Baby 411 E-Newsletter

Baby 411 October E-News: H1N1 update, Tamilfu, where are you? Flu myths, Baby Einstein

2009-10-30T11:48:38Z

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BABY 411 NEWS UPDATE
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
October 2009

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In this newsletter:
1. H1N1 Disease
2. Looking for Tamiflu liquid?
3. Looking for H1N1 Vaccine?
4. Top myths of the week
5. Baby Einstein offers refunds!

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1. H1N1 Disease

H1N1 infection is widespread across 46 states, so more of you are familiar with this disease now. My hometown has been seeing H1N1 disease for about five weeks solid. And the good news is we are finally seeing fewer kids with this illness. However, it continues to spread. It is a minor illness for a vast majority of people who get it. But, a small number of people (even those who would not be expected to get very sick) are getting very sick—and that’s why the vaccine cannot come soon enough to reduce the spread of this infection.

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2. Looking for Tamiflu liquid?

If your child needs to take Tamiflu, you may discover that the liquid form is hard to find. You are not alone! No surprise, there is a shortage since the demand is so high. If your child needs it, there are a couple of options:

• Option #1. Find a pharmacy that will “compound” or make up the liquid suspension for you. Ask your medical provider for a suggested pharmacy.

• Option #2. Get a prescription for the capsule form (it comes in 30mg, 45mg, and 75mg capsules). You can open the capsule and place the granules into a teaspoon or two of chocolate syrup, pudding, or applesauce. Just make sure your little one eats the entire spoonful.

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3. Looking for H1N1 Vaccine?

The vaccine continues to trickle in to doctors’ offices.

Note for Dr Brown’s and Capital Pediatrics patients: We are offering H1N1 Nasal spray to anyone who wants it and is eligible to receive it. We just received a small amount (320 doses) of the H1N1 shot, which we are trying to prioritize for children ages 6 months to 2 years of age and those patients who are high-risk and not eligible to receive the nasal spray form of the vaccine. (That is, until we get more supply of the shot form, which should be coming in soon.) The injectable vaccine we received is Sanofi brand and they are multi-dose vials (which means several doses of vaccine are contained in each vial). This version does contain a small amount of thimerosal as a preservative. Despite that, I still encourage families to get their kids vaccinated with this shot. If you are concerned about thimerosal, here are some key stats:

• Children 6 months to under 3 years old, Sanofi multidose flu vaccine: 0.0125 mg ethyl mercury (thimerosal)

• Children 3 years old and up, Sanofi multidose flu vaccine: 0.025 mg ethyl mercury (thimerosal)
By comparison, 1 liter of breast milk contain 0.015 mg methylmercury and a 5 oz can of tunafish has 0.115 mg of methylmercury. Both contain more mercury!

Here are some other key points:

* The H1N1 shot can be given to anyone who is 6 months and older.
* If your child received seasonal flu shot or Flumist, there is no time interval required between that vaccine and this one. In fact, the H1N1 shot can be given at the same time as the seasonal flu shot or Flumist.
* Kids under 10 years of age need 2 doses given 28 days apart for best protection.
* It takes about 2 weeks to mount an immune response to the vaccine.

Who cannot get this vaccine?

* People who have a severe allergy to chicken eggs.
* People who have had a severe reaction to an influenza vaccination.
* People who developed Guillain Barre Syndrome within 6 weeks of getting an influenza vaccine previously.
* Children younger than 6 months of age
* People who have a moderate-to-severe illness with a fever (they should wait until they recover to get vaccinated.)

Note for all readers: If your doctors’ office has the H1N1 nasal spray, there are only certain people can get this vaccine. So, be sure to check out our blog at www.baby411.com to find out if your child can get this form of the vaccine. It will save you time and potential frustration if you review this information before showing up for a vaccine appointment!

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4. Top myths of the week

Q. Is it true that getting the seasonal flu vaccine puts you at greater risk of getting H1N1 infection? No. We think this urban legend originated in Canada, but it has no scientific data or merit.

Q. Is it true that people with diabetes should not get any form of the H1N1 vaccine? No. Diabetics are not eligible for the live nasal spray form of the vaccine, but they can get the injectable (shot) form. And, they should get the vaccine because they are at greater risk of developing complications from infections.

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5. Baby Einstein offers refunds!

Speaking of lack of scientific data…Disney, the parent company of Baby Einstein videos, may have finally admitted that their videos don’t make your baby any smarter. These videos have been marketed for years as “educational” without one study ever proving that. Based on a complaint to the Federal Trade Commission about these claims, Disney will offer a $15.99 refund to any parent whose child did not get into Harvard after viewing these videos. Okay, we’re kidding on that—they will give you a refund if you are not completely satisfied! This event is a reminder that the American Academy of Pediatrics discourages media use in kids under age two for a reason. Your baby’s time is better spent doing other things.

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Have a safe, fun Halloween!
Dr Ari Brown and Denise Fields
Authors, BABY 411 * TODDLER 411

Baby 411 E-Newsletter Baby 411 E-News: H1N1 Vaccine Arrives! What you need to know

2009-10-15T19:37:02Z

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BABY 411 NEWS UPDATE
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
October 15, 2009

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Hi everyone:

H1N1 Vaccine! It’s here!!

The first batch of the H1N1 vaccine is arriving at doctors’ offices and clinics around the country (including mine). I want to give all of you the 411, but I also have specific information for patients in my practice. Here are 12 things you need to know about H1N1 vaccine.

Tip #1. What version is coming? The first batch of vaccine being distributed is the live-attenuated H1N1 nasal spray (just like the Flumist for the seasonal flu strains).

Tip #2. How much is coming? Doctors’ offices will only receive a small batch on the first distribution (my office will only have 500 doses), but medical providers will get more shipments and the injectable (shot) H1N1 vaccine in the coming weeks.

Tip #3. Who can get it? There are only certain people who are eligible to receive the nasal spray form of the vaccine. Here are the people who qualify:
---2 years old to 49 years old
---Healthy (no medical problems like asthma, heart disease, neurologic disease, etc)
---No history of wheezing in the past 12 months
---Normally functioning immune system (no immune deficiencies)
---Not currently ill with a moderate to severe illness (yes, it is okay to get the vaccine with a minor cold or mild fever)
---Not pregnant
---Not allergic to eggs
---No prior history of Guillain-Barre Syndrome
---Have not taken any antiviral medication (Tamiflu, Relenza) in the past 48 hours
---Is not taking aspirin or aspirin-containing medication
---Have not received any other live attenuated vaccine (MMR, chickenpox, or Flumist) in the past 4 weeks*

WORTH REPEATING: THERE MUST BE AT LEAST 28 DAYS (4 WEEKS) BETWEEN RECEIVING FLUMIST (OR MMR/CHICKENPOX) AND H1NI NASAL SPRAY TO ENSURE AN EFFECTIVE IMMUNE RESPONSE.

Tip #4. Who should get it first? The first children who should get the nasal spray form of the vaccine are healthy 2-3 year olds (especially if they have a younger sibling who is less than 6 months old in the house, a pregnant mom, or family member with an underlying health issue). Since the vaccine is in very short supply initially, the Centers for Disease Control recommends that those most in need of the vaccine get the vaccine first. I would bet most practices will simply ask patients to follow the honor system.

Tip #5. When should everyone get it? As more supply becomes available, anyone who wants to get the vaccine should be able to get it. It will also be easier when the injectable (shot) form is available because that can be given to anyone 6 months of age or older who does not have an egg allergy.

Tip #6. How much will it cost? There is no charge for the vaccine itself, but there may be an administration fee that most insurance companies will cover.

Tip #7. How many doses are necessary? Kids under age 10 need two doses of H1N1 vaccine (either nasal spray or the shot form) to mount an effective immune response. The recommended interval between the first dose and the booster dose will probably be 4 weeks, but I will let you know if that changes.

Tip #8. Is there any red tape? Yes. All patients who receive the H1N1 vaccine are required to read the vaccine information statement and fill out a questionnaire before receiving the vaccine. And, medical staff must record each H1N1 vaccine given in a special tracking system for the state health department. (In English: this may take a few minutes!)

Tip #9. For Dr Brown’s patients and patients of Capital Pediatrics Group: How will it be administered? We will begin offering the H1N1 nasal spray vaccine on Monday, October 19, 2009. Due to the anticipated high demand, we will offer H1N1 or seasonal flu vaccine by appointment only during weekday office hours. Starting on Friday, October 16, 2009, we will begin scheduling nurse/vaccine appointments for Monday, October 19, 2009 and beyond. We only have 500 H1N1 doses to start, but we’ll be receiving shipments regularly. We will book appointments for children to receive the doses that we have on hand. Each child in a family needs to have an appointment to receive the vaccine. Please review Tip #3 above to see if your child qualifies to receive the nasal spray vaccine.

Tip #10. Should I/my child get it? Yes, you should get this vaccine. No, I’m not worried about it at all.

Tip #11. Where do I get more info? For more info on the H1N1 vaccine, go to the Centers for Disease Control website at cdc.gov. And, the state of Texas offers flu updates if you call 211.

Tip #12. Why is the seasonal flu vaccine in short supply? Because flu vaccine manufacturers are prioritizing the distribution of the H1N1 vaccine, many medical practices have not received the bulk of their seasonal flu vaccine supply yet. The good news: The U.S. is really only seeing the H1N1 strain of flu virus right now and the “usual suspects” (our seasonal flu virus strains) have not arrived yet. Understanding that may help lessen your frustration with your doctors’ office! When it is available, you should get this vaccine, too.

Stay well!

Dr B and Denise Fields
Authors, Baby 411

Baby 411 E-News: Special Swine Flu Vaccine Edition

2009-09-22T15:39:43Z

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BABY 411 NEWS UPDATE: Swine Flu Vaccine
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
September 2009

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Hello readers:

You've got swine flu vaccine questions----we've got the answers!

AVAILABILITY

Q. Do doctors have swine flu vaccine yet?

No. Medical providers have not received their shipment of swine flu vaccine yet. We anticipate getting the first shipment in mid-October. The U.S. plans to have 195 million doses of H1N1 (swine flu) vaccine, but it will be distributed in several batches on a weekly basis.

Q. Will the vaccine be a shot or a nose spray?

The answer is yes: there will be both forms of the vaccine. The FDA has approved three flu shots from three manufacturers and one nasal spray from another manufacturer.

Q. What is the difference between the three H1N1 shots?

All three vaccines protect against just one strain of influenza—H1N1. They will NOT protect against the other flu strains we typically see in the fall and winter season. They are all inactivated vaccines. And like the seasonal flu vaccines, these vaccines are created with egg product, so people with egg allergies need to steer clear.

Here are the key differences:

CSL Brand: FDA approved for people who are 18 years and older.

Novartis Brand: FDA approved for children four years of age and older. Kids under ten years old will need a series of two doses, given one month apart.* People ten years of age and older need one dose for protection. There are two forms of this shot:
-Single dose in a pre-filled syringe: uses thimerosal in the manufacturing process but then it is extracted before the final production.
-Multi-dose vials: uses thimerosal as a preservative

Sanofi Brand: FDA approved for children six months of age and older. Kids under ten need a series of two doses, given one month apart.* People ten years of age and older need one dose for protection. There are two forms of this shot—a single dose in a pre-filled syringes and a multi-dose vial. Both products are thimerosal preservative free.

*The dosing interval may be shortened if studies show adequate protection with shorter spacing between doses.

Q. What do I need to know about the vaccine nasal spray?

The nose spray is similar to the Flumist vaccine used for seasonal flu vaccine. It is a live-attenuated vaccine. Because it is a live vaccine, there are certain people who cannot get this vaccine. It is also made with egg product. It does not have any preservative.
Medimmune makes the H1N1 nasal spray. It is FDA approved for healthy people two years old up to 49 years of age. It will be a series of two doses, given one month apart for kids under 10. It will be one dose for people 10 years of age and up.

Here are some specific people who should NOT get the NASAL vaccine spray: pregnant women, people with asthma, people with immune deficiencies, and those with underlying medical conditions.

Q. If my child is taking Tamiflu, can he get the H1N1 nose spray?

Not while he is on the medication. If someone is taking an antiviral (such as Tamiflu), he should not receive the nasal spray until it has been at least 48 hours after completing the medication. And, if a person receives the nasal spray, he should not take an antiviral (such as Tamiflu) for two weeks after being vaccinated unless it’s medically necessary. That’s because the medication will reduce the ability for the vaccine to work.

Q. Will doctors’ offices get all forms of the vaccine?

It’s possible we will get different forms as the distribution progresses. My practice has not received any specific information yet. But, we think the first batch we receive will be the nose spray. That means that we will be able to offer that vaccine only to children at least two years of age.

Q. Can my child get both the seasonal flu vaccine and the H1N1 vaccine?

Yes, it’s a good idea to get both vaccinations. The seasonal flu vaccine (both shot and Flumist nose spray) is available now. The H1N1 vaccine will be available in a few weeks.

Key Point: Live-attenuated flu vaccines (the nose sprays) must be given at least four weeks apart so you have an adequate immune response to the vaccinations. So, if your child gets Flumist over the next few weeks, he has to wait a full four weeks to get the H1N1 nose spray. Consider that before getting Flumist right now. You will also need to wait four weeks between the H1N1 nose spray, Flumist, and other live-attenuated vaccines like MMR or Varicella.

There is not a special time interval to receive seasonal flu shot and H1N1 shot.

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SAFETY CONCERNS

Q. Are these new vaccines safe?

Yes. Think of it this way—every year the seasonal flu vaccine is a “new” vaccine because manufacturers take their cookbook recipe for the vaccine and add the flu strains that are predicted to be the ones we see in the annual flu season. That is the same way the H1N1 vaccine is made. The only difference this time is that H1N1 is the strain they are using in the recipe.

If it makes you feel any better…as a healthcare provider on the front line, I will be one of the first to get the vaccine. I have no worries about it! In fact, I can’t wait to get it—since I am seeing a ton of kids everyday with this illness.

Q. Should I worry if my child can only get a flu shot that uses thimerosal preservative?

No. There will be a priority for pregnant women and children to receive the preservative free version of the flu vaccine. But, if the only flu vaccine available is one that uses thimerosal in the manufacturing process or has a tiny amount in the final product, it is still a good idea to get the vaccine. Despite all the hype, there is not any substantial proof that thimerosal is harmful in any way.

Q. Does this vaccine contain aluminum or any adjuvant?

No. Adjuvants are products that increase a body’s immune response to a vaccine. Other countries have used (since 1997) and will use flu vaccines that contain an adjuvant, but the U.S. never has done this and the four FDA approved H1N1 flu vaccines are adjuvant-free.
This has been a bit of a debate because using an adjuvant makes it easier to create more vaccine to meet the demand.

Q. Is there a risk of getting Guillain-Barre Syndrome from the vaccine?

Guillain-Barre Syndrome (GBS) is a very rare disorder that causes the body to damage its own nerve cells, resulting in temporary muscle weakness. Most people recover completely. The risk of getting it is about 1 or 2 in 100,000 whether or not you get a flu vaccine. The risk of getting GBS specifically from the flu vaccines are about 1 in one million.

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Stay tuned to baby411.com for updates. We will send out a note when the vaccine actually arrives in doctors’ offices.

And, check out the CDC website for the nitty-gritty details on swine flu vaccine.

http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm181950.htm

That's the news form here! Be sure to watch our blog for updates:

http://baby411.typepad.com/

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Dr. Ari Brown, Denise Fields
Authors, BABY 411
http://www.baby411.com

Baby 411 E-News: Last day to get free shipping!

2009-08-28T11:11:56Z

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BABY 411 NEWS UPDATE
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
August 2009

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Final day to get FREE SHIPPING on the new edition of BABY 411!

Here’s your last chance to get FREE SHIPPING on our brand new, 4th edition of Baby 411! Order by midnight tonight (August 28th) and you get free standard shipping ($3 value) on our book:

https://windsorpeak.com/orderform20.html

The book is in stock and shipping now!

Here's a quick look at what's new in the 4th edition of BABY 411:

• Environmental hazards---what you need to know and how to avoid them. We look at easy and affordable ways to reduce your baby's exposure to eco hazards.

• The 411 on Vitamin D. You've seen the headlines---now read our tips on how to make sure baby is getting enough Vitamin D!

• Vaccine myths and realities. We tackle the latest concerns and give you the solid, science-based advice you need to make this important decision for your baby's health.

• The latest research on solid foods (when can baby have peanut butter?), expanded advice on breastfeeding and more!

Click here to order:

https://windsorpeak.com/orderform20.html

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Best wishes,

Denise Fields & Ari Brown
Authors, BABY 411 * TODDLER 411

Baby 411 E-News: Pre-order the new 4th edition of Baby 411 today and get free shipping!

2009-08-07T12:19:56Z

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BABY 411 NEWS UPDATE
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
August 2009

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Great news! We've got a brand new 4th edition of BABY 411 on the way!

It’s expanded, updated and revised---packed with the most up-to-date info on your baby’s health!

Here's a quick look at what's new:

• Environmental hazards---what you need to know and how to avoid them. We look at easy and affordable ways to reduce your baby's exposure to eco hazards.

• The 411 on Vitamin D. You've seen the headlines---now read our tips on how to make sure baby is getting enough Vitamin D!

• Vaccine myths and realities. We tackle the latest concerns and give you the solid, science-based advice you need to make this important decision for your baby's health.

• The latest research on solid foods (when can baby have peanut butter?), expanded advice on breastfeeding and more!

SPECIAL DEAL: The new 4th edition will be released August 24. Pre-order a copy today and get FREE standard shipping (a $3 value)! OR save over $12 when you order Baby 411 with any of our other parenting books!

Click here to order:

https://windsorpeak.com/orderform20.html

Here’s a quick Q&A on the new edition:

Q. What is the deadline to get the free shipping offer?

Order the book before August 24 to get FREE standard shipping! You can save even more when ordering Baby 411 along with Baby Bargains and Toddler 411. Order all three and save over $12.

Q. When will the new Baby 411 be in bookstores?

The 4th edition of BABY 411 will arrive in bookstores in early September. It will be available at Barnes & Noble, Borders as well as other local bookstores.

Q. Amazon says it won’t be out until September 25. Is that right?

No, Amazon will start shipping it in late August.

Q. I’ve got several baby showers coming up. Is there a way to buy your books in bulk?

Funny you should ask that---yes, there is! Save up to 50% when you order as few as 12 copies (such as 6 Baby 411 and 6 Toddler 411 books). You get a great deal and take care of your gift-giving in one easy step. Click here for details and pricing:

https://windsorpeak.com/orderform22.html

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Thanks again for reading our book!

Denise Fields & Ari Brown
Authors, BABY 411 * TODDLER 411

Baby 411 Breaking news: HIB booster shot is back!

2009-06-25T17:50:40Z

(Whoops! We had a formatting error with the first email we sent out! So we are re-sending it again. Apologies!)

The Centers for Disease Control announced today that medical providers can now resume giving the much needed HIB booster shot to toddlers.

HIB stands for Haemophilus Influenzae B. It's a bacterial infection that can cause meningitis and serious throat swelling (epiglottitis) among other things. There has been a nationwide shortage of this vaccine for quite a while now, and as a result, the limited supply was being given only to infants who had no protection against the disease. Toddlers who had already gotten their primary vaccination series have had to wait on their booster dose.

Here are the official recommendations:

• Infants should receive their primary Hib series at ages 2, 4 and 6 months, and a Hib booster dose on time at 12 through 15 months of age.

<b>• Older children for whom a Hib booster dose was deferred should receive the Hib booster at the next routinely scheduled visit or medical encounter.</b>

• Mass recall of children for their catch-up Hib booster dose is not recommended at this time because physicians may encounter supply problems during such a massive recall.

"Updated Recommendations for Use of Haemophilus influenzae Type b (Hib) Vaccine: Reinstatement of the Booster Dose at Ages 12-15 Months," MMWR, June 26.

I highlighted the bullet point above so that every toddler in my practice doesn's show up at my office tomorrow morning asking for a HIB shot! I know with my own practice it will take a little time to get additional HIB vaccine in our office from our supplier. That will probably be the case for your doctor's office as well.

So, what does that mean for you?

If you have a child who is 12-15 months old, he will get his HIB booster just like he would have normally.

If you have a child who is between the ages of 18-36 months, ask your doctor if your child is due to get his HIB booster next time you are in for an office visit. Medical providers will be trying to catch all these kids when they come in for sick or well child visits, but you can help us remember!

Best wishes,
Dr. Ari Brown and Denise Fields
Authors Baby 411

http://www.baby411.com

Baby 411 Breaking news: HIB booster shot is back!

