Colleagues: Although there have been a very few case reports of infants with enterobacter sakazakeii infection, presumably from contamination of the powdered formula, the whole issue of the "danger" of powdered formula and powdered fortifiers has been way overblown. Although I would wish that no infant, child or adult die from foods or medications, it happens, and it is not always preventable. It is typical of USA thinking that "some-one" has to be to blame and the huge number of lawsuits over ridiculous things testifies to this. We tend to lose sight of the big picture and the public health implications when we make blanket statements like "no infant less than 2 months old should receive powdered formula", especially in the USA where our water is clean and plentiful. In 30 years as a neonatologist I have never seen a case of sepsis, meningitis, NEC or other infection due to a powdered formula/fortifier contaminant. I have seen 3 infants die of NEC/sepsis due to pathogens in the mothers' milk. Should I ban human milk? Nancy Nancy E. Wight MD, IBCLC, FABM, FAAP Neonatologist, San Diego Neonatology, Inc. Medical Director, Sharp HealthCare Lactation Services Sharp Mary Birch Hospital for Women and Newborns [log in to unmask] (mailto:[log in to unmask]) BREASTFEEDING: Your Baby's Best Health Insurance *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome