Geoscience Reference
In-Depth Information
Table 20.5
Supplemen
tal Information
Description
Supplemental Notes
Formula
Use of a powdered formula is at the discretion of the jurisdiction or shelter operator. If using
powdered, preparation of the formula should be conducted by appropriately trained food
preparation workers. Water used should be from an identified potable water source (bottled water
should be used if there is any concern about the quality of tap or well water).
Hypoallergenic hydrolyzed formula can be provided in powdered form—(1) 400 g can—but only if
potable water is accessible.
Infant feeding bottles
and nipples
Each time nutritional fluids, formula and/or other infant feeding measures (including breast milk in a
bottle) are distributed by trained, designated shelter staff and/or medical professionals, clean,
sterilized bottles and nipples must be used. Note: After use, bottles are to be returned to the
designated location for appropriate sterilization (and/or disposal). Bottle feeding for infants and
children is a 24/7 operation and considerations must be in place to provide bottle feeding as needed.
(On average, infants eat at minimum 5-8 times daily).
Note to staff: Sterilizing and cleaning
Sterilize bottles and nipples before you use them for the first time by putting them in boiling water
for 5 minutes. Nipples and bottles should be cleaned and sterilized before each feeding. If
disposable bottles and nipples are not available and more durable bottles and nipples will be reused
they must be fully sterilized before each feeding. To the greatest extent possible bottles and nipples
should be used by only one child.
In the event parents want to use their own bottles and nipples, shelter staff should provide support
for cleaning these items between feedings. Support such as access to appropriate facilities for
cleaning (not public restrooms).
