Breast is Best

These children will naturally learn the purpose of breasts as being for feeding the baby

As Hong Kong restricts the purchase of baby formula by visitors, many new mothers in China are turning to breastfeeding.
 
WHEN the Hong Kong authorities decided to restrict the amount of baby formula (two cans or about 1.8kg) that visitors can take out of the city, that regulation sent ripples of indignation throughout the Chinese mainland, and many cried foul, and even more said the new rule was merciless.

The outcry is the result of a long chain of events, which started after melamine was found in milk powder produced on the mainland. This safety scandal made parents look abroad for safer infant formula for their babies, and Hong Kong became an important source.

Scores of buyers cleared the shelves in Hong Kong, resulting in a flood of protests from Hong Kong parents, who had suddenly found their milk supplies drying up.

One of the better side effects of this confidence crisis is that more new mothers in China are choosing to breastfeed their babies.

“Nothing is better than mother’s milk,” says Liu Zhaoqiu, a children’s healthcare specialist with the No.1 Hospital of Tsinghua University in Beijing.

Breast milk is rich in antibodies and nutrients, and provides the child with a head start in health, growth and development. Breastfeeding also strengthens the bond between mother and child, which is good for the children’s psychological development, Liu underlines.

Excluding unusual cases, such as mothers with infectious diseases and severe heart disease, Liu recommends breastfeeding for the first six months, after which mother’s milk should be complemented with other foods up to two years and later.

“I breastfeed my daughter, and I’m confident that breastfeeding is the best and safest food for her,” says Yang Yang, 38, a mother of a nine-month-old girl in Beijing. She is a consultant who works from home and did not realise the benefits of breastfeeding at first.

After her baby was born, she fed the infant with an imported baby formula that was sent to her by relatives living abroad.

Later, after she and her husband found out that breastfeeding was better than any formula, she made the switch.

“Parents always want to give their children the best,” Yang says. “Since we know breast milk is better than formula, there is no reason not to breastfeed.”

She feels fortunate that her hours at work are flexible, and she has a lot of time to stay home with her daughter. Her daughter is healthier and stronger than many other infants she knows, Yang says.

Currently, there are many breastfeeding support groups online, Yang says, which new mothers can go to for advice.

Han Tongyan, a paediatric healthcare specialist with the No.3 Hospital of Peking University, has noticed the changes in attitude towards breastfeeding.

Han became a paediatrician in 1998. At that time, infant formula was new to the Chinese, and many scrimped and saved to buy formula for their children, because they thought it was better than breast milk.

After safety scandals repeatedly hit both local and imported foreign sources of milk powder in 2008, many parents were forced to reconsider the situation. Some changed tack and got friends and relatives abroad to start a supply chain. Others used online resources to bring in the imported milk powder.

And they also became more aware that nothing is safer, or better, for the child than mother’s milk – a message that has been promoted through government campaigns and better support groups online, Han observes.

“Quite a few mothers I know quit their jobs so they can breastfeed their children better. This would have been unimaginable in the past,” Han says.

Liu Qidi, 27, a mother to an eight-month-old boy in Wuhan, Hubei province, manages to breastfeed her boy against all odds.

During the first two months after a caesarian delivery, she did not produce enough breast milk, and had to resort to supplemented feeding. In spite of the difficulty, she resisted pressure from her mother-in-law, who tried to persuade her to use infant formula.

When her child was two months old, Liu was finally able to feed him exclusively on breast milk. She also resigned from her job as operation director assistant in a large international company, so she could breastfeed her son undistracted.

“It was a hard choice. But nothing is more important than my son,” Liu says. “The job kept me too busy and there was a lot of overtime. If I worked, I couldn’t have continued to breastfeed my son.”

Liu now works at her mother’s cosmetics distributing company, and is able to nurse her child anytime she wishes.

But not every breastfeeding mother has that luxury.

One of Liu’s cousins, for instance, has to continue working even while breastfeeding. As a result of the pressure from work, the mother could not produce enough milk and has to buy milk formula from abroad.

“For babies under four months, they can only survive on milk. If mother’s milk is not available, then milk formula is next best,” says Liu Zhaoqiu, the healthcare specialist.

At the bottom line, parents suffer such concern about their babies’ diet because they need to have the confidence that what they feed their children is safe and uncontaminated.

As Liu sums up, “the authorities must adopt efficient quality control measures to make sure formula in the market is safe. This will re-establish confidence”.

Perhaps then, parents would not have to risk breaking the law by buying milk from Hong Kong.

By LIU ZHIHUA – China Daily/Asia News Network

Laws of attraction

Are men attracted to women who look like them?

THE next time you happen to be with your spouse or your partner, take a good look at their features. Do they look a bit familiar?

And no, I don’t mean familiar just because you’ve been with that person for a while. I mean familiar in the sense that you’ve seen those same features, or at least some of them, somewhere else. Like, in the mirror every morning.

