World Health Assembly


 

57th World Health Assembly 2004

IBFAN at the 57TH WORLD HEALTH ASSEMBLY, GENEVA,
MAY 17-22, 2004

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IBFAN joined the Consumers International team and followed four main issues at the World Health assembly (WHA):

  1. Infant and Young Child Nutrition;
  2. The Global Strategy on Diet, Physical Exercise and Health;
  3. The WHO Policy on Nongovernmental organizations ;
  4. HIV/AIDS.

During the infant feeding debate, six countries ( Fiji, Kiribati, Marshall Islands, Federated States of Micronesia, Nepal and Palau) tabled a new WHA Resolution which would be a major step towards improving infant health. The resolution called for :

  • labels to warn parents that infant formula may be 'intrinsicly contaminated.
  • a ban of health claims
  • a ban on sponsorship of health professionals by baby food companies
    public policies on infant and young child feeding to be based on research which is free from commercial influence.

16 countries made strong statements welcoming the draft resolution and called for its speedy adoption. However, because of delays in making the draft available to the delegates caused by the WHO Sectretariat, the powerful countries who were protecting the interests of the 17 billion dollar baby food industry - were able to postpone its adoption.

In its advice to the sponsoring countries, the WHO secretariat suggested the insertion of the word 'false' in paragraph 1 (2) which addresses the WHO Member States - greatly weakening the thrust of the provision.
Despite the fact that 6 countries called for the deletion of this word, the Chair failed to put it in square brackets which are used to highlight parts of the drafts where there is no agreement on language . The Resolution as it stands below will be discussed by the WHO Executive Board in January 2005 and the May Assembly.

On 22nd May IPS news service carried summary called “Health Assembly takes Action on Adults, Newborns Will Have to Wait”: http://ipsnews.net

"The campaign against obesity was approved by consensus once objections from the food industry and sugar-exporting countries were taken into account in the final text. But left for future sessions was a proposal for preventative policies against bacteria present in powdered milk intended for infants, and against certain types of advertising and labelling that some of the producers of those products use….

The developing countries’ proposal to establish mechanisms of protection for the nutrition of the nursing infant and toddlers did not lead to agreement on action. The initiative was rejected under procedural matters brought up by industrialised countries where the leading infant formula industries are located”.

Text of draft Resolution

A57/A/Conf.Paper No 4 20th May 2004

Implementation of resolutions (Progress reports)

Infant and young child nutrition

Draft resolution proposed by the delegations of Fiji, Kiribati, Marshall Islands, Federated States of Micronesia, Nepal and Palau

The Fifty-seventh World Health Assembly

Recalling Resolution WHA33.32, endorsing, in their entirety, the statement and recommendations made by the Joint WHO/UNICEF Meeting on Infant and Young Child Feeding (1979) and noting that 2004 is the twenty-fifth anniversary of that landmark meeting.Recalling resolution WHA 34.22 on the International Code of Marketing of Breast-milk Substitutes which stresses that adoption of and adherence to, the International Code is a minimum requirement,

Recalling also resolutions WHA35.26, WHA37.30, WHA39.28, WHA41.11 , WHA43.3 , WHA45.34 , WHA46.7, WHA47.5, WHA54.2 and in particular , resolution WHA 55.25 endorsing the Global strategy for infant and young-child feeding

Noting Resolution WHA 49.15 which urges Member States ro ensure that financial support for professionals working in infant and young child health does not create conflicts of interest;.

Recognising the responsibility of industry to make full disclosure of known public health risks

Aware that several Member States have recently issued alerts to health professionals regarding the presence of pathogens in powdered infant formula and the vulnerability of neonates.

Aware that Codex Committee on Food Hygiene is revising Recommendations on Hygienic Practice for Foods for the manufacturing of foods for Infants and young Children.

Concerned that, whereas consumers have the right to full and unbiased information, health and nutrition claims have become and effective means of promoting the sale of breastmilk substitutes.


Encouraged by the progress made by several Member States in adopting legislation prohibiting commercial sponsorship of health professionals or their associations.

Having considered the summary biennial progress report on infant and young child nutrition; (1)

1. URGES Member States:

1) to ensure that health-care providers, parents, and carergivers are informed that powdered infant formula may be contaminated intrinsically by pathogenic micro-organisms and that this information is conveyed through explicit warnings on labels; and to take into consideration other risk-reduction strategies proposed by the Codex Alimentarius Commission.;

2) to ensure that false health and nutrition claims are not permitted for foods for infants and young children

3) To take steps to prohibit sponsorship of health professionals and/or their associations by any manufacturers or distributor pf products within the Scope of the International Code of Marketing of Breast-milk Substitutes

4) to ensure that the research on infant and young child feeding which forms the basis for public health policies is free from commercial influence.

5) To continue their active participation in the work of the Codex Alimentarius Commission in this area.

2 REQUESTS the Codex Alimentarius Commission to continue to give full consideration to recommendations made by the Health Assembly concerning action it might take to improve the quality standards of processed foods for infants and young children, and, within the framework of its operational mandate, to give close attention to action urgently required for the revision of standards and guidelines on labeling, quality and safety of processed foods for infants and young children.

3 REQUESTS the Director-General:

1 To continue taking action on the relevant recommendations of the joint FAO/WHO meeting on enterobacter sakazakii and other microrganisms in powdered infant formula.

2 to uphold the mandate of WHO for the protection of health and safety of infants and young children in the Codex Alimentarius standard setting process

3. to encourage and support independent research on intrinsic contamination of powdered infant formula and to collect evidence in different parts of the world.

(1) Document 57/18, section E.