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Dáil Éireann díospóireacht -
Tuesday, 12 Nov 1991

Vol. 412 No. 5

Adjournment Debate. - Sudden Infant Deaths.

Sudden infant death is one of the most devastating tragedies that can befall parents. It happens to approximately 160 Irish families a year, that is, three per week. Sudden infant death is where a small, apparently healthy baby is found dead with no reason for the death. It is a mysterious killer. No one knows how or why it happens but the heartbreak it causes is indescribable. Sometimes that grief becomes public as when TV Star Anne Diamond lost her four month old baby son during the summer. Last weekend she spoke bravely about her loss at the conference of the Irish Sudden Infant Death Association in Dublin.

During that conference an important research finding was made public. For the first time evidence was produced that something can be done to reduce the risk of cot death. In New Zealand and in Holland researchers found that, where the practice of sleeping babies on their tummies was changed to sleeping them on their backs or on their sides, the cot death rate dropped by almost a half. Nobody knows exactly why this has happened and no casual link has been established, but it is thought to be related to overheating. If babies become overwarm they are less likely to be able to lose the excess heat when lying on their tummies.

With such compelling evidence available it is important that the information be made available to all parents, and quickly through RTE programmes. Last weekend RTE made an effort on one of their programmes to put out this information. They concentrated on the findings and will have done a good public information job for those people who saw it. However, that is not good enough. Many people were concentrating on other things last weekend. I want the Minister to give an undertaking that he will finance a proper information programme for parents through maternity hospitals, through GPs, through health centres and, particularly on the media, to make sure that the message gets through clearly.

The Irish Sudden Infant Death Association puts out the clear message that babies should not sleep on their tummies but on their backs or on their sides. The four point plan also suggests that babies should not be allowed to become too warm, that the mother should not smoke during pregnancy, that smoking should not be allowed near the baby during the first year of life and that breast feeding for the first few weeks should be encouraged not because this reduces the risk of cot death but because it may reduce the risk of infection.

I hope the Minister of State will see the importance of these findings, particularly as the cost to the Department would be minimal and the gains considerable.

Since taking office I have had a particular interest in research into the causes of sudden infant death, and have been anxious to assist in any way possible.

The Minister, Deputy O'Hanlon decided earlier this year to allocate funds towards the cost of establishing a national register of cot deaths for a period of three years. The register is being put in place by the Irish Sudden Infant Death Association and will form a valuable data base for research into the incidence and causes of the problem.

A grant of £24,500 from national lottery funds was made to the association in May. The Minister has committed further grants of £23,000 in both 1992 and 1993 for the register. I should mention also that the Health Research Board has assisted research projects in this area; it made grants totalling £35,000 in 1989 and 1990 for research at the Rotunda Hospital into the pathology of the placenta associated with sudden infant death syndrome.

The Irish Sudden Infant Death Association wrote to the Minister on 8 November 1991 asking about the position of the Department of Health in relation to the guidelines which have been used in New Zealand since 1987. These are: sleeping a baby on his or her back or side; not allowing the baby to become too warm; not smoking during pregnancy and not allowing anyone to smoke near the baby during the first year of life; breastfeeding for the first few weeks, not because this in itself reduces the risk of cot death, but because it may reduce the risk of infection.

The Minister for Health received that Irish Sudden Infant Death Association letter on Friday last, 8 November 1991 and has asked the Faculty of Paediatrics of the Royal College of Physicians in Ireland for its views on the New Zealand guidelines before deciding on the nature of the information in relation to the prevention of cot death that must be promoted by the Department.

However, the Minister for Health has emphasised with vigour the risks associated with smoking for the general population and has pursued a range of measures in the legislative, educational and research areas both here and in Europe. In the case of pregnant women the risks involved with smoking are well documented. It has always been a feature of the Department's health promotion unit's anti-tobacco strategy that special emphasis should be placed on pregnant women and smoking. Recently, as part of that strategy a joint Health Promotion Unit/Council for the Status for Women campaign aimed exclusively at women was launched. A major part of that campaign concentrated on the risks to the unborn child of a mother smoking. The council actively promoted this campaign nationally. The question of an approach to passive smoking generally and specifically when near young babies will be taken into account in developing an antismoking strategy in 1992.

The Health Promotion Unit of the Department of Health provides comprehensive information for mothers on breast feeding. A detailed publication Food and Babies is published by the unit and is available free of charge through all maternity units, health boards and direct from the public office of the unit. This publication provides extensive information on breast feeding which is, in fact, currently being updated by the unit in consultation with relevant professional expertise. Another publication on child development entitled The Book of the Child also contains information on breast feeding. This publication is also available free of charge from the outlets mentioned above.

Also, as part of its support programme for voluntary organisations in the health promotion area, the health promotion unit has provided finiancial assistance towards the educational/information activities of La Leche League over the past few years.

The level of funding and support for the important work of a voluntary organisation reflects my commitment and that of the Minister to the area of sudden infant death. In addition, its Health Promotion Unit provided approximately £6,000 to the association for the dissemination of information to its members.

Specific information is what we are looking for rather than all the other points.

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