The Joint WHO/ UNICEF Meeting on Infant and Young Child Feeding rook place at WHO Geneva from 9 ro 12 October, 1979. It was held as part of rhe 1wo organizations ~· on going programmes on the pro­motion of breastjeeding and improvement of infant and young child nutrition.

The participants included representatives of governments, the United Nations system and technical agencies, non governmental orga­nizations active in the area, the infant food industry and scientists work­ing in the field. A total of some 150 participants was presetlt.

The meeting was conducted in plenary and jive working groups. There was one background document prepared by WHO and UNICEF (FHEIICF/79.3). The themes of the working groups were:

- encouraging and supporting breasljeeding, -promo/ion and support of appropriate weaning prac1ices, - information, education, communication and training, - health and social status of women 111 relation to infant and

young child feeding, - appropriate marketing and distribution of breast milk substitutes.

The Statement and Recommendations contained in this document resulted from the discussions of the participants and were ar,reed upon by consensus.

H!.. T INTERNATIONAL DOC, ':.~ Ei'~TS COLLECnON

LOMJ CCPY

JOINT WHO/UNICEF . ' . MEETING ON INFANT

AND YOUNG CHILD FEEDING

Geneva, 9 - 12 october 1979

STATEMENT

RECOMMENDATIONS

LIST OF PARTICIPANTS

WORLD HEALTH ORGANIZATION

GENEVA

( ')79

Reprinted 1981

81/$13$ • Cloor-Lud<r • $000

CONTENTS

Page_

Statement on infant and young child feeding 5

Recommendations . . . . • . . . . . . . . . 9

List of participants 31

STATEMENT ON i NFANT AND YOUNG CHILD FEEDING

The joint WHO/UNICEF ~eeting on Infant and Young Child Feeding, which was held at WHO in Geneva from 9 to 12 October 1979, in expressing the need for urgent action by governments, inter­national agenc 1 es, n ongovernmen ta I organizations and the infant-food industry and health and development wo~kers to promote the health and nutrition of infan ts and young ch i ldren, made the following statement:

l. Poor infant-feeding practices and their consequences are one of th e world's major prob­lems and a serious obstacle to social and eco­nomic development. Being to a great extent a man-made problem it must be considered a rep­roach to our science and technology and our social and economic structures, and a blot on our so-cal l ed development achievements . It 1s not only a problem of the developing world: it occurs in many parts of the developed world as well.

2. The quPstion of adequate nutr 1t 1on for man­kind has been exercising international and nat­ional bodies for the last three decades, but the

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problem of malnutrition 1s not becomin~ less. It is tak ing a heavy toll in deaths and in long-term mental and physical disability Women , with infants and young children, are its chief sufferers. This is socially, economl­cally and politically unacceptable .

3. In this International Year of the Child. national governments and the international com­munity are being called upon to focus on this compl ex problem and to take steps to ensure that children every~here get a proper start 1n life on the basis of, inter alia , adequate nutri­tion. Governments and 1 oca 1 conunun it i es have a major role to play in supporting action aimed at mother s and children to ensure sound infant and young child feeding practices.

4. Malnutr ition 1n infants and young children cannot be separa ted from ma lnu t rition and poor health in women. The mother and her infant fo rm a biological unit; they share also the problems of malnutrition and ill-health, and whatever 1s done to solve these problems must concern them both together.

5. The pr oblem is part of the wider issues of poverty , lack of resources, social injustice and ecological degradation ; it canno t be considered apart f rom social and economic development and the need for a new international economic order. I t is also a basic issue for health care systems and its solution must be seen in the context of Health for All by the Year 2000.

6. The WHO/UNICEF Meeting on Infant and Young Child Feedin g affirms the right of every child and every pregnant and lactating mother to be adequately nourished as a means of attaining and

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maintainin~ ph ysic a l and phsychological health. It stre ss es the res po ns ib i 1 i ty of every society to ensu r e the effective enjoyment of th i s right so that children may develop to their full pot­ential.

7. Breast feeding is an integral part of the reproductive process, the natural and ideal way of feeding the i nfan t and a unique biological and emoti onal basis for ch i l d development. This, together with its other important effects, on the prevention of infections. on the health and we ll-be in g of the mother, on child spacing , on family health , on famil y and national econo­mics, and on food production, makes it a key a spe c t of self-reliance, primary health ca re and c urrent develo pment appr oaches. It is there ­fore a responsibility of society t o promote breastfeedin~ and to pro t ect pregnant and lacta­ting mothers from any influences that could dis­rupt it .

8. The period o f weaning f rom the breast 1s a critical stage which o ften results in malnutri­tion and disease if the chi 1 d does not have a diet that is adequate in quantity and quality, hygienically prepared and culturally, socially and economically acceptable .

9. The health of cannot be isolated

infants and young children from the status of women and

their roles as mothers and as partners in social and economic deve lopment. In poor urban and rural communities where the health and socio­economic status of women 1s deteriorat ing , a corresponding deterioration is taking place 1n the health of infants and young children .

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10. Health for all cannot be attained unless there is a substantial improvement in the socio­economic condition of women , the particular needs of mothers and their infants and youn~ children are recognized and met, and conditions are provided that promote and sustain the well ­being of the family. These condit ions include the right of women to informat1on and education that will enable them to improve their own health and that of their families and to take an active part in decision-making on matters that affect their own and their children's health. They include also attention to the role of fat­hers in providing for the needs of their family.

11. The produ ction, preservation, processing and distribution of food are essential compo­nents of any approach to ensurin~ the proper feeding of families and childrPn. Emphasis should be placed on fresh local foods and tradi­tional practices, complemented only when neces­sary, and under the guidance of gove rnment , by industrially processed products.

12. The WlW/UNICEF Meeting on Infant and Young Child Feeding affirms the need for sustained national and international action, and for the active participation of families. and especially mothers, in the elimination of malnutrition and the promotion of health. This is a challenge to all social and economic development strate­gies and to the world community as a whole. In the International Year of the Child it is fit­ting that national and international efforts be intensified, and that the enthusiasm it has generated in the cause of child health be sus­tained, to respond to this challenge.

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RECOMMENDATIONS

THE ENCOURAGEMENT AND SUPPORT OF BREASTFEEDING

Health care system

Because of the fundamental importance of the health of the mother for breastfeeding, which in turn · i s essential for the health and development of the infant , and because hea l th services through the primary health care app­roach, especially where they relate to the health of mothers and children, have an impor ­tant preventive role t o play , it is recommended:

During pregnancy

Every attempt should be made to ensure the sound nutritional status of women and that their nutritional and health needs are met, especially during pregnancy. The health care system in collaboration with other sectors , should help in identifying and utilizing existing local resour­ces so as to ensure that the nutritional needs of the mothers are met.

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The health care system in general should ensure that all mothers, particularly during the period of pregnancy, are systematically provided with the type of breastfeeding education that is in keeping with their life situations and pre­sented in practical ways that are 1 ikely to en­hance their understanding and acceptance of it.

Emphasis should be given to the fact that lactation is a natura l biological process but that to some extent breastfeeding is an act which must be anticipated and reinforced. With adequate teaching and support almost all mothers are capable of breastfeeding and solving any problems which may ar\se. The best teachers will be breastfeeding mothers.

During pregnancy information and guidan ce should be provided to all mothers concerning preparation for breastfeeding and ways in which they can establish and maintain breastfeeding . The full cooperation of women's groups and other bodies working for the promotion of breast­feeding should be sought and supported by the health care system.

Attention should be given to ensuring that , wherever possible, all health workers jn a posi­tion to provide adequate information to the mot­her on breastfeeding should be committed to the promotion of breastfeeding and have a thorough knowledge of its management .

Care should be given during the pregnancy period to identifying those mothers who are like l y to be, because of their special social, economic or health condition, at high risk of not breastfeeding and special care should he

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g1ven to them so as to enhance improvement of th~ir situation and the establishment of breast­feeding.

Deliverv

Obstetrical procedures and practtces sh ou ld be consistent With the policy of promot1ng an d ~upporting breastfeeding . In this respect, un­necessary sedation, routine use of episiotomy , and routine use of lactation suppressants should be avoided.

Breastfe~>dinr should be initiated as soon after b1rth as possible, normally during t h e first half-hour and, in order to facilitate breas tfeeding, mothers should be perm1 t ted and encouraged to keep thetr Infants with them i n the same room or c 1 ose to them and to practise on-demand feedin~~ maternity routines and stru­ctures should be conducive to this practice .

Health-related staff, including trad1tional birth attendants, should seek to provide mother s not only with educational information but also with practical help and should be provided wi t h appropriate information on the prepa r ation for and management of breastfeeding

The role of the father and other members of the extended family in providing support for the mother should be emphasized in all prenatal, ma­ternity and postnatal care and fathers should be invited to part1c1pate actively with the health team in encouraging the mother to breast-feed.

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After delivery

All postnatal health care should he arlen­t ed towards ensuring the maintenance of breast ­feeding for as long as possible. All bahies should receive colostrum. For optimal breast­feeding . the use of supplementary bottlefeerlin~

water and fo rmu la should be avoided. A h ealthy wel l-nouri shed mother who is fully breastfeeding her infant should not neC>d to int­roduce any complements until after the first 4-6 months of life, according to the needs of the infant.

Mothers' nutritional status should be reviewed and, whenever possible , steps taken to ensu re that the mother has access to adequate food intake.

The contraceptive effect of breastfeeding should be well recognized. although additional family planning methods should be promoted to ensure b irth spacing. Pre ference should be given to contraceptive methods which do not interfere with the normal process of lactation.

All attempts should be made to ensure that 1n cases where i nfants need to be hospitalized facilities are provided so that the mother eRn be with the infant and continue breastfeedin~ or th at the baby c an continue to receive breastmilk. Whe re it is not possible for the biological mother to breastfeed, the first alternative , if ava ilable. should be the use of human breastmilk from other sources. Human milk banks should be made available in appropriate situations.

The terms "humanized" and "maternalized'' milk for infant formula should be avoided.

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Support through the health services

Health service staff must play a critical role in the inttiation, establishment and main­tenance of breastfeeding and should ensure that the mother has a source of sustained support for as long as breastfeeding continues, and thus health workers should he well informed and pro­vide consistent information.

A baby who is not breastfed should receive special attention from the health care system. Adequate instructions for the use of infant foods as well as warnings about its problems should be the responsibility of the healc:h care system. Supplies of infant formula would thus be required for distnbution only where neces­sary and not as a routine.

Employed mothers

Paid maternity leave of not less than three mon t hs postnatal, job security and economic sup­port should be provided to all mothers whenever possible, and ~herever possible, and the respon­sibility for economic support during maternity leave should be carried by government, the industry in which the woman is working, and other relevant national and international insti­tutions.

Creches, paid breast feeding breaks and other facilities should be provided. ~herever

appropriate, in industry, and in other relevant institutions, or close to the place of work to permit mothers to continue breastfeeding and have close con te~.ct with their b abies. Financing of creches and other mechanisms that allow for this continued contact of breastfeeding should

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be carried by government and/or the industrv 1n which the mother is working .

Community and government support

All channels of communicatton, 1 ncluding religious leaders, school teachers and other commun1ty opinion leaders and voluntary associa-tlons, particularly women's organizations, should be actively involved, together with health services and other sectors, in encoura­ging and supporting breastfeeding and sensltl­zing the community to the value of breastfeeding and the needs of the nmother and baby through home visits, if necessary.

Messages concerning 1n fant and young child feeding should be consistent from one sector to another and from one population group to anot­her, and therefore the promotion of breast­feedin~ and appropriate infant and young child feeding practices in general should be set within the context of overall maternal and ch1ld health pract1ces, national nutrition policies and primary health care.

Governments should be encouraged to set up national expert groups to advise them on poli­cies about breastfeeding and to establish coor­dinating offices that can ensure consistency and continu~tion of supportive activities and imple­ments t ion of ongoing evaluation and moni taring as well as systematic epidemiological research includtng social factors.

WHO/UNICEF and other organizations should be responsible for encouraging regional and nat­ional workshops for the promotion of approprjate infant and young child feeding.

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PROMOTION AND SUPPORT OF APPROPRIATE AND 'TIMELY COMPLEMENTARY FEEDING (WEANING) PRAC.TICES WITH THE USE OF LOCAL FOOD RESOURCFS

Food complementary to breastmilk will need to be introduced by 4-6 months~ when the ntJtri­t ion of the mother is poor and/or env i ronmPn ta 1 cond1t1ons are unfavourabl£>, it may often need to be introduced earlier . However , too early introduction of suppl£>ments may have a ne~ative effect on breastfeeding and may also i ncrease the risk of infection.

The diet of the young chtld aftPr cessation of breastfeeding needs special attention , because inadequate feedin~ at th1s t1me often 1eads to clinical forms of maln11trit1on particularly when the child 1s denied the breast as a conse­quence of a new pregnancy.

In order to guide the mother as to the ade­quacy of her child's nutrition and the approp­riate time to introduce weaning foods. program­mes to support her 1n keeping a !!raph of her infant's weight and to understand it~ signift­cance should be extendr>d as widely as possible . The WHO publication "A growth chart for inter­national use in maternal and child health care" provides valuable guidance for doing so.

Foods that are locally available •n the home can be made suitRble for weaning, and their use should be strongly emphasized 1n health, education and agricultural extension program­mes. Foods traditionally given to infants and young children 1n some populations are often deficient in nutritional value and hyg1e>ne, and need to be improved in various ways Mothers need guidance to improve these traditional foods

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through combinations with other foods available to them locally Countries should determine the need for subs 1d i z in~ weaning foods or other­wise helping to ensure their availability to low-income groups.

Governments and relevant puhlic or private organizations should support practical and app­ropriate initiatives and policies for improvin~ the nutritional value and hygienic standarclc; of traditional and othPr locally used weaninp. foods. for achieving a balanced diet for infants, for educating mothers in the proper fee>d1n~ of chi 1-dren, and for facilitatin12 the exchange of weaning and child-feedin~ expe>riences among countries.

To avoid infection and interference with continued breastfeeding. infants during wean1n~ should not be fed by bottle hut rather hv cup and spoon or other suitable traditional ve~sels

and utensils. When mothers do not initiate breastfee>ding, or te>nninate it prematurelv. so that animal milk or perhaps ve12etable milk mi x­tures or products may need to be fed by bottle, competent guidance should be avaiiablP to the individual mothers to ensure that the rni xture or product fed is nutritionally adequate, both 1n quantity and quality, and that all possihle mea­sures are taken to see that it does not hecome a vehi c le for infection.

Psychological, social and economic facto rs that constrain breastfeeding should be minimized .

These questions should be the further research and subsequent meetings.

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subject of scienti fie

STRENGTHENING OF EDUCATION, TRAINING AND INFOR­MATION ON INFANT AND YOUNG CHILD FEEDING

Every citizen has the right to have access to correct, consistent information and educa­tion; therefore, countries must ensure that in­formation and education be provided to ali levels and that the messages reach those for whom they are intended at community, inter­mediate and central levels.

In all educational (formal and non-formal), vocational and profess1onal training programmes, the interrelationship of all knowledge relating to health protection, breastfeeding and adequate nutrition of the mother, 1nfant and child should be featured.

To ensure maximal effectiveness, educatio­nal and informational activities about nutrition must:

be adapted to local conditions and cul­ture,

b~ directed to the target population, vi2.. schoolchildren, youth, pregnant and breastfeediny. mothers, men, community leaders , decision-makers and planners;

be supported by necessary resources from those sectors responsible for periurban and rural economic development;

be undertaken with the active participa­tion of men, husbands, other family mem­bers, and community leaders;

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be linked to measures for income-~ene­ration at family and comnrunity level~

utilize local cultural methods of commu­n ica ti on, such as fo 1 k-arts, drama and music.

To support women and mothers in their efforts to improve their health and nutritional status

and that of their infants and children, it is important that nutrition education and informa­tion be provided to various other indivi-duals wh o are influential with the family, such as fathers, grandparents, mother-surrogates, commu­nity teachers and others who have an impact on the social behaviour and nutritional habits of vulnerable groups, and the education and information should be carried out with their part i c i pa t ion .

It is strongly recommended that governments should provide adequate nutrition training 1n medical and nursing schools, adequate training to primary health care workers, including mid­wives, particularly in prenatal and perinatal services, school teachers, rural extension wor­kers and others operating at the community level to enable them to undertake functional health and nutrition education in the community, based on the priority needs of the people and with their active par t icipation. The outcome of these endeavours should be increased self-reliance at the community and family level.

It is essential that all personnel who will provide nut r ition education be appropriately trained, not only in techniques of commun ication and education but also in child development and in delivering consistent and coherent nutrition

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and health concepts and practices based on the local sociocultural conditions.

Training

Basic and continuing education and upgradjn~ of information on all aspects of breast-feeding is necessary for health service staff at all level~, including administrato rs , professional leaders at medical and nursrng schools, physicians (especially obstetricians and paediatricians), nurses and midwives at all levels, medical assistants, auxiliaries, soc1al and extension workers, and particularly primary health care workers. Training should place particular emphasis on management of breastfeeding and be related to the economic, cultural and social background of the mother and fami 1 y. Training should consist of the appropriate knowledge on available culturally acceptable, locally grown foodstuffs which are suitable for use as Wlanin~ foods for the young infant and supplementary foods for the pregnant and lactating woman. Health service staff should also be enll~htened

about the dangers and hazards of advertising infant foods 1n clinics

The use of mass media, wh ich in many count­ries include radio . TV, newspapers, advertise­ments for formula and other infant food products, 1n government and professional journals should be effectively screened by appropriate govern­ment ministries to ensure that they do not detract from official nutrition policies de­signed to protect breastfeed1ng nor to the health and nutritional status of mothers and children.

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There 1s nor enough information about the present state of education/training in the field of maternal, infant and younp ch ild nutrition throughout th e world 0 The meet i ng strongly recommends that th is be reviewed as soon as pos­sible and followed up every five years in orde r to evaluate th e activities in this field and to use it for updating the programmes 0 lnterna­tional organizations, especially WHO /UNICEF , FAO, UNESCO and UNIDO should col l aborate in this a c t i v i t y 0 Th i s a 1 so i m p 1 i e s co l 1 a b o r a t i on 1 n the preparation of guidelines aimed at identi­fyi ng problems related to health and nutrition status of mothers and children, particularly rega r ding conditions of breast feeding and wean­ing practices, and on methods of surveil lance.

