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Instead, it would be better to promote breastfeeding as the normal and natural way to feed babies.42 Others suggested that a public health campaign on breastfeeding would be more effective if the risks of formula-feeding were more heavily emphasised.43 However, focusing on the risks of infant formula may have the effec... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The committee believes that a positive campaign promoting breastfeeding as normal would be the most effective way to present the breastfeeding message.
Any public health campaign must also be supported by wider practical action and structural changes in the community and health profession to help breastfeeding mothers... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The committee supports breastfeeding for as long as the mother and child are comfortable to continue, but agrees with experts such as Professor Binns, who noted that more benefit would be gained from 41 Werner C, sub 6, pp 2-3; Jeffery L, sub 34, p 3; Wighton M, sub 41, p 2; Pollock R, sub 60, p 1; Trinder M, sub 128, ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
42 Dixon G, sub 30, p 2; Binns C, sub 86, p 2; O’Dowd Y, sub 33, p 2; David Q, sub 37, p 1; Rothenbury A, sub 87, p 2; Hay L, sub 153, p 5; Day S, sub 157, p 2; Marazakis M, sub 202, p 1; Australian Breastfeeding Association (Queensland Branch), sub 207, p 3; Stephenson C, sub 278, p 1.
43 Walsh A, sub 20, p 1; Ward K... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
46 promoting exclusive breastfeeding for the first six months of a baby’s life, than to promote prolonged breastfeeding beyond 12 months of age.44 It should be noted that the health benefits of breastfeeding are at a maximum in the earliest months of life.45 ‘The gift of human milk’ 3.34 A human milk bank is a service ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
3.35 The WHO’s Global Strategy for Infant and Young Child Feeding lists a number of feeding options for those few health situations where infants cannot, or should not, be breastfed. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The alternatives are: expressed milk from the baby’s mother, breast milk from a wet nurse or a human milk bank, or a breast milk substitute.47 The WHO has long affirmed the value of milk banks in its policies on infant feeding.48 In 1980, the World Health Assembly endorsed a joint WHO/UNICEF resolution which stated: ‘W... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Human milk banks should be made available in appropriate situations.’49 3.36 Milk banking originated in Europe in the early twentieth century as technological and hygienic advances allowed human milk to be refrigerated and stored.
Prior to this, it was common practice for 44 Binns C, sub 86, p 3.
45 National Health &... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
46 Lording R, sub 186, p 7.
47 WHO Global strategy for infant and young child feeding, 2002, viewed on 30 July 2007 at http://www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf, p 10.
48 Arnold L, ‘Global health policies that support the use of banked donor human milk: a human rights issue’, Internatio... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
49 WHO/UNICEF Joint Resolution, 1980, quoted in Wight N, ‘Donor Human Milk for Preterm Infants’, Journal of Perinatology (2001), vol 21, p 251.
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDING 47 babies whose mothers could not breastfeed to receive milk from another lactating mother or a ‘wet nurse’.
The number of m... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
However, as research demonstrated the safety of pasteurisation techniques in eliminating HIV and other viruses, milk banks experienced a resurgence as a safe source of donor milk.50 3.37 Milk banks provide an important alternative source of human milk.
Because of human breast milk’s unique immunologic properties, acce... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Donated breast milk has also been used successfully to treat babies with intolerance to formula, severe allergies, immune deficiencies and congenital abnormalities.
It also helps babies recover from surgery.51 3.38 One of the most serious health risks faced by premature babies is neonatal necrotising enterocolitis (NE... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Premature babies fed exclusively with breast milk, which promotes the maturation of the gut, have a reduced chance of succumbing to NEC.
In a study of 900 premature babies, NEC was six to ten times more common in those who received only formula, than in those fed breast milk alone.53 3.39 Today human milk banks operat... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
In 1999-2000, more than 150 milk banks processed over 218,000 litres of milk that was given to 300,000 premature and low birth weight babies, saving the Brazilian Government an estimated $620 million that year.55 50 Human Milk Banking Association of North America, ‘The History of Milk Banking’, 2003, viewed on 30 July ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
51 Lording R, ‘A review of human milk banking and public health policy in Australia’, Breastfeeding Review (2006), vol 14, no 3, p 22; Wight, p 251.
52 Moorhead A, Royal Women’s Hospital, Melbourne, transcript, 7 June 2007, p 31.
53 Lucas A and Cole TJ, ‘Breast milk and neonatal necrotising enterocolitis’, The Lancet... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
55 Arnold L, p 7 (note, adjusted to AUD).
48 When my mother had her babies in the mid to late 1960s, she was asked by midwives to wet-nurse other babies on the maternity ward.
