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Proposed Changes to NHMRCs 2012 Infant Feeding Guidelines submission

ID: 
20
Personal Details
First Name: 
Colin
Last Name: 
Binns
Question 1
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
Answer. I support the addition (See below). There are two different questions being addressed – treatment and prevention The proposed dot point is about prevention, the existing one is about the management of Cow Milk Allergy. I think it would be a good idea to add the proposed sentence as an additional dot point. Points 7 and 8 on page 5 would then read: • There is no evidence that the use of soy or goat’s milk-based formulas will prevent the development of allergies to cow’s milk-based formulas • Soy or goat’s milk-based formulas are not suitable alternatives for infants with allergies to cow’s milk-based formulas. This is consistent with the ESPGHAN statement: “Diagnostic Approach and Management of Cow’s-Milk Protein Allergy in Infants and Children: ESPGHAN GI Committee Practical Guidelines” JPGN_Volume 55, Number 2, P221 August 2012
Question 2
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
Answer. I do not support the proposed change for the following reasons: Amino acid based formulae are very expensive and in the absence of definitive evidence, keeping the possibility of a cheaper alternative (hydrolysed formula) is a useful option. This is consistent with the ESPGHAN approach. In practice this proposes change would make little difference because most of these cases should be managed by paediatric allergists.
Question 3
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
Answer. I support this change as it is consistent with the IFGHW.

Page reviewed: 16 September, 2015