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DEVELOPMENT OF SUPPORT FOR IMPROVED HEALTH AND SOCIAL STATUS OF WOMEN IN RELATION TO INFANT AND YOUNG CHILD HEALTH AND FEEDING

Status of women

Participation of women

Women's role and experience in infant feed ­log is untque and th e importance of wome n gain­ing greater control of actions affect ing this aspect of their lives must h<' emphasized. It is recommended, therefore, th.ll women's participa­tion In all related actions he significant l y increased through:

(i) increased repres r> ntation of women 1n all follow-up mePtings a nd actions as reco­mmended by this meeting. including increased i-nvolvement of women in the acti-vities of llnitr>d Nutions agenc1es, non-governmental organizations, and other groups , inc l uding industry and trade uni ons ;

(i i) t h e increasi•d recc•_gnition and involve-ment of womt'n's <">rgant:'<tr-ions in communitv . nattun~l ancl tntt>rnato nat pfforts, for th e promotion nf improvE l infant ;~nd young c hil d fePdinc <tnd r -1 •t.=-d primary health ca r e pffo r ts .

(iii) the incr east>d tnv, 'vemPn t of women in pol icv formtd<ltl<">n ancl tlerision-makin!! at all c;tares ,,f planni11 .: 111.1 implementation c• f r••latPcl n.Hir>nal pr••''"llnrrt•s.

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Health and nutritional status of women

Improved infant and young child feeding is closely l1nked with women's enjoying a hi~h sta­tus of health throughout all stages of life, especially 1n the reproductive cvcle It IS

recommended that measures he taken to ensure good nutrition and health for all women through:

(j) measures directed towards health care, so ciall y and economically availablP, parti­cularly according to primary health care, including the provtsion of balanced and suffictQnt nutritional intake, PSpecially dunng pregnancy and lactation, and family plannin~ informat1on and services; special attention should be given to reproductive health and education of adolescent girls w1th specific action for pregnant adoles­cents;

(11) the implementation of activit1es a1m1ng to reduce women's workload, both 1n the home and outside the home, including actions to promote the sharing of tasks within the family and including development programmes related 1n particular to the provision of plentiful and clean water and the use of appropriate technologies

Measures to support women to breastfeed

The woman is pivotal for all action related to breastfeeding. Breastfeeding is best for the health of the young baby, but also for the health of thE> mother including the physical, emotional, and psychological aspects of her health.

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The majority of women I iv1n~ 1n rural areas and 1 n the urban periphery are not cover ed by protective or legislative measures; they are either not way.e-earners or are workers without adequate security. Very little has been done for these women. lt 1 s recommended there fore that government action and community development activities, including the help of breastfeeding mothers, be taken to support these mothers r:o breastfeed. Programmes to develop appropriate technologies (especially regarding food produc­tion and handling) to reduce these women's work­load and to organize community-based day care of children should be emphasized.

Governments should ratify and apply the TLO conventions through national legislation concer­ning maternity protection which are to be deve­loped (and which extend existing protective measures to increase the period of time of mat­ernity leave) for facilitating breastfeeding, including facilities for breastfeeding, paid nursing breaks, flexible schpdules, day care centres and other measures to ensure the physi­ca 1 c 1 oseness of mother and chi 1 d; these mea­sures should ensure that women's earnings are not substantially reduced or that complementary measures are introduced to provide subsidies; and that any disc rimination of nursing mothers in employment should be prohibited. Women's groups and trade unions should pressure govern­ments to ensure the ratification and implementa­tion of appropriate legislation. The ILO, to­gethe r with WHO and UNICEF and other United Nations agencies, should continue its activiti es in the application of legislation and protection of breastfeeding mothers.

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Speciftc educational and grammes within primary health directt::d towards pregnant women psychologlCally and physically their baby

Weaning

nutrttional pro­care should be to prPpare them

to brPas t fePd

Women play important roles in thE' produc­tion, preparation and serving of food Wtth1n the family. The home preparation of appropriate weaning foods will depend on their knowledge, time, human energy and rPsources

( 1) In all cases wherP there 1 s access to local food products, it is necessary to teach women and other family members to use these as weaning foods as part of the family diet~

(ii) 1n cases where wompn do not have easy access to locallv available foods, action should be taken for the or~anization of community efforts, such as cooperatives, to make such local foods available to women;

(iii) educational and other community devel­opment programmes related to health and nutrition should be linked with Income­generating activities and policies;

(iv) all food aid programmes in this area should take cognizance of the local food content and habits, and not create a situa­tion of dependency and should he careful not to compete w1th breastfeedtn~ and local food production.

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[nformatton, educatton and tra1n1ng

The importance of an adequate basis on which women can have a true and objective choice emphasi:~.es the need for education and Informa­tion about infant and young child feeding and for the establishment of measures at government levels to protect women aga1nst misinformation. Information and education about infant and young child feeding should be directed to men as well as women in order to enable them to assume their supportive responsibtlities.

Educational materials to be directed to the general public . to schoolchtldren, and to the training of health and other development wor­kers, shoulrl project a positive 1mage of women not only in their roles as mothers but also as workers and citizens of the community. This would refer to the images as see>n in books and other written material as well as the mass medta.

Women's nongovernmental organizations should organize ex tens 1 ve consc iousness-ra is 1 ng cam­paigns for generating pol icy act1ons by govern­ments and launching extensive Information disse­mination campaigns in support of breastfeeding and good weaning hab1ts. At the local level nongovernmental organizations are urged to orga­nize and carry out women-to-women programmes to promote breastfeeding and adequate weaning. In these activittes nongovernmental organizations should collaborate with WHO and UNICEF, with the necessary support from national and internatio­nal agencies .

As in most ders to mothers

1nstan c es the health care provi­and children are women, special

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efforts should be directPd to strengthen train­ing programmes for these groups of workers to include a comprehensive component of family planning, infant and young child feeding, and other aspects of family health w1 thin primary health care.

For all, education of the public - espe­cially of the young generations - should aim at a better acceptance of breastfeeding as the natural and heal th1est practice, taking into account cultural spectficities, endogenous prac­tices and using all channels of education as well as the media.

In collaboration with all relevant sectors , particular! y heal th, education, agricu 1 ture, indus try, governments need to ensure that up-to­date, scientific and empirical in fo rmation on infant and young child feeding be widely disse­minated and applied. A government mechanism must be established to ensure that through con­tinuous screening and monitoring information and publicity relative to maternal, infant and young chtld feeding a r e correct and appropriate and that undesirable and inappropriate messages and publicity are eliminated.

A national strategy for communication and education should be formulated to mobilize avai­lable resources, this strategy to include train­ing of manpower at all levels to plan, imple­ment, evaluate and conduct resear ch with respect to communication programmes.

