New labeling guidelines give milk companies an "escape clause"

Photo by tigerpuppala_2

The Philippines Department of Health has issued new guidelines for the labeling of infant formula and other breastmilk substitutes. This, following the approval by the Supreme Court of the revised implementing rules and regulations of EO 51, or the Milk Code.

It would be refreshing to look at cans of powdered infant formula and no longer see health and nutrition claims, which the guidelines now prohibit.

However, it is mind-boggling that the Health Department allowed an alternative message regarding the existence of disease-causing microorganisms in powdered formula. Thus, milk companies must put either this message:

"This product may contain pathogenic microorganisms and must be prepared and used appropriately."

or this message:

"There is likelihood that pathogenic microorganisms will be in this product when it is prepared and used inappropriately."

Which message do you think the milk companies will use?

The first version warns about the possible presence of pathogenic microorganisms regardless of how the product is prepared. The second version attributes the presence of pathogenic microorganisms to wrong preparation and use of the product. Therefore, if pathogenic microorganisms should be found in infant formula, then it is the customer's fault for not following directions.

Disease-causing germs have been found in powdered infant formula because it is impossible to completely sterilize powdered formula. So it can have pathogenic microorganisms even before the can is even opened by the consumer. This is a crucial message that all potential and existing buyers of powdered formula should be aware of.

DOH should remove the alternate message and require milk companies to clearly state that their products are not sterile and could contain bacteria and other microorganisms - substances that could lead to babies' sickness or even death.

Breastfeeding ensures survival in a disaster

The breastfeeding world is abuzz with news of a police officer in China who is wet-nursing eight babies, five of them orphaned by the recent earthquake.

Read the story here or here.

Once again, breastfeeding has been proven to save the lives of infants in the aftermath of a disaster.

It bothers me that both news accounts say that the babies were left in an institution that did not have powdered milk, as if that were the more ideal situation. In fact, the use of powdered milk -- in ordinary life but even moreso in a disaster situation -- could be deadly to infants. Imagine the risks involved in feeding powdered milk to babies when clean water is scarce, hygiene is poor and diseases abound! It would be next to impossible to sterilize feeding bottles, artificial nipples and water.

This is why UNICEF and WHO have released a statement stating, "there should be no donations of breast milk substitutes (BMS), such as infant formula, other milk products, bottle-fed complementary foods represented for use in children up to 2 years of age, complementary foods, juices, teas represented for use in infants under six months; and bottles and teats."

The most ideal situation is for infants to be breastfed either by their own mothers or other mothers, such as what Jiang Xiaojuan is doing in China. Unfortunately, the practice of wet-nursing has all but disappeared in many cultures, including rural Philippines. Most people find it weirder for a child to suckle from another woman than from a plastic bottle!

Breastfeeding women who have been traumatized by disaster should receive counseling so that they can resume breastfeeding. But I wonder, how many health and social workers are trained to provide such counseling?

Even if the breastfeeding mother is malnourished and dehydrated, she can still breastfeed. In that case, the mother needs to receive adequate food; it is not necessary to give artificial milk to her baby to make up for the mother's inadequate nutrition.

If artificial feeding is necessary, UNICEF and WHO say that liquid ready-to-use infant formula is the most appropriate, and should be given with a cup and spoon, not bottles and nipples.

Download the official UNICEF and WHO statement here.