If the results of a French study are anything to go by, men are most attracted to women who look like them. That being the case, my partner must have left his glasses at home the day we met. I mean to say, his eyes are blue, while mine are brown, his eyebrows are thick, while mine are thin (too much plucking back in the 70s), his nose is slender, while mine is more rounded, and he has full lips, while mine are lacking plumpness.

I can only conclude that he is more attracted to my wit, charm and personality than some narcissistic ideal. Either that or the female versions of him were a bit thin on the ground when he was looking for a partner.

According to another study, physically attractive people generally date other physically attractive people. Leaving the not-so-attractive people to date other not-so-attractive people. It’s almost like a caste system that’s difficult to break out of.

Right about now you might be asking, “How do these researchers account for those not-so-attractive, rich men who opt for a “trophy wife”? Shouldn’t Donald Trump, Rupert Murdoch and Woody Allen be seen around town with women who are more homely than the much younger, more attractive women who currently appear by their sides?”

It seems that attractive women who date someone below their level of attractiveness tend to justify their choices by saying something like, “He sure is ugly, and it’s kinda embarrassing to have to appear in public with gorilla man, but as long as I have access to his money, my life will be beautiful.”

However, such cases are the exceptions.
In a nutshell then, the so-called experts will have you believe that attractive people generally date other attractive people who look a bit like themselves; while ugly people generally date other ugly people who look a bit like themselves.

When the experts talk about people dating others who look like themselves, this concurs with yet another study that indicates that a woman often looks for a man who looks like her father, while a man often looks for a woman who looks like his mother.

Like, how creepy is all that? Fancy waking up in the morning to find someone resembling your mother or father snoring on the pillow next to you!

Researchers are quick to point out that there is nothing narcissistic about these attractions. We are attracted to people who look like ourselves (and possibly our parents as well) simply because of the comfort we get from familiarity.

I’m not disputing the results of the research, but they certainly don’t apply in my case. My father was an Irishman with light brown hair and green eyes, whereas my ex is a Chinese Malaysian. One of my sisters married a man of Italian origin, another married a Hispanic guy, and yet another married a blond-haired, blue-eyed Scottish man. None of our partners, past or present, look remotely like my father.

Of course, other researchers might tell me that my father was not a good role model and so we were all looking subconsciously for completely different men.

But who gives a toss, anyway?

All of this research into the laws of physical attraction really tells me just one thing: we are wasting a lot of money on studies that can’t be put to any practical use. Unless of course, you’re a fortune teller.

I can just imagine the scene in the fortune teller’s tent as she gazes into her crystal ball, with a young woman sitting opposite her: “Ah, I can see a man with blond hair and blue eyes in your life. He even looks a bit like you. Cross my palm with silver and I will reveal more.”

Most research costs money and is time consuming. As such, I think we ought to be more discerning about how we apply our research funds. Instead of focusing on who we might be attracted to and why, it might be better if the funding could be used to finance research on things like climate change, green energy, and how best to persuade newspaper editors that you really deserve a raise.

Perhaps I can get someone to fund a study on how much money has been wasted on useless studies.

But Then Again

By MARY SCHNEIDER 

Check out Mary on Facebook at www.facebook.com/mary.schneider.writer. 

Reader response can be directed to star2@thestar.com.my

Superbug lurking! Drug resistance now a nightmare!

Top health officials in the UK and US warn that resistance of bacteria to medicines is a catastrophe and nightmare, and as serious a threat as terrorism and climate change.



MANY a Malaysian has lost a family member because of an infection contracted during an operation while in a hospital.

Several office colleagues and friends have told me that a close relative had died after being infected by a superbug that was so toxic that it could not be eliminated by antibiotics.

This, in essence, is the problem of antibiotic resistance – that a bacterium can evolve and change so that it becomes immune to the medicines given to a sick patient that are meant to kill it.

When a bacterium becomes resistant to one antibiotic, scientists develop a more powerful antibiotic to kill it. But bacteria can then change to also become immune to the new medicine.

When the dangerous pathogens out-run the drugs developed to combat them, humanity is at risk of losing the race between life and death.

Equally problematic is that many of these incurable diseases are contracted when patients stay in hospitals, especially during operations.

In the past two weeks, two top health officials – the Chief Medical Officer of the United Kingdom Dame Sally Davies and the director of the United States Centres for Disease Control and Prevention (CDC) Dr Thomas Frieden – have sounded the alarm bells.

Davies, the top health official in the UK, warned of a looming “catastrophe” of antibiotic resistance being so widespread that we would be back to a 19th century medical situation, a pre-antibiotic era when many diseases were difficult or impossible to treat.

Frieden evoked a “nightmare” scenario, a “very serious” problem caused by the advance of highly drug-resistant bacteria known as CRE.

A major cause of the acceleration of antibiotic resistance is the inappropriate use of the medicines and the inadequate action (or even inaction) of health authorities.