Women have the right to correct and full information; even objective information, however, can be misleading and harmful if it is given in

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inappropriate settings or times. In regard to the meeting of infant formula, women's organlza­tions should be involved in national councils or government agencies in the monitoring and enfor­cement of marketing codes dealing with the regu­lation of information and publicity. Women in a 11 parts of the world - in developed and deve­loping countries - should express their so] ida­rity in deciding what is best in this unique and important part of their lives .

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APPROPRIATE MARKETI NG AND DTSTRT BUTTON OF INFANT FORMULA AND WEANING FOODS

The government of each country has the res­ponsibility to promote coherent food and nutri­tion policies which should g iv e specia l atten­tion to mothers, infants and children. These policies should emphasize the preservation of breast feeding and the i mpl eme n t at ion of a pp r op­riate nutritional guidance (calend r ier nu t ri­tionel). Governments have a duty to ensurP the supply and availability of adequate infant food products to those who need them, 1n ways that will not discourage breastfeeding. Informed advice should he given at the appropriate time and place to mothers and families ahout best infant and young child feedi ng practices.

Breastfeedi n g is the only natural method of feeding babies and it should be actively protec­ted and encouraged in all countries. Therefore, marketing of breastmilk s ubsti t utes and wean ing foods should be designed not to discourage breast feeding.

There should be no sales promotion, inclu­ding promo t iona l adv.er tis ing* t o the pu b]jc of products to be used as breastmilk substitutes or bottle-fed supplements and feeding bottles.

* This includes the use of mass media and other forms of advertising direct l y to t h P mot­her or general public, designPd to increase sales of breas tm ilk s ubsti t utes, to the detr i ­ment of breastfeeding.

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Promotion to health personnel should be restric­ted to fa c tual and ethical information.

There ~hould be an international codE' of marketing of infant formula and other produ c ts used as breastmilk substitutes. This should be supported by both exporting and importin~ coun­tries and observed by all manufacturers. WHO/ LJNTCEF are requested to organize the process for its preparation, with the involvement of all concerned parties, in order to r each a conclu­sion as soon as possible.

Monitorin~ of marketi.n~ practices ts recom­mencied . Usually this wi l1 be done under gover­nment auspices. Adve rtisinsz councils and indu­stry, consumer and professional groups can mal<e an important contribu t ion.

There should be no marketing or availability of infant form~la or wPaning foods in a country unless marketing practices are )n accord with the national code or legislation if these exist. or, in their absence , with the spirit of this meet ing and th e recommendations contained tn this report or with any agreed international code.

Facilities of the health care system should never be used for the promotion of artificial feeding. Therefore, advertising or promo t ional distribution of samples of breastmilk substitutes through health service channels should not be allowed. Artificial feeding should not be openly demonstrated in health facilities.

No personnel pa id by compani es producing o r selling breastmilk substitutes should be all owed to work in the health care system, even if they

- 29 -

are assigned more ge n eral responsibilit i Ps that do not directly include the promoti on of formu­las , in order t o avoid the risk of conf l ict o f interest.

Production and distribut i on of foods for infants and young children should be governed by strict legal standards. They should b e labelled to indicate proper and safe home preparation . Governments should adopt the recormnended inter­national standards covering foods for i n fants and young children developed by the Codex Al imentarius Commit tee on Foods for Spec i a 1 Dietary Uses and should support the elaboration of standards by this Committee to ensure nutri­tiona 1 value and safety . Governments that have not yet adopted such codes or regula t ions are urged to do so.

Products that are not suitable alone as weaning foods, such as s weetened condensed milk, cornstarch, cassava flou r and ce r eal flours, should be required by proper regulations not to be packaged, labelled, advertised or otherwise promoted in ways that suggest they should be used as a complement or substi t ute for breast­milk. Fo r this purpose , vigo r ous educa t ional efforts should he made a~ainst thP.ir misuse by mothers.

- 30 -

U ST OF PARTICIPANTS

C:OVER""HFNTS

Al GFR TA

Dr H. Hadj-la~ehal

Dtrecteur de l'Hygt~ne et de Ia Prevenuon ~inist ~rP de la Sant~ publ1que (hemin Hoham£'d C:acem. 128 Fl-Ha danta Alger

BRAZ IL

CURA

Dr Bertoldo Krust' Grande de Arrud11 Pres1dente, lost 1tuto Na c1onal rlr AI imPn t a~ao e Nut r 1~ao Minis t~rto da Saude Av. W/3 Norte, Ouad r a SIO. Bloco A Brasilia ----Mrs Leoncie Lea Co rreia Leal President Legiao Brasileira de As sistencta Av. General Jus t o No. 27~ - ~0 Andar Rio de JanE>iro

Dr Wa lter J. San tos Pr~si d en t, So~ i ~t~ br~silienne

de nutrition Churchill Avenue Rio de Jam•iro

H. Vicente Orlando de BenPdict•s Juntor SecrPta r iat du Plan dP la Pr~s1dence

d!' Ia R~publ ique Av . Brasil 14M S:. o Pau iCl

Dr John G3y Department of Nutrition N3tiona1 lnsti l ute nf Hypiene

and Ep • rlemioln~y

Havana

- 1! -

OF.miARK

Ms Birte Pnulsen Ministry nf ForeiRn Aff3irs Ama l i I' 11,.:1de 7 1130 Copenhagen

Or F.. l. Lauridsen Mintstrv of ForeiRn Affatrs Ama 1 i E' Rade 7 II 30 Copl.'nhagen

Or J. Funch Nu t n t i on lin i t Nat1onal Food Jnstiture ~orkhoJ Bygade 19 OK 281)0 S(;borg

Mr J H. Jensen Technical Adviser Nikolai Plads I I Copenhagen

FRANCF

Professeur A. Hennequet H8pital des Enfants Malades l4q rue de S~vres

7'>01S Paris

Oocteur M. Pechevis Chef du Service au D~partement

des Enseignements Centre International de

I 'Enfance Chateau de Longchamp Bois de Boulogne 7)016 Pari3

FEDERAL REPUBLIC OF GERMANY

Or Horst Drews Ministertalrat Rundesministerium fur Jugend

Famil ie und Gesundheit Oeutschherrenstr. 87 Postfach 490 D-5300 - Bonn 2

Or IJ . -0. Ernert Ministerial Counsellor Federal Ministry for Economic Cooperat1on Postfach 12 0322 53 Bonn 12

- 31 -

Or Elieabethe Funke Chainman, Group 3 D1rector, Public Health Care MinistPrium fur Arbeit , Gesund-

heit und Soziales Horion Platz I 4000 Dusseldorf

Professor Or Eberhard SchmtdL Direktor der UniveraitseLs­

Kinderkl inik 11 Moorens traue 5 4000 Dusseldorf

GUATEMALA

Dr Gustavo A. Cord ero Herrera Vicemtniatro de Salud Publica

y Aeistencia Socia l Cobierno de Guatemala, C.A. Palacio Nacional (3er p1sol ~uatemals, C.A.

