melamine

Melamine is not metabolized and is rapidly eliminated in the urine. No human data could be found on the oral toxicity of melamine but there are data from animal studies. These show the compound to have a low acute toxicity, with an oral LD50 in the rat of 3161 mg/kg body weight. In animal feeding studies, high doses of melamine have an effect on the urinary bladder, in particular causing inflammation, the formation of bladder stones and crystals in the urine. Analysis of the bladder stones has shown that these are a mixture of melamine, protein, uric acid and phosphate. Animal studies have generally not shown any renal toxicity or the formation of kidney stones.

Carcinogenicity

The International Agency for Research on Cancer (IARC) has concluded that there is sufficient evidence in experimental animals for the carcinogenicity of melamine under conditions in which it produces bladder stones. There is inadequate evidence for carcinogenicity in humans.

Role of melamine in the formation of kidney stones

Animal data have not shown that melamine alone causes renal failure or the formation of kidney stones. Evidence from an earlier outbreak of acute renal failure in cats and dogs associated with contaminated pet food suggests that a combination of melamine and cyanuric acid does cause renal toxicity. Both of these compounds were found in the pet food together with other triazine compounds. Subsequent experimental studies in animals have shown that when they are fed a mixture of melamine and cyanuric acid this causes the formation of crystals in the tubules of the kidneys, eventually blocking them and causing renal damage and renal failure. The source of the cyanuric acid in the pet food was unknown but it may have been present as a contaminant of the melamine that had been illegally added to wheat gluten used in formulating the petfood. In the current event in China, the presence of cyanuric acid has not yet been confirmed.

Health-based Guidance Values

Following the petfood incident in 2007 described above, several authorities have preformed preliminary risk assessments.

The US FDA has published an interim safety/risk assessment on melamine and structural analogues and has established for melamine a tolerable daily intake TDI of 0.63 mg per kg of body weight per day.

The European Food Safety Authority has published a provisional statement and recommended to apply a TDI of 0.5 mg per kg of body weight per day as tolerable intake value for melamine.

Epidemiology and treatment

Suggested surveillance case definition

Identification of possible cases related to the consumption of melamine-contaminated products from China

Member States should be aware of the possible distribution of the contaminated products either through formal or informal channels, because of the large quantities involved and the seriousness of the public health consequences of this event. The period of production of contaminated product is uncertain and the incriminated raw material and products may have been exported as infant formula or other milk containing products to other Member States. Therefore WHO is suggesting this surveillance case definition to Member States to increase their awareness of signs that their population may be affected.

Clinical description

The following symptoms have been observed in infants affected by the melamine-contaminated infant formula in China:

  • Unexplained crying in infants, especially when urinating, possible vomiting
  • Macroscopic or microscopic haematuria
  • Acute obstructive renal failure: oliguria or anuria
  • Stones discharged while passing urine. For example, a baby boy with urethral obstruction with stones normally has dysuria
  • High blood pressure, edema, painful when knocked on kidney area

WHO experts believe an additional symptom may be unexplained fever arising from urinary tract infections/bacteraemia secondary to urine stasis resulting from obstruction.

Surveillance case definition

A case is defined as an infant with kidney stones or other kidney problems (e.g. anuria, renal failure) having consumed powdered infant formula produced in China before 6 August 2008, and where other potential causes of kidney stones have been excluded by differential diagnosis.

Treatment

The World Health Organization has agreed to circulate the information contained herein regarding the treatment plan that is being implemented in China by the Ministry of Health. The information below does not reflect the rules, regulations, policies and guidelines of the World Health Organization.

The following regimen has been issued by the Ministry of Health, China.

