Protecting breast feeding from breast milk substitutes

BMJ 1998;316:1103-1104 ( 11 April )

Editorials

Protecting breast feeding from breast milk substitutes

The WHO code is widely violated and needs monitoring and supporting

Papers p 1117

The first 150 words of the full text of this article appear below.

In all societies breast feeding is one of the most important measures to improve child health. An important component of theglobal effort to protect breast feeding is the WHO's internationalcode of marketing of breast milk substitutes. In this week's issuean interagency group on breast feeding monitoring produces compellingevidence that the code is widely violated (p 1117).¹

The World Health Organisation estimates that 1.5 million deaths a year could be prevented by effective breast feeding protection.²A recent systematic review estimated that in a low income countrywith a postneonatal mortality rate of 90 per 1000 children, artificialfeeding would produce an excess of postneonatal deaths per millionbirths ranging from 11 290 (13%) to 112 900 (59%) at prevalencesof artificial feeding at 6 months of 10% and 100% respectively.³In the industrialised world a failure to breast feed increasesthe risk of childhood diseases,⁴ impairs child development,⁵and may increase the risk . . . [Full text of this article]

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Aguayo, V. M, Ross, J. S, Kanon, S., Ouedraogo, A. N (2003). Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso. BMJ 326: 127-127 [Abstract] [Full text]
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