For Nikki Lee and her Haitian patient, Please ask the Mom the source of her 
cheese. 
We have had patients who have come down with Listeria from unpasteurized 
cheeses from out of the country or from goats and animals kept in a home area.  We 
had one Mom who nearly died and so did her baby. 
Our Haitian population in South Florida doesn't understand breastfeeding in 
our culture and theirs is a very limited time of breastfeeding because the 
child often is sent to relatives or parents must go out to work.
In Haiti parents may leave children on benches in hopes someone will take 
child in.
One of the coworkers eventually adopted a child left in the city.  She paid a 
family to care for it until they could get papers for the child to come to 
USA.  She opened our eyes to many cultural aspects of that society in Haiti and 
among immigrants in SFl.
They are gentle thoughtful and polite people who live in fear of deportation 
even though many are legal.
Thoughtfully,
Leanne Jewell, RNC, IBCLC, LCCE, FACCE

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