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ALAN MEYERS, MD, MPH
Department of Pediatrics Boston City Hospital 818 Harrison Ave Boston, MA 02118

JAMES D. SARGENT, MD
Department of Pediatrics Dartmouth-Hitchcock Medical Center Lebanon, NH 03756

Am J Dis Child. 1993;147(4):367-368.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—In his recent response¹ to the report of Keating et al² on water intoxication in infants in St Louis, Mo, Graham implies that the counseling provided by Special Supplemental Food Program for Women, Infants, and Children (WIC) nutritionists may be responsible for the striking increase in this serious syndrome. However, the article by Keating et al notes that the advice given by WIC nutritionists regarding water feedings has not changed since the program began in 1976; thus, such advice by itself could not account for the dramatic increase in water intoxication documented in their report.

Graham¹ also states: "If many mothers 'presume that WIC provides everything the infant needs,' it is because the advocates and operators of the program have so implied." Yet, the Keating report notes that "The WIC workers emphasize the word supplemental in the program title, but they recognize that many mothers presume . . . [Full Text PDF of this Article]

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