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Item Q3M C ounty of f Monroe ELj » °o � BOARD OF COUNTY COMMISSIONERS /� r i � �� Mayor George Neugent, District 2 The Florida. Key y e I Mayor Pro Tern David Rice, District 4 ; - = = :' Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting November 14, 2017 Agenda Item Number: Q.3 Agenda Item Summary #3537 BULK ITEM: Yes DEPARTMENT: BOCC District 3 TIME APPROXIMATE: STAFF CONTACT: Carol Schreck (305) 292 -3430 n/a AGENDA ITEM WORDING: Approval of a resolution recognizing the importance of breastfeeding in accordance with Florida law. ITEM BACKGROUND: Breastfeeding saves lives, money, and time The cells, hormones, and antibodies in breastmilk help protect babies from illness. Research shows that breastfed babies have lower risks of asthma, leukemia (during childhood), obesity (during childhood), ear infections, eczema (atopic dermatitis), diarrhea and vomiting, lower respiratory infections, sudden infant death syndrome, necrotizing enterocolitis (gastrointestinal disease in premature babies)and type 2 diabetes. 1,2 Families who follow optimal breastfeeding practices can save between $1,200 - $1,500 in expenditures on infant formula in the first year alone. For both employers and employees, better infant health can mean fewer health insurance claims, less employee time off to care for sick children, and higher productivity. 3 1. American Academy of Pediatrics. (2012). Breastfeeding and the use of human milk. (link is external) Pediatrics; 129(3): e827 -e841. 2. Harder, T., Bergmann, R., Kallischnigg, G., Plagemann, A. (2005). Duration of breastfeeding and risk of overweight: a meta - analysis. American Journal of Epidemiology; 162(5): 397 -403. 3. Office of the Surgeon General. (2011). The Surgeon General's Call to Action to Support Breastt8eding. PREVIOUS RELEVANT BOCC ACTION: CONTRACT /AGREEMENT CHANGES: n/a STAFF RECOMMENDATION: DOCUMENTATION: Stamped Breastfeeding Resolution Breastfeeding res back -up 11.2017 FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A REVIEWED BY: Heather Carruthers Completed 10/30/2017 4:50 PM Bob Shillinger Completed 10/30/2017 7:11 PM Kathy Peters Completed 10/31/2017 8:36 AM Board of County Commissioners Pending 11/14/2017 9:00 AM RESOLUTION NO. -2017 A RESOLUTION OF THE BOARD OF COUNTY COMMISIONERS OF MONROE COUNTY, FLORIDA RECOGNIZING THE IMPORTANCE OF BREASTFEEDING IN ACCORDANCE WITH FLORIDA STATE LAWS AND STATUTES. WHEREAS, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the Academy of Breastfeeding Medicine, and the World Health Organization recommend that babies be exclusively breastfed for the first six months of an infarit's life and continue to be breastfed until 12 months of age or longer as mutually desired; and it ' ll I I i 1 HK1 WK11111 WHEREAS, a mother may breastfeed her baby in any location, public or private, where the mother is otherwise authorized to be; and WHEREAS, the health benefits to breastfed children and their mothers, results in lower health care costs for employers, less employee time off to care for sick children, and higher productivity and employee loyalty; and WHEREAS, mothers who breastfeed have a decreased risk of breast, uterine and ovarian cancer, postpartum depression, and osteoporosis later in life; and WHEREAS, the nutrients exclusive to human milk are vital to the growth, development, and maintenance of the human brain and cannot be manufactured; and WHEREAS, employers, employees, and society benefit by supporting a mother's decision to breastfeed and by helping to reduce the obstacles to initiating and continuing breastfeeding NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY FLORIDA that Monroe County does hereby recognize the unique health, economic, and societal benefits that breastfeeding provides to babies, mothers, families, and the community and affirms that barriers to initiation and continuation of breastfeeding should be removed. Monroe County encourages employers to strongly support and encourage breastleeding by striving to provide accommodations of appropriate space and time to allow employees to express their milk. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 14 day of November, 2017. WMEOM M Mayor/Chairman 1 9 :7 zz� I, nep,v Health & Human Services U RG EON EN ERAL Q www.hhs.gov • Support small nonprofit organizations that promote breastfeeding in Aftican-American communities. • Support compliance with the International Code oj'Marketing ofBreast-milk Substitutes. • Increase funding of high-quality research on breastfeeding. • Support better tracking of breastfeeding rates as well as factors that affect breastfeeding. To order a printed copy of The Surgeon General's Call to Action to Support ftreasyeeding, call 1-800-CDC-INFO or email (:dcinlb(q!cdc.Lo and L_ reference the publication title. For a downloadable copy, visit w%% upv 0 Next N) Forin Al pi cd 0 LN-1 13 0`. 