2009-06-25T17:04:29Z

The Centers for Disease Control announced today that medical providers can now resume giving the much needed HIB booster shot to toddlers. HIB stands for Haemophilus Influenzae B. It's a bacterial infection that can cause meningitis and serious throat swelling (epiglottitis) among other things. There has been a nationwide shortage of this vaccine for quite a while now, and as a result, the limited supply was being given only to infants who had no protection against the disease. Toddlers who had already gotten their primary vaccination series have had to wait on their booster dose. Here are the official recommendations: � Infants should receive their primary Hib series at ages 2, 4 and 6 months, and a Hib booster dose on time at 12 through 15 months of age. � Older children for whom a Hib booster dose was deferred should receive the Hib booster at the next routinely scheduled visit or medical encounter. � Mass recall of children for their catch-up Hib booster dose is not recommended at this time because physicians may encounter supply problems during such a massive recall. "Updated Recommendations for Use of Haemophilus influenzae Type b (Hib) Vaccine: Reinstatement of the Booster Dose at Ages 12-15 Months," MMWR, June 26. I highlighted the bullet point above so that every toddler in my practice doesn's show up at my office tomorrow morning asking for a HIB shot! I know with my own practice it will take a little time to get additional HIB vaccine in our office from our supplier. That will probably be the case for your doctor's office as well. So, what does that mean for you? If you have a child who is 12-15 months old, he will get his HIB booster just like he would have normally. If you have a child who is between the ages of 18-36 months, ask your doctor if your child is due to get his HIB booster next time you are in for an office visit. Medical providers will be trying to catch all these kids when they come in for sick or well child visits, but you can help us remember! Best wishes, Dr. Ari Brown and Denise Fields Authors Baby 411 http://www.baby411.com

BABY 411 E-NEWS: High-allergenic foods, whole milk, car seat advice, HIB vaccine booster

2009-04-15T21:44:43Z

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BABY 411 and TODDLER 411 NEWS UPDATE: April 2009
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
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What’s in this issue?
1. When should baby try high-allergenic foods?
2. Update: whole milk and toddlers—advice has changed!
3. Car seat safety: How long should your child ride rear-facing?
4. Update on HIB vaccine booster
5. Baby 411 now available at Target!

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Hello again!

Yes, we know it has been a while since we sent out a full-fledged newsletter. Please forgive our silence. We are emerging from hibernation after updating the latest Baby Bargains, 8th Edition (now on sale at all major bookstores and online). We’ve also been busy updating Baby 411 for a revised 4th edition, due this fall.

There have been several newsworthy items for parents of babies and toddlers, so we wanted to pass them your way.

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1. When should baby try high-allergenic foods?

As we’ve discussed on our blog (http://baby411.typepad.com/baby_411_blog/), researchers have found some evidence that EARLIER introduction to high-allergy foods (like peanut products) may actually REDUCE the risk of having a food allergy. This is the exact opposite of what has been accepted wisdom for many years!

Based on this, the American Academy of Pediatrics Nutrition Committee has changed their recommendations. They now say that infants over six months of age can try a variety of foods such as seafood, shellfish, eggs, peanut products, and nut products.

Wow—that is a major change. We do suggest you discuss this with your baby’s doc as she may have her own opinions and suggestions based on your child and family’s health history. And, remember to only offer one new food every few days so you can identify which food is a problem, if there is one.

Note: Honey is still taboo until after one year of age. It’s the botulism risk, not a food allergy that makes it off limits.

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2. Update: whole milk and toddlers—advice has changed.

Here’s another surprise change, brought to you by the AAP Nutrition Committee again and the American Heart Association. Previously, it was recommended that all toddlers from age one to two years of age drink whole milk. The reason? Toddlers need more fat in their diets to promote their rapid brain development.

However, our obesity epidemic is rooted in a problem starting early in life: Many toddlers already get way too much fat in their daily diets. So there is no need for whole milk on top of this.

Hence, the new recommendation states that you and your child’s doctor should decide if your 1 to 2 year old should drink whole or 2% milk. This decision is based on your child’s growth chart and his diet.

Once he turns two, your child should drink what the rest of the family is drinking—that should be nonfat or 1% milk. Sorry, folks, the extra milk fat isn’t healthy for anyone in the house.

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3. Car seat safety: How long should your child ride rear-facing?

When is the right time for your child to go from rear-facing to forward-facing in his convertible car seat? The current recommendation from the American Academy of Pediatrics (which dates back to 2002) is after your child weighs 20 lbs and after his first birthday.

However, newer studies suggest that kids are actually safer to be rear-facing until TWO years of age. Rear-facing seats provide better support to the back, head, neck, and pelvis. Many parents worry that a child may have a leg injury if a car accident occurs when he is rear-facing. This is more a perception than a reality, based on actual crash evidence. And, leg injuries are much less serious than one to the head, neck, or spinal cord.

While the official AAP recommendations have not changed (revised policy statements take quite some time), the President of the AAP, Dr Dave Tayloe, comments that pediatricians should, “encourage parents to keep their children in rear-facing car seats as long as they do not exceed the size limits of the car seats.”

FYI: We review the latest convertible car seats in our book, BABY BARGAINS (http://www.babybargains.com). If you want to keep your baby rear-facing to age 2, be sure to pick a seat with a higher rear-facing limit (35 pounds is a good). Unfortunately, not all seats work to 35 pounds rear-facing!

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4. Update on HIB vaccine booster

As many of you know, there is an ongoing shortage of an important vaccine that protects against one form of bacterial meningitis, HIB—Haemophilus Influenzae B. Infants are receiving their primary protective vaccines for it. But toddlers have to wait on their booster shots until the shortage resolves.

There is no official word yet when the vaccine shortage will be over, but it may be this summer. Please stay tuned to our website, enews, blog, and now on our twitter account (follow us at twitter.com/baby411) and we will be sure to let you know when the shortage is over. Ask your child’s doctor if your toddler will need to get the booster
shot(s) of HIB.

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5. Baby 411 now available at Target!

Yes, we all love Target for their great deals and affordable kids clothes. Here’s one more reason to love the place: You can now pick up a copy of Baby 411 for your next friend’s baby shower at your local Target store!

Happy Spring!

Dr Ari Brown, and Denise Fields
Authors, BABY 411 * TODDLER 411

Baby 411 Breaking news: Meningitis outbreak kills baby in Minnesota, sickens four

2009-01-23T14:12:10Z

Meningitis outbreak kills baby in Minnesota, sickens four

The Centers for Disease Control issued an alert today for an outbreak of bacterial meningitis caused by HIB (Haemophilus Influenzae B) that killed a baby and hospitalized four other children in Minnesota.

HIB is a bacteria that attacks infants and young children more than older kids and adults. Because the infection can be fatal, HIB vaccine was developed and used for almost 20 years now as part of the routine immunization schedule.

Because of a vaccine supply shortage, HIB vaccine has been given preferentially to infants and a booster dose for toddlers has been deferred until the vaccine supply increases (anticipated to be in June 2009).

Minnesota is reporting an outbreak of five cases of HIB--one child, whose parents chose not to vaccinate, has died. Of the five cases, three of the children were not immunized due to parental concern about vaccines and the desire to delay or space out vaccinations. Minnesota hasn't seen this many cases of HIB since 1991.

The current recommendation is that babies complete a primary series of vaccinations for HIB. That means babies should get a dose of HIB vaccine at 2, 4, and 6 months of age. Even though the vaccine supply is limited, protection should be adequate to cover the most vulnerable.

The take-home message: for those parents who think they can skip vaccinations and hope their community will protect their child against serious infection, think again. Please remember these diseases are real and dangerous.

For those of you with kids under a year of age, make sure your baby gets his first three doses of HIB vaccine. For parents of kids with toddlers, watch for updates this summer when the HIB booster should be available.

Watch our blog for news updates on this story:
http://baby411.typepad.com/baby_411_blog/

(New: You can get an email or text message when we update the blog---go to the blog, enter your email address at right and hit "Get Email Updates" button. That will bring you to a new screen, where you can choose to get updates via email, instant message, Skype or Twitter.)

--
Ari Brown, Denise Fields
Authors, BABY 411

Baby 411 E-News: Dr. Ari Brown on Rachael Ray this Wednesday Sept 17, plus formula recall and more news

2008-09-15T16:09:04Z

Baby 411 E-News: Dr. Ari Brown on Rachael Ray this Wednesday Sept 17, plus formula recall and more news

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: September 2008
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. Dr. Ari Brown to appear (again!) on Rachael Ray Show this Wednesday, Sept. 17!
2. Breaking news: Chinese formula recalled after deaths
3. More stories now on our blog: measles outbreak, MMR and autism, alternating Tylenol and Motrin for fever, the debate over BPA and more!

=====================================

1. Dr Ari Brown to appear on Rachael Ray Show, Wednesday September 17th!

Ever see a wacky baby product and wonder if it really works? Well, the folks at Rachael Ray have been wondering that too—so the show has launched a new feature: Human Lab: Baby products!

Watch three moms test new products on their babies—and watch our own Dr. Ari Brown as the expert during this segment!

Check out http://www.rachaelrayshow.com/ for when the show airs in your hometown, inside scoop on the show, and Dr. Ari’s tips. And here’s a link for more info on this specific episode:

http://www.rachaelrayshow.com/show/view/565/

Set the TiVo! Tell your friends! Again, that is this Wednesday, September 17.

======================================

2. Breaking news: Chinese formula recalled after deaths

The Food and Drug Administration issued an advisory last week warning people to avoid using infant formula made in China. You won't find this formula at traditional grocery stores or at megamarts because it is illegal to sell it in the U.S. However, you might find a can or two at ethnic grocery stores. The concern? It may be contaminated with melamine, a product found in plastic. Melamine ingestion can cause kidney stones and other kidney problems. Two deaths have been linked to the tainted formula.

======================================

3. Our blog is brimming with new articles:

* The BPA debate:
http://baby411.typepad.com/baby_411_blog/2008/09/nih-vs-fda-bpa-debate-too-many-letters.html

* Should I alternate Tylenol and Motrin for fever?
http://baby411.typepad.com/baby_411_blog/2008/09/alternating-tylenol-and-motrin-for-fever.html

* American kids get an A for getting their shots
http://baby411.typepad.com/baby_411_blog/2008/09/americas-kids-get-an-a-for-getting-their-shots.html

* MMR and autism: yet another study shows NO link.
http://baby411.typepad.com/baby_411_blog/2008/09/mmr-studied-again-no-link-to-autism-found.html

* The Great Measles Outbreak of 2008
http://baby411.typepad.com/baby_411_blog/2008/09/measles-outbreak-2008.html

Be sure to subscribe to the RSS feed of our blog to get the latest breaking news!

===========================================

Well, that’s it from the home office of Baby 411! Thanks again for reading our book,

Dr. Ari Brown and Denise Fields
Authors, BABY 411
http://www.baby411.com

Does this toddler sound familiar?

2008-07-03T18:25:09Z

The boss? The biter? The food thrower? The graffiti artist?

Yes, it is the secret joy of all toddlers----driving their parents crazy.

But now you have a secret weapon: TODDLER 411. Good news: our best-selling book on toddlers has just been REVISED, UPDATED, and EXPANDED!

Yes, we have a brand new edition of TODDLER 411 set to debut in September. And here's the deal: we are offering our readers an EARLY BIRD DISCOUNT of free shipping (a $3 value). PLUS: you get your book in August, a month before it hits bookstores!

Here’s what’s new in the 2nd edition of TODDLER 411:

• 20 Toddler “Moments”: learn the tricks to dealing with 20 common toddler behaviors with proven strategies from veteran parents and an expert pediatrician.

• The LATEST medical news and research on asthma, fluoride, how to treat drug-resistant bugs like Staph and more.

• The RED FLAGS for autism: how to spot it and other developmental delays. What specialists do you need to see? What are the treatment options? Our new EXPANDED section on autism will show the way.

• More on VACCINES: you have questions, we have answers. We’ll discuss the hot buttons (Alternative vaccine schedules? Green vaccines?) and provide you with the latest SCIENCE on vaccines.

ORDER a copy of the new SECOND EDITION OF TODDLER 411 by July 31 and we’ll give you FREE STANDARD SHIPPING (a $3 value). TODDLER 411 is $13.95.

We’ll ship your book the week of August 4th (allow 7-10 days for arrival). The new TODDLER 411 will be available in bookstores later in September.

Click here to order:

https://windsorpeak.com/orderform20.html

Or call 800-888-0385.

Thanks for reading our books and have a happy 4th!

--
Denise Fields & Ari Brown
authors, BABY 411 * TODDLER 411

Baby 411 E-News: Dr. Ari Brown on Rachael Ray this Thursday April 24! Plus toxic baby bottles, measles outbreak

2008-04-22T10:59:43Z

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: April 2008
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?
1. Dr. Ari Brown to appear on Rachael Ray Show this Thursday!
2. Breaking news: Are polycarbonate baby bottles toxic?
3. Measles outbreak

===================

1. Dr Ari Brown to appear on Rachael Ray Show, Thursday, April 24th.

Having trouble getting your child to sleep? Or trouble weaning her off the bottle? This is one show you don’t want to miss! Dr. Ari is in the house to help actress and mom, Leah Remini, with these issues. Check out http://www.rachaelrayshow.com/ for when the show airs in your hometown, inside scoop on the show, and Dr. Ari’s tips. And here’s a link for more info on this specific episode:

http://www.rachaelrayshow.com/show/view/454/

Set the TiVo! And tell the neighbors! Again, that is this Thursday, April 24.

===================

2. Breaking news: Are polycarbonate baby bottles toxic?

Are certain plastic baby bottles dangerous? Last summer, we reported that an independent review panel assigned by the National Institute of Environmental Health Sciences and the National Toxicology Program had
“some concern” about the chemical used to make polycarbonate bottles, Bisphenol A (BPA), potentially causing neurologic and behavioral problems in fetuses, infants, and children.

The National Toxicology Program issued another report last week that continues to express concern over the current levels of human BPA exposure in fetuses, infants, and children on the nervous system, mammary glands, prostate gland, and early puberty in girls. They recommend that further research is necessary. These concerns are based on similar levels of exposure in animals, but “the possibility that BPA may alter human development cannot be dismissed.”

Well, that was enough for Wal-Mart to announce that it will stop selling BPA containing baby bottles in U.S. stores by 2009. In Canada, Wal-Mart immediately pulled all BPA containing baby bottles and sippy cups from their stores in Canada. Health Canada, the country’s health regulatory agency, is anticipated to list BPA as a toxic substance soon—this will lead to a ban on the import or sale of polycarbonate bottles in Canada.

Playtex, one of the leading baby bottle manufacturers, juste announced it would phase out its current baby bottle line and offer only BPA-free products in 2009.

If you want to take a look at the official report from the National Toxicology Program (or need something to help you fall asleep), here’s the link to the whole story:

http://cerhr.niehs.nih.gov/chemicals/bisphenol/BPADraftBriefVF_04_14_08.pdf

So, what’s a parent to do? If you are a parent-to-be, this is an easy call. Just buy BPA-free products. If you already own an entire bottle collection, we suggest you toss ‘em and start fresh. Yes, we know this is an inconvenience—but if you think about it, buying replacement bottles would run only $50 to $100. When it comes
to safety, we think this is a worthwhile investment. And, in the grand scheme of baby care costs, this is relatively cheap!

What if you don’t want to give up your polycarbonate bottles? While we don’t recommend that option, to lower the amount of BPA that may leach out, avoid heating the bottles in a dishwasher, microwave, or sterilizer. And, toss out any baby bottles that are cracked. Again, we believe the safest course is to replace the bottles with BPA-free alternatives.

Here’s a recap from our previous Enewsletter on BPA alternatives:

Here are the baby bottle alternatives that are BPA-free:

• Use glass bottles. Obviously, there is a risk of injury to baby or
mom if the bottle is dropped, so glass isn’t a perfect alternative. Evenflo makes glass bottles.

• Use bottles made of opaque plastic. These bottles (made of
polyethylene or polypropylene) do not contain BPA. Example: Medela’s bottles and breast pump collection kits.

• Consider a BPA-free plastic bottle. Born Free makes a BPA-free
clear plastic bottle (Newbornfree.com) sold at Whole Foods. But these cost
about $10 each, twice the price of Avent bottles.

• Use a drop-in system. For example the Playtex Drop-in System is BPA
free (that is, the bottle liners do not contain BPA). Avent’s Tempo
liners are another example.

Pictures of BPA-free bottles are here:

http://www.windsorpeak.com/babybargains/BPAFREEbottles.html

Also: a great blog with an extensive guide to BPA-free baby products is Zrec’s:

http://zrecs.blogspot.com/2008/02/z-report-on-bpa-in-infant-care-products.html

Q. Is there a way to tell if a bottle has BPA?

A. Unfortunately, it isn’t easy. Here’s a general guide:

BAD:
• Bottles that have a #7 on their recycling label most likely are
made of polycarbonate (and contain BPA).

GOOD:
• Bottles that have a #2, #4 , #5 are made of polyethylene or
polypropylene—these do NOT have BPA.

Q. What about sippy cups?

A. Basically, the same advice applies: avoid those made of polycarbonate. Sippy cups made of opaque plastic are fine. Thermos has a new line of metal sippy cups—these are BPA free.

Q. What about breast-pump collection bottles?

A. Again, avoid polycarbonate bottles (Avent Isis is an example) and choose BPA-free options. For example, all of Medela’s bottles are made from BPA-free plastics.

===================

3. Measles outbreak: California, Arizona, New York, and Hawaii.

Four states have reported cases of measles since January 2008. Thanks to the success of our national vaccination program, measles is relatively rare in the U.S. However, measles occurs more commonly in other countries. Switzerland and Israel are both in the midst of measles epidemics.

The first child diagnosed with measles in California was unvaccinated by parent choice. He returned from a trip to Switzerland with measles. He then infected 10 other unvaccinated children—his siblings, school friends, and three babies, too young to be vaccinated, who were exposed to the child in the doctor’s waiting room. Of the 11 cases, one baby was hospitalized. Measles cases have also been reported in Arizona, Hawaii, and New York in April, 2008. The child diagnosed in New York was too young to be vaccinated, and had just returned from Israel.

Measles is not just your average virus. It can cause pneumonia, encephalitis, and even death. And the highest rate of complications is in children under five years of age.

Take home message: Measles vaccine is routinely administered at 12-15 months of age, for a reason. Please get your child vaccinated.

===================

Well, that’s it from the home office of Baby 411 & Toddler 411. Happy Spring!

Dr. Ari Brown and Denise Fields

BABY 411 E-NEWS: Larry King Live update

2008-04-02T10:56:49Z

We wrote to you earlier this week with news of an appearance by Baby 411 co-author Dr Brown on CNN’s Larry King Live show tonight.

Unfortunately, Dr. Brown has been bumped off tonight’s show. But we urge you to still tune in to the show, which will focus on the autism/vaccine debate!

Thanks again for reading our book.

Best wishes,

Denise Fields, Ari Brown MD
Authors, BABY 411

BABY 411 E-NEWS: Dr. Ari Brown on Larry King Live this Wednesday April 2!

2008-03-31T17:26:08Z

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: April 2008
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

BABY 411 co-author Dr. Ari Brown on Larry King Live this Wednesday April 2!

Do vaccines cause autism? Watch Dr. Ari Brown debate actress Jenny McCarthy on this hot topic this Wednesday (April 2) on CNN’s Larry King Live at 9pm Eastern, 6pm Pacific! Set the TiVo and pass this email on to your friends!

Read Dr. Brown’s blog for the latest on her appearance and this topic:

http://baby411.typepad.com/

And for more info on Baby 411, click here:

http://www.baby411.com

Best wishes,

Denise Fields & Ari Brown
Authors, BABY 411

BABY 411 E-news: Is baby shampoo safe? Plus: infant car seat recall, flue season, acid reflux, toys and lead

2008-02-05T11:03:02Z

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: February 2008
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. Is baby shampoo safe?
2. Infant car seat recall
3. Flu season is here
4. RES-Q Wedge for acid reflux
5. More on toys and lead

=====================================
1. Is baby shampoo safe?

A study in the February issue of Pediatrics found babies and young children who used baby shampoo, baby lotions, and baby powders had a chemical called phthalates in their urine.

Phthalates (pronounced Thal-ATEs) are used to make PVC plastics soft, and as solvents/fixatives in fragrances/cosmetics/other hygiene products. Previous concerns about phthalates focused on toys like teethers.

The big news here is that phthalates are in baby care products like baby shampoo and lotions—and that the chemical is being absorbed into the skin, metabolized in the body, and then eliminated. In this case, the phthalate in question is diethyl phthalate (DEP), which is a component in fragrance in some baby care products.

So, is this a concern? Are these products safe? Unfortunately, this study leaves many unanswered questions—the study did NOT say how much shampoo/lotion/powder was used or how long it was left on the skin. Because phthalates are used for so many things and are released into the environment when they are produced, used and disposed of, their traces can be found in floor dust, food, soil, indoor air, and even breastmilk. Hence, babies in this limited study could have absorbed phthalates from other sources, since the researchers did not control for other possible exposure.

Are there any adverse health effects from phthalate exposure? We don’t know. Animal studies show that phthalates mimic natural sex hormones which, in turn, can disrupt the normal hormone pathways in the body. Phthalates also have cancer causing potential in animals. But, so far, none of these effects have been identified in humans.

For the record, the baby care products industry says DEP is safe: “DEP has been extensively researched and is not linked to reproductive toxicity or endocrine disruption.”

Currently, manufacturers are not required to list phthalates on their ingredients list. So, even if you wanted to avoid these products, it might be difficult to know what to avoid. Some manufacturers of “natural” baby care products state they are phthalate-free in their product literature.

But . . . as we noted in our book Baby 411, some natural baby care products contain highly allergenic ingredients (we found one baby lotion with nut oils—something you should NOT put on baby’s skin). See page 73 for a detailed discussion. The take-home message: read the labels carefully!

Bottom line: there’s no need to panic and throw out the baby shampoo. But now we know that these products contain phthalates and that babies can absorb them through the skin, it makes sense to consider limiting exposure. Therefore, consider baby care products that are fragrance free—or seek out shampoo or lotion that is labeled as phthalate-free (unfortunately, these are usually more expensive).