Drug companies often over-promote the use and sales of their medicines; some doctors over-prescribe or wrongly prescribe antibiotics (sometimes for the wrong ailment); and patients who are not informed enough sometimes pressure their doctors for antibiotics for a quick cure and often do not use the medicines properly by not completing the course of medicines.

There’s not enough action to make the public aware of the proper use of antibiotics, and not enough regulations (or their implementation) to ensure drug companies and medical personnel sell or prescribe the medicines properly.

The alarm raised by the two top health officials was aimed at pushing the regulators and also the patients into action.

Davies, during media interviews, even placed antibiotic resistance on par with terrorism and climate change as critical risks facing the nation.

She said: “Antimicrobial resistance poses a catastrophic threat. If we don’t act now, any one of us could go into hospital in 20 years for minor surgery and die because of an ordinary infection that can’t be treated by antibiotics.

“Routine operations like hip replacements or organ transplants could be deadly because of the risk of infection.

“That’s why governments and organisations across the world, including the World Health Organisation and G8, need to take this seriously.”

Although there has been a great reduction in cases in English hospitals of MRSA (methicillin-resistant Staphylococcus aureus), which is a skin disease, this has been replaced by many times more cases of gram-negative bacteria which are found in the gut.

These bacteria include E. coli and Klebsiella (which causes pneumonia) which are resistant to many drugs.

Besides the new drug-resistant pathogens, resistance is also emerging in old pathogens.

In particular, the report cites tuberculosis, which has re-emerged in Europe in the form of new strains that are resistant to many or even all available drugs.

Another classical disease with increasing drug resistance is gonorrhoea.

Davies’ 152-page report also warned of a “discovery void” with few new antibiotics developed in the past two decades.

“While a new infectious disease has been discovered nearly every year over the past 30 years, there have been very few new antibiotics developed leaving our armoury nearly empty as diseases evolve and become resistant to existing drugs,” said a press release on the report.

Meanwhile, Frieden warned about the rapid spread of CRE or the carbapenem-resistant variety of Enterobacteriaceae, a gro­up of more than 70 bacteria which dwell in the gut, including Klebsiella, Salmonella, Shigella and E. coli.

Carbapenems are powerful drugs that are used as a last resort when the bacteria have become resistant to other drugs.

The occurrence of resistance has risen four-fold in 10 years.

According to Frieden, CRE was found in 4.6% of hospitals and 17.8% of long-term care in 2012.

While resistance is building up, there have been few new antibiotics.

No new classes of antibiotics have been developed since 1987, and none is in the pipeline across the world, said Davies.

“Antimicrobial resistance is a ticking time-bomb not only for the UK but also for the world.
“We need to work with everyone to ensure the apocalyptic scenario of widespread antimicrobial resistance does not become a reality. This threat is arguably as important as climate change.”

 

GLOBAL TRENDS By MARTIN KHOR

Foot-Notes:

Superbug lurking

 No, not this “Superbug.” W’ere talking about something much more sinister!

Patients receiving long-term or complex medical care in hospitals and nursing homes are at the greatest risk for CRE infection.

The bug is spread mainly by unclean hands, but medical devices like ventilators and catheters increase the risk of infection because they allow the bacteria to get deep into a patient’s body, Frieden said. - RYOT

Overprescribing of antibiotics creates superbugs

These bugs are named and defined by their resistance to the Carbapenem class of antibiotics. Unlike previous superbugs, there are no 'last resort' antibiotics after resistance develops and these stop working.

CRE infections can lead to pneumonia, meningitis, wound infections, sepsis and a host of deadly infections.

"CRE are nightmare bacteria," said Dr. Tom Frieden, director of the U.S. Centers for Disease Control.

"Our strongest antibiotics don’t work and patients are left with potentially untreatable infections."

Resistance to antibiotics continues to be an issue worldwide, with overprescribing and overuse of broad-spectrum antibiotics being the main culprits.

In this week’s Lancet magazine, UK's chief medical officer Dame Sally Davis, said that that antibiotic resistance is "as great a threat to our future as terrorism."

That's because routine surgeries, treatments for cancer and autoimmune disease all leave patients vulnerable to superbug infections.

"If we don't take action then we may all be back in an almost 19th century environment where infections kill us as a result of routine operations. We won't be able to do a lot of our cancer treatments or organ transplants," Davis warned.

The problem is that much of the antibiotic resistance occurs in developing countries where antibiotics are readily available, resources scarce and education around resistance non-existent.

“Antibiotic stewardship has to be a global effort in order to make an impact on resistance,” said Romney, the medical microbiologist in Vancouver.

In addition, no new major antibiotics have been made since the late 1980's because antibiotics can have a short lifespan before superbugs become resistant, making them unprofitable for pharmaceutical companies when compared to the other drugs.

But there is hope. Over the last decade, recognition of antibiotic resistance has led to decreased rates of other superbug classes such as Methicillin-resistant staphylococcus aureus (MRSA) in parts of Canada. - CBS