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MILK, THERAPEUTIC powder, 750 kcal - 410 g. sachet ( Out of Stock )

For Children after 6 months age and for Adults F-75 therapeutic milk is suitable for 6 months old children and adults. When a child suffering from severe acute malnutrition arrives at the hospital, he/she often shows medical complications (infections, hepatic insufficiency, etc.).

A child with such complications is unable to tolerate usual levels of proteins, fats and sodium. Therefore, it is important to begin nutritional treatment by giving foods with low levels of proteins, fats and sodium, but rich in carbohydrates. F-75 therapeutic milk should be used in therapeutic feeding centers under medical supervision, and must never be given directly to family members or caregivers. Therapeutic milk F-75 should only be administered under medical supervision and nutritionists’ recommendations. -

To treat Severe Acute Malnutrition - Phase 1 F-75 therapeutic milk was designed for the stabilisation (recovery of normal metabolic function and nutrition-electrolytic balance) of patients suffering from severe acute malnutrition,


while their medical complications are being treated during phase 1 of the treatment, in accordance with the treatment protocol drawn up by the World Health Organisation (WHO 1999, see references on the right column). With its caloric density of 75 kcal per 100 ml of reconstituted milk, F-75 is not intended to make children put on weight, and its use should be limited to


phase 1 (on average, 3 days). NB:


In phase 2, the nutritional recovery phase, F-100 therapeutic milk is used (or a ready-to-use nutritional equivalent such as Plumpy’nut®, depending on the child's state of health.






  • Each 102.5g sachet should be reconstituted with 500 ml of drinking water

  • Phase 1:  80-100 kcal / kg body weight / day for an average of 3 days. 


  • Therapeutic milk is not enriched milk.  It is a blended food from a milk base.


    We shall not accept nor distribute donations of milk powder, unless this is done as part of a premix for supplementary feeding, or under special circumstances where supervision of preparation and access to sufficient clean water is possible.  This recognises the inherent difficulties of ensuring adequate hygiene and appropriate use of milk powder when provided as a separate item for distribution.


    Milk powder is a sensitive product and must be used carefully under the supervision of a nutrition specialist.


    It is specifically designed for and must be restricted to the treatment of severe malnutrition. It is designed for therapeutic feeding programs.  This product already contains all the elements necessary for the treatment of severe malnutrition (all vitamins and minerals as per nutritionist recommendations).


    This milk is not suitable for long term feeding of well-nourished children.


    Each bag of 456 g contains the appropriate quantity to be diluted in 2 litres of boiled water to obtain 2.4 litres of high energy milk (dry extract : 190g/litre).


    Therapeutic milk is manufactured by several companies, thus should not be referred to as "Nutriset milk", as this is only one of the companies, and they also manufacturer many other type of products.


    The most commonly used in our program is the type F100 as per UNDP and WHO specifications, with the F75 type to be used in the first days of the nutritional recuperation.


    List of validated manufacturers available at ICRC/IFRC HQ.


    Preparation: Always dilute with perfectly clean water.  Once reconstituted, the milk should be used within 2 hours.  It should be kept in its original packaging.  Once opened, the contents of a sachet must be entirely used up immediately.  Destroy milk powder if the colour, smell or the aspect of the milk has changed, even if the expiry date is not yet reached, since there is a risk of organoleptic change of the product.  In this case refer to HQ or to the supply department for advice.  It might be interesting to proceed with analysis and to discuss the problem with the manufacturer.


    HEM quantities calculated for a child of 9 kg who receives an average of 1800ml of HEM /day


    (= ±  380g of dry product with 10% losses).


          


     




































    Number of children /day



    HEM in kg



    No of bags (456g)



    50



    19



    42



    100



    38



    84



    250



    95



    209



    500



    90



    417



    1000



    380



    834



    (10% of losses included in the above calculation)


    Milk conservation: 3 hours at room temperature, and up to 16 hours in a refrigerator. 

Specifications

MILK, THERAPEUTIC powder, 1000 Kcal/L, 456g, sealed bag

 

Moisture content

2.5% maximum

Energy

520-550 kcal/100 gr

Proteins

10-12% total energy

Fat

45-60% total energy

Sodium

290mg/100g maximum

Potassium

1100 to 1400mg/100g

Calcium

300 to 600mg/100g

Phosphorus

300 to 600mg/100g

Magnesium

80 to 140mg/100g

Iron

0.2mg/100g maximum

Zinc

11 to 14mg/100g

Copper

1.4 to 1.8mg/100g

Selenium

20 to 40micrograms/100g

Iodine

70 to 140micrograms/100g

Vit. A

0.8 to1.1mg/100g

Vit. D

15 to 20micrograms/100g

Vit. E

20mg/100g minimum

Vit. K

15 to 30micrograms/100g

Vit. B1

0.5mg/100g minimum

Vit. B2

1.6mg/100g minimum

Vit. C

50mg/100g minimum

Vit. B6

0.6mg/100g minimum

Vit. B12

1.6micrograms/100g minimum

Folic acid

200micrograms/100g minimum

Nicotinic acid

5mg/100g

Pantothenic acid

3mg/100g

Biotin

60micrograms/100g

n-6 fatty acid

3 to 10% of total energy

n-3 fatty acid

0.3 to 2.5% of total energy

Additives

None except specified mineral and vitamins

Neutrilizer

None

Phosphatases

Negative. I.e. not more than 4 micrograms of phenol per gram of reconstituted milk

Solubility index

0.5ml maximum

Burnt particles

15mg maximum i.e. disc B minimum

Micro-organism content

10,000/g maximum

Coliform test

Negative in 1g

Clostridium perfringens

Negative in 1g

Yeast

Maximum 10 in 1g

Moulds

Maximum 50 in 1g

Phatogenic staphylococci

Negative in 1g sample

Salmonella

Negative in 125g sample

Listeria

Negative in 25g sample

Added minerals should be added from water soluble salts.

'Expiry date' 1.5 year from manufacturing date; 1 year remaining at date of delivery.

Radioactivity level: EC specifications

 

Caesium 134 and 137:

370 Becquerels per kilogram for liquid milk and preparations for infants.

Packaging

Packed in strong export carton boxes.

Number of sachets in 1 carton box : 30 sachets.

Net weight of product in 1 carton box : 13.68kg.

Gross weight of 1 carton box : 14.8kg.

Size of the carton box 0.38x0.29x0.33m.

Volume of one carton box: 0.037m³.

Number of boxes that fit in a standard transport container 20'' : 731 carton boxes.

For detail visit http://procurement.ifrc.org/catalogue/detail.aspx?volume=1&groupcode=107&familycode=107006&categorycode=MILK&productcode=FDAIMILK03

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