We also urge makers of baby care products and toys to disclose which items contain phthalates. Like our discussion last year of polycarbonate bottles, consumers should have choices if they seek to avoid these chemicals.

=====================================
2. Infant Car Seat Recall

Evenflo issued a voluntary recall on 1 million of their Discovery infant car seats (Models 390, 391, 534, 552) that were made between April 2005 and January 29, 2008. Tests have shown that the seat can separate from the base in high-impact side collisions. Evenflo will provide the affected model car seat owners a supplemental dual-hook fastener to keep the seat attached to the base. According to their website, “call Evenflo at 1-800-356-2229 between 8 AM and 5 PM EST or visit www.evenflo.com/Discovery. No shipping costs will be incurred and orders will arrive in approximately 3 to 4 weeks. In the meantime, consumers should continue to use their Discovery infant car seat and there is no need to return it to retailers.”

=====================================
3. Flu season is here

Flu season is in full swing in the United States and will probably be peaking in the next few weeks. At our practice, if anyone comes in with a fever of 102 or greater without some other good excuse for it, it’s flu until proven otherwise! Fever, body aches, chills, and headache tend to be the first clues of flu. The cough and runny nose come later.

If your child does have the real deal—influenza virus—and is one year of age or older, there is a treatment option. It’s called Tamiflu, and it is an antiviral medication that specifically shortens the duration of symptoms of Influenza A and B. The medication must be started within 48 hours of symptoms, though, to do any good.

So, if you think your child might have the flu, see you child’s doctor sooner rather than later. If you do end up using Tamiflu, one word of warning—about 15% of children have nausea or vomiting with the medication. And, it tastes pretty bad (new this year: capsules for lower weight kids if they can swallow a pill). We suggest giving bread or a cracker before giving the medication.

=====================================
4. RES-Q Wedge to the Rescue

There’s a new product for babies who suffer from acid reflux. It’s a sleep wedge designed by a pediatric occupational therapist that may help reduce the nighttime symptoms (code phrase for everyone gets more sleep!) when a child is sleeping flat. There are other sleep wedges out there, but a few things we like about this one are a) insurance companies may cover part/all of the cost of the wedge as durable medical equipment, b) the product is made with a nest area for the head that helps reduce the dreaded flat head and c) it’s adaptable to grow with your child. To get more info, go to www.azream.us/catalog26.html

=====================================
5. Toxic Toys update

Many of you scrambled over the holiday season to buy lead-free toys for their kids and wrote in, asking for advice on what to buy. Even if you wanted to avoid all toys made in China, it’s nearly impossible to do. Even Ikea’s toys are made in China (hmm, that makes us wonder if their Swedish meatballs come from China too)! Since you may be getting a few things for your little Valentine, here are some tips from Dr. Michael Shannon, co-director of the Pediatric Environmental Health Center at Children’s Hospital, Boston.

• DON’T buy non-brand toys.
• DON’T buy toys from discount shops or private vendors.
• DON’T buy old or used toys.
• DON’T buy costume jewelry for young children.

What you need to know about lead exposure and toys is that lead will not be absorbed through skin that is intact and is not inhaled. So, unless your kid is mouthing, chewing, or swallowing the lead-laden toys, the risk of exposure is pretty low.

=====================================
Thanks again for reading Baby 411!

Denise Fields & Dr. Ari Brown
Authors, BABY 411 * TODDLER 411

Got a toddler? Then you need TODDLER 411! The secrets of toddlers, de-mystified! Learn more at http://www.toddler411.com

BABY 411 E-NEWS: New message boards debut; holiday gift set special

2007-12-11T17:24:28Z

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: December 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?
1. New message boards debut!
2. Holiday special: A BABY & TODDLER 411 gift set with a FREE gift box!

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

1. New message boards debut!

Great news! We have just debuted new message boards on our web site!

http://www.windsorpeak.com/vbulletin/forumdisplay.php?f=3

This new software will let you quickly search for advice, tips, product reviews and more! If you’ve never seen our boards, we have one of the busiest parenting boards online—12,000 parents and nearly 800,000 posts. Surf the boards to find:

• The latest news and reviews on car seats and strollers.

• Parenting advice and support—get help on potty training, temper tantrums and more.

• New friends. With over 12,000 members, you’re surely to find another parent who is struggling with the same issue or decision you are! Pop by the Baby Bargains Lounge to join in the discussion.

Drop by today:

http://www.windsorpeak.com/vbulletin/forumdisplay.php?f=3

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

2. Holiday special: A BABY & TODDLER 411 gift set with a FREE gift box!

Looking for that perfect gift for a friend or co-worker who is pregnant? How about a gift set with our best-selling books, BABY 411 and TODDLER 411? Only $25.90—and that includes a free gift box! Just add a bow and poof! Instant gift.

• To have your order arrive by Dec 24, please order by Saturday Dec 15.

• Please select our PRIORITY MAIL shipping ($9.95) to insure delivery by Dec 24.

• If you don’t need the gift set to arrive by Dec 24, we are offering FREE standard shipping! (Delivery takes 7-10 business days).

Order here via our secure web site:

https://windsorpeak.com/orderform20.html

Thanks again for reading our books!
Happy holidays!

Denise & Alan Fields
Authors, BABY BARGAINS * BABY 411 * TODDLER 411
http://www.baby411.com

BABY 411 E-news: Flu vaccine, Jenny McCarthy, Autism report, Cough and cold meds, Crib bumpers

2007-10-29T11:19:41Z

BABY 411 E-news: Flu vaccine, Jenny McCarthy, Autism report, Cough and cold meds, Crib bumpers

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: November 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. Flu vaccine: what’s new for 2007
2. The New McCarthyism: Vaccines under fire.
3. Autism Report from the AAP
4. Cough and cold meds.
5. Are crib bumper pads safe?

==============

1. Flu vaccine: what’s new for 2007.

It’s time for you and your kids to get your flu vaccine for the upcoming winter season. Flu vaccine supply should be plentiful this year, so you won’t have an excuse to miss getting vaccinated. Many practices (like mine) are offering flu shots and Flumist, a live-inactivated vaccine nasal spray.

The exciting news this year (yes, this is what we pediatricians get excited about—sad, I know) is that the Flumist nasal spray has been FDA approved for healthy kids, TWO years of age and up—previously it was only approved for kids over age five. Babies can get the flu shot starting at six months of age.

==============

2. The New McCarthyism: Vaccines under fire!

And, speaking of vaccines…. Odds are, you saw Jenny McCarthy’s face last month, as she pitched her new book about her journey with her son’s autism. Since you know us, you know we cannot sit here and let her medical inconsistencies go unchecked!

Jenny has been telling the world her child was a normal toddler until he received his MMR vaccine and yet, she points out in her book that she missed the early signs (as early as five months of age, when he smiled at her for the first time when it should have happened around two months). She also believes that mercury in vaccines cause autism. The childhood vaccination program went mercury-preservative free in 2001, and her son was born in 2002. While we are proud of her for being such an advocate for her child, using her soapbox to scare the heck out of parents about vaccines is irresponsible and dangerous.

And adding insult to injury: McCarthy’s book claims that autism steals a child’s soul—an assertion many parents with autistic kids take great offense at!

Check out our blog to see Dr. Brown’s rebuttal to Ms. McCarthy, which was published in the Wall Street Journal on October 27, 2007:

http://baby411.typepad.com/baby_411_blog/2007/10/the-new-mccarth.html

==============

3. AAP publishes Autism Report

The American Academy of Pediatrics released a whopping 50 page report (complete with over 500 references!) today on the state of autism diagnosis and management. The report gives medical providers strategies to diagnose autism earlier and discusses the current research on both traditional and nontraditional therapies—what works, what doesn’t, and what may be dangerous.
Here are the Top 5 Questions answered in this report:

(1) Q. What causes autism?

A. We still don’t know. But new research is looking at a critical period of fetal brain development injury as early as 20-24 days after conception that may lead to later autism. A woman may not even know she is pregnant when potential damage occurs.

(2) Q. I’ve heard some children start out normal and then regress with their milestones?

A. In at least 50% of cases studied, kids who regress according to parents will have subtle developmental delays noted on earlier video footage.

(3) Q. What therapies are proven to work?

A. One treatment that clearly works is daily intensive behavioral therapy (25 to 40 hours a week). The earlier a child is diagnosed with autism, the earlier he begins therapy, the better the outcome. So, it’s critical to make a diagnosis or a referral to a developmental specialist as early as possible. (Getting insurance companies to cover the cost of this therapy is the next step!)

(4) Q. Does the gluten-free, casein-free diet really work?

A. Currently, the research is not solid enough to support or refute this therapy. From a realistic standpoint, it may be very difficult to accomplish with a child with autism (they are usually extremely picky eaters anyway). While it’s not dangerous to try this diet, some alternative therapies can be very harmful or even fatal (like chelation therapy) and are not recommended.

(5) Q. What’s the take home message for doctors?

A. When a parent or doctor has concerns for autism, don’t take the “wait and see” approach. Get it checked out.

The American Academy of Pediatrics has a pamphlet available to parents to identify early signs of autism and a 48 page booklet for families with a child diagnosed with autism spectrum disorder.

==============

4. Cough and cold meds: What’s a parent to do?

As you’ve probably heard, the manufacturers of the leading cough and cold remedies voluntarily recalled all products intended for kids under age two. A week later, an advisory panel for the FDA recommended that cough and cold medications should not be used in kids under age six.

What’s all the fuss about? There have been several deaths due to accidental overdoses of these products. And, even medications used properly can cause annoying adverse effects (like insomnia).

Bottom line: these products do not treat the disease, and aren’t that effective in treating the symptoms either. (We’ve never recommended them) So, instead of having marginal benefit with some potential health risk...it's a good idea to just stop using these products.

What’s a parent to do as cold and flu season approaches? Saline nose drops, cool mist humidifier, acetaminophen/ibuprofen for fever or pain, and lots of TLC.

Just to clarify: Tylenol (acetaminophen) and Motrin (ibuprofen) are fine to use. These same manufacturers make combo cough/cold/fever remedies that have been recalled. Confusing, we know.

==============

5. Are crib bumper pads safe?

A study last month in the Journal of Pediatrics questions the safety of bumper pads. We use them in cribs to prevent bumping the head or getting a limb caught between the crib rails. And let’s face it, they match the crib sheets and look really cute. The U.S. Consumer Product Safety Commission discourages use of pillow-like bumper pads whereas the Canadian Consumer Product Safety Bureau discourages the use of any bumper pads in a crib. http://www.hc-sc.gc.ca/cps-spc/legislation/pol/bumper-bordure_e.html.

The study looked at a national database for crib-related deaths and injuries over a twenty-year period. The results? Medical examiners determined 27 accidental deaths were related to the bumper pad and 25 minor head injuries were reported in cribs that did not have bumper pads.

As we discussed in our sister book, BABY BARGAINS, bumper pads are purely optional—and this study suggests the risks of injury far outweigh any benefits.

==============

Ok, that’s the news from here! Thanks again for reading our books, BABY 411 and TODDLER 411. And remember, we have just released a revised and updated 3rd edition of BABY 411! Check it out in bookstores nationwide. And, for those of you buying baby gifts, order the new Baby and Toddler 411 gift set at our website ( http://www.baby411.com ) or in bookstores nationwide!

Happy Halloween!

Dr. Ari Brown
Denise Fields
Authors, BABY 411 and TODDLER 411

BABY 411 E-news: Are plastic baby bottles dangerous? Plus: what you need to know about toxic toys and lead.

2007-08-14T16:30:42Z

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: August 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
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What’s in this issue?

1. Breaking news: Experts cite “concern” over polycarbonate baby bottles
2. Toy recalls: what you need to know about lead poisoning.

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1. Breaking news: Experts cite “concern” over polycarbonate baby bottles

Are certain plastic baby bottles dangerous? Readers of our new 3rd edition (out in stores now) may remember our discussion of the safety of polycarbonate baby bottles—and how a federal panel studying the issue was about to weigh in on the issue.

Well, the results are in. Here’s the scoop:

An independent review panel assigned by the National Institute of Environmental Health Sciences and the National Toxicology Program weighed in on the toxic plastics debate last week. Their conclusion: they have “some concerns” about chemical used to make polycarbonate bottles, Bisphenol A (BPA), potentially causing neurologic and behavioral problems in fetuses, infants, and children.

What does that mean for your baby and those baby bottles and sippy cups sitting in your kitchen? Here are the most common questions parents are asking, and our answers based on what we know.

Q. What the heck is BPA? Why is it dangerous?

Clear plastic baby bottles (as well as some food containers and water bottles) are made of polycarbonate, which contains a chemical called Bisphenol A (BPA). It is the BPA that makes the hard, clear plastic bottles . . . well, hard and clear.

Here’s the rub: BPA’s chemical bond with polycarbonate breaks down over time—especially with repeated washings or heating of the bottle. As a result, BPA may leach out of the plastic bottle or sippy cup . . . and into the liquid (that is, breast milk or formula). BPA has been used since the 1950’s in a variety of products and we know that humans ingest (and eliminate) small amounts of this substance on a daily basis considering 95% of humans studied have it in their urine.

While most data BPA comes from animal research, studies show even low-level BPA MAY be linked to everything from early puberty to breast cancer, to attention and developmental problems. It’s hard to say that humans will have the same health consequences, but there is certainly enough concern that it deserves investigating the effects on humans.

The Environmental Protection Agency has set an “acceptable” or “safe” level of daily BPA exposure to be 50 micrograms per body kilogram per day. However, some scientists worry that humans may be exposed to up to ten times that daily dose.

We wrote a detailed article on BPA and plastic baby bottles in our newly revised 3rd edition of Baby 411. It is available online at our website:

http://www.windsorpeak.com/baby411/bpa.html

Q. Do we really know that these bottles are dangerous to humans?

No, we don’t. There have been no human studies on BPA—so far, researchers have only found problems in animal research.

There is a split opinion here among scientists. The same federal panel that said it had “some concern” about behavioral and developmental problems in babies also stated that links to other ailments like birth defects and adult ailments were “negligible.”

That contrasts to the group of 38 scientists who last week called the threat from BPA as “significant.”

But the fact the federal panel said there were some concerns for the health of babies tipped the balance for us.

As a parent, we realize it can be hard to decide what to do when the debate is so heated. As always, our mantra is “show us the science.” We believe enough science is now in to recommend a change in course.

Q. Isn’t it a bit alarmist to say stop using these bottles?

The truth is we won’t know for YEARS if there is a human health problem. And, it could be YEARS more before the government decides to take some regulatory action.

Our opinion: if concerns exist today (and that is backed up by reputable scientific research), then why not try to limit your baby’s exposure to this chemical?

We suggest stop using polycarbonate baby bottles and sippy cups now. Since there are quite a few BPA-free bottles on the market (see below), we believe this is an easy call for parents.

Q. The Juvenile Products Manufacturer’s Association said plastic baby bottles are safe.

In a recent statement, the JPMA said the federal panels report on BPA “reaffirms the safety of plastic baby bottles.”

With all due respect to the fine folks at the JPMA, we’re not sure they were reading the same report we did. If they did, they would note this sentence: “The Expert Panel expressed some concern that Exposure to BPA causes neural and behavioral effects.”

Click here to read it:

http://cerhr.niehs.nih.gov/chemicals/bisphenol/draftBPA_MtgSumm080807.pdf

We realize you can argue that the panel didn’t call for the ban of products with BPA. But, that’s NOT what the panel was asked to do. It will now take years of debate among scientists, researchers and politicians as to the best course to take with BPA.

For the record, Avent told us they believe their bottles are safe and pose no health threat to babies.

Q. Which bottles should we NOT use? Which ones are BPA-free?

Polycarbonate baby bottles make up about 90% of the bottle market. The most common polycarbonate bottle is Avent’s Natural Feeding Bottle and Dr. Brown’s Natural flow. But other major baby product companies like Playtex and Gerber also make polycarbonate bottles.

See our website at baby411.com for pictures of bottles containing BPA:

http://www.windsorpeak.com/babybargains/BPAbottles.html

Here are the alternatives that are BPA-free:

• Use glass bottles. Obviously, there is a risk of injury to baby or mom if the bottle is dropped, so glass isn’t a perfect alternative.

• Use bottles made of opaque plastic. These bottles (made of polyethylene or polypropylene) do not contain BPA.

• Consider a BPA-free plastic bottle. Born Free makes a BPA-free clear plastic bottle (Newbornfree.com) sold at Whole Foods. But these cost about $10 each, twice the price of Avent bottles.

• Use a drop-in system. For example the Playtex Drop-in System is BPA free (that is, the bottle liners do not contain BPA). Avent’s Tempo liners are another example.

Pictures of BPA-free bottles are here:

http://www.windsorpeak.com/babybargains/BPAFREEbottles.html

Q. Is there a way to tell if a bottle has BPA?

A. Unfortunately, it isn’t easy. Here’s a general guide:

BAD:
• Bottles that have a #7 on their recycling label most likely are made of polycarbonate (and contain BPA).

GOOD:
• Bottles that have a #2, #4 , #5 are made of polyethylene or polypropylene—these do NOT have BPA.

We call on the government to require disclosure of which bottles have BPA, so consumers can make an informed choice.

Q. What about sippy cups?

A. Basically, the same advice applies: avoid those made of polycarbonate. Sippy cups made of opaque plastic are fine.

Q. What about breast-pump collection bottles?

A. Again, avoid polycarbonate bottles (Avent Isis is an example) and choose BPA-free options. For example, all of Medela’s bottles are made from BPA-free plastics.

Q. I just bought $50 worth of Avent bottles. Are you saying I should throw them out?

A. Yes. We realize this in an inconvenience—but if you think about it, buying replacement bottles would run only $50 to $100. When it comes to safety, we think this is a worthwhile investment.

What if you don’t want to give up your polycarbonate bottles? While we don’t recommend that option, to lower the amount of BPA that may leach out, avoid heating the bottles in a dishwasher, microwave, or sterilizer. And, toss out any baby bottles that are cracked. Again, we believe the safest course is to replace the bottles with BPA-free alternatives.

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2. Toy recalls: what you need to know about lead poisoning.

Yes, first it was a toxic Thomas and dangerous Dora, now its bad Batman.

As you may have heard, there was another major toy recall for toys manufactured in China. Today’s alert instructs families to throw away some 9 million Mattel toys due to loose magnets and lead paint:

http://www.cpsc.gov/ (click on Recent Recalls)

Given recent events, we thought we’d get you up to speed on lead and our suggestions for how keep your kids safe.

Q. What is the problem with lead anyway?

A. Lead is a metallic element which is a known neurologic toxin. When it became apparent that lead could cause significant harmful effects in humans, even at low levels of exposure, it was removed from gasoline and paints in the 1970’s.

Blood levels of 10 micrograms/dl or more are considered toxic and may have adverse health effects. Kids under six years of age are most sensitive because the lead can impact the developing brain.

Most children do not have any symptoms when they are diagnosed with mildly elevated blood lead levels. However, potential effects include developmental delays, loss of developmental milestones (especially in language skills), and learning difficulties. More serious health consequences are also possible, especially with higher toxicity levels and chronic exposure.

Q. How can my child be exposed to lead in the environment?

A. The most significant exposure risk is in children who live in homes built before 1978. Lead paint dust can be ingested by young children, especially when they spend time crawling on the floor and putting their hands in their mouths. Lead water pipes can also be a source of exposure.

Lead continues to be used in products (paint, pottery glaze, cooking products, pigment in cosmetics, crayons, paints, medications) throughout the world, particularly in developing countries. And, when these products are imported into the U.S, we may be exposed to them.

Q. What should I do if my child has toys that are recalled?

A. Odds are, your child has not had a significant lead exposure even if you have more than one of the toys lying around your playroom. It’s a little more concerning if your child was using one of these toys as a teething toy or really enjoys exploring toys with his mouth.

It’s probably wise to bring up your concerns with your child’s doctor, and get a blood lead level drawn depending on your child’s possible risk of exposure. If your child’s blood lead level is less than 10 micrograms/dL, toss out the recalled toys and call it a day.

That’s the news from the Baby 411 command center!

Best wishes,
Denise Fields & Dr. Ari Brown
Authors, BABY 411

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It’s new! It’s updated---and expanded! The new 3rd edition of BABY 411 is out now:

http://www.baby411.com

BABY 411 E-news: New edition debuts soon! Plus tips on insect repellant, asthma, toxic Thomas, fish oil and more!

2007-07-03T16:31:08Z

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BABY 411 and TODDLER 411 NEWS UPDATE: July 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. New Baby 411 3rd edition coming next month! Pre-order one today!
2. Insect Repellant 411
3. Asthma and Antibiotics connection
4. Toxic Thomas, and other sources of lead
5. Fish oil supplements and preemie eye disorder
6. FDA begins regulating herbal and nutritional supplements
7. Circumcision decision

Yes, summer is in full swing. Here’s the latest from Baby 411.

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1. NEW, updated 3rd edition of BABY 411 coming next month! Pre-order one today.

It’s bigger! It’s better!

The brand new THIRD edition of BABY 411 is on its way---and you can pre-order one today with a special discount . . . FREE SHIPPING.

As always, we just had to make BABY 411 better: the new EXPANDED third edition features the most up-to-date health and parenting information for the first year of life. New in this edition:

* Is there a miracle cure for colic? Could it be a simple dietary supplement? We’ll discuss the latest news.

