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Subject:
From:
Pamela Morrison <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 14 Jan 2010 21:25:19 +0000
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Hi Pat, Actually HIV prevalence in Haiti is not very high - it's 
2.2%.  On the other hand, the Infant Mortality rate is 60/1000, and 
the U5 Mortality rate is 80/1000, see 
http://apps.who.int/globalatlas/predefinedReports/EFS2008/full/EFS2008_HT.pdf 
The new WHO Rapid advice is clear in recommending EBF in 
resource-poor settings up to 6 months and continued BF up to 12-24 
months, even in the context of HIV, unless it's clear that 
alternative feeding is safe., see WHO 2009,  Rapid advice: revised 
WHO principles and recommendations on infant feeding in the context of HIV
<http://www.who.int/child_adolescent_health/documents/hiv_if_principles_recommendations_112009.pdf>http://www.who.int/child_adolescent_health/documents/hiv_if_principles_recommendations_112009.pdf 


Pamela Morrison IBCLC
Rustington, England
--------------------------------
Before we jump all over the people who are trying to help in Haiti, let's
remember that mothers and babies are probably  separated with one or the
other surviving.  The rate of HIV/Aids is very high in Haiti.  Wet nursing
is probably not appropriate under the circumstances.  Until it gets sorted
out a bit, formula for babies without a mom is a necessity.  The key is
seeing that it isn't given to dyads that are intact

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