Effects of breastfeeding and naturally acquired immunity on infection with {\it Giardia lamblia}: A study in a cohort of Mexican infants

Giardia lamblia is one of the most common causes of gastrointestinal tract infection among young children worldwide. Yet host protection against this parasite and the effect of infection with Giardia on infant growth are poorly understood. It was hypothesized that among young children, protection against infection with Giardia is afforded by breastfeeding and previous infection with the parasite and further, that infection with Giardia decreases growth velocity. From 4/88 to 4/90, 197 infants in a poor area of Mexico City were followed from 0 to 18 months of age, with stool specimens, symptoms and feeding status data collected weekly. A total of 6,031 stool specimens were tested for Giardia antigen by enzyme-linked immunosorbent assay. There were 1.0 Giardia infections per child-year; 25% were symptomatic and 54% lasted more than 1 month; 94 infants had 1, and 33 had 2 or more infections. Breastfeeding status was coded and analyzed for each child-week of follow up. 91% of study infants were breastfed from birth, 57% at 6 months and 38% at 12 months of age. Rate ratios for non-breastfeeding adjusted for confounding factors were calculated from stratified analyses and the Cox proportional hazards model. Not breastfeeding was a significant risk factor for first infection with Giardia vs. any breastfeeding (adjusted RR = 1.8; 1.1, 2.8) at all ages; a dose response was demonstrated by degree of breastfeeding. The adjusted rate ratio for non-breastfeeding vs. partial breastfeeding was 1.6 (1.03, 2.6) and for non-breastfeeding vs. complete breastfeeding was 4.7 (1.4, 15.9). Among Giardia infected infants, breastfeeding did not protect against diarrheal symptoms or shorten the duration of carriage. First and repeat infections with Giardia did not differ in duration or the percent symptomatic. The analysis of growth and Giardia infection was inconclusive but suggested that a history of Giardia infection might be associated with decreased weight velocity, while an immediate chronic infection might be associated with increased weight velocity. In summary, these data indicate that breastfeeding protects infants against infection with Giardia; provide no evidence of protection against repeat infections resulting from a prior infection and suggest but do not establish that a history of Giardia infection might be associated with decreased growth in young children. ^

Germanium contents, Ge/Si ratios, and Sr isotopic composition in deep-sea cherts

Nineteen chert samples from a continuous core of the DSDP (Leg 17, Hole 167) were analysed for Ge; in addition we analysed five samples from other cores. The ages range between Late Jurassic, and Late Eocene. The concentration of Ge changes with age from 0.87 ppm in the oldest samples to 0.23 ppm in the youngest (equivalent to a Ge/Si decrease from 0.00000072 to 0.00000019). The decrease in Ge/Si is well correlated with the 87Sr/86Sr ratio in sea water of the relevant age. The interpretation of this trend may reflect: (a) different levels of Ge/Si in sea water as a result of a different ratio between hydrothermal and riverine input, (b) a diagenetic trend in siliceous sediments, (c) recording (by radiolaria) a transition between a radiolaria dominated ocean (with relatively high Ge/Si ratios in sea water) and diatom domination or (d) a combination of the above.

Raw grain-size distributions of the sediment trap time series CB 14 upper, CB 15 lower, CB 16 lower, CBi 1 upper, CBi 2 upper and CBi 3 upper

in preparation

There's no place like home [microform] : the promise and predicament of home care : hearing before the Select Committee on Aging, House of Representatives, One Hundredth Congress, first session, September 28, 1987, Providence, RI.

"Comm. pub. no. 100-640."