In 2001, the March of Dimes Georgia Chapter developed a multi-million
dollar statewide pilot program to expand newborn screening testing.org. Stettler."
Given that participants in the current study all received infant formula,
Dr. Dr.A., all of the Center for Clinical
Epidemiology and Biostatistics of the University of Pennsylvania School of
Medicine; and Steven E. In addition, its unique
family-centered care and public service programs have brought the 430-bed
hospital recognition as a leading advocate for children and adolescents.

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Prolonged Exposure to Fluid Can Cause Tooth Loss

OKEMOS, Mich. Exposing
children to soft drinks, which are filled with refined sugar, sets them up for
dental decay and chronic health problems like diabetes. The certification
recognizes the call center as a "Certified Center of Excellence."
Until now, Georgia was one of only five states that did not charge for
newborn screening.
For more information, visit the March of Dimes Web site at
http://www., and Ekhard E.

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Check baby's mouth once a month for any
early signs of tooth decay, such as white streaks on the upper four front
teeth near the gum line. New Legislation Mandates Funding for Increased Protection for Georgia's
Newborns through Additional Metabolic Disorder Screenings

ATLANTA, The March of Dimes Georgia Chapter is
celebrating a victory today with the passing of House Bill 1066.
Newborn screening begins with collecting a few drops of blood, usually
from the newborn's heel, before hospital discharge.
"Our main finding was that rapid weight gain during the first week of life
in this population of healthy, European-American , formula-fed infants was
associated with being overweight two to three decades later," said lead author
Nicolas Stettler, M.S., a pediatric nutrition specialist at The
Children's Hospital of Philadelphia. They also found a higher rate of obesity at age
20 among African Americans who gained weight rapidly during the first four
months. Stallings, M. Strom, M.

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S. "By
following these tips , parents can help start their children on a lifetime of
good oral health.

Media Contact for March of Dimes - Brittney Gray, 404-350-9800 ext. "Although we cannot yet make specific recommendations about targets
for newborn weight gain, we can certainly endorse breastfeeding. Stettler's
co-authors are Virginia A.P.

infant ibabydoc

Don't Put Your Baby to Bed with a Bottle

, February is National Children's
Dental Health Month and a good time to remind parents to avoid putting babies
and toddlers to bed with a bottle. This is the best choice parents can make
to ensure a lifetime of good dental health.

"This piece of legislation is monumental to the health of Georgia's
babies," says Brian Ziegler, State Director of the March of Dimes Georgia
Chapter.* After screening, if a
result is positive, the infant is re-tested and given treatment as soon as
possible, before becoming seriously ill or dying from the disease.E. Why that first
week of life plays such a critical role in affecting lifelong physiology
remains an open question.S.

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Long time exposure leads to severe toothaches, abscessed teeth or
tooth loss. Begin offering fluids in a cup
to children at age six months and have babies off bottles by the age of one
year. "The extent of newborn
screening for serious and treatable disorders depends entirely on the state in
which a baby is born and for infants affected with these conditions, these
screens can mean the difference between life and death, or health and lifelong
disability.
Researchers from The Children's Hospital of Philadelphia, the University
of Pennsylvania and the University of Iowa studied 653 adults, ranging in age
from 20 to 32. The subjects , all of whom were white, had been measured as
newborns while participating in infant formula studies in Iowa.
Its pediatric research program is among the largest in the country, ranking
second in National Institutes of Health funding.

toddlers excessive

"Research shows that tooth decay is the most common chronic childhood
disease and can increase the risk of decay in erupting permanent teeth," says
Jed J ."
Dr.3 billion in 2005 for dental care for over 5. Beginning January 1,
2007, House Bill 1066 will allow the state to charge $40 for the kits used to
perform newborn screens.C.P.E.

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* Clean your baby's gum and tooth area. The Department of Human Resources estimates that 88
children will be identified each year with treatable conditions that cause
mental retardation, developmental disability or death. 224 or

bgray@marchofdimes. "Babies double
their birth weight during the first four to six months.
The current research builds on several previous studies by Dr.

