August 8, 2005 WIC Update

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SUBJECT:  Enfamil Gentlease LIPIL-Powdered Form (New Rebate Formula) (Attachment #1)
SUBJECT: Revision 7 Risk Factor Changes (A3, X3, X4, X5 X6, X7) Effective October 1, 2005
SUBJECT: Track Training Changes
SUBJECT: Infant Formula and Medical Foods Training
SUBJECT: Free Educational Material

  1. Enfamil Gentlease LIPIL infant formula (powdered form) is a new rebate product from Mead Johnson Nutritionals.  Enfamil Gentlease LIPIL contains partially broken down cow's milk protein and a reduced amount of lactose: 1/4 the amount of lactose in routine milk-based formula, with the remainder of carbohydrate from another source (corn syrup).

    This formula can only be issued to infants who are not able to tolerate Enfamil LIPIL with Iron.  Nutritionists, CPAs, and Registered Dietitians are authorized to issue this product.  The WIC 29 form: Documentation For Medical Needs Formula Issuance is not required.  The monthly allowance is 10 cans of the powdered 12-ounce can.

    The State Office is currently developing food packages for Enfamil Gentlease LIPIL and will notify you when it is available in the HANDS system.  If you have any questions on this product, please contact Takako Tagami at 1-800-392-8209 or e-mail
  1. Reminder:  Revision 7 Risk Factor changes (A3, X3, X4, X5 X6, X7) will go into effect October 1, 2005.  All current and new staff must be trained on this information by October 1, 2005 by your LWP Train-the-Trainer who attended the Revision 7 Risk Factor training session in July.  After October 1, 2005, this information will be addressed/included in Track Training sessions.
  2. Effective October 1, 2005, for those who prefer to have their training experience in person rather than by video conference, the State WIC office invites you to attend "live" Track Training at the Jefferson City location.   Include this travel, etc., accordingly in your 2006 LAP. 

    Effective November 1, 2005, Track Training will not include training on keying of the Food Frequency Questionnaire (FFQ).  The FFQ will no longer be used after December 31, 2005 and the 24-hour diet recall will be used temporarily until a new nutrition assessment piece is approved by USDA.  The October 2005 Program Updates Trainings will also include training on the 24-hour diet recall.  Track Trainings beginning November 1st will include training on the 24-hour diet recall. 
  1. Mark your calendars now for an exciting training opportunity in 2006: Infant Formulas and Medical Foods for the Missouri WIC Program.  Because of the numerous requests for this information, this training is mandatory for at least one CPA (nutritionist/RD or RN) from each Local WIC Provider to attend. The training will be offered at four times and at various locations:

    March 9 - Jefferson City - live training with video conferencing to the Southwest District Health Office in Springfieldand to the Southeastern District Health Office in Poplar Bluff

    (Speaker: Cathy Breedon, PhD, RD, CSP, FADA )
    March 10 - Columbia - live training (Speaker: Cathy Breedon, PhD, RD, CSP, FADA )
    May 5 - St. Louis - live training (Speaker: Christie Gilcrease, MS, RD, LD of St. Louis Children's Hospital)
    June 6 - Kansas City - live training (Speaker: Nancy Allen, MS, RD, LD, CNSD of Children's Mercy Hospital)

    There will be no registration fee.  Include this training in your Local Agency Plan.  If you have a specific issue that you would like this training to address, please email your ideas to by November 1.
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Attachment 1 - Enfamil Gentlease Label
Attachment 2 - Risk Factor Infant Child List - effective 10-1-05