Published: 14 October, 2021
We are on the move!
Our bulletin is a day early this week and a bit shorter than usual because we are shifting offices. bpacnz and our associated organisations (New Zealand Formulary,
BPAC Clinical Solutions, Inpractice and Southlink Health Services) are packing our books, computers, furniture, coffee mugs and almost 20 years of history and moving
to our exciting new premises at 5 Melville Street, Dunedin. Our contact phone numbers and emails will remain the same.
New healthy eating guidelines for babies/toddlers
The Ministry of Health has released new
evidence-based guidelines that provide updated recommendations for nutrition for children aged under two years.
The guidelines are set out in six sections or “Eating Statements” which cover all the requirements and recommendations for healthy eating from birth to age
A two-page summary is also provided that can be downloaded and printed out for parents and caregivers.
- The advice reinforces current recommendations encouraging exclusive breastfeeding in infants, with gradual introduction
of a variety of foods from around age six months to meet the increased nutrient requirements of the child
- Complementary feeding is the term now used to refer to the introduction of solid foods. Early introduction of
solid foods (i.e. before age four months) has been associated with an increased risk of infants becoming overweight
- Gradual introduction of foods with lumpy textures and a reduced reliance on pureed foods is encouraged to prevent
feeding difficulties in older children and to promote an increased intake of vegetables and fruit
- Repeated exposure to a variety of foods is required so that the child becomes more familiar with these foods
and with a range of flavours
- The introduction of common allergy-causing foods before age one year is recommended as research shows that this
may reduce the incidence of allergy to those foods
- Foods offered to infants and young children should be low in sodium and have no added sugar to prevent taste
- Food should only be offered in response to hunger or fullness cues. This supports the child’s natural ability
to self-regulate their food intake and promotes ongoing healthy eating behaviours. Food should not be offered for
other reasons, e.g. as a reward or to control behaviour.
- Advice about supplements is given for infants and young children who may be at risk of deficiency of nutrients
such as iron, iodine, vitamin D, vitamin B12
Look out for our upcoming article: "Plant-based diets: are they healthy for a child?"
Guidelines for helping people to stop smoking
guidance was released by the Ministry of Health to provide health care professionals with the latest evidence for smoking cessation
interventions in New Zealand. The new guidelines replace previous smoking cessation guidelines from 2007 and 2014. Guidance remains focused on the ABC pathway but
with increased emphasis on providing an offer of cessation support or referring people to a smoking cessation service. It is hoped that the guidelines will provide
an increased focus on achieving the Smokefree 2025 goal set in 2011, as currently New Zealand is not on track to meet this. There is also an emphasis on improving
health equity as smoking rates remain higher for Māori and Pacific peoples compared to the population as a whole.
Testosterone cypionate (Depo-Testosterone) out of stock
PHARMAC has been informed
by Pfizer that testosterone cypionate injections (100 mg/mL, 10 mL vial) will be out of stock from October, 2021 until September, 2022.
This is because the manufacturing site that produces this medicine in the United States is being used to make COVID-19 products and the volume of other medicines
made at this site has had to be reduced. There are two other funded testosterone injection products available and these are suitable alternatives.
Dosing instructions for these alternative products can be found here.
COVID-19 Resources: Managing patients in the community
New Zealand is at a crucial turning point in the ongoing battle against COVID-19. Most of us await the daily media reports with some anxiety and continually
speculate with colleagues, family and friends about what might happen next. We are aware that many in primary care are keen to be better prepared and to have plans
in place for the management of people with COVID-19 in the community. The experience of primary care clinicians in other countries is likely to be valuable while
we await specific guidance for New Zealand.
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