Indeed, across the world, wet-nursing and the giving of human milk to mothers and babies in need is a regular practice, accepted as a gift bet... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
To set up a network of milk banks across the country would reintroduce the opportunity for giving the gift of human milk.56 Milk banks in Australia 3.40 Australia currently has only two donor milk banking facilities, although the Royal Women’s Hospital in Melbourne noted its capacity (and that of other hospitals) to fr... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
3.41 The Mothers Milk Bank, operating at the John Flynn Medical Centre on the Gold Coast, is Australia’s only other milk bank.
The committee visited this site in the course of the inquiry.
The Mothers Milk Bank presently operates as a pilot program with limited funding and support from volunteers.
There are about 50... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
After instruction in sterile techniques, these women express once a day and freeze the milk which is collected by a volunteer every week.
The milk is then screened, pasteurised, re-tested, and delivered to babies and mothers in need.
On a weekly basis the Mothers Milk Bank pasteurises nine litres of milk.59 3.42 The ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
57 Moorhead A, Royal Women’s Hospital, Melbourne, transcript, 7 June 2007, p 31.
58 Lording R, ‘A review of human milk banking’, p 23.
59 Jones J and Ryan M, Mothers Milk Bank, transcript, 18 April 2007, p 8.
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDING 49 fed with their mother’s expressed breast milk and suppl... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
With donor milk, her son’s nutritional and health needs are being met.61 Box 3.1 Mothers Milk Bank Pty Ltd Mothers Milk Bank Pty Ltd is a private not-for-profit company formed by Midwife and Nurse Manager, Marea Ryan, of the John Flynn Private Hospital on the Gold Coast.
This vital health service, the first of its kin... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
In conjunction with a similar initiative established in Perth, the Mothers Milk Bank (MMB) is committed to seeing a network of donor milk banks operational around Australia within ten years.
MMB shares a common vision with our Perth colleagues – ‘Human Milk for Human Babies’ – every baby needs to have the best food so... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
In the long-term, MMB aims to provide an avenue whereby human milk is available for all babies up to the age of at least six months.
This will lay the foundation of the future health of Australian children.
Source: Mothers Milk Bank, sub 217.
Barriers to milk banking 3.43 Roslyn Lording, a health promotion practitio... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
There is anecdotal evidence that there would be ‘initial reluctance’62 towards milk banking amongst health professionals, including neonatologists, who may be unconvinced about the value of donor milk over formula.63 The costs and logistics of establishing milk banks may also be a disincentive, especially when formula ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
61 Community statements, transcript, 18 April 2007, pp 49-50; McMaster D, transcript, 18 April 2007, p 41.
62 McMaster D, transcript, 18 April 2007, p 42.
63 Lording R, ‘A review of human milk banking’, pp 25-26.
64 Lording R, ‘A review of human milk banking’, pp 25-26; Schmidt P, Gold Coast Hospital, transcript, 18... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
50 3.44 Concerns about the safety of milk banking and infection control have also been raised.65 However, evidence from Australia and around the world shows that modern pasteurisation techniques are effective in preventing the transmission of infection and maintaining the quality of the milk.66 3.45 Another minor issue... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
There are calls for milk to be classified consistently as a food across Australia.
The matter is currently under review in Queensland.
67 3.46 NSW Health notes that given the increasing community interest in human milk banks, a review should be undertaken prior to any wider establishment in Australia.
Comprehensive ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Therefore, a review should address these issues and also look at a national regulatory and quality framework within which a network of milk banks in Australia could operate. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The framework would need to address a number of minimum standards, including donor recruitment and selection, storage and handling of milk, testing and pasteurisation of milk, and incident reporting.68 3.47 Keeping these issues in mind, the committee believes that government support for milk banks would constitute an i... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
65 Lording R, ‘A review of human milk banking’, p 26; Schmidt P, Gold Coast Hospital, transcript, 18 April 2007, pp 35-36.
66 Lording R, ‘A review of human milk banking’, p 26; Ryan M, Mothers Milk Bank, transcript, 18 April 2007, p 5.
67 Ryan M, Mothers Milk Bank, transcript, 18 April 2007, p 3.
68 NSW Health, sub ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
69 Eldridge M, sub 25, p 2; Cheers A, sub 29, p 6; Dixon G, sub 30, p 2; Long H, sub 80, p1; Moore E, sub 102, p 2; Beyer L, sub 105, p 1; MacDonald H, sub 106, p 1; Clements F, sub 122, p 5; Dickson E, sub 162, p 2; Public Health Association of Australia, sub 181, p 10; Australian College of Midwives, Baby Friendly He... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDING 51 The future of milk banks in Australia 3.48 It is clear to the committee that a national network of publicly funded milk banks would give Australian babies a healthier start to life, reduce health care costs and provide real support for mothers who are unable to provi... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
I have got a woman with breast cancer at the moment who is seven or eight months pregnant.