* Flat heads—how to avoid them, with easy-to-use tips.

* EXPANDED advice on breast-feeding, with practical tips from an expert lactation consultant.

Plus we have an expanded section on preemies, the low-down on improved baby formulas and the scoop on controversies like plastic baby bottles (are they toxic?). Read more about what’s in the new book here:

http://www.windsorpeak.com/baby411/newedition.html

Pre-order a copy today and get FREE standard shipping (a $3 value)! The new book will ship the week of August 6 (allow 7-10 days for delivery). Free shipping for U.S. addresses only; orders must be received by August 6 to get the special deal.

Or save even more when you order Baby 411 with one of our other best-selling parenting books, TODDLER 411 or BABY BARGAINS. Or order all three and save nearly $9.

The new Baby 411 book will be in bookstores September 1. The retail price is $12.95.

Order the new book here:

https://windsorpeak.com/orderform14.html

Pre-order a copy today!

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2. Insect Repellant 411:

What’s the best way to protect your baby from mosquito bites (and diseases like West Nile Virus, viral encephalitis, Lyme Disease—scary stuff)? You’ve got a few options.

For newborns, the easiest thing to do is to buy insect netting at just about any baby supply store and cover up the stroller or infant seat.

For babies and kids over two months of age, the Centers for Disease Control recommends products containing either DEET (N,N-diethyl-m-toluamide) or Picaridin (KBR 3023). Note: Citronella based products are not effective.

Although DEET gets a bad wrap for having potential neurologic adverse events (i.e. seizures), it is a safe product if you use it correctly. That means: Apply it once a day and wash it off after your child comes indoors. 10% DEET products protect for about 2 hours, as does the Picaridin. 30% DEET products protect for about 5 hours. So, pick the product based on how long you will be outdoors. Picaridin is a reasonable alternative and does not seem to have any significant health concerns. It can also be reapplied, if necessary.

We do not recommend buying combo insect repellants/sunblock because sunblock should be reapplied frequently.

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3. Asthma linked to Antibiotic use?

As you may have read, there has been an alarming increase in antibiotic-resistant bacteria. Broad-spectrum antibiotics, the big guns that kill a larger number of bacteria and drug-resistant strains, are being used more often as resistance grows to narrow spectrum or first-line antibiotics.

A study published in the journal Chest last month raises new concerns about broad-spectrum antibiotic use. Do these super antibiotics given to children under a year of age increase their risk of childhood asthma?

Here’s the theory: any antibiotic, but particularly the broad-spectrum ones, kill off the bad germs that are causing infection as well as many “good germs” that live in harmony with the human body. Changing the body’s flora, may put the body at risk of other problems.

Researchers studied 14,000 children over an eight-year period and found that babies who had received at least one course of a broad-spectrum antibiotic had an increased risk of asthma later in childhood. The more rounds of broad-spectrum antibiotics, the greater the risk. The risk was independent of whether or not the mother had a history of asthma. The risk was even greater if the child received those antibiotics for a NON-respiratory infection (e.g. a bladder infection).

Interestingly, having a family dog seemed to decrease the risk of the child developing asthma, especially if the child had received four or more courses of broad-spectrum antibiotics. Cats did not have an impact (sorry feline lovers).

Take home message: If your child needs antibiotics, narrow spectrum antibiotics, like Amoxicillin, should be used as first line treatment. Big gun, broad-spectrum antibiotics should be reserved for when we really need to use them.

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4. Toxic Thomas:

As many of you are aware, there has been a recall on Thomas the Tank Engine toys manufactured in China since 2005 that may be manufactured with lead paint. We knew Thomas was a naughty little engine, but little did we know he was toxic! For more information on the particular Thomas trains affected, check out

http://www.cpsc.gov/cpscpub/prerel/prhtml07/07212.html.

There has also been a recall on children’s toy jewelry that contain high levels of lead. These include Spandrel Sales “Charmed designer jewelry” sold in vending machines from February through March 2007 (see www.ssmvending.com for details). Tween brand’s High School Musical jewelry sold at Limited Too and Justice stores, are also being recalled for lead (see www.limitedtoo.com for details.)

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5. Fish oil supplements may protect premature babies against eye disorder:

A study published in the July issue of Nature Medicine showed a potential preventative therapy for retinopathy of prematurity (ROP) in premature babies. Mice who had diets rich in omega-3 fatty acids (fish oils) had less growth of abnormal blood vessels in the eyes. While this is not a study in humans, it shows promise in preventing vision loss. Children’s Hospital, Boston, will start treating premature babies who are at risk for ROP with fish oil nutritional supplements soon as part of the first human study.

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6. FDA will begin regulating supplements!

The Food and Drug Administration is starting to crack down on the herbal and nutritional supplement industry. Federal law from 1993 protected the supplement industry from pharmaceutical scrutiny because these products were viewed as foods and not drugs.

This very large loophole allowed products to be marketed without regulation. Some products are contaminated with impurities that can be harmful, and others may not even contain what is claimed on the packaging. The new FDA mandate will hopefully give consumers a bit more confidence in what they are buying.

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7. Update on circumcision decision:

The number of American boys who are circumcised is declining. In the 1960’s, almost 90% of American boys were circumcised. As of 2004 data, that number has dropped to 57%. Part of this trend is due to changing parent attitude. But the biggest reason for the decline is Asian and Latin American immigration, who do not routinely circumcise.

Interestingly, there is new evidence of a medical benefit to circumcision. A large study done on heterosexual men in Africa by the National Institute of Health showed circumcised men had a 60% lower risk of HIV. These results may impact circumcision recommendations of medical organizations in the future—stay tuned!

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That’s the news! Have a happy 4th! And don’t forget to check out the new edition of BABY 411!

Best wishes.

Ari Brown & Denise Fields
http://www.baby411.com

BABY 411 ENEWS: Dr. Brown on Dr. Phil this Thursday, trendy new child health products

2007-04-04T09:59:52Z

BABY 411 ENEWS: Dr. Brown on Dr. Phil this Thursday, trendy new child health products

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BABY 411 and TODDLER 411 NEWS UPDATE: April 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

Happy Spring! Since there are so many new and trendy health products out there for young kids, we thought we’d devote this eNews to taking a look at them.

TV ALERT! But before we jump into the products, we have big news:

Dr. Ari Brown will be in the Dr. Phil show this Thursday April 5! Set your TiVo’s!

Dr. Phil invited Dr. Brown and a team of medical professionals to tackle hot topics in the news. Dr. Brown will also discuss one of your favorite parenting dilemmas—getting your child to sleep through the night! Stay tuned for a lively discussion! Check out www.drphil.com for more info on the episode. And, check your local listings for airtime.

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New products:

1. Probiotic-enhanced formula.
2. Allergy medications.
3. Yeast diaper rash ointment.
4. Helmets for flat heads.

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1. Probiotic-enhanced formula

In May 2007, Nestle Good Start Supreme will be the first formula in the U.S. that contains active living bacteria cultures like the stuff found in yogurt. Good Start has Bifidus lactis, a ‘good germ’ similar to what resides in the guts of babies who are breastfed. The potential benefits include fewer illnesses, less severity/frequency of diarrhea, and maybe even less colic. And, there do not seem to be any significant risks. (Source: Weizman Z, etal. Effect of a probiotic infant formula on infections in child care centers: comparison of two probiotic agents. Pediatrics. 115(1); 2005; pp. 5-9.)

Are the health benefits worth the added cost? Maybe, but only time and more research will tell. A cheaper option: Buy a probiotic supplement like L reuteri and toss it into whatever your baby is eating once a day.

FYI: If you use a probiotic-enhanced formula, be sure to mix it with water less than 100°F or you will kill all those little germs you paid extra for!

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2. Allergy Medications.

Just when you thought it was safe to go outside . . . bring on spring pollen season. If your child has watery, itchy eyes and a watery runny nose, he may be suffering from allergies. While most babies under a year of age do not suffer from seasonal allergies, older toddlers and preschoolers do.

You’ve got several over the counter options to treat allergy symptoms in kids. Diphenhydramine (Benadryl) works well, but can be sedating. Loratidine (Claritin) is also approved for kids as young as six months of age. It’s conveniently dosed once a day and does not usually cause sedation. Zaditor eye drops are now over the counter and work well for those itchy eyes (if you can pin your child down long enough to put them in!)

Another new product is Fexofenadine (Allegra) liquid, available by prescription. The tablets have been around for a while, but the liquid is new for kids six months of age and up.

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3. New diaper rash ointment

There’s a trendy prescription diaper rash ointment that’s being advertised everywhere right now. The product, called Vusion, is a combo of an anti-yeast medication plus zinc oxide and white petroleum. It works by creating a barrier for the skin from moisture and irritation (that is, pee and poop), while killing the yeast at the same time. If you’ve tried over the counter Lotrimin AF, you may want to ask your doc about Vusion. Here’s a great pic from our famous Rash-o-rama on baby411.com of yeast diaper rash.

http://www.windsorpeak.com/baby411/rashorama/diaper2.html

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4. Helmets for flat heads.

As you all have heard, the best way to prevent SIDS (sudden infant death syndrome) is to have babies sleep on their backs. While the Back to Sleep campaign has decreased the number of SIDS deaths by over 50%, the number of babies with flat heads has increased significantly. The good news: most babies’ heads round out over time. And, tummy time in the first several months of life helps prevent the flat head issue (called positional plagiocephaly).

You all may have also heard about children who have ‘had to wear a helmet’ to help reshape their heads. Although most of the time this is unnecessary, it is a treatment option for babies ages 4-12 months old with severe plagiocephaly.

Wondering if your kid is a helmet candidate? A recent study was looked at children with flat heads who were followed for 9 years after helmet therapy vs. no helmets. Although all parents who chose to use helmets were very positive about the short-term results, there was no significant difference between groups in the satisfaction rate (or the amount that the child was teased) when the kids were 9.

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Enjoy your spring!

Sincerely,
Dr. Ari Brown and Denise Fields
Authors, BABY 411 & TODDLER 411

BABY & TODDLER 411 NEWS UPDATE January 2007: Colic cure? Dental dilemma, Flu Shots, Cold Meds, Consumer Reports Crash Tests

2007-01-16T21:16:11Z

BABY & TODDLER 411 NEWS UPDATE January 2007: Colic cure? Dental dilemma, Flu Shots, Cold Meds, Consumer Reports Crash Tests

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: January 2007
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

Happy New Year!
This year has started off with lots of news in baby and child health. We’re here to get you up to speed on all of it.

Top Stories:
1. A cure for colic?
2. Dental Dilemmas: Too much or too little fluoride?
3. Flu shots: not too late!
4. Some formulas being discontinued.
5. Cough and cold meds: BEWARE.
6. Crash test: Do infant car seats measure up?

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1. A cure for colic?

A recent study published in this month's journal, Pediatrics, looked at yet another possible 'cure' for colic....probiotics. Probiotics are 'good germs' that can benefit people by improving intestinal function.

As most parents know, colic is excessive crying for about 3 hours a day, starting at 3 weeks of age and lasting until 3 months of life. (It's also known to reduce the number of children a parent will decide to have). Although it has been studied for years, no one really knows what causes it, or what fixes it (other than time).

This latest study compared 90 exclusively breastfed babies with colic. Half received over the counter gas drops (simethicone) and the other half got 1 capsule a day of a probiotic containing the germ Lactobacillus reuteri. The results? Pretty darn impressive...The gas drops group saw a 7% reduction in crying. The probiotics group had a 95% reduction in crying. Babies who cried 2-3 hours a day were crying less than an hour after one month of treatment.

Are we ready to recommend probiotics to every colicky baby? Not yet. This was a relatively small study and more research is needed to confirm the findings and prove safety. But, this may be a reasonable way to reduce the misery of colic (and certainly less expensive than hiring a babysitter every night for 2 months!)

For more on this story, check out our blog and you can watch Dr. Brown’s appearance on ABC News.

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2. Dental Dilemmas: Too much or too little fluoride?

Fluoride has been a controversial subject ever since communities began adding fluoride to their water supplies (about 50 years ago). Advocates point to the benefits of fluoride in reducing cavities. Critics have concerns about bone cancer and enamel fluorosis (streaking of the enamel due to excessive fluoride intake).

The latest fuel to the debate is a statement from the American Dental Association. The ADA responded to the National Research Council's assessment that infants being fed formula preparations mixed with water (i.e. powder or liquid concentrate) may be getting too much fluoride.

Here's what the ADA recommendations boil down to:

1) There has never been a recommendation to offer fluoride supplements in babies UNDER six months of age. Babies under six months of age who are fed liquid concentrate or powder formula prepared with tap water that is high in fluoride may be getting too much of a good thing.

2) Each community water supplier assesses naturally occurring fluoride levels, and decides whether or not to add fluoride to its supply. It's important to find out how much is in your own tap water (the ideal, as ADA says is 0.7-1.2 ppm)

3) If your baby is breastfed, this is not an issue. If your baby is eating ready-to-feed formula, it is also not an issue.

4) If your baby is formula fed and you are using powdered or liquid concentrate that needs to be reconstituted, use either bottled water that does NOT add fluoride or use your tap water if the fluoride levels in it are not excessive.

5) And, if you have tap water with little to no fluoride or well water, and your baby is OVER six months of age, you may need to actually give your baby a fluoride supplement. Check with your pediatrician/dentist for their recommendations.

For more information, see the ADA's FAQ page for parents at www.ada.org/public/topics/fluoride/infantsformula_faq.asp

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3. Flu shots: not too late!

If your child hasn't gotten his or her flu vaccine, it's not too late. Although there were some distribution problems this year, the vaccine supply is plentiful and should still be available at your doctor's office. And, flu season is just getting underway across the country.

The American Academy of Pediatrics (AAP) recommends that all children ages 6 months to 5 years receive the flu vaccine as they are considered high risk for complications from the flu. (Babies under 6 months old are also high risk, but they are too young to receive the vaccine.)

Kids under age 9 who are receiving flu vaccine for the first time should get a series of two doses, given one month apart to have better protection. But if your child is only able to get one dose, that is better than none.

The AAP and the Centers for Disease Control (CDC) have differing opinions as to what to do for a child who only gets one dose of flu vaccine the first year they are vaccinated. AAP says to give 2 doses the next year. CDC says to only give one dose. Because neither organization can agree at this point, don’t be surprised if there is some variability among health care providers on how they manage this situation!

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4. Low-iron formulas being discontinued

Two products made by Enfamil are being discontinued. They will no longer be producing their low-iron formula (Enfamil Lipil Low Iron) and their fatty acid free (DHA/ARA free) formula called Enfamil with Iron.

The reason? The American Academy of Pediatrics does not recommend using low iron formulas because babies need the iron for growth. (Parents may hear that problems like gas, colic, and constipation are due to the iron content of the formula which is why these products were on the market in the first place...but it is a myth!)

And clearly, there has been a demand for the DHA and ARA supplemented formulas because of the possibility of improved vision and brain development.

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5. Cough and cold meds: BEWARE.

The Centers for Disease Control is investigating the deaths of three babies under six months of age who died after taking cough and cold medication.

According to the CDC, “because of the risks for toxicity, absence of dosing recommendations, and limited published evidence of effectiveness of these medications in children aged <2 years, parents and other caregivers should not administer cough and cold medications to children in this age group with-out first consulting health-care provider and should follow the provider’s instructions precisely.”

Bottom line: Cough and cold remedies don’t work that well and in some cases, may be dangerous to young children. Don't guess-timate the right dose of a cough and cold product made for kids over six years of age. And, multi-symptom products or using a combo of over-the-counter and prescription products may inadvertently cause an overdose. For a majority of viral respiratory illnesses, the best remedy is time.

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6. Crash test: Do infant car seats measure up?

Consumer Reports Magazine dropped a bomb on the infant car safety seat industry and concerned parents everywhere: infant car safety seats may not be as protective for SIDE impact collisions or collisions above 35 mph. Ten of the 12 infant car seats failed CR’s independent crash test.

To be fair, the federal standards require car seats to pass a safety test on collisions at 30 mph and they are not tested for side impact. So, commercially available car seats DO meet minimum federal standards (which are fairly rigorous).

Here are the recommendations from the American Academy of Pediatrics:

~Continue to use car safety seats on every automobile outing. Infant car safety seats are 71% effective in reducing death from collision.

~Follow the car safety seat and vehicle manufacturer’s instructions for installation.

~Get help by a certified car safety seat technician to be sure your child’s car seat is installed properly. Check out http://www.seatcheck.org or call toll-free at 866/SEATCHECK (866/732-8243).

We have a detailed commentary on the Consumer Reports crash test controversy on our Baby Bargains blog:

http://www.windsorpeak.com/babybargains/blog/B40737805/index.html

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Happy Winter!
Sincerely,
Dr. Ari Brown and Denise Fields
authors, BABY 411 & TODDLER 411

Baby 411 E-news: Dr. Brown on Rachael Ray (again!) Thursday Nov 30, AAP & play, holiday advice and more

2006-11-27T16:42:35Z

BABY 411 and TODDLER 411 NEWS UPDATE December 2006:
Dr. Brown on Rachael Ray (again!) Thursday Nov 30, AAP & play, holiday advice and more

=====================================
BABY 411 and TODDLER 411 NEWS UPDATE: December 2006
The free eNewsletter for the readers of BABY 411 and TODDLER 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. Dr. Ari Brown and Rachael Ray tackle the challenges of kids who don’t listen.
2. AAP says, “Just let ‘em play.”
3. Got lice?
4. Winter and holiday tips
5. Tamiflu update
6. Dr. Brown debuts on Parents Magazine website

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1. Dr. Ari Brown to appear on the Rachael Ray Show.

Set your TiVo for another fun and helpful episode as “Dr. Ari” advises parents with kids who don’t listen to them (do you know any kids like that?) The show will air this Thursday, November 30. Check here to see when the show airs in your local area:

http://www.rachaelrayshow.com/?q=tvschedule

If you’ve got a question you’d like Dr. Brown to answer on the show, drop Rachael Ray a note at “Got a question for Dr. Ari”:

https://rachaelrayshow.com/plugger/?IDX=respond&PlugID=210

Send in those questions today!

________________________________________________________________________

2. Just let ‘em play.

The American Academy of Pediatrics recently issued a statement stressing the importance of play in a child’s life. American kids, like their parents, are over-worked and over-scheduled. And with that, comes stress. The new report calls for free, unstructured playtime that lets children think creatively, problem solve, and develop reasoning skills. According to the report’s lead author, Dr. Ken Ginsburg, “Pediatricians mustn’t let parents think good parenting is being a chauffeur.”

Bottom line: Think about how your child spends his or her day. If you are a family that is always on the go, make sure you schedule in some downtime. And, when you are buying toys for the holidays, consider simple toys that stimulate the imagination.
________________________________________________________________________

3. Got Lice? Who you gonna call…Lousebuster!

A recent study showed that a 30 minute hot air treatment to the scalp can effectively kill lice and their eggs. Standard blowdryers can deliver the hot air treatment, but the most effective way was with a commercial grade product called the Lousebuster. Nope, you can’t buy one at Wal-Mart, but your local preschool may be able to purchase one in the future based on this study’s results.
________________________________________________________________________

4. Winter/Holiday Tips . . . Remember the 4 S’s

SLEEP: When your child is traveling across time zones, missing naptimes, pushing back bedtime for special holiday activities, or simply sleeping in a different crib or bed—be prepared for him to have disrupted sleep. The solution? Try to stick to your child’s sleep routine as much as possible. And, then be prepared to give your little one a refresher course in the sleep schedule once you get back home.

Read the 3 more S’s on Dr. Brown’s blog here:

http://baby411.typepad.com/baby_411_blog/

________________________________________________________________________

5. Feeling funny with the flu? Maybe it’s the Tamiflu.

We reported on our blog last month that the FDA was reviewing cases of patients with bizarre behavior while taking the drug, Tamiflu, during their flu virus infection. The FDA is now requiring the pharmaceutical manufacturer of the drug to include “neuropsychiatric events” as a side effect on the product insert. Over the past six years, 42 million people have taken Tamiflu, the antiviral drug used to reduce the severity and duration of symptoms of “The Flu”. About 1 in 100,000 patients report psychological changes while taking the medication, but it still has not been determined whether the drug causes the odd behavior.

________________________________________________________________________

6. Look for Dr. Brown at Parents.com.

Starting in January 2007, Dr. Brown will begin hosting a message board at the Parents Magazine website, www.parents.com. Look for timely tips and her practical, real-world advice for moms and dads. You can also check out the Parents Podcasts, found at parents.com or iTunes.

Have a wonderful holiday season and a healthy new year! Remember, Baby 411 and Toddler 411 make great gifts!

Sincerely,
Dr. Ari Brown and Denise Fields
authors, BABY 411 & TODDLER 411

Boo! Dr. Brown talks scary toddlers on Rachael Ray show Tuesday Oct 31

2006-10-30T11:19:34Z

Wake the neighbors! Set the Tivo! Baby 411 and Toddler 411 co-author Dr. Ari Brown will discuss quirky toddler behaviors on Rachael Ray’s new daytime talk show Tuesday October 31. Yes, that’s tomorrow, Halloween!

Dr. Brown will discuss all the bizarre stuff kids do—what’s normal and when you should be worried.