Licenci sd a Ruth Chicas Rendon de Sosa

Secretaris de Bienestar Social de la Pres!dencia de la Republica

32 cslle 8-00 Zona II Guatemala, C.A

HliNCARY

Dr lmrP OPry Head of thP DPpartment of Matprna I,

Child and Youth HPalth Ministry of Health (Eg~szs~gu~yi Miniszt~rium) A~adtlm1a lltca 10 Budapest V

Dr Laszlo Sandor

Chst rman , Croup I

Rapporteur, Croup 3

Head of the Department of International Relations Ministry of Health (Egtlszs~gugyi Min•szt~rium) Akad~mia lltca 10 Budapest V

Dr Laszlo Elias Deputy Head of Division Mtntstry of Health (E~~szstlgugyi HinJsz t~rium) Akad~mia Utca 10 8Ud_!pP!!_V

)l -

lNDtA

Dr P. C. Sen Nutrition Adviser Directorate-General of Heal rh

Set"vices Government of India Ni nnan Bhaban New Delhi 11

Mr N. S. Kharola Deputy Secretary to Government

of India Department of Social Wei fare Ministry of Education and Soci al Wei fare New Delhi 110001

JAMAICA

Hr s Pearl Gammon Chief Health Planner Nat ional Planning Agency 41 Barbados Avenue Kingston 3

Hra J. Allen Director, Nutrition and

Dietetics Division

Rapporteur, Crouo 1

Min istry of Health and Environmental Control P. 0. Box 478 Kingston

JAPAN

Dr Yawara Yamanaka Director- General Environmental Health Bureau Hiniatry of Health and Welfare 1-2- 2 Kaaumigaaeki Tokyo 100

Dr Akihito Matsumura Deputy Director Food Sanitation Divieion Hiniatry of Hea lth end Welfare 1-2-2 Kaaumigaaek i Tokyo 100

Mr Shoeaku Tani~uchi First Se cretary Pennanent Delegation of Japan

to the International Organi zati ons in Geneva

10 avenue de Bud~ CH - 1202 Cen~ve

- 14 -

JORDAN

Or Tawfic Karadsheh Director of Health Service& Ministry of Health P .0. Box 86 Almlsn

Or t1uh 'd AI i Social Services Research Specialist Director of Social Services National Planning Council P. O. Box 555 Amman

MAlAYSIA

Mrs Ruth Ltm Nutrition Officer Institute f~r Medical Research Kuala Lumpur

NETHERLANDS

Hr C. Loggers Deputy rhief Jnspector of Public Health Ministry of Health and Environmental Protection Dokter Reijerstraat 12 Leidschendam

Professor Dr J. Hsutvasr Professor of Nutrition and Food Preparation Agricultural University Wageningen

Mrs E. J. E. Schoustra Coordinator for International Women's Affairs Ministry of Foreign Affairs/Development Cooperation Plein 23 The Hattue

Hr H. J. van Stigt Thans Head, Nutr ition Section Department of Nutrition

and Quality Control Ministry of Agriculture ThE' Hague

NEW ZEALAND

Dr R. A. Barker Deputy Director-General of Health Department of Health P . 0 . Box 50 I 3 Wellington

- 35 -

Rapporteur, Cr~up 1

Dr D. C Gedd1s D i rector of Me d i c a 1 Se r vi c Ps to ! h,

Pl unket Society P .0 . Box 671 Dunedin

NI CF RTA

Dr Tunde Dav1es Sen ior Consultant Nu t rit ionist Federa l Ministry of Health and Soc ial Welfa r e Broad Strl'et Lagos

Professor A. Omolnltt Head. 0Pp~rtml'n t of Nutr1t1on ttn1verstt~· <'f lbadAn lbadan

PAPUA 1'1[1.1 GUINEA

Professor John Bt~dulph Port Mo r Psbv G~nPral Hosrital F'rPP Ma i I Bag Boroko

Mis s Maq:aret Na~ ikus National PlanninR 0ffic~ Post Of f trP, Wards Strip Waiga n1

Pll II II'P I NFS

l'r /lm.J n• 'il Man ra.,. - Ant>ltr 1

(hI" f. ~11 II ni vis Inn

M1n1~trv nf Health Manti 11

Ms Sylvia 1'10n t es De pur y 111 n is r <' r Hinistry of Soct1l Sprv or f'!'

and OPVPiopmPnt IIJn i I a

SEt·lfi.AL

Mr Th1.:1nar Nd i'V<' Hi rectf'ur •;ervire Nat innn d.- tlott 1 t t ,..,,

M i nist~re de Ia San r ~ P~t b l lljt tf:

Da kar

Hr Abdoukarim Diop Coneeiller Technique Miniat~re du Plan et de la Cooperation Dakar

SUDAN

Dr Hafiz El Shazali Senior Consultant Pae di atri cian Medani Hospital Khartoum

Mr Cami l Giddis Senior Inspector HJnistr y of Nat ional Plannin~ P.O. Box 2092 Khartoum

SWITZERLAND

Dr U. frey D1recteur Office ft!dt!rel de Ia santt<

publ1que Ca se postale 2644 3001 Berne

Dr J.-P. Perret Directeur-supplt!ant Offi ce ft!dt!ral dP Ja sant~

pub! ique Case postale 7f.44 3001 Be rne

Professeur Luc Paunier Professeur de pt<diatrie D1recteur adjoint de Ia

Cl in1que de pt!dietrie Bd de Ia Cluse 30 12 11 Cenl!ve

~ademo iselle T. Cornaz

Chairman, Group ~

D1rection de la coopt!ration au dt!vel oppement e r de l'aide humanitaire des affa1res t!tranp:~res

Eigerstrass!' 73 3003 Berne

- J7 -

UNI TED KI NGDOM

Mi ss D. 0. Learmont Nursing Off1cer Depar t men t of Heal t h and

Social Security Alexander Fleming House El ephan t and Castle London SEI 6BY

Professor J . ·c Waterlow Nut r ition Adviser Overseas Development Admintstration Foreign and Commonwealth OfficP Eland House Stage Place London S.W.I

UNITED STATFS OF AMERICA

Dr Hartin J. Fo rman Directo r. Office o f Nutrition Bu r eau for DevPl upme nt Support Apency fo r lnternatinnal

DevP I opmPn r Washington, D.C. 20~2J

Dr RobPrt Graham Medical Director Pub ! ic Heal t h SPrvicP Profess1onal Staff Subcommit t ee on Health and Sc1ent1fic RPsearch United States Sena t e Wa shin~ton, D.r.