She was starting chemotherapy on Friday, so in the week before, because the baby is potentially going to be born early, we got her expressing colostrum crazily so we would at least set the baby’s gut up because she had breastfed... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
She has got inflammatory breast cancer, which is fairly advanced.70 3.49 Professor Peter Hartmann of the King Edward Memorial Hospital milk bank estimated that if a premature baby in their unit is given breast milk instead of formula, the recovery period is shortened by two weeks with cost savings of $18,200. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
71 In Queensland, there were 4,300 premature babies in one year who did not receive any breast milk and were therefore at greater risk for complications, infections and longer hospital stays.72 3.50 Interest in being a milk donor is steadily growing.73 Milk banks could also offer solutions to those mothers, such as the... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
It was a real tragedy, I had at least 12 bottles of milk (240ml each) in my refrigerator, and I was forced to dispose of it all down the sink when I got home, all this liquid gold.
It broke my heart to do so, especially when I think of any premmie baby that could have really benefited from having breast milk, as oppos... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
72 Ryan M, Mothers Milk Bank, transcript, 18 April 2007, pp 2-3.
73 Ryan M, Mothers Milk Bank, transcript, 18 April 2007, p 9; Jeffery L, sub 34, p 5; Greenlees N, sub 324, pp 1-2; Robins J, sub 50, p 1; Virgo H, sub 155, p 1; Fellows M, sub 304, p 2; Nielsen L, sub 355, p 2; community statements, transcript, 18 April... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
74 Smith A, sub 110, p 2; 52 3.51 Mothers and babies in remote communities would also benefit from a system which provided the infrastructure to transport breast milk as required. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
With a proper courier service, the Mothers Milk Bank could have delivered milk daily to a mother in a remote area of Queensland whose milk supply was low and who had no access to formula.75 3.52 A commitment to a national system of milk banks in Australia should not only be a stand-alone policy, but complement a range ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
In Brazil, donor milk banking goes hand in hand with efforts to promote breastfeeding as the cultural norm.77 This mutually reinforcing approach would help to secure the health of Australia’s next generation for years to come.
Recommendation 8 3.53 That the Department of Health and Ageing fund a feasibility study for ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The feasibility study should include funding pilot programs at the Mothers Milk Bank at the John Flynn Private Hospital, Gold Coast and the King Edward Memorial Hospital milk bank in Perth.
The economic benefits of breastfeeding 3.54 One of the committee’s main interests in undertaking this inquiry was to investigate ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
3.55 There are strong economic arguments in favour of increasing breastfeeding rates in Australia.
As already shown in this chapter, breastfeeding and breast milk provide well-established health benefits, including greater protection against some chronic diseases, for both mothers and babies.
These advantages should ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
77 Arnold L, ‘Global health policies’, p 7.
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDING 53 from an economic perspective, given that fewer cases of illness and hospitalisations at the population level translate into significant cost savings for the health care system.
Economists have rarely considered economic a... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
It has also become evident that the policy needs to take account of the unpaid household economy to avoid unintended impacts on the work that families do in raising children – Australia’s ‘human capital.’ Breastfeeding is a good example of women’s reproductive work that is neither visible nor properly valued by existin... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Because it is neither visible nor valued, and because it competes in the market on unequal terms, breastfeeding remained unprotected from pressure of social and economic change and from ‘unfair’ market competition.78 3.56 Dr Julie Smith, a research fellow at the Australian Centre for Economic Research on Health, has co... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The committee has drawn extensively on her work and the evidence she presented in the following discussion of the economic aspects of breastfeeding.79 The economic value of breast milk and breastfeeding 3.57 A number of inquiry participants argued that the economic value of breast milk should be recognised as a proport... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Dr Smith estimates that around 33 million litres of human milk per year is produced in Australia at present breastfeeding rates.80 Using the milk bank prices in Europe, she estimates that the value of breast milk produced by Australian women is around $2 billion per year.
The annual retail value of formula is consider... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The impact of breastfeeding on the 78 Smith J, Australian Centre for Economic Research on Health, sub 313, p 2.