To see when the Rachael Ray show airs in your town, click here:

http://www.rachaelrayshow.com/?q=tvschedule

Have you seen Dr. Brown’s new blog? Check out the latest news on babies and toddlers here:

http://baby411.typepad.com/baby_411_blog/

Best wishes,
Denise Fields & Ari Brown, M.D.
Authors, BABY 411 * TODDLER 411
http://www.baby411.com
http://www.Toddler411.com

BABY 411 NEWS UPDATE July 2006: New Toddler 411 book debuts! Dr. Brown on TLC's Surviving Motherhood again! Chickenpox booster!

2006-07-20T15:59:52Z

BABY 411 NEWS UPDATE July 2006: New Toddler 411 book debuts; Dr. Brown on TLC's Surviving Motherhood again.

=====================================
BABY 411 NEWS UPDATE: July 2006
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. New book debuts: Toddler 411!
2. Dr. Ari Brown to appear on TLC’s Surviving Motherhood July 26, 28
3. New chickenpox booster for kids age four to six years!

____________________________________________________________________

1. New book debuts: Toddler 411!

If you liked Baby 411, you’ll love Toddler 411, the long-awaited sequel to our best-selling guide for parents. From picky eaters to temper tantrums, Toddler 411 answers all your questions! Check it out here and download a sample section:

http://www.toddler411.com

SPECIAL DEAL: Pre-order Toddler 411 by July 31 and get FREE standard shipping! The book will ship the week of August 7th and in bookstores in late August! Save even more when you order Toddler 411 with one of our other books in special discounted bundles. Details are here:

https://windsorpeak.com/orderform14.html

Our free STANDARD shipping order applies to all domestic orders; foreign orders will receive a $3 credit toward foreign shipping rates. Order must be received by July 31 to get the free standard shipping!

____________________________________________________________________

2. Dr. Ari Brown to appear on TLC’s Surviving Motherhood July 26, 28

Set the Tivo! TLC’s Surviving Motherhood is a new mom-to-mom show that recently premiered on The Learning Channel. Dr. Brown will be featured as the expert on two upcoming shows July 26 (weaning a toddler from breastfeeding) and July 28 (temper tantrums).

Go to The Learning Channel to find what time the show airs in your area:

http://tlc.discovery.com/fansites/survivingmotherhood/survivingmotherhood.html
_______________________________________________________________________

3. New chickenpox booster!

It’s official—kids age four to six years now need a BOOSTER dose of varicella (chickenpox) vaccine. The first does is given at 12-15 months of age; the booster at 4 to 6 years old. Ask your doctor for details.

Sincerely,
Dr. Ari Brown and Denise Fields
Authors, BABY 411
http://www.baby411.com

BABY 411 NEWS UPDATE June 2006: Dr. Brown on TLC's Surviving Motherhood, new bug spray, new eczema products, TV pacifiers, asthma, mumps

2006-05-30T17:11:55Z

=====================================
BABY 411 NEWS UPDATE: June 2006
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
=====================================

What’s in this issue?

1. Dr. Ari Brown to appear on TLC’s Surviving Motherhood this Thursday, June 1
2. New bug spray for babies
3. New eczema products
4. Study of media use and infants: is TV a pacifier?
5. Steroids and asthma
6. Mumps update

____________________________________________________________________

1. Dr. Ari Brown to appear on TLC’s Surviving Motherhood this Thursday, June 1

Surviving Motherhood is a new mom-to-mom show that recently premiered on The Learning Channel. Dr. Brown will be featured as the expert on two upcoming shows. June 1 (3p EST/2p CST), Ramel’s Story, will be about a mom worried about her high-energy preschooler. June 5 (10:30am EST/9:30am CST), Rebecca’s Story, is about a mom dealing with toilet training. Go to The Learning Channel’s link to find out more information:

http://tlc.discovery.com/fansites/survivingmotherhood/survivingmotherhood.html

_______________________________________________________________________

2. New bug spray for babies

Skeeter Beater: While we know that DEET is an effective way to prevent mosquito bites, we have an effective alternative for kids: picaridin. The Centers for Disease Control approve of this chemical as a way to protect against mosquito bites and West Nile Virus. A new product, Off Skintastic Clean Feel contains picaridin as its active ingredient and it’s approved for use in children from two months old and up. The other good news: it’s safe to reapply this product up to three times a day (DEET containing products should only be put on once for the day, and rinsed off after coming indoors).

For more info, check out http://www.offprotects.com/mosquito%2Drepellent/

________________________________________________________________________

3. New eczema products

Two new prescription skin creams have joined the armamentarium for eczema control—Mimyx and Atopiclair. These products have essential fatty acids as their active ingredient. Mimyx is contains olive oil and Atopiclair contains shea butter. They act to restore the top skin layer, which is chronically impaired in kids who have eczema. Both products also reduce the itchiness associated with eczema. And, both products are FDA approved for use in infants. Side effects include redness and burning. FYI: Shea butter is a derivative of a shea nut. So, if your child has any nut allergies, be sure to mention that to your doctor. Ask your doctor for more information on these new medications.

________________________________________________________________________

4. Study of media use and infants: is TV a pacifier?

Are you using TV as a pacifier? The Kaiser Family Foundation released a report in May on media use in young children. After surveying over 1000 families with children from six months to six years old, they concluded that parents use electronic media to “manage busy schedules, keep the peace, and facilitate family routines such as eating, relaxing, and falling asleep.” Thirty-percent of homes have the TV left on most of the day; and in those homes, children watch more TV and spend less time reading or being read to.

Parents in the survey felt that TV programming was educational and thus, felt less guilty about spending less time with their kids because of the perceived benefit of the program’s content.

Videos and cable networks designed for the under age two are gaining popularity. 43% of children in that age group watch TV daily, despite the American Academy of Pediatrics, who feels that media use is not a good idea for this age group of kids, even if it is ‘educational’.

The study also points out that although media has become a “fabric of family life”, it seems to do a better job of separating family members instead of bringing them together.

Bottom line: If your baby is watching TV, consider what, where, when, and how much he is watching. Consider watching with your child, not during dinner, and not having one in your child’s room.

________________________________________________________________________

5. Steroids and asthma

Do steroids prevent asthma? Two studies in the New England Journal of Medicine in May took a fresh look at asthma therapy in infants and preschoolers. The current standard of therapy of chronic, persistent wheezing is to treat with a rescue medicine (albuterol) and a preventative medicine (inhaled steroid).

The infant study addressed treatment with inhaled steroids for intermittent wheezing and found no difference in the babies who went on to develop asthma and those who didn’t. No surprise here: most infants wheeze when they have viral infections like RSV— and do not improve with steroid treatment.

The preschooler study took two groups of two and three year olds with chronic wheezing and placed one group of kids on inhaled steroids for two years straight, then took them off for one year. The other group did not receive inhaled steroids on a regular, daily basis. Both groups had their lung functions compared after year three. The kids who were on long term steroids had no better lung function than and better function while they were taking the medication. Bottom line: inhaled steroids really help when a child has chronic, persistent wheezing. But, that effect does not appear to last once medication is discontinued.

________________________________________________________________________

6. Mumps update

Mumps update: The Centers for Disease Control reported 2957 cases of mumps from January 1 to May 2, 2006, in Iowa and multiple states. The highest number of cases is in people ages 18-24 years old. (So, make sure your college babysitter this summer has been vaccinated!). There have been 25 hospitalizations thus far for mumps complications, which include meningitis and encephalitis. Fortunately, there have been no deaths. The MMR vaccine protects against mumps infection. With two doses, people are about 90% protected. One dose provides about 80% protection. In the routine immunization schedule, children get their first dose of MMR vaccine at 12-15 months and their booster dose before kindergarten.

_______________________________________________________________________

When is our next book coming out? Look for news on a new book from Dr. Brown and Denise Fields to arrive with our next newsletter! Stay tuned.

Sincerely,
Dr. Ari Brown and Denise Fields
Authors, BABY 411
http://www.baby411.com

Baby 411 March 2006 E-News: Formula recall, rotavirus vaccine, Hep A, Eczema, Nublizers, NBC Today Show appearance!

2006-02-27T16:35:08Z

=====================================
BABY 411 NEWS UPDATE: March 2006
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
=====================================

What’s in this issue?
1. Infant formula recall
2. Rotavirus vaccine receives FDA approval
3. Hepatitis A recommendation
4. Special warning on eczema medications
5. Home nebulizer storage
6. Watch BABY BARGAINS co-author Alan Fields on NBC Today Friday March 3!

Dear readers of Baby 411. We apologize for our unusual silence since 2006 began. We’ve been busy writing Toddler 411 (which will be released in August!) so we hope you will forgive us. There’s lots going on in the world of infant healthcare, so we’re bringing you up to date with this eNewsletter.

------------------------------------------------------

1. Infant Formula Recall

Mead Johnson, the manufacturers of Enfamil GENTLEASE announced a recall of their 24 oz powdered formula which has listed on the bottom of the can, “Lot number BMJ19, use by 1 Jul 07”. The formula was found to contain very small metal particles that can be harmful if an infant were to inhale it. People who have a contaminated can should contact Mead Johnson at 888-587-7275

------------------------------------------------------

2. Rotavirus vaccine receives FDA approval

Some of you, unfortunately, endured rotavirus this winter. Rotavirus is a stomach virus
that causes vomiting and horrible, watery diarrhea for about a week. It is most severe in infants, and dehydration is common. About 50,000 American babies are admitted to the hospital annually. And about 600,000 children in developing countries die annually from this illness.

The good news: the Food and Drug Administration (FDA) just approved a vaccine for this dreaded virus. It’s an oral drink (not a shot) that will be given at the 2, 4, and 6 month well checks! Ask your doctor about it.

------------------------------------------------------

3. Hepatitis A vaccine recommendation

The American Academy of Pediatrics now recommends Hepatitis A vaccine for all children beginning at 12 months of age. Hepatitis A is a virus that causes a liver infection. It is spread via contaminated food and water, as well as via infected individuals. There are about 150,000 cases of Hepatitis A in the U.S. annually. A recent outbreak occurred from contaminated green onions at a Mexican restaurant in Pittsburgh, so it is not as exotic as you may think.

Hepatitis A is a series of two injections, given six months apart. Some states require it for all children in preschool or childcare. Other states require it based on the number of cases in the community.

------------------------------------------------------

4. Special warning on eczema medications

The FDA has placed a special warning on two eczema medications—Elidel and Protopic. The FDA conducted an investigation when concerns arose about increased risk of skin cancer and lymphoma. Although subsequent studies have been reassuring, the FDA requested these products list specific uses on their packaging. The products are not recommended for use in children under two years of age. And, they are recommended as a second-line treatment for eczema after initial therapy has failed.

------------------------------------------------------

5. Home nebulizer storage

Young children who suffer from asthma or wheezing may have a home nebulizer machine. With time, these machines become contaminated with allergens—like dust mites or pet dander. These allergens can make a child’s wheezing even worse when he inhales them during a breathing treatment! The best way to prevent this problem is to keep your nebulizer stored in a sealed plastic bag.

------------------------------------------------------

6. Watch BABY BARGAINS co-author Alan Fields on NBC Today Friday March 3!

Yes, in other news at our publishing company, look for Alan Fields, co-author of our other book BABY BARGAINS, live on NBC’s Today Show this Friday March 3 (9am hour). Fields will be talking about the best picks for baby strollers, with new models, advice and more.

Set the Tivo: BABY BARGAINS will be on NBC Today Show with Katie Couric, Friday March 3 in the 9am hour.

----

Well, that’s the latest from the home office. Back to work on Toddler 411. Be on the lookout for periodic updates. We’ll be asking you for your favorite real world tips on toddlers as we get further along in this project.

Sincerely,
Dr. Ari Brown and Denise Fields
authors, BABY 411
http://www.baby411.com

Baby 411 Breaking News: Measles outbreak in Houston

2006-01-06T17:05:04Z

================================================
BABY 411 NEWS UPDATE: January 2006
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
January 6, 2006
================================================

Three cases of measles have been reported in Houston, Texas during the last month, according to a press release from the Texas Medical Association.

This is especially troubling since, as many of our readers know, measles is very contagious and the vaccination rate in Houston is quite low.

According to an email sent out by the association's Dr. W.S. Chip Riggins Jr, "the infected individuals visited several health care facilities in the Houston area. The incubation period for measles is generally 14 days from exposure to rash, however it can range from 7 to 18 days. Measles is highly communicable with greater than 90% secondary attack rate among susceptible persons."

If you live in or near Houston, take precautions and see your doctor immediately if you suspect your child has been exposed. If your child develops a fever with a rash, be sure to contact your doctor.

We will monitor this situation and let you know of any updates,

Ari Brown, MD and Denise Fields
Authors, BABY 411

Baby 411 Breaking News: Measles outbreak in Houston

2006-01-06T15:50:27Z

Baby 411 E-news: Whooping cough booster, Did Ferber flip flop?, Wheezin' season

2005-12-13T10:18:31Z

================================================
BABY 411 NEWS UPDATE: December 2005
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
================================================

What’s in this issue?
1. Whooping cough booster shots for kids and adults
2. Did Dr. Ferber change his mind?
3. Wheezin’ season

===============
1. Whooping cough booster shots

Two new vaccines have been approved (Boostrix, Adacel) by the FDA to help reduce the incidence of whooping cough. Whooping cough (pertussis) is a bacterial infection that causes a chronic hacking cough in older children and adults, but can be fatal in young children. Kids have been immunized against this disease since the 1940’s but whooping cough is still alive and well and causing disease. One reason for this is that our immunity wanes over time after being vaccinated.

So, a new way to prevent whooping cough outbreaks is to vaccinate those who may be spreading the disease—teenagers and adults. Yes, it is time to roll up your sleeves to protect our vulnerable little ones. If has been at least five years since you have had a tetanus shot, you can now get a combo DTP vaccine (diphtheria-tetanus-pertussis) that boosts your immunity to whooping cough. And if you have a child/babysitter who is 11 years or older, he/she should get vaccinated too.

===============
2. Did Ferber change his mind?

Many of you may have heard sleep guru, Dr. Richard Ferber on the news recently discussing infant sleep training. On the eve of the release of his revised sleep bible, Solve Your Child’s Sleep Problems, he tried to clarify his position. It appears he has not changed his mind—kids need consistent sleep rituals and routines to have good sleep. But he has added that there is no one size fits all approach to infants.

It also appears that Dr. Sears is bending a little on his position as well. He is now acknowledging that it is not all about the baby and perhaps parent sleep habits should be considered too when deciding what to do at night.

Here is our take on the situation. Perhaps these folks have had a reality check. Most of us (parents) try to find a middle ground where everyone in the house gets some sleep. We have not changed our position. For the first three months, do what you gotta do to get your baby to sleep—just make sure it is a safe space. And with the American Academy of Pediatrics recent SIDS recommendations (October 2005), that means in your room, but not in your bed.

Start setting up good sleep routines around four months of life. Those are the ones you want to keep. Don’t let your baby be dead weight on your shoulder and then gingerly place her in bed anymore. If she learns to fall asleep on her own now, you will be thankful later. Have her drowsy and relaxed, but not asleep when she is put to bed. By six months, you should be on your way! For more about infant sleep, check out the sleep chapter in Baby 411.

===============
3. Wheezin’ season

Cold and flu season shows up every year, just like that fruitcake that Aunt Mabel brings for the holiday meal. Some areas of the country are already seeing some cases of flu (influenza virus). And, RSV (respiratory syncytial virus) is here as well. RSV can infect anyone, but it causes more severe illness in infants—especially babies who were born prematurely. As opposed to the common cold, RSV attacks the tiny branches of the lower lung airways (bronchioles). Swollen bronchioles make the air flow turbulent, creating a wheezing noise.

Most kids are “Happy Wheezers”. They breathe faster than normal, but maintain good oxygen levels and are not in distress. Other symptoms include fever and lots of snot! This virus seems to go on forever, with kids coughing and wheezing for weeks. Not surprisingly, many kids will get ear infections after having a bout of RSV. So if your child is fever free for over 24 hours and suddenly spikes a new fever or acts fussy, get it checked out. Most of the time, kids do not need medicine for the wheezing because they are not in distress and do not usually respond to asthma medications used for wheezing. There are a small percentage of kids who do, though.

If your child has labored breathing, is under three months of age, or is under two years of age and a former preemie, call your doctor.

What’s the best way to prevent against RSV and the other usual suspects of the season? Good hand washing! Your mom was right again.

Well, that’s it from the home office of Baby 411. We hope you have a wonderful holiday season and a healthy 2006. Baby 411 makes a great gift for parents!

Best wishes,

Dr. Ari Brown, Denise Fields, and the elves at Windsor Peak Press

===============
Got a baby shower coming up? Consider giving Baby 411 as a gift! Click here:
http://www.baby411.com

Baby 411 E-News: Ear piercing, bug spray, RSV, metabolic screening

2005-05-06T15:21:20Z

(Mailing List Information, including unsubscription instructions,
is located at the end of this message.)

Baby 411 E-News: Ear piercing, bug spray, RSV, metabolic screening

(Need to change your email address? Want to have a friend get this
newsletter? Need to unsubscribe? Click here:

http://www.windsorpeak.com/baby411/newsletter.html)

================================================
BABY 411 NEWS UPDATE: May 2005
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
================================================

In this issue:

1. Ear piercing
2. New bug spray recommendations
3. RSV infection is serious for young and old
4. New metabolic screening recommendations for newborns
5. Quality time

------------------------------------------------------------------------------------------------------------

1. When is the right time to get your child’s ears pierced?

According to a study published in the May issue of Pediatrics, people who are prone to keloids (see below) should either get their ears pierced BEFORE age 11 or not at all. Keloids are thick scars that form when wounded skin is healing. They occur more commonly in darker pigmented individuals. If you or someone in your family has a problem with these, think twice about ear piercing.

------------------------------------------------------------------------------------------------------------

2. New insect repellant recommendations:

The Centers for Disease Control revised their recommendations regarding products that effectively protect us from mosquito bites and subsequently, West Nile Virus. Products that contain “DEET” (N,N-diethyl-m-toluamide) have been the gold standard.

Now, the CDC has added Picaridin (KBR 3023) and Oil of Lemon Eucalyptus to the list of effective insect repellants. The ‘Cutter Advanced’ brand of repellant contains picaridin as its active ingredient. Note: Oil of Lemon Eucalyptus is NOT approved for use in kids under age 3.

For more info on insect repellant use for kids, see: [http://www.cdc.gov/ncidod/dvbid/westnile/qa/insect_repellent.htm]

-------------------------------------------------------------------------------------------------------

3. RSV infections in the young and old:

Many of your babies went through the unpleasant experience of having RSV or ‘bronchiolitis’ this winter. It is a common viral respiratory infection that arrives every year in epidemic fashion. Babies who are born prematurely are at higher risk of complications from the infection, including wheezing and pneumonia.

What is news here is that elderly patients have been suffering along with babies with this infection. Frequently, these patients are diagnosed with the flu or a flu-like illness, but we are realizing that they, too, have RSV infection and can get quite sick. According to a study published in the New England Journal of Medicine, 178,000 elderly people are hospitalized with RSV infections annually and 14,000 die.
Bottom line: If your baby or young child has been diagnosed with RSV, keep the grandparents at a distance—particularly if they have chronic health problems.

-------------------------------------------------------------------------------------------------------

4. More on metabolic screening:

We have discussed expanded metabolic screening in both Baby 411 and a prior e-newsletter, but here is an update.

A government advisory committee consisting of genetic and metabolic specialists has recommended that all newborns be screened for a total of 29 metabolic disorders via a blood specimen obtained in the first two weeks of life. Currently, each state individually mandates the number of tests performed by their state health departments (and no state is doing all 29 tests!). This recommendation will likely trigger legislative discussions in several states.

For the time being, you can get your baby tested for these serious diseases through private laboratories. The cost varies from $25-$90 depending on the lab. Want details? See the section on optional newborn screening in Baby 411.

------------------------------------------------------------------------------------------------------

5. Quality time

Here is a nice story for all of you working moms. A study released in the April issue of the journal, Child Development, found that it was the quality (not the quantity) of the time parents spent with their children that had the greatest impact on bonding, social skills, and development. The study’s author, Dr. Aletha Huston, says it best: “There are a lot of different ways in which children can be treated well, including in families where mothers are employed.”

Now, go enjoy your kids and quit feeling guilty!!

Happy Mother’s Day!
Ari Brown, MD and Denise Fields
Authors of Baby 411: Clear Answers and Smart Advice for your Baby’s First Year

---
Baby 411 makes the perfect gift for Mother’s Day or Moms-to-be.
http://www.Baby411.com

---
The readers speak! Check out our new message boards for our books at:
http://www.windsorpeak.com/dc/dcboard.php

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Baby 411 E-News: Ear piercing, bug spray, RSV, metabolic screening

2005-05-04T12:24:10Z

(Mailing List Information, including unsubscription instructions,
is located at the end of this message.)

Baby 411 E-News: Ear piercing, bug spray, RSV, metabolic screening

(Need to change your email address? Want to have a friend get this
newsletter? Need to unsubscribe? Click here:

http://www.windsorpeak.com/baby411/newsletter.html)

================================================
BABY 411 NEWS UPDATE: May 2005
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
================================================

In this issue:
1. Ear piercing
2. New bug spray recommendations
3. RSV infection is serious for young and old
4. New metabolic screening recommendations for newborns
5. Quality time

------------------------------------------------------------------------------------------------------------

1. When is the right time to get your child’s ears pierced?

According to a study published in the May issue of Pediatrics, people who are prone to keloids (see below) should either get their ears pierced BEFORE age 11 or not at all. Keloids are thick scars that form when wounded skin is healing. They occur more commonly in darker pigmented individuals. If you or someone in your family has a problem with these, think twice about ear piercing.