Dr Artemis Simopnulis Chai rman , Nutriti on Coordination Committee National lnst i tutes of Health Depa r tment of Health , Educat1on

and IJP I fare Build1ng 31, Room 6550 Bethesda, Ma r y l and 20205

DrJ.Wray Director, Office of Tote r ­

nationa l Health Programs Harva r d University School o f

Public Health 677 Hun t in gton Avenue ~ton, 1'4ass.:~ chusf'tts 0211S

- 1R -

l't-i I TED NAT IONS Al'lD SPEC I ALT 7ED AGENC 1 ES

ACC Suh-Comrrltt~~ on Nutrit1on

Dr H J . l Burgess Secretarv, Arr Sub-Committee on Nutrition c/o food . Po l icy and Nutrition Division Food and A~riculture OrFanizatton of the United Nations V1a dPile Terme d1 raracalla r - 00100 RC'mP

Dr Privan1 E. Sovsa Professo r of Paediatrics Faculty of Medicine Unive rs ity of Sri lanka Kyns~>y Road Co lombo 8 SRI LANKA

Fconomi c Commission for Afr 1ca

Mrs Jocelvne Lopez-Haconlck Population Trainin~ Offi cer Afr ican Trainin~ and Research

Centre for Women Economtc Commiss ion for Africa Adua Square P.O. Box 3001 Addis Ababa ETHIOPIA

Food and Agriculture Organization of the United Nat1ons

~iss J W. HcNaurht on Sen1or Off1cer (Nut riti on

Education and Troining) Food and Agriculture Organiza-

tton of the United Nati ons Via delle Terme di Caracalla J 00100 Rome --------

International Bank for Reconstruction and Development

~lr Alan D. Berg Se nior Nutrition Advisor Agriculture & Rural Development Department International Bank for Re construc t ion and Development 1818 H Street N.W. Washi ngton O. C.20433 UNITED STATES OF ~RTCA

- 39 -

Interna tional Labour Organisation

Mrs E. Korchounova Chief, Office for Women

Workers' Questions International Labour Office CH- 1211 Gen~ve 22

United Nations

Dr M. Kilibarda Chief, Drug Demand and Information Division of Narcotic Drugs Un i ted Nat 1 on s Vienna International Centre P.O. Box 500 A - llj00 Vtenna

United Nations ConferencP on Trade and Development

Dr T. C. Ganiatsos Econom1c Affa1rs Officer UNCTAD Pal2is des Nations CH - 1211 Geneva 10

United Nations Educational, Scientific and Cultural Organizat1o~

Hr Wolfgang Schwendler Programme Spec ialist Division for Study of Development United Nations Edu cational , Scieont i fie

and Cultural Organizatton Place de Fontenoy f - 7~700 Paris

United Nati ons Env•ronment Programme

Dr J W. Huismans Direc t o r Tnternational Re~ister o f

Potentially Toxic Chemicals c / o W~rld Health Or~anizaci on CJI - I 'Z I 1 Cen~ve Z7

United Nati~ns Fund for Population Activitieo ~

Mr Bashir Muntasser UNFPA Liaison Officer c/o UNDP Palai~ des Nat tons CH- 1211 Gen~ve

- 40 -

United Nations Industrial Development Organi zat ion

Mr S. Padolecchis Assistant to the Special Repre~entative of the Executi ve Director At Geneva

United Nati ons Industrial Development Or~anizati on

Le Socage CH - 121 I Gen~ve

Professor Nevin S. Scrimshaw World Hunger Programme of the

Uni tf'd Nat tons Mss6schusetts lnstitutP of

Technology - Room 20A-701 r ambr tdge, Mas~achusPtts 011)9 UNITED STATES OF" AMElU CA

World food Council

Mr llwP Krt~cht

Senior Economist World Food Council Vis delle Terme di Csrscalla

- 00100 Rome

World Food Progrs~

Dr (Ms) Ronchi -Projs Senior Officer ( Food Aid and

Feeding Programmes) World Fond Programme Food and Agriculture Organi~a ­

tion of the United Nations Vta delle Terme di Caracalla l.__:__Q_O .l..Q2 Rome

11r D. J Shaw Senior F.conomist Po I icy Unit World Food Programme Food and Agr iculture Organita ­

tion of the United Ns tions Vie delle Terme di Caracalla l - 00100 Rome

- 41 -

Chairman, Group 7

Christian Medical Commission

Hs R. Nira Barro~. RN RM Director , Christian Hedical Cn~i·s i ~o World Counci I of Ch•trchPs P. 0 Box (,6 150 route de Fernev CH 1211 Gen~ve 20

Mrs E. F. PatricP JPlliffe Lec t urer- Associate Researcher Otviston of Populatton, Family ~nd

Jnternattonal Health School of Publtc Health Un ivers i ty of C~lt fornta Los Angeles, CA 90024 UNITED STATES Of AHFRJCA

Infant Formula Action Coalition (I NFACT)

Hr Douglas A. Johnson Infan t Formula Action Coal <t ion

(INFACT) 1701 University Avenu~. S.E Minne apolis, MN )5414 UNITED STATES OF AMERI CA

Ms ShirlPV Po~~ll Interfaith Council for Peace/

CALC 604 E. Huron Ann Arbor, Michigan 48104 UNITED STATES OF AMERICA

Interfai t h Center on Corporate Respons ibili ty

Ms leah Hargul ies Infant Formula Program Interfaith Center on Corporate

Repons i b i Ii ty 475 Riverside Drive , Room 566 New York , N. Y 10027 UNlTED STATES Of AHERICA

Ha Patri ci a Young Board Member, Interfaith Center on

Corporate Responsibility 811 Olive Street Scranton, Pennsylvania 18510 UNITED STATES OF AMERICA

