2 girls 1 cup

Archive for March, 2009

Is Peanut Butter Safe? The Nuts and Bolts of Food Borne Infection

Monday, March 23rd, 2009

Q: A Chicago Mom recently asked: “Is peanut butter safe now? Can I give it to my kids?”

A: These are great questions! They are addressed in an excellent article in a recent New England Journal of Medicine (March 5, 2009) about illnesses caused by a variety of bacteria and found in a variety of foods. Such staples as spinach and peanut butter have been affected!

“Coming to Grips with Food borne Infection,” by Dr. Dennis G. Maki offers a succinct and clear review of the problem and also describes some steps we can take to minimize it.  He suggests that “we must ask ourselves how food borne disease can……cause 350,000 hospitalizations and 5000 deaths annually.” What are we doing wrong?

(more…)

Questions and Comments (2 Comments) »

The Anatomy of a Scare: The MMR Vaccine and Autism

Thursday, March 19th, 2009

Q:  A Boston mother has asked, in advance her toddler’s upcoming well visit:  “Does the MMR Cause Autism? Is getting his shot safe?”

A:  In addressing this question, I would like to refer you to an excellent and thoughtful review article in a recent Newsweek (March 2, 2009). The article itself is quite short (5 pages), but it has a very long title and subtitle: “Anatomy of a Scare. When one study linked childhood vaccines to autism, it set off a panic. The research didn’t hold up, but some wounded families can’t move on” by Sharon Begley. 

Ms. Begley writes an excellent and well organized history in which she explains the scare created by a 1998 British study written by Dr. Andrew Wakefield:  he studied 12 children, 8 of whom he believed developed autism as a direct consequence of the MMR immunization.  That study touched off a tidal wave of international concern and heated debate–about the safety of our children and the vaccines we give them, and about the causes of poorly understood diseases including autism.

Ms. Begley’s article offers a timeline documenting the international response within the scientific community to Dr. Wakeman’s original hypothesis. She reviews subsequent studies which looked at millions of children. Ms. Begley examines the responses of the American government as well as that of Great Britain. She speaks eloquently of the emergence of frightened and angry parent groups. And, finally, Ms. Begley describes the evolution of the “vaccine court” which has attempted to bring closure and resolution to the controversy on behalf of families and the scientific community alike.

I highly recommend Ms. Begley’s article: it is clear, confident and compassionate. And it should offer you ample information to answer any and all questions you have about the safety of the MMR. 

Reference:  http://www.newsweek.com/id/185853/output/print

Many thanks for leaving a question!

Dr. Hippo

Comments Off

A sick child is almost better—and then gets sick again: what is going on?

Sunday, March 15th, 2009

Q: A father’s question: “I thought my son was getting better: he has the flu and a strep throat! But now his fever is back, and he is not eating. What is going on?”

A: First of all, your child and family are dealing with two illnesses at once -with two different causes and two different treatments required. This makes sorting out any given symptom very difficult. No wonder you are confused and concerned in this situation!

Let’s break this into smaller pieces:

Most generally, a child whose illness begins with a fever that lasts a day or two and then decreases is a child whom you might reasonably expect to stay fever free for the rest of his illness. The return of a fever after a full day (24 hours) without one is usually a signal that something new is going on. What is up?

(more…)

Comments Off