------------------------------------------------------------------------------------------------------------

2. New insect repellant recommendations:

The Centers for Disease Control revised their recommendations regarding products that effectively protect us from mosquito bites and subsequently, West Nile Virus. Products that contain “DEET” (N,N-diethyl-m-toluamide) have been the gold standard.

Now, the CDC has added Picaridin (KBR 3023) and Oil of Lemon Eucalyptus to the list of effective insect repellants. The ‘Cutter Advanced’ brand of repellant contains picaridin as its active ingredient. Note: Oil of Lemon Eucalyptus is NOT approved for use in kids under age 3.

For more info on insect repellant use for kids, see: [http://www.cdc.gov/ncidod/dvbid/westnile/qa/insect_repellent.htm]

-------------------------------------------------------------------------------------------------------

3. RSV infections in the young and old:

Many of your babies went through the unpleasant experience of having RSV or ‘bronchiolitis’ this winter. It is a common viral respiratory infection that arrives every year in epidemic fashion. Babies who are born prematurely are at higher risk of complications from the infection, including wheezing and pneumonia.

What is news here is that elderly patients have been suffering along with babies with this infection. Frequently, these patients are diagnosed with the flu or a flu-like illness, but we are realizing that they, too, have RSV infection and can get quite sick. According to a study published in the New England Journal of Medicine, 178,000 elderly people are hospitalized with RSV infections annually and 14,000 die.
Bottom line: If your baby or young child has been diagnosed with RSV, keep the grandparents at a distance—particularly if they have chronic health problems.

-------------------------------------------------------------------------------------------------------

4. More on metabolic screening:

We have discussed expanded metabolic screening in both Baby 411 and a prior e-newsletter, but here is an update.

A government advisory committee consisting of genetic and metabolic specialists has recommended that all newborns be screened for a total of 29 metabolic disorders via a blood specimen obtained in the first two weeks of life. Currently, each state individually mandates the number of tests performed by their state health departments (and no state is doing all 29 tests!). This recommendation will likely trigger legislative discussions in several states.

For the time being, you can get your baby tested for these serious diseases through private laboratories. The cost varies from $25-$90 depending on the lab. Want details? See the section on optional newborn screening in Baby 411.

------------------------------------------------------------------------------------------------------

5. Quality time

Here is a nice story for all of you working moms. A study released in the April issue of the journal, Child Development, found that it was the quality (not the quantity) of the time parents spent with their children that had the greatest impact on bonding, social skills, and development. The study’s author, Dr. Aletha Huston, says it best: “There are a lot of different ways in which children can be treated well, including in families where mothers are employed.”

Now, go enjoy your kids and quit feeling guilty!!

Happy Mother’s Day!
Ari Brown, MD and Denise Fields
Authors of Baby 411: Clear Answers and Smart Advice for your Baby’s First Year

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Baby 411 E-News, March 2005: Breastfeeding and solid foods, Good bones, rocket fuel

2005-03-07T05:30:20Z

Baby 411 E-News, March 2005
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BABY 411 NEWS UPDATE: March 2005
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com

In this issue:
1. AAP releases new breastfeeding and introduction of solid foods recommendations
2. Good bones: It’s not just about milk
3. Environmental exposures: Rocket fuel found in breastmilk?
4. Do thumbsucking and pacifiers affect the teeth?

1. American Academy of Pediatrics (AAP) releases new breastfeeding/solid food guidelines
New recommendations were made last month by the AAP to stress the importance of breastfeeding and encourage families to breastfeed for the entire first year of life.

Here are the highlights:
-Moms are encouraged to ‘room-in’ with their newborns to facilitate breastfeeding.

-Trained caregivers should formally evaluate breastfeeding (latch, position, etc) at least twice daily while newborns are in the hospital. (If that doesn’t happen—you should demand it!)

-Supplements (water, sugar water, formula) should not be given to a breastfed newborn unless ordered by the baby’s physician for a medical reason.

-Pacifiers are discouraged until breastfeeding is going well.

-Breastfed babies should see their healthcare provider at 3-5 days of life, and again at two weeks of life for routine well child care.

-“Complementary foods” (solid food) should be introduced at SIX months of life. (Good luck convincing your own mother about this one)

--------------------------------------------------------------------------------------------------
2. Good bones: It’s not just about milk
A study published in the March 2005 issue of the journal, Pediatrics, reviewed the previous research regarding calcium intake in childhood. Daily calcium intake for kids is meant to improve bone density and prevent osteoporosis later in life. But does calcium play the biggest role in making healthy bones? And is milk the best way to get calcium?

Each 8 oz. cup of milk has about 250mg of calcium. The National Academy of Science’s recommended calcium intake is 500 mg a day for age 1-3 years, 800mg a day for age 4-8 years, and a difficult to achieve…1300mg a day for age 9-18 years.

Here’s what the study found:
-Exercise during teenage years is the most modifiable variable that promotes long- term healthy bone growth.
-Dairy products may be the most convenient way to get calcium, but calcium in other foods (like dark green leafy vegetables) is better absorbed. Note to parents: The study did not suggest how to get kids to eat those foods!
-Calcium supplements and calcium-fortified beverages have comparable absorption to the calcium in dairy products. (Good news for milk-allergic kids.)

Bottom line:
-Milk is still a great source for calcium, protein, Vitamin D and other vitamins/minerals.
-There are other good sources of calcium, and other important factors for healthy bones-…including regular physical activity.
--------------------------------------------------------------------------------------------------

3. Environmental exposures: Rocket fuel in breast milk?

You may have heard about the latest story about a chemical called perchlorate found in high levels in breast milk. Although the breast milk issue got attention, this chemical is also found in drinking water and cow’s milk. The Environmental Protection Agency’s current standards for acceptable perchlorate levels appear to be based on safety levels for adults, and not infants or pregnant women. Perchlorate blocks iodide, interfering with thyroid hormone production.

Take home message: There are many environmental toxins that our children are exposed to today (whether they are breastfed or not). Hopefully more steps will be taken to protect our kids as more information of these health hazards come to light.

--------------------------------------------------------------------------------------------------

4. Thumbsuckers and pacifiers affect teeth

Okay Moms and Dads, we know you don’t want to hear this one…A recent study in Italy looked at over 1000 kids who were thumbsuckers or pacifier lovers for more than one year of their life. Pediatric dentists looked at 3-5 year olds and found that the thumbsuckers and pacifier lovers had malocclusion (altered bite position) twice as often as their non-sucking peers. Also of note, breastfed kids had fewer problems with cross-bite than kids who were bottle fed.

Bottom line: The study does not address impact on adult teeth or bite position, so you don’t have to start saving money for the orthodontist yet. It would be nice to see long term follow up on these same kids.

--------------------------------------------------------------------------------------------------
Thanks the news from here.
Best wishes,
Dr. Ari Brown and Denise Fields
Authors, Baby 411: Clear Answers and Smart Advice for your Baby’s First
Year.
http://www.Baby411.com

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Baby 411 E-news ALERT: Elidel and Protopic FDA warning; NBC Today Show to air autism series

2005-02-19T18:31:14Z

Baby 411 E-news ALERT: Elidel and Protopic FDA warning; NBC Today Show to air autism series

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BABY 411 NEWS UPDATE: February 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
February 2005
===================================================

In this newsletter:

1. Elidel and Protopic warning from FDA
2. NBC Today Show to air autism series.

-------

1. Elidel and Protopic warning from FDA

Please see the press release from the Food and Drug Administration (FDA) regarding two popular non-steroid creams used to treat eczema. At the current time, the FDA is recommending that these products be used with caution, for children over the age of two years.

FDA ALERT [02/14/2005]: FDA is investigating postmarketing reports of lymphoma and skin cancer in children and adults treated with Elidel and Protopic, but the causal relationship has not been clearly established. We are continuing to analyze these reports to determine whether the occurrence of these adverse events affects the risk/benefit assessment of Elidel or Protopic therapy.

Elidel is not approved for use in pediatric patients less than 2 years of age. This information reflects FDA’s preliminary analysis of data concerning this drug. FDA is considering, but has not reached a final conclusion about this information. FDA intends to update this sheet when additional information or analyses become available.

To report any unexpected adverse or serious events associated with the use of Elidel or Protopic, please contact the FDA MedWatch program at 1-800-FDA-1088 or http://www.fda.gov/medwatch/report/hcp.htm

As of December 2004, the FDA received 10 cases of postmarketing reports linking Elidel with cancer related adverse events. Four cases occurred in children, 3 of these in children less than 6 years of age. The other 6 cases occurred in adults. The most serious outcome was one hospitalization in an adult. All other cases reported non-serious outcomes.

As of December 2004, the FDA received 19 cases of postmarketing reports linking Protopic with cancer related adverse events. Three cases occurred in children up to 16 years of age, and 16 cases occurred in adults. Two deaths in adults were reported related to complications of the cancers, and 8 hospitalizations were reported, including 2 in pediatric patients. The 19 postmarketing cases included 9 lymphomas, 10 cutaneous tumors, of which 7 occurred at the site of Protopic application, as well as cases of squamous cell carcinoma, cutaneous sarcoma, malignant melanoma and other tumor types.

Recommendations: Physicians with patients using Elidel or Protopic, or who are considering prescribing the drug, should consider the following:

• Elidel/Protopic is a second line agent to treat eczema (atopic dermatitis) in patients unresponsive to, or intolerant of, other first line agents.

• Elidel /Protopic is not approved for use in children less than 2 years old because of higher incidence of infections reported in clinical trials in children who were treated with Elidel compared to placebo, and because the long-term effect of Elidel/Protopic on the developing immune system in infants and children is not known.

• The long-term safety of Elidel/Protopic cream has not been established. Treatment with Elidel/Protopic cream should be discontinued after the signs and symptoms of atopic dermatitis have resolved. If no improvement occurs after 6 weeks of treatment, or exacerbation of atopic dermatitis (eczema) is observed, treatment should be stopped and other therapeutic options considered.

-------

2. Autism Series to Run on NBC's Today Show Next Week

From February 21-25, NBC's Today show will run a 10-part series on autism entitled, "Autism: The Hidden Epidemic?"

The series hopes to educate the public on the signs and causes of autism, how it is diagnosed, what educational programs exist, how it affects families, and how parents of autistic children can better advocate for their children. An interview with AAP President Dr. Carol Berkowitz is scheduled to air the first day of the series. Segments will run at approximately 8:08 am and 9:08 am (in each time zone) each day for the week.

In addition, the Centers for Disease Control and Prevention (CDC), in partnership with many organizations including the AAP, has launched an awareness campaign called "Learn the Signs. Act Early." to educate parents about childhood development, including early warning signs of autism and other developmental disorders.

Additional AAP resources on autism can be found at: http://www.aap.org/healthtopics/autism.cfm

-------

That’s the news from here!

Baby 411 E-News, Feb 2005: Meds and breastfeeding, flu alert, Is Motrin safe? and more.

2005-02-01T21:04:40Z

February 2005 E-news: Medicine for breastfeeding moms, unpasteurized juice, flu alert, and is Motrin still safe?

(Need to change your email address? Want to have a friend get this
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BABY 411 NEWS UPDATE: February 2005
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
February 2005
================================================

In this newsletter:
1. Medication for breastfeeding moms
2. Pass on unpasteurized juice
3. Flu alert
4. Is Motrin still safe?
-----------------------------------------------------------------------------------
1. MEDICATION INFO FOR BREASTFEEDING MOMS

Pseudoephedrine, a common decongestant used in cough and cold medications, may significantly lower milk production in breastfeeding moms. So, if you have a runny nose, you may want to use an antihistamine or a decongestant nasal spray instead. And of course, it’s always a good idea to check in with your baby’s doctor.

Many breastfeeding moms and babies pass thrush (a yeast infection) back and forth and have difficulty getting rid of it. Here are a few tips from Linda Hill, certified lactation consultant:

If mom or baby has a yeast infection, both parties get treated whether they show symptoms or not. Moms can use over the counter Monistat or Lotrimin up to four times daily while there are symptoms.

Moms who are being treated with antibiotics (e.g for mastitis) are at higher risk of developing yeast infections. Taking 1 capsule of acidophilus per day while on antibiotics may prevent yeast overgrowth.
---------------------------------------------------------------------------------
2. PASS ON UNPASTEURIZED JUICE

The Food and Drug Administration has issued a warning about unpasteurized juice. These juices are not treated to kill off bacteria that cause food poisoning (like E coli infections). Infants and young children are at higher risk of serious infection. Juice products sold in bottles must display a warning label. But beware of fresh squeezed products or those sold by the glass, like juices and cider at roadside stands or farmers markets. There is no labeling requirement.
------------------------------------------------------------------------------
3. FLU ALERT

Flu season has arrived. Thirty five states reported flu outbreaks to the Centers for Disease Control last week. Fourteen states* and New York City are report widespread flu infection. There have been three deaths in children due to the flu this season.
(* New England states, Texas, Kansas, Colorado, Minnesota, Wisconsin, Kentucky)

Influenza (or “the flu”) is a respiratory infection caused by a virus. It is more severe than the common cold, with longer lasting symptoms and higher risk of secondary bacterial infections (such as pneumonia).

Symptoms include high fever, often 102 or greater, body aches, and chills. Then comes the runny nose, cough, and sore throat.

Diagnosis can be made by physical examination, blood work, or a rapid flu test in the doctor's office. If the diagnosis is made within 48 hours of the onset of symptoms, anti-viral medication can be given to children one year and older to shorten the course of
the illness.
-------------------------------------------------------------------------------
4. IS MOTRIN STILL SAFE?

Many of you saw the recent news about a child’s family suing the makers of Children’s Motrin (ibuprofen). The family claimed their daughter lost her eyesight as a result of taking the medicine.

The little girl had an allergic reaction, known as Stevens-Johnson syndrome. This syndrome can be caused by viral illness, and as a rare adverse reaction to many types of medications including antibiotics, ibuprofen, and seizure medications.

Is it still okay to give your child ibuprofen? Yes. But it is important to realize that any medication, even over the counter ones, can have side effects.
-----------------------------------------------------------------------------------------

Stay tuned for our next book adventure: Baby 411: The Grandparent’s Edition. Share your favorite experiences and wisdom with us in an upcoming reader poll and we will include you in the book!

Ari Brown, M.D. & Denise Fields, authors
BABY 411
Web: www.Baby411.com

Baby 411 E-News: Flu vaccine guidelines revised

2004-12-27T21:13:05Z

To all our Baby 411 readers:
The Centers for Disease Control revised their guidelines for who is eligible to receive the flu vaccine as some areas of the country have adequate supply.

Here's what the new guidelines mean for your kids:
Children who are household contacts of high risk groups may now receive the flu vaccine. (Previously, only siblings of infants under 6 months of age could get vaccinated.)

So, here are the children who are eligible:
1. Kids whose siblings (or other family members) have asthma, chronic medical diseases, or immune deficiencies.
2. Kids with siblings under the age of 2 years old in the house.
3. Kids whose moms are pregnant.

Families should contact their healthcare provider or local health department to find out about flu vaccine availability in their community. *Dr. Brown's practice is following the CDC's expanded guidelines and will also administer vaccine to parents of children in high risk groups until vaccine supply is depleted.

Thus far, the 2005 flu season is following a typical pattern, with very few cases nationwide. Flu season usually peaks in the months of January and February. Only New York state is reporting widespread numbers of patients with the flu. Bottom line: it's not too late to get vaccinated!

This news update has been brought to you by your friends at Baby 411.
Ari Brown, MD and Denise Fields
**********************************************************
Baby 411:The only book that keeps up with the pace of modern medicine.
Check us out on the web at www.baby411.com

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Baby 411 E-News: toy safety, flu, DHA supplements, bottle water, Bjorn recall

2004-11-30T15:51:40Z

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================================================
BABY 411 NEWS UPDATE: December 2004
The free eNewsletter for the readers of Baby 411
http://www.baby411.com
December 2004
================================================

In this newsletter:

1. Toy Safety for the holiday season
2. Ways to prevent the flu
3. DHA supplements
4. Bottled water not any safer than tap
5. Baby Bjorn recall

------------------------------------------------------------

1. Toy Safety:

As we begin the holiday shopping season, be sure to make your list and check it twice. Over 40% of people are expected to purchase their toys online this year. What you need to know: only 1/3 of online retailers display the toy safety warnings (e.g. choking hazards) that you find on the toy’s package. So get informed before making your purchases. And, this may seem obvious, but be sure to supervise your little ones while they are playing. There were over 200,000 toy-related emergency room visits last year in the U.S. and 11 deaths.

A good way to remember dangerous toys… ELF STEW

E: Electrical toys
L: Loud noises
F: Flying objects
S: Sharp edges
T: Tiny parts
E: Emotional hazards (violent videos/games)
W: Wrong toy for the age of the child
------------------------------------------------------------

2. Preventing the flu:

We have all heard about the flu vaccine shortage. Hopefully, many of you have managed to get your babies 6-23 months old vaccinated or yourselves if you have an infant under six months old in the house. But, there are other ways to protect you and your family from getting sick this winter. Here are some tried and true tricks:

*Wash hands: Be sure your child’s hands are washed before meals, after using the bathroom, and after playing with others. We all tend to slack off on hygiene when we are in our homes-which is one of the top reasons why the whole house gets sick when one family member is ill.

*Don’t share drinks or food: That left over chicken nugget on your child’s plate may look tempting but it is full of germs. You’ll regret it the next day when your child wakes up with a runny nose. Teach your older kids not to share food with their friends.

*Keep Kleenex (or your favorite brand) in business: Flu germs live and spread in the cough and sneeze droplets (i.e. snot) that infected people make. If one person in the house gets sick, be strict about using tissues and washing hands afterwards. If someone with the flu has germs on their hands and touches objects (like doorknobs or countertops), the flu germs live there for hours and can spread to the next victim.

The flu can be diagnosed based on a person’s symptoms, which differ from the common cold (higher fever, body aches, longer duration of cough/runny nose). But, a rapid flu test or a simple blood count can confirm it. Antiviral medications can be used to shorten the duration of symptoms and prevent the flu in family members who have been exposed. The catch: the medication needs to be started within 48 hours of symptoms to make a difference. And, the medications are approved only for kids over one year of age.
----------------------------------------------------------

3. What’s the buzz about DHA supplements for moms?

You may have seen the ads in parenting magazines about DHA supplements. DHA is an essential fatty acid found in fish oils. DHA is found in breast milk, but the amount varies depending on the nursing mother’s diet. As a result, companies have been promoting DHA supplements in prenatal vitamins and supplements for moms who are breastfeeding.

In a way, they have a point. Because the FDA has issued warnings about limiting fish consumption (Tuna, mackerel, shark, swordfish, tilefish), pregnant and nursing moms may be getting less of those fish oils in their diets. But what you need to know is this: neither the American College of Obstetrics and Gynecology nor the American Academy of Pediatrics currently recommends DHA supplements. At this point, we suggest you ask your OB/ pediatrician for their opinion.

-----------------------------------------------------------

4. Is bottled water any safer?

Not necessarily. A Dutch study recently studied bottled water from 16 countries (the U.S. was not one of the countries). 37% of the samples were contaminated with bacteria and 4% were contaminated with fungus. The bacteria identified can cause infections in people with weak immune systems.

Bottom line: It’s probably not worth the extra cost to buy bottled water if you are only buying it for safety concerns. Stay tuned for the American bottled water experiment…

-------------------------------------------------------------

5. Baby Bjorn Active recall:

49,000 infant carriers have been recalled because of a potential fall hazard for infants. The back support buckle can potentially detach from the shoulder straps. The model number is 1-260, and ‘Baby Carrier Active’ is written on the label. Consumers can contact the company at (877) 962-8400 or www.regallager.com for more information.

-------------------------------------------------------------

Have a safe and healthy holiday season. Looking for a gift for your newly pregnant friends? Give them a copy of Baby 411—it’s the only parenting book that keeps up with the pace of modern medicine. Click here to order:

https://windsorpeak.com/orderform14.html

Best wishes,
Ari Brown, M.D. and Denise Fields
Authors, Baby 411: Clear Answers and Smart Advice for your Baby’s First Year.
http://www.baby411.com
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Baby 411 E-News October: Prevnar update, flu vaccine, snoring, organic baby formula and more!

2004-10-19T17:52:21Z

Baby 411 Breaking News: Flu Vaccine Shortage

2004-10-05T17:57:34Z

Baby 411 Breaking News: Flu Vaccine Shortage

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BABY 411 NEWS UPDATE: October 5, 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
October 2003
===================================================

BREAKING NEWS: Flu Vaccine Shortage Prompts Rationing!

Chiron Corp., manufacturer of the influenza vaccine Fluvirin, announced today it is unable to release flu vaccine for at least 3 months. Fluvirin, which is manufactured in England, accounted for almost 50 percent of the total US influenza vaccine supply. It is approved for adults and children ages four and above.

The AAP, the American Academy of Family Physicians and the Centers for Disease Control and Prevention agreed on guidelines for physicians. The following high-risk groups (of equal priority) are to receive flu vaccine:

Children 6 through 23 months of age.
Adults 65 years of age and older.
People 24 months - 64 years of age with chronic medical conditions.
Women pregnant during the flu season.
Residents of chronic care facilities.
Children on chronic aspirin therapy.
Healthcare workers with direct patient contact.
Household contacts and out-of-home caregivers of children 0-6 months of age.