90-0172 Dal - CD /��< �')[( , .. ,-^ ` � Healthy Children (/English) > Ages & Stages (hftps://www.healthychildren.org/English/ages-stages) > Baby (hftps://www.healthychildren.org/English/ages-stages/baby) , Breastfeeding (https://www.healthychildren.org/English/ages-stages/baby/breastfeeding) > Breastfeeding Benefits Your Baby's Immune System AGES & STAGES l ��~��~� ~ �� l ��1�� 1 � Baby �� ~�.~~~~~��~~.~~~�� ~~��~~��.~~ Your ~~~�~~� ~~ ��~~��~~��~~ =~�~°�~~�� Human milk provides virtually all the protein, sugar, and fat your baby needs to be healthy, and it ' also contains many substances that benefit your baby's immune system, including antibodies, & immune factors, enzymes, and white blood cells. These substances protect your baby against a diseases infections he is breastfeeding but in long wide variety of and not only while some cases after 6e has weaned. Formula cannot offer this protection. � lf you develop a cold while breantfeediog for example, you are likely to pass the cold germs ooto your baby—but the antibodies your body produces to�gb1 that cold also vrillbe passed oo '' - through your milk. These antibodies will help your infant conquer the cold germs quickly and effectively and possibly avoid developing the cold altogether. This defense against illnesses significantly decreases the chances that your breastfeeding baby will suffer from ear infections, vomiting, diarrhea, pneumonia, urinary tract infections, ur certain types of spinal meningitis. Infants under the age of one who breastfed exclusively for at least four months, for instance, were less likely to be hospitalized for a lower respiratory tract infection, such as croup, bronchiolitis, or pneumonia, than were their formula-fed counterparts. Even infants in group child care programs, who tend to catch more germs due to their close proximity, are less likely to become ill if they are breastfed or fed their mothers'milk in a bottle. All humans have avery large number ofbacteria that normally reside in their intestines. Some of the bacteria serve normal and healthy functions, and some can cause disease such ao diarrhea. Human milk encourages the growth of healthy bacteria io the intestinal tract of the breant6ed baby. lt does this bv promoting a generally healthy environment and, in part, through substances called prebiotics, which are found in human milk. Since human milk stimulates the growth of these "friendly" strains of bacteria, other bacteria such as E coli, which are more likely to cause disease, are inhibited from growing, multiplying, and attaching to the lining of the intestine, where they can cause infection. It has been well established that formula-fed infants have much higher rates of diarrheal diseases which may require visits to the doctor or sometimes to the hospital for intravenous fluids. Beastfeeding is recommended for many reasons. With regard to allergy prevention, there is some evidence that breastfeeding protects babies born to families with a history of allergies, compared to those babies who are fed either a standard cow's milk based formula ora soy formula. ln these "at risk" families, breaot0ed babies generally had a lower risk of milk allergy, atopic dermatitis (commonly known as eczema), and wheezing early in life, if they were exclusively breamtfed for at least four months. Itiapresumed that immune components iu maternal milk provide protection against these allergic diseases. Although the long-term benefits ofbreautfeediogoo allergies remains unclear and studies have not carefully evaluated the impact on families without a history of allergy, exclusive bceaytfeediogia recommended ao the feeding of choice for all infants. Transfer of the human milk antibodies and other immunologic substances may also explain why children who breastfeed for more than six months are less likely to develop childhood acute leukemia and lymphoma than those who receive formula. In addition, studies have demonstrated a 36 percent reduction (some studies show this reduction to be as high as 50 percent) in risk of sudden infant death syndrome (SIDS) among babies who breastfeed compared to those who did not, though the reasons for this are not fully understood. Recent research even indicates that breastfed infants are less likely to be obese in adolescence and adulthood. They are also less vulnerable to developing both type 1 and type 2 diabetes. � � Ci � � 1 11 Last Updated 1/1/2006 Source New Mother's Guide toEbeaodeedi` ' 2udEditioo(Copycight C2O1l American Academy ofPediatrics) The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There maybe variations in treatment that you pediatrician may recommend based on individual facts and circumstances. Contact Us (hftps://www.healthychildren.org/english/pages/contact-us.aspx) About Us (hftps://www.healthychildren.org/english/pages/about-aap.aspx) Privacy Policy (https://www.healthychildren.org/english/pages/pNvacy-policy.aspx) Terms of Use (hftps://www.healthychildren.org/english/pages/terms-of-use.aspx) Editorial Policy (hftps://www.healthychildren.org/Engiish/Pages/Editorial-Policy.aspx) 0 0 eta e HONcode standard for trustworthy