Opinion adopted by the BIOHAZ Panel related to the microbiological risks in infant formulae and follow-on formulae
    European food safety authority
  http://www.efsa.eu.int/science/biohaz/biohaz_opinions/691_en.html

   
  The Department of Health and Food Standards Agency have issued revised guidance on the preparation and storage of infant formula milk. (UK)
  http://www.food.gov.uk/news/newsarchive/2005/nov/infantformulastatementnov05
   
  However this bottle feeding leaflet for parents is rather vague, & doesn't suggest giving ready made formula to premature, immunosuppressed or newborn babies under 4 weeks of age:-(((
  http://www.dh.gov.uk/assetRoot/04/12/36/20/04123620.pdf
   
   
  >Has it been found that this organism is added to the PIF when it is 
>reconstituted?  I understood that the powder actually contained the 
>bacterium in the can before reconstitution.
   
  I agree, the PIF is contaminated in the factory, so each & every unopened &
  sealed pack of formula, is a potential threat to vulnerable babies (above & beyond the other known risks of infant formula)

>If the PIF that contains A sakazakii is reconstituted hygienically, it 
>will simply be a growth medium for the bug.  How will that help?
   
  It's more than just being hygienic, but using freshly drawn & boiled water that is still above 70 degrees celcius, at the time of making up the feed, & also making up a fresh bottle every feed, rather than 24 hours supply in advance. 
  Milk made in this way will scald a babies mouth, so needs to be made up then quickly cooled down.
  To realistically do this every 2-3 hours, with a hungry baby wailing in the background, is unlikely to encourage parent compliance!
   
  With a bit of luck it may encourage some potential bottle feeders, to see how convenient bf is in comparison (forever hopeful!)


>>From the upcoming April 1st issue of Clinical Infectious Diseases 
>>2006;42:996-1002:
>>Enterobacter sakazakii: An Emerging Pathogen in Powdered Infant Formula

>>D. Drudy, N. R. Mullane, T. Quinn, P. G. Wall,2 and S. Fanning

>>Enterobacter sakazakii represents a significant risk to the health of 
>>neonates. This bacterium is an emerging opportunistic pathogen that is associated >>with rare but life-threatening cases of meningitis, necrotizing enterocolitis, and >>sepsis in premature and full-term infants. Infants aged <28 days are considered to >>be most at risk. Feeding with powdered infant formula (PIF) has been >>epidemiologically implicated in several clinical cases. Infants should be 
>>exclusively breast-fed for the first 6 months of life, and those who are not should be >>provided with a suitable breast-milksubstitute. PIF is not a sterile product; to reduce >>the risk of infection, the reconstitution of powdered formula should be undertaken by >>caregivers using good hygienic measures and in accordance with the product >>manufacturer's food safety guidelines.

>>Sounds like a good reference to use for the risk management of powdered formula >>giveaways and for powdered formula use in general.
>>Laurie Shornick, Ph.D.

 
Sheila Company (UK)
  Health Visitor, NCT BFC & IBCLC


Sheila Company

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html