Chicago Tribune (Sunday)

What can parents do about the baby formula shortage?

- Dr. Steven A. Abrams American Academy of Pediatrics Dr. Steven A. Abrams is a board-certified pediatrici­an and a professor of pediatrics at the University of Texas at Austin. He is the past chair of the AAP National Committee on Nutrition.

Q: There’s been a shortage of baby formula at the grocery stores and I’m starting to worry about running out. What can I do? A: Since the outbreak of COVID-19, there have been significan­t shortages of infant formulas in some stores. Current shortages have been largely caused by supply chain issues and a recall of several contaminat­ed formula products.

To help ease the impact of shortages, the American Academy of Pediatrics advises buying no more than a 10-day to two-week supply of formula. This will help everyone. Some stores are limiting purchases to prevent formula from running out.

If you’re struggling to find baby formula, here are some tips that can help. Keep in mind, this advice is for urgent situations. If you have any concerns about your baby’s nutrition, please talk with your pediatrici­an.

Ask your pediatrici­an if they are able to get you a can from a local formula representa­tive or a charitable organizati­on that has some. Your local WIC office or food pantry may also be able to help.

Check smaller stores and drug stores, which may not be out of supply when the bigger stores are.

If you can afford it, buy formula online until store shortages ease. Purchase from well-recognized distributo­rs and pharmacies rather than individual­ly sold or auction sites. Do not import formula from overseas as these are not FDA reviewed.

For most babies, it is OK to switch to any available formula, including store brands, unless your baby is on a specific extensivel­y hydrolyzed or amino acidbased formula, such as

Elecare (no store brand exists). If you are unsure, talk with your pediatrici­an.

Check social media groups. There are groups dedicated to infant feeding and formula, and members may have ideas for you on where to find formula. Make sure to check any advice with your pediatrici­an.

If no formula can be found, consider borrowing a can from a friend.

You may be tempted to water down formula to stretch it out, but you should never do that. Always follow label instructio­ns or those given to you by your pediatrici­an. Watering down formula is dangerous. It can cause nutritiona­l imbalances in your baby and lead to serious health problems. Always mix formula as directed by the manufactur­er.

You can use bottled water or bring cold tap water to a rolling boil for 1 minute (no longer), then cool the water to room temperatur­e for no more than 30 minutes before it is used.

The AAP strongly advises against homemade formula. Although recipes for homemade formulas circulatin­g on the internet may seem healthy or less expensive, they are not safe and do not meet your baby’s nutritiona­l needs. Deaths have been reported from the use of some homemade formulas.

Milk alternativ­es are not recommende­d for infants under one year of age. Be especially careful to avoid almond or other plant milks as these are often low in protein and minerals.

Toddler formulas are not recommende­d for infants, but if you have no other choice, toddler formula is safe for a few days for babies close to a year old.

Remember to check the “use by” date on infant formulas. Until that date, the infant formula will contain no less than the amount of each nutrient on the product label and will otherwise be of acceptable quality, the FDA notes. The “use by” date is required by FDA regulation­s on each container of infant formula.

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