health (http://www.healUionnet.org/HONcode/Conduct,htmi) a C i l c� QJ U) QJ III heal P Healthy Children (/English) > Ages & Stages (https://www.healthychildren.org/English/ages-stages) > Baby (https://www.healthychildren.org/English/ages-stages/baby) > Breastfeeding (https://www.healthychildren.org/English/ages-stages/baby/breastfeeding) > Psychological Benefits of Breastfeeding Url�� Your newborn also benefits from the physical closeness of nursing. Thrust from the close, dark womb into an overwhelming experience of bright lights, loud noises, and new smells, your baby needs the reassurance of your continued physical presence. By holding him safe in your arms and giving nourishment from your body, you offer him a sense of continuity from pre- to post-birth life. Gazing into your eyes, your baby comes to understand that he is loved and protected and that you are there to provide for his needs as he adjusts to this new world. In addition, breastfeeding releases hormones in your body that promote mothering behaviors. This emotional bond iz as vital as the nutritional benefit he receives from you. Scientists now tell us that infants learn best in a context of emotional closeness with an adult, Breastfeeding promotes a growing attachment between the two of you that will continue to play an important role in your baby's development for years to come. Last Updated 11/21/2015 Source New Mother's Guide to Breastfeeding, 2nd Edition (Copyright Q 2011 American Academy of Pediatrics) The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There maybe variations in treatment that your pediatrician may recommend based on individual facts and circumstances. Meal! I. ,e HONcode standard for trustworthy health (hNp://www.healthonnet org1HONcode/Conduct.html) .2 0 0 copyright 2017 American Academy of Pediatrics. All rights reserved. 1 14 ric FLORIDA Congratulations on your baby and your decision to breastfeed! My name is Angelica Mendaros and I am a Certified Lactation Counselor (CLC). I would like to exnlain who I am and mv role in the communit-v. After co i passing a national final examination, I am qualified to help with commonly encountered situations, including assessing latch, suggesting corrective interventions, counseling mothers, understanding and applying knowledge of milk production in special circumstances. I can counsel and educate mothers re ardin e-ni-94 snecific it, -natt aYd'iatv_ If - gmy I v I I U-1 1 J ftwi I I M I I U-1 I M a " K " M I I I .70?g I t M KRA I I V� W. I a a ANN 11MMIA11111 i l i �� i ��i�� li l�� il i lli l li ��i llI 1 1 1 11 1 1 1 Pediatrics (AAP) reaffirms its recommendation of exclusive breastj��edingfor about thefirst six months of a baby's life, followed b] 0 breas�feeding in combination with the introduction of complementaryfoods until at least 12 months ofage, and continuation f breastfeedingfor as long as mutually desired by mother and baby. " Breast milk is the best food for your baby. Having a fed, healthy baby is above all. It is important to recognize the signs of why breastfeeding may not be working for you and your family. Concerns of baby not gaining enough weight, a poor latch or baby not wantin,�N, to wake ufc for fcedin.�Ms are common, Knowiwu when to goals. I am here for you and your baby equally. IRWIN& 1 tW%_CYk 33 V 3 1 well as lead support groups. I am also a breastfeeding advocate and enjoy providing breastfeeding knowledge to moms, dads, grandparents and anyone who is willing to listen. Here is how I can help you and your family. I I f you are breastfeeding successfii I ly: Many women successfully breastfeed without complications. These women find that being promoted, protected and supported is essential during their breastfeeding journey. As with many things in parenting, it takes a village. Please join your local Facebook tribe and give other moms the encouragement and support they need. I f you are having breastfeeding troubles: While breastfeeding is natural it is not always instinctive. Most moms fear that their babies are not getting enough, yet most babies are getting plenty! If you have felt the need to supplement and your goal is to exclusively breastfeed please contact me as I can help you meet your goals. It is said that breastfeeding hurts, however breastfeeding should never hurt. Correcting a shallow latch may make a difference in achieving your breastfeeding goals. I too have a little one, and I know how hard it can be. I had a rough start with breastfeeding and experienced many challenges becaul I was not well informed. I know what it feels like to look at your bundle ofjoy and not know what do. I've been there, and now I am here for you. I look forward to meeting you and your family. Angelica Mendaros, CLC Breastfeeding Peer Counselor, Monroe County WIC angelica.mendaros@flhealth.gov 305-896-2746 .2 0 eta ifj C i CL as E IR Florida Department of Health-Monroe, WIC n----- This institution is an equal opportunity •r. Esta institucion es un proveedor que ofrece igualdad de ❑portq, S.