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Thursday, June 19, 2025

Election promises

by

30 days ago
20250520
Dr David Bratt

Dr David Bratt

One dis­likes start­ing off the term of a new gov­ern­ment with crit­i­cism. It’s bet­ter to wait a while and see what pro­pos­als it has or what progress it makes in the first 100 days. Af­ter the dis­ap­point­ments of the last ten years, when ex­pec­ta­tions and hopes in the med­ical field were sel­dom met, one’s in­cli­na­tion is to stay qui­et and give the new peo­ple an op­por­tu­ni­ty to see what they are made of.

Two pro­pos­als, how­ev­er, nei­ther of which is new and nei­ther of which ever helped any­one, the “Milk Grant” and the “Com­put­er Grant,” have been brought back for a sec­ond try. Both should be re­viewed be­fore im­ple­men­ta­tion be­cause they both have health im­pli­ca­tions, one phys­i­cal, the oth­er men­tal.

The first is that old ca­nard, a favourite of Mrs Kam­la Per­sad-Bisses­sar, the idea that giv­ing moth­ers “milk” will help them to feed their chil­dren bet­ter.

There are so many rea­sons why this is not a good idea. First of all, an­oth­er give­away? An­oth­er rea­son to con­tin­ue the de­pen­den­cy syn­drome. Haven’t we had enough of that? Be­fore you start an­oth­er free­ness, shouldn’t you make sure it is go­ing to be help­ful?

This isn’t.

Be­cause milk, cow’s milk, whether it’s dis­guised as a “for­mu­la” or not, caus­es peo­ple to be­come ill. I men­tion this for­mu­la busi­ness be­cause there are peo­ple in T&T to­day, who think for­mu­la is not cow’s milk but some­thing “spe­cial” made for ba­bies. It is most def­i­nite­ly not.

Breast­milk, how­ev­er, is made for ba­bies. All chil­dren un­der the age of one year should be breast­fed. Breast­milk keeps ba­bies healthy. Over one year, chil­dren do not need milk un­less it is breast­milk. They need solids, foods like rice, peas and calaloo, plan­tain, dasheen and yam, fish and coo-coo (well-cooked as rec­om­mend­ed by a for­mer PM), zabo­ca, green fig and toma­to, man­go, ba­nanas, paw-paw or any one of the nu­mer­ous for­got­ten fruits we have, tamarind, sour­sop, sapodil­la, pomer­ac, gua­va etc.

A na­tion­al pol­i­cy of hand­ing out milk, and it has to be for­mu­la in the first year since ba­bies can­not drink whole cow’s milk be­fore they are one year old, is an­ti-breast­feed­ing be­cause it dis­cour­ages moth­ers from try­ing to breast­feed. Shouldn’t the pol­i­cy be to as­sist moth­ers to breast­feed their ba­bies?

This will re­sult in a health­i­er pop­u­la­tion and at the same time save mon­ey by re­duc­ing the need to im­port for­mu­la. Cow’s milk is re­al­ly a hor­ri­ble food. It’s as­so­ci­at­ed with many dis­eases.

Over the age of one, most chil­dren do not like milk be­cause it gives them gas and bel­ly pain. They are lac­tose in­tol­er­ant. Most Trinida­di­ans are lac­tose in­tol­er­ant, ie we do not have the en­zyme in the in­tes­tine that di­gests the car­bo­hy­drate in milk called lac­tose. This is not unique to T&T. Three out of every four hu­mans can­not di­gest lac­tose. North­ern Eu­ro­peans and a few oth­er se­lect­ed hu­man groups like the Ma­sai of East Africa, who are cat­tle own­ers and have evolved drink­ing cow’s milk, can. Not most of hu­man­i­ty.

The pro­tein in cow’s milk is the most com­mon cause of al­ler­gy, cow’s milk al­ler­gy. It should be called for­mu­la al­ler­gy. It caus­es gas, col­ic and con­sti­pa­tion in chil­dren. Apart from for­mu­la al­ler­gy, this pro­tein is as­so­ci­at­ed with oth­er al­ler­gies like si­nus dis­ease, ear in­fec­tions, bronchial asth­ma and skin dis­eases like chron­ic in­flam­ma­to­ry dry skin or eczema and ac­ne.

Aw­ful stuff!

For­mu­la ba­bies are three times more like­ly than breast­fed ba­bies to be obese chil­dren and obese adults. Obe­si­ty is in­ti­mate­ly linked to strokes, heart dis­ease and type 2 di­a­betes. If we are se­ri­ous about do­ing some­thing about the NCDS, we need to start in in­fan­cy. Hand­ing out for­mu­la or milk may make im­me­di­ate po­lit­i­cal sense but is coun­ter­pro­duc­tive in the long term.

To make things worse, for­mu­la (mod­i­fied cow’s milk) is linked to the two most com­mon types of can­cer in T&T, breast and prostate.

Fi­nal­ly, too much milk caus­es a unique­ly Trinida­di­an dis­ease in ba­bies called “the mil­kalco­holic syn­drome”. It was first de­scribed in the 1970s at the San Fer­nan­do Gen­er­al Hos­pi­tal by Dr Bruce Sym­monds, the first pae­di­a­tri­cian in T&T. The ba­bies were gross­ly over­weight, anaemic and slug­gish. They were be­ing stuffed with cow’s milk. That 70s idea, that cow’s milk is good for ba­bies is still around and politi­cians find it an easy mark to try to demon­strate good­li­ness and kind­ness. But it is wrong and not a good idea, med­ical­ly, fi­nan­cial­ly or cul­tur­al­ly.

Why would the Min­istry of Health agree to en­cour­ag­ing ba­bies to drink more milk? Is it that they have not been con­sult­ed or are there oth­er pres­sures at work?

It would be more use­ful to leg­is­late longer ma­ter­nal leave and as­sist farm­ers in pro­duc­ing cheap lo­cal food so that moth­ers and fa­thers can raise healthy chil­dren.


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