Children under 9 years of age require two doses if they have not been previously vaccinated. All children at high risk of complications from influenza who present for vaccination should be vaccinated with a first or second dose depending on vaccination status. However, doses should not be held in reserve to ensure that two doses will be available. Rather, available vaccine should be used to vaccinate on a first-come, first-served basis.

FluMist is appropriate for those health care workers not in contact with severely immunocompromised persons and those healthy individuals 5-49 years of age in close contact with infants 0-6 months of age.

You can read more about this situation here:

http://money.cnn.com/2004/10/05/news/midcaps/chiron/index.htm?cnn=yes

We will have news updates on this situation as soon as they are available.

Thanks for reading our book!
---
Dr. Ari Brown
Author, Baby 411
Baby411.com

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Baby 411 E-News September 2004: New car seat rules, exercise for moms with infants, FDA bans breast milk supply drug, expanded newborn screening

2004-09-07T18:21:04Z

Baby 411 E-News: Dr. Brown on NBC Today Show this Thursday August 5th

2004-08-03T11:32:46Z

Baby 411 E-News: Dr. Brown on NBC Today Show this Thursday August 5th!

================================================
BABY 411 NEWS UPDATE: August 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
August 2004
================================================

Dr. Ari Brown, co-author of Baby 411, will appear live on the NBC Today Show Thursday August 5th!

The Today Show is doing a series this week on breastfeeding, in conjunction with World Breastfeeding Week.

Dr. Brown will talk on Thursday about the biggest myths surrounding nursing your baby and survival tips for making breastfeeding work after the first month.

So, mark the calendar! Set up your TiVo! Watch Dr. Brown this Thursday August 5th on NBC's Today Show!

Baby 411 E-News: Breaking News---Prevnar vaccine shortage ends

2004-07-09T10:42:07Z

Baby 411 E-News: Breaking News---Prevnar vaccine shortage ends

The American Academy of Pediatrics and the Centers for
Disease Control announced today that the supply of
Prevnar, the vaccine that protects infants from
meningitis and other serious infections, is improved.

Babies who were unable to receive their 3rd booster
dose at 6 months up to 23 months of age should return
to their medical provider to get that dose.

Parents should contact their childs doctor to get
specific details on the office procedure for getting
the vaccine.

Best wishes,
Dr. Ari Brown and Denise Fields, authors of Baby 411

=====
Ari Brown, MD
Co-Author of Baby 411: Clear Answers and Smart Advice for Your Baby's First Year
Now available at all major bookstores and amazon.com.
Check it out on the web at www.baby411.com.

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Baby 411 E-News July 2004: New jaundice rules, cough medicines, swimmer�s ear, early signs of autism, peanut allergies

2004-07-06T21:45:42Z

Baby 411 E-News July 2004: New jaundice rules, cough medicines, swimmer’s ear, early signs of autism, peanut allergies

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================================================
BABY 411 NEWS UPDATE: July 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
July 2004
================================================

In this newsletter:

1. AAP revises guidelines to prevent brain damage in newborns
2. Do cough medicines help sick kids sleep?
3. Swimmer’s ear prevention
4. Early signs of autism
5. Good news for kids with peanut allergy

---------------------

1. AMERICAN ACADEMY OF PEDIATRICS REVISES POLICY STATEMENT FOR MANAGING JAUNDICED NEWBORNS

A rare, but preventable form of brain damage (see ‘kernicterus’ in Baby 411) is caused by the collection of body garbage (‘bilirubin’) in the brain. Newborns are at risk for this problem because they eat poorly in the first 5 days of life and thus, do not eliminate it effectively in their poop.

About 60% of the 4 million babies born in the U.S annually will experience some yellowing of the skin (jaundice) shortly after birth. Only a small fraction of those babies are at risk of brain damage, but they all need to be followed more closely so none are missed. Levels of jaundice start to rise just as most newborns are going home from the hospital at 48 hours of life. The levels usually peak between 3-5 days of life.

Certain factors put some babies at higher risk: prematurity, blood type (if mom is O and baby is A or B), birth trauma (head bruises), Asian or Mediterranean ancestry, or history of a sibling with jaundice. Additionally, breastfeeding may also be a risk factor if the newborn is not feeding at least 8 times a day or there is a delay in mother’s milk coming in.

Because of the increased number of newborns that are breastfed, and that brain damage is almost always preventable with close monitoring, the AAP has modified its policy statement to reflect this.
The recommendations are:

1. Screen all babies thoroughly for the risk of severe jaundice.
2. Improve education and breastfeeding support for parents while they are in the hospital.
3. Breastfeed at least 8 times per day.
4. Routinely schedule an appointment with the baby’s medical provider at 3-5 days of life. (even if that means an appointment on a weekend)

---------------------

2. DO COUGH MEDICINES HELP SICK KIDS SLEEP?

A study published in the July issue of the journal, Pediatrics, looked at 100 children who took over-the-counter cough medicines and whether they slept better or not. The verdict: the kids who took the cough medicine did not sleep any better than those who were medication-free (and neither did their parents).

The bottom line: Since kids do about the same with or without cough medicine, you might want to re-think using these products.

---------------------

3. SWIMMER’S EAR PREVENTION

With summer upon us, many children visit their pediatrician for swimmer’s ear. This is an infection of the skin that lines the external ear canal. It’s different that the middle ear infections that occur behind the eardrum after children have had a cold.

Swimmer’s ear is caused by water that sits in the ear canal after a day of diving, swimming under water, and playing too much Marco Polo. A bacteria that loves water grows in that stagnant water and makes the skin get swollen and red. Needless to say, infants and toddlers are at low risk of getting swimmer’s ear. But if you have an older child who fits this description, there is an easy way to prevent it.

After your child has finished swimming, place 2 drops of rubbing alcohol and 2 drops of vinegar in each ear. This dries out the water and changes the pH of the skin so the bacteria cannot grow.

---------------------

4. EARLY SIGNS OF AUTISM

With autism in the news, many parents have concerns about their own child’s development. A checklist (called CHAT) is available for pediatricians to administer for toddlers 18 months of age to serve as a screening tool. Signs of autism develop before this age, but become more apparent in this age group.

Early signs of autism include poor nonverbal communication skills. By one year of age, many children ‘point and grunt’ to express what they want. Autistic children often do not use their finger to indicate a desired object. Autistic children may also have difficulty changing the focus of attention from one activity to the next.

In the toddler age group, autistic children have difficulty with ‘symbolic’ or imaginary play. For instance, they will not pretend to feed a doll or serve food to a parent. Language delays also become more obvious when these children do not start to learn new words.

Children who fail the CHAT screening test should get further testing. There are also other medical causes that need to be ruled out for children who fail the screening test.

---------------------

5. GOOD NEWS FOR PEANUT ALLERGIC KIDS

Several studies have looked at kids with peanut allergies recently. One study showed that over 90% of children with severe peanut allergies would not have an ‘anaphylactic’ reaction after having skin contact with peanut butter. This has been a concern for allergic kids when they reach school age and are constantly exposed to another child’s PB & J sandwich in the lunchroom. But remember, it’s always important to have an Epi-pen available for an emergency.

More good news: A new medication is in the works for peanut allergic kids. It is called a ‘monoclonal antibody’ and it would decrease a person’s sensitivity to peanuts. People who eat a trace amount of peanut and have a serious reaction might be able to handle up to 9 peanuts without a problem with this medication.

---------------------

That’s the news from here! Thanks for reading Baby 411!

Ari Brown, M.D. & Denise Fields, authors
BABY 411
Web: www.Baby411.com

Baby 411 E-News May 2004: Measles outbreak, vaccines/autism, baby pools, sunblock

2004-05-24T17:49:36Z

Baby 411 E-News May 2004: Measles outbreak, vaccines/autism, baby pools, sunblock

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: May 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
May 2004
===================================================

In this issue:
1. Measles outbreak
2. New report determines no link of vaccines and autism
3. Don’t drink the water
4. Sunblock and insect repellant guidelines
5. Yes, Baby 411 makes a great shower gift! Get a discount on a combo deal

_________________________________________________________

1. Measles outbreak

The Centers for Disease Control have temporarily suspended adoptions from the Hunan province of China due to nine adopted children entering the U.S. with measles infection. These children were diagnosed with infection in five states: Alaska, Florida, Maryland, and New York, and Washington state. Because the incubation period of infection is 7-10 days, these children did not have symptoms until their arrival in the U.S.

Also of concern, Mexico is currently experiencing a measles epidemic with 64 confirmed cases in the first four months of 2004. Two of the reported cases occurred near the Texas border.

Children in the U.S. routinely receive a measles vaccination at 12-15 months of age with a booster dose given at 4-6 years of age. Children UNDER one year of age are NOT protected against this infection. Infants do not receive measles vaccine because they do not form an adequate immune response to the vaccine. However, kids under a year may receive a measles shot if there is an epidemic.

To complicate matters further, communities with low immunization rates are particularly susceptible to epidemics. Children who are not immunized get sick and spread the disease to those who are too young to be immunized. (see’ herd immunity’ in Baby 411). Prior to the measles vaccine, there were 4 million cases of measles per year in the U.S.

Take home message:

• Make sure your child’s shots are up to date.

• If you have an infant 6-11 months of age and you are traveling to Mexico, a measles vaccine is recommended in addition to the routine immunization series.

• Stay tuned for new recommendations of measles vaccine if an epidemic occurs in the U.S.

---------------
2. New report determines no link of vaccines and autism

The Institute of Medicine released a report this month stating that they found no association between childhood vaccines and autism. They specifically looked at the combination MMR vaccine and the mercury derived preservative thimerisol. Numerous studies have been done since vaccine safety concerns arose in 1998.

The group stressed that the rise in autism is very concerning and warrants significant investigation. But that research and resources should be moved on from the vaccine question at this point.

The Institute of Medicine is a non-profit organization with no link to pharmaceutical companies.

Take home message: Vaccines are safe and there is substantial evidence to prove this. Families with autistic children will continue to look for answers, and hopefully these will come soon.

---------------
3. Don’t drink the water

We’ve always been a bit leary of those baby pools. . . and for good reason. But even kids out of diapers can spread infection in pool water, area lakes, and water parks. Kids with diarrheal illnesses including E.coli, Giardia, and cryptosporidium spread even in chlorinated pools. And molluscum, a member of the wart family, is caused by a virus that likes water.

The bottom line:

• Don’t let your child drink the water he is swimming in.

• Avoid pools when your child has diarrhea.

• Rinse your child off shortly after getting out of the pool.

---------------
4. Sunblock and insect repellant guidelines

Here are the latest guidelines from the American Academy of Pediatrics regarding skin protection for kids.

Sun protection:

• If possible, keep infants out of direct sunlight, particularly during peak sun hours.
• Have your baby wear protective clothing, including hats.
• ALL babies, including newborns, may wear sunblock as part of their sun protection.
• SPF 30 is recommended and should be reapplied frequently (every 2 hours or more often).

FYI: The FDA recently limited the maximum SPF rating to 30+ since there is minimal advantage in products over SPF 30.

Insect repellants:

Here is the lowdown on products..

DEET (N,N-Diethyl-meta-tolumide) is the most effective insect repellant product available over the counter. Products containing 10% DEET provide about 2 hours of protection. 30% DEET products provide about 5 hours of protection. 30% DEET is just as safe for kids as 10% DEET. ’Natural’ insect repellants such as citronella provide very limited protection (one study showed protection for only 9 minutes).

• Use DEET containing products for infants OVER 2 months of age. (You can use insect netting over the stroller or car seat for little ones).
• Apply the product once in a day. So, choose the product for the length of time you plan to spend outside.
• Don’t spray near the mouth, eyes, or fingers.
• Don’t use combination sunblock and insect repellant products. (Sunblock needs to be reapplied frequently)

Have a safe and enjoyable summer!

---------------
5. Yes, Baby 411 makes a great shower gift! Get a discount on a combo deal when you order two of our books!

Got a friend having a baby? Baby 411 makes a great shower gift! And you can save $5 when you buy both our BABY 411 and BABY BARGAINS books----just $27.97 with free shipping. Order here:

https://windsorpeak.com/orderform14.html

Or save $9 when you buy all three of our parenting books (BABY 411, BABY BARGAINS and TODDLER BARGAINS) for just $39.97 with free shipping!

Thanks again for reading our book!

---------------
Ari Brown, M.D. & Denise Fields, authors
BABY 411
Web: www.Baby411.com

Baby 411 E-News April 2004: TV, flu vaccine, Canada bans walkers, sleep

2004-04-19T19:16:48Z

Baby 411 E-News April 2004: TV, flu vaccine, Canada bans walkers, sleep

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: April 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
April 2004
===================================================

In this email:
1. Television and link to attention problems
2. Centers for Disease Control (CDC) stockpiles flu vaccine
3. Canada bans walkers
4. Is your baby getting enough sleep?

-------------

Here’s what is new and exciting in the world of babies and young children!

-------------
1. Television and link to attention problems

A study released in the April issue of the journal Pediatrics looked at the potential association of TV viewing at young ages and the development of attention problems later in life.

Children ages 1 and 3 years of age were evaluated for the number of hours TV watched per day. Then, they were tested for attention problems at age seven. The average one year old watched 2.2 hours of TV a day and the average three year old watched 3.6 hours a day. The statistics showed that TV watching was associated with attention problems at age 7 and kids who watched more than the 'average' number of hours in this study had significantly higher probability of having attention problems.

The type of programs the kids were watching was not assessed. The concern is that the rapid fire images of television may wire a child’s developing brain to process information for short periods of time-regardless of whether the program is ‘educational’ or not.

Take home message: Early television viewing during a time of critical brain development (under 3 years of age) may significantly impact the way kids' brains process information. This concern should be investigated further.

How much TV should a baby watch? At what age is TV OK? See Baby 411 for specific guidelines.

National TV turnoff week is April 19-25, so now might be a good time to think about how TV impacts your life and your family.

-------------
2. Centers for Disease Control (CDC) stockpiles flu vaccine

The CDC plans to stockpile 4 million doses of flu vaccine for children for next year’s cold and flu season. This year’s flu hit early and hard, and led to the death of 143 children.

The American Academy of Pediatrics has now recommended flu vaccine for infants ages six months and older.

New recommendation: Women in their FIRST trimester of pregnancy can and should receive the flu vaccine.

-------------
3. Canada bans walkers

Canada is the first country to officially ban infant walkers from being sold new or used, imported, or advertised. Their health officials are concerned that infants do not have the motor skills, reflexes, or intellectual capacity to safely use them.

Walkers are a significant safety hazard. Infants can sustain head injuries if they transport themselves to a stairway and tumble. They also give infants the freedom to get around places in your home that you might not want them to.

-------------
4. Is your baby getting enough sleep?

A recent study released by the National Sleep Foundation found that infants and young children aren’t getting enough sleep (and neither are their parents!). Infants aged 3-11 months, on average, are getting 12.7 hours a day even though they probably need about 14-15 hours. Toddlers aged 1-3 years are getting 11.7 hours and need 12-14 hours. Tired kids are not only cranky, but they are less interested in learning new information.

Another disturbing finding: 20% of kids under the age of 3 had TV sets in their bedrooms and 33% of kids ages 3-5 years did as well. And, no surprise here, kids with their own TV’s went to bed later and got less sleep.

Need help getting your little one to the Land of Nod? Check out the sleep chapter in Baby 411.

Happy Spring!
--
Dr. Ari Brown and Denise Fields, authors
BABY 411
Web: www.Baby411.com

Baby 411 E-News: March 2004! New ear infection rules and more

2004-03-19T17:52:02Z

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: March 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
March 2004
===================================================

In this email:
1. TOP STORY: New ear infection treatment guidelines
2. Obesity and soft drinks
3. Chickenpox outbreak in vaccinated children
4. Do moms confide in their pediatrician?
5. MMR and autism study refuted

-------------

Here’s what is new in healthcare for your baby:

1. TOP STORY: New ear infection treatment guidelines

The American Academy of Pediatrics and American Academy of Family Physicians released their much-speculated revised treatment guidelines for ear infections this month. For the complete recommendations, go to www.aap.org. Why the change you ask? Antibiotic resistant bacteria are on the rise. The only way to have effective antibiotics to fight bacterial infections when we need them is to avoid using them when we don’t. Up to 80% of ear infections will clear WITHOUT antibiotics.

Infants under six months of age with acute middle ear infections will still get treated with antibiotics. These little ones are more likely to have complications related to ear infections and get sicker more quickly.

Children ages 6 months to 2 years of age with clear cut ear infections will also still be treated with antibiotics. When the diagnosis is questionable though, medical providers may opt to ‘wait and see’ how a child is doing in 2-3 days before prescribing an antibiotic. In the past, the mantra was, “When in doubt, treat.” The new mantra will be, “When in doubt, wait and see.”

Children 2 years to 12 years with clear cut ear infections who are not in severe pain and lack a high fever may be sent home without an antibiotic with a follow-up plan in place in the next 2-3 days. If there is no improvement in a child’s symptoms or exam, then antibiotics are in order.

The guidelines leave it up to the medical provider to implement a treatment plan based on each individual patient. Some doctors may opt to send a parent home with a safety-net prescription to fill if the child’s symptoms are not improving. Others may prefer to see the patient back in the office in a couple of days to reevaluate the child, or have the parent follow-up by phone.

Okay, I know what is running through your mind. While these guidelines are helping mankind, what do you do with you own child who is screaming all night with an earache? The guidelines also address this question. A study compared kids who were treated with antibiotics for ear infections and those who weren’t. Whether kids got antibiotics or not, 60% had less pain within 24 hours of their complaints- the antibiotics themselves do not provide pain relief in the first 24 hours.

Bottom line: If your child is crying in pain, he won’t be sent home without an antibiotic. The guidelines are attempting to limit antibiotic use in kids with mild to moderate symptoms and avoid use when the diagnosis itself is questionable (not all ear infections are so black and white).

Look for more information about ear infections and treatment in our special section in Baby 411.

-------------
2. Obesity and soft drinks-

We have all heard about the obesity epidemic affecting our country. One study has shown a 60% increased risk of obesity by drinking just one can of soda a day. (A12 oz can contains 150 calories and 10 teaspoons of sugar). The American Academy of Pediatrics has numerous recommendations, including that soft drinks and fruit flavored drinks should not be sold in elementary schools. One issue is that schools benefit from contracts with soft drink manufacturers-to the tune of $200 million nationwide. Bottom line: Encourage your school to require soft drink manufacturers to sell 100% fruit juice, milk, and water in vending machines and create a nutrition advisory panel if your school doesn’t have one.

-------------
3. Chickenpox outbreak in vaccinated children-

A recent study looked at an outbreak of chickenpox infection at an elementary school in Oregon where 97% of the students were vaccinated against the disease. The study found that children who had been vaccinated more than 5 years prior to the outbreak were more likely to catch the illness. Vaccine effectiveness was about 72% in complete protection from disease. The kids who ended up with the infection had very mild cases (less than 50 pox) as compared to unvaccinated kids who routinely get about 350 pox lesions.
Bottom line: Chickenpox vaccine is given to kids under 12 years of age only once. A booster dose may be recommended in the future if we continue to see outbreaks. The good news is that even if the vaccine is not 100%, kids still are protected from serious infection.

-------------
4. Do moms confide in their pediatrician?

A study released this month looked at mothers of young children and whether or not they felt comfortable discussing their ‘emotional health’ with their pediatrician. Although pediatricians could be a resource for help, many moms reported that admitting parenting stress would be admitting failure. They relied on lactation groups, postpartum groups, playgroups, and the Internet as sources of support. Yet, over 50% of pediatricians feel it is their responsibility to recognize postpartum depression.

One mom in the study said it best,” The pediatrician has a wonderful opportunity to treat the entire family for the benefit of the child.”

Bottom line: Most pediatricians feel that their job description includes making sure that moms are doing okay with life. Test the waters next time you visit your child’s doctor-you might be pleasantly surprised.

5. MMR and autism study refuted-

A study published in 1998 by the journal Lancet was recently refuted. The “Wakefield Study” looked at the possibility of the combination of Measles, Mumps, and Rubella vaccine causing autism. Ten of the 13 investigators in the original study have refuted the findings based on significantly more data that has been evaluated. It also appears that Dr. Wakefield recruited research subjects who were involved in lawsuits against vaccine companies. Dr. Wakefield has now hit the U.S. soil, opening up autism centers across the country.

That’s the news from here!

Denise Fields
Ari Brown, MD
Co-authors, BABY 411

-------------
Think of it as the ultimate FAQ for new moms and dads! Check it out Baby 411 here: http://www.Baby411.com

--
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Baby 411 E-News: Dr. Brown on FOX NEWS live at 5:25pm Eastern

2004-03-15T16:11:48Z

Hi folks: Some breaking news from the offices of Baby 411. . .

Co-author Dr. Ari Brown will be interviewed LIVE tonight on FOX NEWS "The Big Story" show at 5:25pm eastern (2:25pm Pacific).

FOX NEWS picked up a story from the Washington Post yesterday that quoted Dr. Brown. Read the story here:

http://www.washingtonpost.com/wp-dyn/articles/A58706-2004Mar14.html

If you are near a TV, tune in!