D., Andrea B. Through its long-standing commitment to
providing exceptional patient care, training new generations of pediatric
healthcare professionals and pioneering major research initiatives, Children's
Hospital has fostered many discoveries that have benefited children worldwide. For
more information, visit http://www.

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BBTD is a serious dental condition caused when sugary fluids
pool around children's teeth and become a breeding ground for bacteria. All of
these disorders can be successfully managed or treated to prevent severe
consequences, if diagnosed early. Paul Fernhoff , Associate Professor of Human Genetics and
Pediatrics, Department of Human Genetics, Emory University School of Medicine
and Chair, Georgia Newborn Advisory Committee. Founded in 1938, the March of Dimes funds programs of
research, community services, education, and advocacy to save babies and in
2003 launched a campaign to address the increasing rate of premature birth." Dr. "Animal studies have shown that overfeeding in the
first few days of life lead to long-term obesity, possibly from programming in
the developing brain or the endocrine system," said Dr., M.

This category provides information and advice concerning the health and well-being of children from newborn to pre school age.

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* If necessary, give children alternatives to bottles at naptime.

"Children need healthy teeth for chewing, speaking clearly, developing
self-esteem and spacing for their permanent teeth," says Dr. Stettler
and his collaborators focusing on rapid weight gain in infancy.D.

teething discomfort

H. "By caring for a child's baby, or primary teeth, you are helping
their overall oral growth and development. This
public and private partnership involves the March of Dimes, the Division of
Public Health (DHR ), Emory University School of Medicine Department of
Genetics and the Centers for Disease Control and Prevention. PHILADELPHIA, Babies who gain weight rapidly
during their very first week of life may be more likely to be overweight as
young adults. During the first week
of life, however , a too-rapid gain in weight may increase the risk of future
weight problems., of the
Fomon Infant Nutrition Unit of the University of Iowa.chop.

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* Watch for signs of tooth decay.
* Visit the dentist early. Jacobson.com.nacersano.

Newborn's First Week May Be Critical Period for Developing Obesity in Adulthood

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Acid
produced by bacteria attacks tooth enamel and causes decay after repeated
attacks. If a
child must have a bottle to fall asleep, fill it with water rather than sugary
liquids or provide a clean pacifier. The
tri-state operation is ISO 9001 certified - an international standard of
excellence and quality - and its call center holds the prestigious
BenchmarkPortal Certification given in conjunction with the Center for
Customer-Driven Quality located at Purdue University. The goal of the
project is to expand Georgia's capacity to screen for more metabolic
disorders, thereby facilitating rapid, sometimes life-saving treatments to
affected infants.D .
"Normal weight gain is desirable for infants," he added.A.

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Jacobson offers additional tips for preventing BBTD:

* Encourage your child to drink from a cup."
Delta Dental Plan of Michigan, with its affiliates in Ohio and Indiana, is
the leading group dental benefits provider in the Midwest and paid out more
than $1.
Visit http://www.H.D.edu.

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When young children are exposed to sugary fluids such as milk, formula,
and juice over a prolonged period of time, they can develop baby bottle tooth
decay (BBTD).
* Never give children a bottle filled with a soft drink.1 million members. The research suggests that the first week may be a critical
period for setting lifelong patterns of body weight. However, obesity is increasing in
prevalence worldwide, and we hope our research may help contribute to ways to
intervene in newborns to improve their lifelong health."
The National Institutes of Health and the Infant Formula Council (now the
International Formula Council) provided funding for this study.S.

The Children's Hospital of Philadelphia was founded in 1855 as the
nation's first pediatric hospital.chop.

pediatrician discomfort

D.S.
"The March of Dimes along with Emory University and the Department of
Human Resources have created a unique and powerful collaboration on newborn
screening," said Dr. Stettler's team found
that each additional 100 grams of weight gained during the first eight days
increased a baby's risk of becoming an overweight adult by about 10 percent.edu.