79 Smith J, Australian Centre for Economic Research on Health, sub 313; Smith J, Harvey P, Australian Centre for Economic Research on Health, sub 319.
80 Smith J, transcript, 26 March 2007, p 18.
81 Smith ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
54 economy would be even greater if exclusive breastfeeding to six months was widely practised: If all Australian mothers were to breastfeed as the World Health Organization recommended, there would be an increase in economic output in the form of milk of around $3 billion.82 3.58 Another concern raised by some inquiry... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Dr Smith examined this ‘economic time cost’ in the nationwide Time Use Survey of New Mothers, which showed that mothers who breastfeed to recommended levels spend around 16 to 17 hours per week on this activity for the first three to six months.
The emotional component to breastfeeding should also be seen as a signifi... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
While the baby undoubtedly benefits from these breastfeeding interactions, such time-intensive unpaid care on the part of the mother is not recognised in economic terms.83 Cost savings to the health system 3.59 Breastfeeding protects against a range of diseases and therefore has the potential to alleviate costs to the ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The Australian Medical Association notes that the potential benefits of increasing the breastfeeding rate would be extremely cost-effective, ensuring improved health outcomes and the sustainability of health care in Australia.84 The NHMRC states in the Dietary Guidelines that: The total value of breastfeeding to the co... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
84 Australian Medical Association, sub 358, p 2.
85 National Health & Medical Research Council, Dietary Guidelines for Children and Adolescents in Australia (2003), p 14.
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDING 55 Short-term impacts – economic costs of premature weaning 3.60 According to a 2002 study conduc... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
It was found that less than 10 per cent of babies in the ACT were exclusively breastfed until the recommended six months of age.
Early weaning was estimated to add around $1 to $2 million to annual hospitalisation costs for gastrointestinal illness, respiratory and ear infections, eczema and neonatal necrotising enter... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Using these figures, savings across the Australian hospital system could be $60 to $120 million for these illnesses alone.86 3.61 A preliminary economic analysis of breastfeeding in Australia in 1997 found that a minimum of $11.75 million could be saved if the prevalence of exclusive breastfeeding at just three months ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
The author noted that further cost savings could be achieved if other illnesses and reduced maternal absenteeism were also taken into account.87 3.62 International studies have also shed light on the extent of savings to health systems. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
For example, an Italian study showed that for babies exclusively breastfed at three months, there were lower health care costs during the first year of life because of fewer hospital admission and ambulatory care episodes.88 A US study found that for every 1,000 babies never breastfed (compared to 1,000 babies exclusiv... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
There are around 20,000 hospital admissions every year for this common gastrointestinal infection in children under five years old.
It is suggested that an investment of the same extent 86 Smith J et al, ‘Hospital system costs of artificial infant feeding: estimates for the Australian Capital Territory’, Australian an... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
87 Drane D, ‘Breastfeeding and formula feeding: a preliminary economic analysis’, Breastfeeding Review (1997), vol 5, no 1, pp 7-15.
88 Cattaneo A et al, ‘Infant feeding and the cost of health care’, Acta Paediatrica (2006), vol 95, no 5, pp 540-546.
89 Ball T and Wright A, ‘Health care costs of formula-feeding in th... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
56 towards breastfeeding promotion could further reduce the burden on the health system caused not only by rotavirus, but a range of common early childhood infections.90 3.64 These findings strengthen the case for lifting Australia’s breastfeeding rates, given the immediate health benefits and the reduced day-to-day st... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Long-term impacts – reducing the burden of chronic disease 3.65 As demonstrated earlier in this chapter, breastfeeding can protect against the development of a number of chronic conditions later in life, including obesity, diabetes and cardiovascular disease.
Although this is a relatively new field of inquiry, interna... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
For example: (cid:132) a 2002 study of more than 500,000 babies born in England and Wales estimated that 33,100 asthma cases and 13,639 cases of obesity were directly attributable to a lack of breastfeeding91; and (cid:132) another UK study suggested that breastfeeding’s protective effect against high blood pressure co... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Their preliminary findings suggest that between 11 and 28 per cent of the chronic disease burden in Australia could be attributed to a lack of breastfeeding during infancy.93 3.67 Another factor to consider is the ongoing special education costs arising from poor health.
For example, as discussed earlier, breastfeedin... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Recurrent infections can lead to language and learning difficulties in early childhood, with a need for speech therapy and 90 Clements F, sub 122, p 4; Davis A, sub 237, pp 1-2; Gribble K, School of Nursing, University of Western Sydney, sub 251, p 2; Davis A, sub 367, p 1.