Alan & Denise Fields
authors, BABY BARGAINS * BABY 411

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Baby 411 BREAKING NEWS: Vaccine Shortage

2004-03-05T18:54:54Z

PREVNAR SHORTAGE

The Centers for Disease Control announced this week
the manufacturers of the popular Prevnar vaccine are
experiencing a severe shortage.

Prevnar vaccine protects against 7 forms of the
bacteria called Strep pneumoniae which causes ear
infections, sinus infections, pneumonia, blood
infections, and meningitis. Four doses of the vaccine
are given to infants and toddlers to provide optimal
protection from disease. With the shortage, the CDC
recommends that only the first 2 doses be given to
each child in order to at least partially protect
them. Children who are at high risk of serious
infection will still receive all 4 doses. Since
licensure in 2000, studies have shown that 3 doses are
very protective against serious infection. It is
uncertain how effective 2 doses will be.

The shortage is expected to last several months. The
manufacturer and health care providers will set up a
call back procedure to notify families to bring their
child in for booster doses when the vaccine shortage
is over.

For more information on Prevnar and Strep pneumoniae
infections, check out Baby 411, Chapter 12.

=====
Ari Brown, MD
Co-Author of Baby 411: Clear Answers and Smart Advice for Your Baby's First Year
Now available at all major bookstores and amazon.com.
Check it out on the web at www.baby411.com.

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Baby 411 E-News Feb 2004: Breastfeeding and Obesity, 3 new studies on food allergies, Prevnar vaccine shortage

2004-02-19T19:51:59Z

Baby 411 E-News Feb 2004: Breastfeeding and Obesity, 3 new studies on food allergies, Prevnar vaccine shortage

(Need to unsubscribe? Change your email address? Want to have a friend get this newsletter? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: February 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
February 2004
===================================================

In this email:

1. Breastfeeding and obesity
2. Three studies on food allergies
3. A new form of Amoxicillin
4 Ricin in the news
5. Prevnar vaccine shortage

-------------

Here’s what is new in healthcare for your baby:

1. Breastfeeding and obesity

One more reason to breastfeed: Breastfeeding and protection from obesity. A recent study looked at data from the Centers for Disease Control and found that the majority of children who were four years of age and obese were never breastfed or breastfed for less than one month.

Take home message: There are probably too many variables here to be certain that breastfeeding is the reason these kids do not become obese, but it will be interesting to see further studies on this issue.

2. Three studies on food allergies:

a) Peanut allergy: A study in the New England Journal of Medicine looked at the diets of breastfeeding women and the subsequent development of food allergies in infants. The results showed that there was no association or prevention of peanut allergy even if the mother avoided peanut and peanut products in her diet. Interestingly, infants did show a sensitization to peanuts when skin products containing peanut oil was applied to irritated skin.

Take home message: It may be okay to sneak in a PB and J sandwich while you are nursing, but not okay to use ‘natural’ skin balms that contain Arachis or peanut oil.

b) Fish oil in pregnancy to prevent food allergy: A study looked at pregnant women who had a significant history of allergies. These women were given fish oil supplements during pregnancy. Their infants were studied at 1 year of age. These children were three times LESS likely to have a skin prick allergy to eggs at one year of age.

Take home message: Very interesting data in a small study. More studies need to be done before given all pregnant moms fish oil with their prenatal vitamins.

c) Give an epi-pen to your childcare provider. A study administered a questionnaire to childcare providers and found that over 50% of children they cared for with food allergies did not have any medication to administer if the child had an allergic reaction in childcare. What is even more concerning, 67% of food allergic kids have accidental exposures (like in a childcare setting).

3. A new form of Amoxicillin.

Ranbaxy Pharmaceuticals has released Dispermox. This is a tablet that dissolves in water (like Alka-Seltzer). It tastes like the classic flavor of bubble gum in the tried and true Amoxicillin. For a child who dislikes the chew tabs and for the family who is traveling, this may be a good choice when antibiotics are in order.

4. Ricin in the news:

The poisonous substance, ricin, has become a household name because it was found in Senator Bill Frist’s mail room. What you should know is that you don’t have to be a famous politician to be exposed to this poison. Ricin is found in the popular castor bean plant. This decorative plant is used in gardens. Some cultures use the seeds in necklace making. Both the leaves and the seeds contain ricin, which cause death with ingestion of very small amounts. Check out Baby 411 for a comprehensive list of poisonous house and garden plants.

5. Prevnar vaccine shortage

The American Academy of Pediatrics has recommended deferring the booster dose (given after 1 year of age) of the popular Prevnar vaccine. The vaccine manufacturer has announced a shortage that may not be rectified until the summer of 2004. The 4th dose of vaccine is being withheld so that supply may be used for the primary three doses to infants, who are more susceptible to serious infection with Strep pneumoniae.

That’s the new from the mother ship here at Baby 411! Thanks for reading our book,

Baby 411 E-News January 2004: Vaccine shortage, new ear infection rules

2004-01-13T18:22:44Z

Baby 411 E-News January 2004: Vaccine shortage, new ear infection rules

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: January 2004
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
January 2004
===================================================

In this email:
1. FDA Bans Ephedra dietary supplements
2. Prevnar vaccine shortage
3. On the horizon- New ear infection treatment guidelines
4. The usual suspects… croup, RSV, and rotavirus:

-------------

Hope everyone had a wonderful holiday season. We are in the midst of cold and flu season across the country. The ‘usual suspects’ (viruses we see every year) have arrived and are making our little ones bark, wheeze, and barf. That makes your pediatrician’s office a popular spot to be. See below for details of the winter bugs.

Here is a rundown of the latest pediatric health info for this month:

1. FDA Bans Ephedra dietary supplements:

After numerous research studies and deaths linked to Ephedra, the Food and Drug Administration issued a consumer alert on December 30, 2003 advising consumers to stop purchasing and using ephedra products. The FDA also issued an intent to remove all ephedra-containing products from the market within 60 days. Ephedra, also known as Ma Huang, is a potent decongestant used in cold and allergy remedies, as well as sports performance and energy drinks.

2. Prevnar vaccine shortage:

Wyeth Pharmaceuticals announced a spot shortage of the popular Prevnar vaccine that protects against Strep (bacterial) meningitis, blood infections, and pneumonia in infants and toddlers. The Prevnar vaccine is routinely administered at the 2, 4, 6, and 15-month well baby visits. Due to the shortage, some pediatric practices will need to defer the 15-month booster shot until the shortage is over.

3. On the horizon- New ear infection treatment guidelines:

Don’t be surprised if your doctor sends your child with an ear infection home without an antibiotic prescription in the near future. The American Academy of Pediatrics is in the process of revising guidelines for treatment of ear infections. The new guidelines will offer an option of watchful waiting instead of treating every ear infection with an antibiotic, because a significant percentage resolve without therapy (see Denmark Plan in Baby 411). But, the AAP will leave the treatment plan up to the doctor examining the patient-since the plan depends on the severity of the infection. Stay tuned for details.

4. The usual suspects… croup, RSV, and rotavirus:

With winter upon us, the virus epidemic season is in full swing. As you have already heard in the media, the flu season is one of the most severe we have seen in many years. Influenza virus, commonly known as ‘the flu’, causes prolonged fever, body aches, cough, runny nose, and sore throat. Here are the other bugs making their way to your neighborhood:

Croup- Virus that causes a characteristic bark that sounds like a seal for about 3 nights. Although impressive, it can usually be managed with some quality time in a steamy bathroom. When the airway tube is markedly swollen, the bark changes to a high-pitched squeal, called stridor. Call your doctor if you hear this noise.

RSV or Bronchiolitis- Virus that causes swelling of the tiny lung airways called bronchioles. The swelling causes air turbulence, creating a wheeze with inspiration (similar to asthma) It can infect anyone, but is more likely to cause problems with babies born prematurely. If your child is breathing fast or shallowly, it’s time to check in with your doctor.

Rotavirus-This is a stomach virus is also known as the stomach flu (don’t let the word ‘flu’ confuse you-there’s currently no vaccine for this one!). Rotavirus causes frequent vomiting and profuse, watery diarrhea for 7 to 10 days. Babies are at risk of getting dehydrated from the large amount of water loss. If your baby is not urinating (having wet diapers) at least 3 times a day, call your doctor.

Have a healthy new year!
Dr. B
Author, BABY 411

Baby 411 E-News: Special holiday safety issue

2003-12-04T17:07:12Z

Baby 411 E-News: Special holiday safety issue

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.windsorpeak.com/baby411/newsletter.html)

===================================================
BABY 411 NEWS UPDATE: December 2003
The free eNewsletter for the readers of BABY 411
http://www.Baby411.com
December 2003
===================================================

In this email:
1. Pull ipecac out of your medicine cabinet!
2. ELF STEW: The best tips for toy safety.
3. Holiday safety tips—keeping the tree safe and more.
4. Buy a copy of Baby 411 for your friends and get a special deal!

================

Greetings from the Baby 411 book! Here’s a round-up of what’s news this month!

================

1. Pull ipecac out of your medicine cabinet!

Prior to November 2003, the American Academy of Pediatrics (AAP) routinely advised parents to keep a bottle of ipecac in their medicine cabinet to induce vomiting if a child swallowed certain poisonous substances. The AAP now recommends that parents call poison control at (800) 222-1222 for all accidental poisonings and NOT have ipecac in the home. Parents should call 911 if their child has convulsions, lack or breathing, or unconsciousness.

The reason for the change in policy is that ipecac is not terribly effective, potentially dangerous if it is used with certain types of poisonings, and has potential for abuse.

================

2. ELF STEW: The best tips for toy safety.

Last year, there were 212,000 emergency room visits and 13 deaths due to toy-related injuries. No child should die because of a toy. What many parents don’t realize is that just because a toy is on the market doesn’t mean that it is safe or tested.

The Consumer Product Safety Commission (www.cpsc.org) submits an annual report of dangerous toys. They suggest that parents make a list and “check it twice” against theirs for toys that may cause more harm than entertainment for your little ones.
A good mnemonic to remember toy hazards (ala Dr Brown):

ELF STEW

E---Electrical toys- Can cause electrical shock or burns. Try battery powered instead.
L---Loud noises- ‘Outdoor’ toys can cause nerve damage and hearing loss.
F---Flying objects-Can cause eye injuries.
S---Sharp edges and points-Cause abrasions, cuts, and puncture wounds.
T---Tiny parts- Nothing smaller than the diameter of a toilet paper roll should be in the home of a child under 3 years of age. Watch for doll’s eyes and buttons-be sure they are secure.
E---Emotional hazards- Violent videogames and toy weapons give kids the wrong message.
W---Wrong toy for the wrong age- A recipe for disaster.

================

3. Holiday safety tips—keeping the tree safe and more.

Here are some important tips to consider while you are preparing your home for the holidays:

• Toddlers are fascinated with Christmas trees. Be sure children are observed at all times.
• Beware of tree trimmings that look like food. Your child might try to have a snack.
• Avoid sharp or breakable ornaments.
• Know that poinsettias, mistletoe, and holly are all poisonous.
• Beware of grandparents! They often leave their medications out on the countertop in the guest bathroom. Heart and blood pressure medications can be very dangerous if ingested by a child.

================

4. Buy a copy of Baby 411 for your friends and get a special deal!

This year, what’s the perfect gift for your pregnant friends or relatives? How about the gift of knowledge—give them a copy of Baby 411!

Now when you buy both our Baby 411 and Baby Bargains book, you can get a special deal. Both books are just $27.97. And you get FREE shipping! That’s a $4 savings. Such a deal!

Order here:

https://windsorpeak.com/orderform14.html

==============

That’s the news from here! Thanks again for reading our books,

Baby 411 E-News: FDA alert on colic remedy, Baby Trend car seat, coupons, 3 RECALLS!

2003-09-11T16:38:55Z

(Need to change your email address? Want to have a friend get this newsletter? Need to unsubscribe? Click here: http://www.babybargainsbook.com/babybargains/newsletter.html )

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BABY 411 NEWS UPDATE: September 11, 2003
The free eNewsletter for the readers of BABY BARGAINS and TODDLER BARGAINS
http://www.BabyBargainsBook.com
September 11, 2003
==================================================

In this email:
1. FDA warning: natural colic remedy could be dangerous
2. Baby Trend infant car seat now available direct
3. More coupon deals: $400 in coupons for baby gear link..
4. RECALLS: Toy necklaces, swim trainers, baby walkers.

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1. FDA warning: natural colic remedy could be dangerous

A popular herbal remedy for colic has sickened 15 babies, prompting the FDA to issue a warning. The problem: Star Anise Teas, some of which contain a dangerous Japanese herb known to be toxic.

Health alerts like this are exactly why we wrote our new book, Baby 411. Co-authored by a renowned pediatrician, Dr. Ari Brown, Baby 411 has a big section on alternative medicine---we discuss which therapies/medicines are safe and which are dangerous. The case with Star Anise underscores this point.

Baby 411 dives into controversial topics head on---we discuss such hot topics as dangerous herbal medicines, circumcision, vaccines, the epidemic of childhood obesity and more. It’s a must read for new parents!

Please check out the web page for our new book at
http://www.baby411.com

Here is the alert from the FDA

FDA News

FOR IMMEDIATE RELEASE
P03-67
September 10, 2003

Media Inquiries: 301-436-2335
Consumer Inquiries: 888-INFO-FDA

FDA Issues Advisory on Star Anise "Teas"

The Food and Drug Administration (FDA) today is advising consumers not to consume "teas" brewed from star anise. It has come to FDA’s attention that brewed "teas" containing star anise have been associated with illnesses affecting about 40 individuals, including approximately 15 infants. The illnesses, which occurred over the last two years, ranged from serious neurological effects, such as seizures, to vomiting, jitteriness and rapid eye movement.

Although the labeling of "teas" that contain star anise does not make claims for the product, FDA understands that these products are popularly believed to help against colic in infants. FDA is unaware of scientific evidence to support benefits from "teas" brewed from star anise. Given that fact, consumers should not use them or give them to infants and children.

FDA has not yet identified the specific type of star anise associated with the illnesses. For this reason, the agency is issuing this advisory as an interim measure while it continues to gather additional information, including that from some European countries that have reported similar outbreaks of seizures in individuals who have consumed tea brewed from star anise.

"One of FDA’s highest priorities is to make sure that consumers have accurate information about the products FDA regulates," said FDA Commissioner Mark B. McClellan. "This case illustrates that FDA will take action to protect consumers against products that may pose health risks."

FDA is concerned that commonly available Chinese star anise (Illicium verum), a product considered by FDA to be generally recognized as safe (GRAS), may contain Japanese star anise (Illicium anisatum), which has long been recognized as toxic in many countries and which should be used for decorative purposes only. At this time, FDA cannot determine if the star anise associated with the illnesses was associated with Japanese star anise or a mixture of Chinese and Japanese star anise.

Japanese star anise in its dried or processed form cannot be distinguished from Chinese star anise through visual examination. Therefore, FDA is evaluating chemical analytical methods that will differentiate between the two species of star anise. Until FDA is able to differentiate between Japanese and Chinese star anise, it is advising the public not to consume "tea" brewed from any star anise. As part of its ongoing efforts to protect consumers from unsafe products, FDA will monitor imports of star anise entering the United States from various countries to ensure that any imports of Japanese star anise are not labeled or otherwise indicated for use as a food.

FDA considers Chinese star anise to be GRAS when used as a spice or flavoring; Japanese star anise is not GRAS. GRAS status means that a food substance is considered by qualified experts to be safe for is intended use. Safety must be adequately shown through scientific procedures and/or experience based on a common history of use in food, depending on the substance.

The initial reported illnesses were identified retrospectively through a record review after a resident physician from Miami Children’s Hospital treating an infant with seizures associated with the ingestion of a star anise-containing tea reported his findings to the Florida Poison Information Center (FPIC). FPIC then reported the findings to the FDA.

All the affected individuals, including infants, involved in these reported cases recovered without complications.

FDA has since learned of similar reports from Florida, Illinois, New Jersey, Texas, and Washington as well as the Netherlands, France, and Spain.

As a public health agency, FDA is committed to protecting and advancing the public health. FDA is therefore exploring what additional actions it can take to protect consumers from the risks from products containing Japanese star anise.

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2. Baby Trend car seat now available direct

Readers of our last edition may have wondered what happened to the Baby Trend Latch-Loc Adjustable Back infant car seat. While the non-adjustable version has been available for over a year, the Adjustable Back version has been AWOL. What happened? Apparently, Babies R Us has only agreed to carry this seat as part of a travel system. And no other retailers carry this seat as a stand-alone unit.

But there is good news: Baby Trend has agreed to sell the Adjustable Back infant car seat to our readers if they contact the company directly (800-328-7363). Tell them you read about this in our newsletter!

================
3. More coupon deals: $400 in coupons for baby gear link.

The Baby News chain of specialty retailers is doing another coupon deal we wanted to share. Click on this link to get to a list of $400 coupons:

http://www.babynewsstores.com/best4baby/

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4. RECALLS: Toy necklaces, swim trainers, baby walkers.

This email contains the following information:

1. CPSC, L.M. Becker & Co. Inc. Announce Recall of Toy Necklaces
2. CPSC, Swimways Corp. Announce Recall of Swim Trainers
3. CPSC, SunTech Enterprises Inc. Announce Recall Baby Walkers

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For Immediate Release
September 10, 2003
Release # 03-178
CPSC Media Contact: (301) 504-7908
CPSC Recall Hotline: (800) 638-2772

CPSC, L.M. Becker & Co. Inc. Announce Recall of Toy Necklaces

Name of product: Toy Necklaces

Units: 1.4 million

Manufacturer: L.M. Becker & Co. Inc., of Kimberly, Wis.

Hazard: The necklace's pendant contains high levels of lead, posing a
risk of poisoning to young children.

Incidents/Injuries: The firm received one report of a child who
swallowed the necklace's pendant, which reportedly resulted in high lead
levels in her blood.

Description: The necklaces consist of a 10-inch black cord with a 7/8-
inch-diameter gray metal pendant. The metal pendant has assorted symbols
on one side.

Sold from: Vending machines in malls, discount department and grocery
stores nationwide from March 2002 through April 2003 for about 50 cents.

Manufactured in: India

Remedy: Consumers should contact the company for instructions on how to
get a refund.

Consumer Contact: Call L.M. Becker & Co. Inc. at (888) 869-6569 between
8:30 and 4:30 CT Monday through Friday, or go to the firm's Web site at
www.toynjoy.com.

To see a picture of the recalled item, please visit this link:
http://www.cpsc.gov/cpscpub/prerel/prhtml03/03178.html

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For Immediate Release
September 10, 2003
Release #03-179
CPSC Media Contact: (301) 504-7908
CPSC Recall Hotline: (800) 638-2772

CPSC, Swimways Corp. Announce Recall of Swim Trainers

Name of product: "Sandy Claws" Swim Trainers Units: 3,400

Distributor: Swimways Corp., of Virginia Beach, Va.

Hazard: The nylon body strap on the swim trainer can detach or tear
from the flotation device and release a child into water, posing a
serious drowning hazard to young children.

Incidents/Injuries: There have been seven reports of the body straps
detaching and two reports of the seams splitting, though no injuries
have been reported.

Description: The recalled "Sandy Claws" Swim Trainer is a red and yellow
colored fabric crab with eight stuffed legs and two eyes covering a
styrofoam buoyancy float. Black straps are attached to the side seams
to fasten around a child. Printed on the underside of the crab float
are the words, "Swim Ways" and "CAUTION: This is not a lifesaving
device. Do not leave child unattended while in use."
Sold at: Specialty pool and toy stories nationwide and Internet
retailers sold the flotation devices from January 2003 through July 2003
for about $12.

Manufactured in: China.

Remedy: Consumers should stop using the swim trainers immediately and
return them to the company for a full refund. Swimways will provide
consumers with a self-addressed envelope to return the product.
Consumer Contact: Consumers should contact Swimways at (800) 889-7946
between 9 a.m. and 5 p.m. ET Monday through Friday or visit the
company's Web site at www.swimways.com.

To see a picture of the recalled item, please visit this link:
http://www.cpsc.gov/cpscpub/prerel/prhtml03/03179.html

#################################################
For Immediate Release
September 10, 2003
Release # 03-182
CPSC Media Contact: (301) 504-7908
CPSC Recall Hotline: (800) 638-2772

CPSC, SunTech Enterprises Inc. Announce Recall Baby Walkers

Name of product: "Sun Kids" and "Happy Baby" Baby Walkers Units: 4,100

Manufacturer: SunTech Enterprises Inc., City of Commerce, Calif.

Hazard: The walkers will fit through a standard doorway and are not
designed to stop at the edge of a step. Babies using these walkers can
be seriously injured or killed if they fall down stairs.
Incidents/Injuries: No injuries have been reported relating to these
walkers.

Description: The recalled baby walkers are made with a plastic frame
supported by six or eight wheels on the bottom. The walkers are blue,
pink or bright green with a padded seat and an activity tray. "SUN KIDS"
or "HAPPY BABY" labels appear on some of the walkers.

Sold at: Small retailers and flea markets in Texas and California sold
the walkers from November 2002 through April 2003 for between $15 and
$25.

Manufactured in: Taiwan

Remedy: Return to the store where purchased or contact the firm to
receive a refund.

Consumer Contact: SunTech Enterprises Inc. at (866) 992-5766 between 8
a.m. and 5 p.m. PT Monday through Friday.

To see a picture of the recalled item, please visit this link:
http://www.cpsc.gov/cpscpub/prerel/prhtml03/03182.html

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That’s the news from here,