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Posts for: July, 2019

By contactus@priority-pediatrics.com
July 07, 2019
Category: Nutrition
Tags: pregnancy   nutrition   FDA   Mercury   Fish   Diet Advice  

FDA Updates Advice on Eating Fish for Pregnant Women, Children

Megan Brooks, July 03, 2019

The US Food and Drug Administration (FDA) has updated advice on fish consumption for women who are pregnant or may become pregnant, breastfeeding mothers, and young children, putting more focus on the health benefits of seafood.  

"Fish and shellfish are an important part of a well-rounded diet. However, we know many parents worry about mercury in fish and even choose to limit or avoid fish because of this concern. In fact, women in the US who are pregnant are consuming far less than the recommended amount of seafood," Susan Mayne, PhD, director of the FDA's Center for Food Safety and Applied Nutrition, said in a news release.

"Our goal is to make sure Americans are equipped with this knowledge so that they can reap the benefits of eating fish, while choosing types of fish that are safe for them and their families to eat," said Mayne.

Choose Wisely

In January 2017, the FDA and Environmental Protection Agency (EPA) released a reference chart to help consumers more easily understand the types of fish to eat more or less of, based on their mercury levels.

The information in the chart remains the same. However, the revised advice issued July 2 expands information regarding the benefits of fish as part of a healthy diet by promoting the science-based recommendations of the 2015-2020 Dietary Guidelines for Americans. The advice pertains to people aged 2 and older.

"While it is important to limit mercury in the diets of women who are pregnant or breastfeeding and young children, many types of fish are both nutritious and lower in mercury," the FDA said in the update.   

"The revised advice highlights the many nutritional components in fish, many of which have important roles in growth and development during pregnancy and early childhood. It also highlights the potential health benefits of eating fish as part of a healthy eating pattern, particularly for heart health benefits and lowering the risk of obesity," the FDA said.

Fish provides protein; healthy omega-3 fats; more vitamin B12 and vitamin D than any other type of food; iron, which is important for infants, young children, and women who are pregnant or who could become pregnant; and other minerals such as selenium, zinc, and iodine, the FDA notes.

Last month, the FDA announced it would allow certain "qualified" health claims stating that consuming eicosapentaenoic acid (EPA) and docosahexaenoic (DHA) omega-3 fatty acids in food or dietary supplements may reduce the risk of hypertension and coronary heart disease.

The FDA continues to recommend that adults eat at least 8 ounces of seafood per week based on a 2000 calorie diet.

For an adult, one serving is 4 ounces (about the size and thickness of an adult's palm). Adults should eat two to three servings a week from the "Best Choices" list (or one serving from the "Good Choices" list). For children, one serving is 1 ounce at age 2 and increases with age to 4 ounces by age 11.

Women who are pregnant or breastfeeding should consume between 8 and 12 ounces of a variety of seafood per week from choices that are lower in mercury.

The 36 types of seafood on the best choices list include salmon, shrimp, pollock, canned light tuna, tilapia, catfish and cod, flounder, haddock, crab, clams, and sole. Nineteen varieties make the good choices list and include bluefish, halibut, mahi mahi, grouper, monkfish, rockfish, snapper, and striped bass (ocean).

The FDA recommends that everyone avoid seven fish that may be high in mercury: king mackerel, marlin, orange roughy, shark, swordfish, tilefish (Gulf of Mexico), and bigeye tuna.

The updated advisory also cautions that some fish caught by family and friends, such as larger carp, catfish, trout, and perch, may contain unknown amounts of mercury or other contaminants. It advises checking local advisories for information on how often it's safe to eat those fish. If there is no advisory, the FDA advises eating only one serving and no other fish that week.

 

By contactus@priority-pediatrics.com
July 01, 2019
Category: Infectious Disease
Tags: immunizations   travel   measles  

CDC Travelers' Health Update

Measles is in many countries and outbreaks of measles are occurring

around the world. People traveling internationally should be fully vaccinated

at least two weeks before traveling. Anyone who is not immune to measles

is at risk of getting infected when they travel. More information.

Which travelers are at risk? You are at risk of measles infection if you travel

internationally and you have not been fully vaccinated against measles or have

not had measles in the past. The best protection against measles is vaccination. 

Measles is extremely contagious. If you are sick, do not travel and avoid contact

with others. Call your doctor and tell them where you traveled. 

What countries are having measles outbreaks? Measles is in many countries

and outbreaks of disease are occurring around the world, including Europe, the

Middle East, Asia, the Pacific, and Africa. Each year, an estimated 10 million

people get measles, and about 110,000 of them die from the disease or complications. 

Currently, many countries are experiencing measles outbreaks; this includes many

popular travel destinations like Israel, Thailand, Vietnam, Japan, Ukraine, England,

Brazil, the Philippines, and more. CDC has issued a Global Travel Notice: Watch

(Level 1) for these outbreaks. Before your next trip, check your destination.

How can I be fully protected before my trip? Make sure you and your family are

fully vaccinated or that you have other evidence of measles immunity. Evidence of

immunity means that you: (1) were born before 1957 or (2) have a lab test showing

that you have had measles in the past, (3) have a lab test showing you were immunized

against measles, or (4) you have written documentation of receiving measles vaccine. 

If you do not have evidence of measles immunity, call your doctor and make an

appointment to get the MMR vaccine. MMR is nearly 100% effective at preventing

measles. If you are unsure if you have had two doses of the vaccine, or do not have

documentation of your prior doses, it is safe to get additional doses. 

Information for you: Check to make sure you are fully vaccinated or otherwise

protected against measles before you travel.
• Infants 6–11 months of age traveling internationally should have one dose of

measles vaccine.

.  Infants vaccinated before 12 months of age should be revaccinated on or after

their first birthday with two doses, separated by at least 28 days.

• Children 12 months of age or older should have two doses, separated by at least

28 days.
• Adolescents and adults who have not had measles or have not been vaccinated

should get two doses, separated by at least 28 days.
• Two doses of MMR vaccine are nearly 100% effective at preventing measles.
• See Vaccine Information Statements (VIS) for more information.