At 08:17 AM 2/14/97 -0500, you wrote:

>Subject: I need help proving BM is not Dairy
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>
>Oh boy, this one is from the dark ages.  So you need evidence to prove 
>that breastmilk is not dairy.  Like asking for proof that a horse is 
>not a goat.  "Find me the studies that a horse is not a goat".
>
>The first thing you should do is ask them where the proof is that you 
>need to stop breastfeeding when the baby has diarrhea or vomiting.  
>There ain't any.  Burden of proof for the intervention, remember?   
>
>Then you could continue with all the evidence of antimicrobial factors 
>in breastmilk.  There are lots of studies around.  Use the Scientific 
>American article (December 1995) for this crowd since it is not 
>complicated.  Original studies with numbers and statistics might be 
>too difficult for this group who probably have trouble with subtle 
>concepts like 2 + 2.  Here are some articles anyway.
>
>Duffy LC, Byers TE, Riepenhoff-Talty M, La Scolea L, Zielezny M, Ogra 
>PL. The effects of infant feeding on rotavirus-induced 
>gastroenteritis. A prospective study. Am J Pub Health 1986;76:259-63

>Hanson LA, Lindquist B, Hofvander Y, Zetterstrom R. Breastfeeding as a 
>protection against gastroenteritis and other infections. Acta Pediatr 
>Scand 1985;74:641-2
>Ruiz-Palacios GM, Calva JJ, Pickering LK, Lopez-Vidal Y, Volkow P, 
>Pezzarossi H, et al. Protection of breastfed infants against 
>Campylobacter diarrhea by antibodies in human milk. J Pediatr 
>1990;116:707-13
>Cruz JR, Gil L, Cano F, Caceres P, Pareja G. Breastmilk 
>anti-Escherichia coli heat labile toxin IgA antibodies protect against 
>toxin-induced infantile diarrhea. Acta Pediatr Scand 1988;77:658-62
>Gillin FD, Reiner DS, Wang C-S. Human milk kills parasitic intestinal 
>protozoa. Science 1983;221:1290-2
>France GL, Marmer DJ, Steele RW. Breastfeeding and Salmonella 
>infection. Am J Dis Child 1980;134:147-52
>Haffejee IE. Cow¹s milk-based formula, human milk and soya feeds in 
>acute infantile diarrhea: A therapeutic trial. J Pediatr Gastroenterol 
>Nutr 1990;10:193-8
>Lerman Y, Slepon R, Cohen D. Epidemiology of acute diarrheal diseases 
>in children in a high standard of living rural settlement in Israel. 
>Pediatr Infect Dis J. 1994;13:116-22
>Howie PW, Forsyth JS, Ogston SA, Clark A, Du V Florey C. Protective 
>effect of breastfeeding against infection. Br Med J 1990;300:11-6
>Duffy LC, Riepenhoff-Talty M, Byers TE, La Scolea LJ, Zielezny MA, 
>Dryja DM et al. Modulation of rotavirum enteritis during 
>breastfeeding. Am J Dis Child 1986;140:1164-8
>Haddock RL, Cousens SN, Guzman CC. Infant diet and salmonellosis. Am J 
>Pub Health 1991;81:997-1000
>Jones EG, Matheny RJ. Relationship between infant feeding and 
>exclusion rate from child care because of illness. J Am Dietetic Assoc 
>1993;93:809-11
>MacFarlane PI, Miller V. Human milk in the management of protracted 
>diarrhea of infancy. Arch Dis Child 1984;59, 260-65
>Yoshioka H, Ken-ichi I, Fujita K. Development and differences of 
>intestinal flora in the neonatal period in breastfed and bottle fed 
>infants. Pediatrics 1983;72:317-21
>Hernell O, Ward H, Blackberg L, Pereira MEA. Killing of Giardia 
>lamblia by human milk lipases: An effect mediated by lipolysis of milk 
>lipids. J Infectious Diseases 1986;153:715-20
>Andersson B, Porras O, Hanson LA, Lagergård T, Svanborg-Edén C. 
>Inhibition of attachment of Streptococcus pneumoniae and Haemophilus 
>influenzae by human milk and receptor oligosaccharides. J Infectious 
>Diseases 1986;153:232-7
>Bell LM, Clark HF, Offit PA, Slight PH, Arbeter AM, Plotkin SA. 
>Rotavirus serotype-specific neutralizing activity in human milk. Am J 
>Dis Child 1988;142:275-8
>Schroten H, Lethen A, Hanisch FG, Plogmann R, Hacker J, Nobis-Bosch R 
>et al. Inhibition of adhesion of S-Fimbriated Escherichia coli to 
>epithelial cells by meconium and feces of breastfed and formula fed 
>newborns: mucins are the major inhibitory component. J Pediatr 
>Gastroentero Nutr 1992;15:150-8
>Walterspiel JN, Morrow AL, Guerrero ML, Ruiz-Palacios GM, Pickering 
>LK. Secretory anti-Giardia lamblia antibodies in human milk: 
>protective effect against diarrhea. Pediatrics 1994;93:28-31 
>Torres O, Cruz JR. Protection against Campylobacter diarrhea: role of 
>milk IgA antibodies against bacterial surface antigens. Acta Pediatr 
>Scand 1993;82:835-8 
>Pickering LK, Morrow AL, Herrera I, O¹Ryan M, Estes MK, Suilliams SE, 
>et al. Effect of maternal rotavirus immunization on milk and serum 
>antibody titers. J Inf Dis 1995;172:723-8
>
>
>You could further continue by stating that a study from the Hospital 
>for Sick Children showed you don't even have to stop formula when a 
>baby has diarrhea.  See similar article by Haffejee above.
>
>Finally, you could say that Unicef and WHO have put out statements on 
>continuing breastfeeding during diarrhea, so has the Canadian 
>Pediatric Society, and, so, probably has the American Academy of 
>Pediatrics.
>
>If you can't convince them with that, you don't have the persuasive 
>powers of the formula company rep. Take them to lunch and pay for it.
>
>Jack Newman, MD, FRCPC
>Date:    Fri, 14 Feb 1997 07:23:13 EST
>From:    "Jeanette F. Panchula" <[log in to unmask]>
I wish my articles were as well referenced as Dr. Newman's. However, I will
just add my current personal anecdote of nursing (literally in both senses)
my daughter through 5 days of rotavirus and 7% dehydration by weight.  Done
the way recommended for "developing countries" - breastmilk add lib, oral
rehydration fluid by dropperful (OK I used a 5 cc syringe) and no IV
rehydration. Large savings to the health care system, much happier baby and
rest of family that mommy was home and no iatrogenic complication. (Slightly
tired mom - but it was worth it)