91 Akobeng A and Heller R, ‘Assessing the po... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
92 Martin R et al, ‘Breastfeeding in infancy and blood pressure in later life: systematic review and meta-analysis’, American Journal of Epidemiology (2005), vol 161, no 1, pp 15-26.
93 Smith J, Harvey P, Australian Centre for Economic Research on Health, sub 319, p 2.
THE HEALTH AND ECONOMIC BENEFITS OF BREASTFEEDIN... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
3.68 It is clear that the relatively small effects from improving breastfeeding rates among individuals can have a potentially large impact on population health: Breastfeeding is a one off ‘intervention’ that continues to reduce chronic disease risk throughout the life cycle.
Unlike other interventions, such as exerci... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
This point means that it is likely to be very cost effective as a disease prevention measure.
There are few other preventative health interventions which have proven permanent effects in reducing risk factors for chronic disease in such a variety of settings.95 3.69 Thus, the committee sees merit in gathering further ... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
Recommendation 9 3.70 That the Department of Health and Ageing commission a study into the economic benefits of breastfeeding.
94 Australian Breastfeeding Association, sub 306, p 10.
95 Smith J, Harvey P, Australian Centre for Economic Research on Health, sub 319, p 7.
58 | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573080032.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/report/chapter3.pdf |
PRESS CONFERENCE FAO, IFAD, PAHO/WHO, UNICEF, WFP January 18, 2023, 11:30 Chile/ 09:30 Panama New UN report warns that Latin America and the Caribbean has the highest cost of access to a healthy diet compared to the rest of the world. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
The Food and Agriculture Organization of the United Nations (FAO), the International Fund for Agricultural Development (IFAD), the Pan American Health Organization (PAHO/WHO), the World Food Programme (WFP), and the United Nations Children's Fund (UNICEF) will present the latest Regional Overview of Food Security and N... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
The document will be presented in a virtual press conference (with registration) and open broadcast from FAO's regional office in Santiago, Chile, starting at 11:30 AM (GMT-3), with the participation of the representatives of the five UN agencies responsible for the publication.
Panorama 2022 analyzes the cost of heal... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
In addition, the publication highlights the challenges to improving its affordability, as well as the relevance of addressing the high cost of this type of diet in the region and countries to address the rising numbers of hunger, food insecurity, and malnutrition in all its forms. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
The publication presents data and analysis of the effects of the pandemic and other crises on food insecurity and food prices, as well as evidence of national policies that have increased economic access to nutritious food and improved food and nutrition security. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
The UN report shows the link between diet quality and food security and nutrition; and how lack of economic access to a healthy diet is related to different forms of malnutrition such as hunger, stunting and overweight in children under five, and anemia. | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
WHAT Launch of the Regional Overview of Food Security and Nutrition 2022 WHEN January 18, 2023, 11:30 Chile/ 09:30 Panama WHO · Mario Lubetkin, FAO’s Regional Representative for Latin America and the Caribbean · Rossana Polastri, IFAD’s Regional Director for Latin America and the Caribbean · Anne-Claire Duffay, Regiona... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
Please register at the following link: https://fao.zoom.us/webinar/register/WN_GQJwB5vWQlyrcvPAqNWdRg The Conference can also be followed on the FAO website or on the FAO Youtube, FAO Facebook and Twitter account: @FAOCaribbean Interviews and full report under embargo To request an interview, or request the full report... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Antigua and Barbuda | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573081875.pdf | https://ab.gov.ag/pdf/EN_Media_Advisory_Panorama_2022.pdf |
CONCLUSION Breastfeeding is the biological reference point for infant feeding against which all other alternatives should be measured.
There is convincing evidence to show that premature weaning results in increased risk of disease and poorer outcomes for infants and their mothers both in the short and long term.
The... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573087798.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/subs/sub306c.pdf |
Breastfeeding belongs to women, it is not something that makes anyone any money and therefore is not seen as a valuable resource in terms of competing in international markets with large corporations that manufacture infant formula.
These companies have the resources to spend large amounts on research and in marketing... | Maternal health care and reproductive rights | Malnutrition stunting pasteurizing legislation | Australia | https://docs-lawep.s3.us-east-2.amazonaws.com/1694573087798.pdf | https://www.aph.gov.au/parliamentary_business/committees/house_of_representatives_committees?url=haa/breastfeeding/subs/sub306c.pdf |
Breastfeeding is an investment in the future health of our children and adults.
It therefore makes sense for the government to seek to increase breastfeeding duration in Australia.
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