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, Jing
Zhao, M., B.

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According to the American Academy of Pediatric
Dentistry , a child's first dental visit should take place when the first tooth
appears or by the child's first birthday.

March of Dimes Georgia Chapter Celebrates Newborn Screening Victory

marchofdimes.com

" After adjusting for other factors, Dr. Stettler says, it may be relevant that exclusive breastfeeding during
early infancy is known to be associated with a slower rate of weight gain, and
possibly with a lower risk of overweight in childhood and adolescence. Ziegler, M.

infant discomfort

Jacobson, D. Use a soft washcloth at least once
a day after the appearance of the first tooth to help wash away sugary fluids.; Columbus and Cleveland, Ohio; and Indianapolis,
Ind. After
passing the House 170-7 and the Senate 53-0 , this new legislation signifies an
important step in increasing protection for Georgia's newborns from
debilitating and deadly genetic metabolic disorders. The state could save
$70 million in special education and other costs, and in lost wages over time
through additional screening.

The March of Dimes is a national voluntary health agency whose mission is
to improve the health of babies by preventing birth defects, premature birth
and infant mortality.
The current study also revealed an association between rapid weight gain
in the first four months (112 days) and being overweight in adulthood. "We don't
know how this effect may occur in humans.

teething immunisation

, M. Following the passing of House Bill 1066,
the next steps are the governor's signature on the bill and amending the
existing rules and regulations of the newborn screening program, which will
allow Georgia to add the additional recommended 17 screens.

* PHOTO AVAILABLE OF NEWBORN HEEL PRICK. "If these results are confirmed by other studies, they may
lead to interventions in newborns to help prevent long-term development of
obesity. Nelson, B.

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For additional information, visit http://www. Troxel, Ph.

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" The
company 's headquarters is located in Okemos, Mich. with offices in Farmington
Hills and Grand Rapids, Mich . "The March of Dimes has been working with the state for more than
five years to expand Georgia 's newborn screening program and we are now where
we can see the light at the end of the tunnel.com /georgia for more
information on newborn screening, including a list of the recommended 29
disorders ."
"Our findings also point toward new potential targets for preventing
obesity," he added .

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This can make it difficult for young children to learn how to eat
properly, and can also cause dental problems in permanent teeth., vice president, professional services,
and dental director at the affiliated Delta Dental Plans of Michigan, Ohio and
Indiana."
Georgia currently screens for 12 disorders with an optional 13th hearing
screen, but the March of Dimes Georgia Chapter has been advocating for the
state to meet the national March of Dimes and American College of Medical
Genetics recommended screening for a uniform panel of 29 screens. They found
that rapid weight gain during the first four months increased the risk of
being overweight at age seven.
However, the first week of life may be particularly sensitive. "For a
variety of health reasons, the American Association of Pediatrics recommends
exclusive breastfeeding during a baby's first six months of life," says Dr.
Stettler .D., also of The Children's Hospital of
Philadelphia; Brian L.

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P., M. The Fomon Infant
Nutrition Unit receives funding from Ross Products Division, Nestle, and Mead
Johnson Nutritional.

CONTACT: Joey Marie McCool, The Children's Hospital of Philadelphia,
+1-267-426-6070, McCool@email .

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, M.deltadentalmi. The Newborn Metabolic Screening Executive Committee leads
this project and is responsible for equipment procurement, expanded
professional/provider educations, improved community education, enhanced
follow-up, longitudinal evaluation and advocacy. Those who had
gained weight more rapidly during their first week were significantly more
likely to be overweight decades later .
The research appears in the April 19 issue of Circulation, the journal of
the American Heart Association. "It suggests that there may be a critical
period in that first week during which the body's physiology may be programmed
to develop chronic disease throughout life. Stettler explained , however, that such interventions have not
yet been developed, and it is premature to make recommendations about specific
targets for optimum weight gain., and Rita Schinnar, M.