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Save
the Children remains extremely committed to the protection
of infant health as an integral part of our work to realise
the rights of the child. We therefore strongly welcome
the draft Resolution on infant and young child nutrition
as we recognise that it strengthens and endorses, in significant
ways, global efforts made by many parties to protect the
health of the most vulnerable members of our communities.
First,
we strongly endorse the re-emphasis of the need to promote
exclusive breastfeeding for about six months. The earlier
introduction of complementary foods, particularly when
they are contaminated, carries grave risks for children,
as indicated by the latest scientific evidence. The dissociation
of the WHO secretariat from the 1994 WHA Resolution 47.5
has caused at best confusion and at worst damage in the
global policy arena. One consequence has been that the
manufacturers of breastmilk substitutes still refuse to
acknowledge that food products marketed for children under
six months are de facto breastmilk substitutes
and therefore fall under the International
Code's provisions. This continues to be a major obstacle
to the protection of infant health and our hope is that
this Resolution will finally, (20 years after the Code's
adoption) result in a global public health recommendation
which we all, (that is WHO, UNICEF, governments, NGOs
and the private sector), work together to realise.
Second,
we welcome the endorsement of the International Code and
assume that in future subsequent WHA resolutions will
receive consistent support from the WHO and UN. Save the
Children considers the incorporation and implementation
in effective, enforceable national legislation of the
Code and relevant Resolutions to be the only sustainable
way to ensure that breastfeeding practices are not undermined
by corporate venture. Our recent Code monitoring work
in Brazil has shown that many companies - primarily multi-nationals
- still fail to respect the Code and Resolutions. Stronger
efforts to protect the most vulnerable must be supported
by governments as we move into the era of globalisation.
The specific recognition of internet marketing is also
welcome. Recognition of the problem of internet advertising,
which inevitably crosses international boundaries, may
go some way towards putting pressure on global corporations
to recognise that the Code and Resolutions are a global
minimum standard rather than a set of recommendations
to be applied to developing countries alone.
Third
and finally, we welcome the recognition that health claims
on the labels of breastmilk substitutes contravene the
spirit of the Code. In 1999 the 900 members of the EU
NGDO liaison committee called on the European Commission
to amend a new Directive on Dietary Foods for Special
Medical Purposes (Directive 1999/21/EC). Despite this
the Directive was passed and failed to include any of
the safeguards of the International Code and Resolutions.
The proposed Resolution will greatly assist our efforts
to ensure that the provisions of the Code are applied
to all breastmilk substitutes and that health workers
and parents are not misled by claims, which will inevitably
promote breastmilk substitutes.
We
see the forthcoming World Health Assembly as an opportunity
to be seized by governments to demonstrate a consensus
that the rights of mothers and their infants need protection,
that this is a critical issue for child survival globally
and that this protection can only be afforded by sustainable
efforts by all parties. This will surely finally move
us beyond the current slow rate of progress to a situation
where we are making significant strides towards the protection
and promotion of infant health and survival.
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