And of course it is so important to distinguish between exclusive and any breastfeeding...of all the interventions that are available to decrease child mortality enabling exclusive and continued breastfeeding is the most effective.
Karleen Gribble
Australia

To: [log in to unmask]
Subject: Re: IF YOU ARE REALLY POOR IT MATTERS EVEN MORE>

In actually, Habicht J-P, DaVanzo J, & Butz WP.  Mother’s Milk and Sewage.  Their Interactive Effects on Infant Mortality.  Pediatrics. 1988;81 (3) 456-520. they found that the relative risk of infant death was 2.5 fold higher among infants who were not breastfed and in households with flush toilets and piped water than those who did breastfeed.   This climbed to 2.7 fold higher among infants who were not breastfed and lived in households with flush toilets and no piped water compared to those who were breastfed.  Here's the kicker -- the relative risk climbed to 5 fold higher among infants who were not breastfed and lived in households without flush toilets or piped water.  

So, the take message is that you have a much higher risk of death among babies who are not breastfed than those who are even in areas where water and sanitation are good and that risk of death is much higher when sanitation is poor.  

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