I believe that the numbers we see will vary in different regions and
countries.  Two forces that I think have affected us are environmental
contaminants, and infertility treatments.  The first may well play into the
need for the second as it interferes with reproductive hormones. I've often
joked, only it seems more real than joke, that it must be in the water in my
area because I see more than anyone should rightly see.  My area is largely
agricultural, which comes with all the most modern farming methods, for
better and for worse. How else do you explain a grandmother with
well-developed breast tissue nursing a two year old while her older teen
daughter makes maybe a half-ounce and has horrendously misshapen breasts
that also don't respond to pregnancy much? And the twenty-something young
mother from Mexico whose own mother breastfed them all, but whose baby gets
10g at a really good feeding from breasts like the teen mother?   

It is my hope that we will not doubt or undermine the observations of anyone
in their various locales. Some areas really do have little true
insufficiency, while other areas seem to exhibit more. The question to ask
is not *if* it exists or *if* it is on the rise, but why--- which has become
a major quest for me. 

~Lisa Marasco

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