ࡱ> fhe bjbj 83 kkk8$8t7777777$:2=J7k"|""7z7A#A#A#"^R7A#"7A#A#w3I"7@jld"^76h77086p|=A#|=7|=k7xvq TA# D !|77A#8""""|= :  14 January, 2010. Mr Mike Bignall, Therapeutic Group manager, Pharmac PO Box 10 254, Wellington 6143 HYPERLINK "mailto:mike.bignall@pharmac.govt.nz"mike.bignall@pharmac.govt.nz Dear Mr Bignall, Re: Proposal for funding Vitabdeck I write as the Chair of the Gastroenterology, Hepatology and Nutrition Special Interest Group of the Paediatric Society of New Zealand. We were pleased to note the proposal for funding of Vitabdeck and are pleased to write in support of this. Many of our children with complex chronic gastrointestinal or liver problems have problems absorbing fat soluble vitamins. Currently these children require a number of separate drugs to supply their needs some of which are difficult to administer, especially to small children. We are aware that Vitabdeck has been available overseas for some time, where it has been used with success. I have personal experience with it in Australia, and found it to be a most helpful and useful product to provide fat soluble vitamin supplementation. The particular advantages for this product are the combination of the four vitamins in one preparation, and the enhanced absorption of the vitamins in this form. Although the contents can be opened (and sprinkled on food) for young children, we are aware that the product may not be as suitable in early infancy. In addition, with administration of this combined preparation, it remains important to monitor the levels of the individual vitamins clinically. Some children may well require additional supplements of one or more of the four vitamins (for example, many children with liver disease likely will not obtain sufficient Vitamin K from this product and therefore will require an additional and separate source of Vitamin K). Thank you for the opportunity to comment on, and to write in support of, this funding proposal. Yours sincerely,  Andrew S Day Chair Gastroenterology, Hepatology and Nutrition Special Interest Group     THE PAEDIATRIC SOCIETY OF NEW ZEALAND Secretariat: Email:Denise Tringham P O Box 22 234 Wellington 6441 Tel: (04) 938 4827 Fax: (04) 976 4827 psnz@paradise.net.nz  Health of our children: Wealth of our nation  BIijQR`xo_h$G5B*CJ$OJQJphh$G5OJQJ%jh2z5OJQJUmHnHuh{jh{U hgCCJh{/hP2hP25jhHUhodhP25\hodhP25hP2B*CJ^JaJphhodhP2B*phhodhP20Jh2zjh2zU hodhP2hP2h$G#'BJix y >?@QgdP2QS`f  !Sn#$If !Sn#$If$ x$Ifa$  $Ifd 0gdgCgdP2bcefijlmnůů hgCCJh2zjh2zUmHnHuh{h$Gh$G5B*CJOJQJphh$GB*CJOJQJphh$G5OJQJh$G5B*CJ(OJQJph&:Ncdeke !lkd~H$$If\u+#4a  $If !Sn#$If  !Sn#$If efjklmn 0gdgC $ !a$ ! $ !n#a$ 6&P 1h:p . A!"#$%n ~HDdZ   A.@?6.Signature - Andrew DayPicture 0Signature - Andrew Day.jpgnn"S`T"S`Tn"RG D:@ݳ WFDFF D:@ݳ WJFIFLEAD Technologies Inc. V1.01C     }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz p#?(((((((('QZ}6RNG>`{u(((((((Җ((QEQEQEҊ(( ((((((((("(((((((((((((((((((((((((((((((((((((((((((((((((((((:{QEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEj2KKæZ}Ʃtjx0H: )7m2tpF2s9 j=Yʏaڼy{X{u/,Eܥz  {RV7<I[Z se((((((((((((((( K[t2Oqs**:f k5ώ⸗KE |qcbVP\dY(|Vσ]ZDdZT 5 udЎKӁ!f9S%p>R{[oFGwdplb.SfZ1̓hWuPLWZlCl3ʞpx8袊(((((d$Q0HC#p@'?g/??0]2h?54Z3ܩ#e8`r+{.H$d_I S^OQ x_)DRgw1uX((((((((((((((eMCĒ6cP:gdjHI$Y] -cFoČoT ž߃-~Ϣi3BUV!B(;*I 2k(FUeee `z+|'usOϣ[VrH7۝+<͛E1Ccy"Qn}Id9j((((((&6j1(käl.$Dp}Bv:|&yo!{!dkQ}&A_XAVoF@h*<\݌j6׬ŊɯJ[;`uk°n((((((((((()wBcqɧQEQEWx6}I*2B[vi't!.6=ŴIEY@vZrPzq@y+ܨtⷃH-&7df*J7@de`FxC}O״y~(A*y H((((zZj4eg]HB~㞵[ n_]E2iX?{USYC# )V׊|, ;i^&9{pd.{K}tE1뵔m\(((((((((((((K,p$ҺEHeI*ƠdO@|7Ļ" @cneB1|e}UEQEQEQEU-KNմ/P.,u WFUkφWZb]]/ _]U992U߈q$aEQEQEQEQEKS6:vz&[2N-Ҿ'3oI'{0\0D-}8$c([ioAG9^G.;cQE|^h q\PeDgC4m1mb$WTtkEEA=I@((((<7[xO9kebAB<S]i<'cYʟm -n|ihT7*kШ(((zEr;M;>/$[>7>xvE!2p{.t>٤f–.T(r `ctQE| 6>-xuHMx$nrwS}+(((((((((((((+\?:Jo*kcFVg">((((ȮUU+ =?z.|?9Kˋ@.N2a8((((/ > $? ݷ"R|c_0߱ff;֮CO_0>2xmGm$M1H>֕Q^9>+|XU?Kk"LvBӖOQ׼QEQEQEQEQEQEQEQEQEQEQEQEQEQ_*| gO~(x;h-5;H:* XQFӌ1'袊(((BqI`b?w.smOv.A9#@}kWDt/1]nmu87P zQEQEQEQEy'sW w7"/OOsf;kX]l$H۞9kx#.wOɩh?+Dٞ1;F~̿/^@(((((((((((((Qwš#Ŏ#Dű"GWe^e>HiivM}sܙbs.@ v,tQEQEQEQE=*)s