Clinical manifestations

  • Unexplained crying, especially when urinating, possible vomiting
  • Macroscopic or microscopic haematuria
  • Acute obstructive renal failure: oliguria or anuria
  • Stones discharged while passing urine. For example, a baby boy with urethral obstruction with stones normally has dysuria
  • High blood pressure, edema, painful when knocked on kidney area

Key diagnostic criteria

  • Been fed with melamine-contaminated infant milk formula
  • Having one or more of the above clinical manifestations
  • Laboratory test results: routine urine tests with macroscopic or microscopic haematuria; blood biochemistry; liver and kidney function tests; urine calcium/creatinine ratio (usually normal); urinary red blood cell morphology shows normal morphology of red blood cells (not glomerular haematuria); parathyroid hormone test (usually normal).
  • Imaging examination: preferably ultrasound B exam of urinary system. If necessary, abdominal CT scan and intravenous urography (not to be used in case of anuria or renal failure). Kidney radionuclide scans can be used where available to evaluate renal function.
  • Ultrasound examination features:
    • General features: bilateral renal enlargement; increased echo on solid tissue; normal parenchyma thickness; slight pyelectasia and calicectasis; blunt renal calyx. If the obstruction locates in the ureter, then the ureter above the obstruction point dilates. Some cases have edema with perinephric fat and soft tissue around the ureter. As the disease develops, the renal pelvis and ureter wall may have secondary edema. A few cases have ascites.
    • Stone features: most stones affect the collecting system and ureters on both sides. Ureteral stones are mostly at pelviureteral junction, the part where the ureter passes across iliac artery, and ureter-bladder junction. Stones stay collectively, covering massive areas. Lighter echo in the background. Most stones are different from the calcium oxalate stones. Urinary tract is mostly completely obstructed by the stones.

Differential diagnosis

  • Haematuria differentiation: need to rule out glomerular haematuria.
  • Stone differentiation: the stones are normally radiolucent and have a negative image on urinary tract x-ray. This feature differentiates the stones from those of radiopaque stones of calcium oxalate and calcium phosphate.
  • Differentiation of acute renal failure: need to rule out pre-renal and renal failure.

Clinical treatment

  • Immediately stop using melamine-contaminated infant formula milk powder.
  • Medical treatment: use infusion and urine alkalinization to dispel the stones. Correct the water, electrolyte and acid-base imbalance. Closely monitor routine urine tests, blood biochemistry, renal functions, ultrasound findings (with particular attention to the renal pelvis, ureter expansion, and the change of the stones in shape and location). If the stones are loose and sand-like, they are very likely to be passed out with urine.
  • Treatment of complicated acute renal failure: priority should be given to the treatment of life-threatening complications such as hyperkalemia. Measures include the administration of sodium bicarbonate and insulin. If possible, blood dialysis and peritoneal dialysis can be used early. Surgical measures can be taken to remove the obstruction if necessary.
  • Surgical treatment: if medical treatment is not effective, and hydrocele and kidney damage present, or blood dialysis and peritoneal dialysis are not available in case of renal failure, surgical methods can be considered to remove the obstruction. Stones can be removed by different methods including cystoscope retrograde intubation into the ureter, percutaneous kidney drainage, surgical removal and percutaneous kidney stone removal. Extracorporeal shock wave lithotripter (ESWL) is greatly limited in its application, because the stones are loose and mainly composed of urate, and the patients are infants.

Follow-up

Once the urinary obstruction is relieved, and the general condition and renal function and urination are back to normal, the children can be discharged.

Key issues to follow-up

Urine routine tests; ultrasound of urinary system; renal function tests; IVP (intravenous pyelogram) if necessary.

Actions taken by INFOSAN

INFOSAN is working directly with Ministry of Health (MoH), China in collaboration with the WHO Country Office in China. Through the INFOSAN Emergency surveillance system, WHO has learned of the contamination of infant formula with melamine and requested further information about the event on the 11 September 2008. MoH confirmed on 12 September 2008 that incriminated products from the Sanlu Company had not been exported and provided WHO with a description of the development of the event. Through further interaction between INFOSAN and MoH the issue of potential other use of the contaminated milk powder as well as parallel (illegal) distribution of contaminated milk powder was raised. An INFOSAN alert was subsequently distributed to the entire network on the 16 September 2008 alerting members of the event and of the possibility of contaminated products finding their way to other markets.

INFOSAN has several times during the past week, kept the entire network informed of developments in relation to this event as well as additional information on other products being found contaminated, information about the toxicity of the melamine and other information to help Member States better understand and assess the potential risks associated with melamine contaminated products.

The Chinese authorities, in their on-going investigation, discovered that 2 producers found to have products contaminated with melamine had exports going to five countries, INFOSAN informed these five countries of the situation.

http://www.who.int/foodsafety/fs_management/infosan_events/en/print.html

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