- 42 -

International Confederation of Midwives

Mademoiselle Georgette Grossenbacher Confederation of Midwives Huttenstraese 45 CH - 8006 Zurich

International Council of Nurses

Hiss Winnifred W. logan Executive Director International Council of Nurses Case postale No. 42 CH- 1711 Cen~ve 20

International Council of Women

Madame Anne-Marie lneichen Vieux Chemin de Bernex CH - 1233 Bernex

International Federation of Gynecology and Obstetrics

Professor R. J. Vokaer Head, Department of Gvnecolo~y

and Obstetr-ics Brugmann Hospital 4 Place a. van Gehuchten B - 1020 Brussels

International Organization of Consumers Untons

Mr Anwar F u.a 1 President International Organization of

Consumers Unions P.O. Box 1045 Penang MALAYSIA

Or Ruth Stmoons-Vermeer International Organization of

Consumers Unions (TOCU) q Emmastraat The Hague NETHERLANDS

International Paediatric Association

Or Salvador Guerra Jim~nez President Mexican Confederation of Pediatrics Morel ia 109 Celaya. Guanejuato MEXICO

- 4 3 -

Professeur fttore Rossi Direc:eur Cl inique P~diatrique de I 'Universit~ de Bern lns e l spita 1 Bern CH - 3010 Bern

International Planned Parenthood Federation

Miss Muriel Bourne c/o International Planned

Parenthood federation 18-20 Lower Regent Street CB - London SWIY 4PW

lnternattonal Union for Child Welfare

Monsieur JPan Br~mond Secr~raire g~n~ral adjoint Union internationale de

Protect ion de l'EnfancP Case postale 41 CH 1211 Gen~ve 20

Madame Marie - fran~oise LUcker- Sabel Union internationale de

Protection de I 'Enfance Case postale 41 CH 1211 Gen~ve 20

International Union for Health Education

Dr Etienne Berthet Secr~taire C~n~ral de l'Unton Internationa le

d'Education pour Ia Sant~ <J rue Newton F - 75116 Paris

Madame Fran ce Bequette Union International de'fducation

pour Ia Sent~

9 rue Newton F - 75116 Paris

International Union of Nutritional Sctences

Dr Nevin S. Scrimshaw

La Leche League

Mrs Marian Tompson President Ls Leche League International 9616 Minneapolis Avenue Franklin Perk, Illinois 60131 UNITED STATES OF AMERICA

- 44 -

Mrs Betty Ann Coun tryman La Leche League International 4140 E. 75 th Street Indianapol i s . ln . 462 50 UNITED STATES Of AMERICA

League of Red Cross Societie!

Ms S. Peel League o f Red Cross Societies Case postale 276 CH- 1211 Cen~ve 19

Miss Margare t Robinson Chie f Nursing Off icer League of Red Cross Societies Casf' postale 276 CH - 12 11 Gen~ve 19

Oxfam

Mr J. Clark Oxfam 274 Banbury Road GR - Oxford OX2 70Z

Third World Action Group

Mr Chri~toph Kurth Arbei t sgruppf' Oritte Welt Bf'rn Post fach 1007 CH - 3001 Bern

The Non-Governmental Organi ~ati ons Committee on 11NIC'E f

Mrs Eleanor S. Robe rt s Tht> Non- Governmental Or~ani~a-

tions Commit tee on UN!CF.f 8~6 United Nations Pla~a New York. N. Y. 100 17 UN ITED STATES Of AMERfCA

War on Want

Mr A. Che~ley Resf'arch and Public a tions Off icer Wsr on Want 467 Ca ledoni an Road CB - London N7 9BE

- 4~ -

Mr Fr3n~ A Spro1e Vice-Cha'r~an of thP ~o~rd

Bristol-Mvrrs Company lntern.Hinna1 Tl1v1<:1'~n

Jl. 5 Pa rio' AvPnu" New York. ~ Y 10077 llNtTED STATFS (\f 1\!-'FPJrA

Mr Garv 1.' . "' l"'

Vice-Prr·sidPnt ~ead-J~hnsnn Nutrition~!~

fvansvillP. lnd•ana 47'~ llNlTED STATFS OF A~F~IrA

Hr R. SchippPr ro-operatlVf' Cnnd<'n.<f,bri~P Fr• .. •'""'' orac"hr..t1 -- -----NFTilERt.ANDs

Mr r . FPldbPrf' DirPctor, llPalth an~ ~afPtv Affa1r• CPC Tnternilt 1 on.1 l In~

Tnternation~l p);~ Eng l ewood C.!..!!J5 New Jersev 07~32 UNITED STATFS OF Al'ff!JCA

Mr 1.' . Saenz rnordinarnr. Food Terhno1aRV CPC Internat1nnal Inc Av. Copacabana 1050 ( 7 rh f 1 oor) R\o de Janeiro BRAZ II

Mr A. Wul If Hansen Hf'ad of Nutrition Divisinn Dumex - A/S Dum!')< ( [lumex Ltd) 37 Prags Boulevard OK - 7300 Co~hagen S

Mr Sherman Wong Genera 1 l'!a ne ger Dumex Division, the East AsiaLic

Company (Malaysia} Serhad P .O Box 143 Petaling Jaya Selangor MALAYSIA

Hr Frank A. Meyer President - Internationa l Division Gerber Products Company 445 State Street Fremont , 'Hi ch igan 4 941 2 UNITED STATES OF AMERICA

- 46 -

Dr CPor~~ A. PurVIS Director of Nutr1t1nn C.! rber Product~ Company i.l.'i StatP Stret>t Fremont. Michtyan i.Oul? iiNJTED STATES (lf

lntPrnat•onal Counc tl of Infant Food Jndustrt~s (IC IFl ) --- --- -Mr I . S Barter President, TCJFI C'ow & Gate Ltd \ow & Gate Hou~e Trowbrid~~. Wilrshir~ FNGlAtro

~1r fL D. R1 cket t s Fxternal Relations Advt~er \ow & Gatf' Hc>USt> rrowbrtd~e. W1ltshirP FNCLAND

The Associatlc>n of Dietett c Food lndustnf>< of thf' FFr IJDAI' f \

M r Fran~ Wood CP\ fVn1ted Kinydoml lt d \lav)!at~ House F~her, Surrev CB- -- KTIO I}PN

M1ss M. van Steenberghe Societ~s Diepal-Gallia BoYte postale Sa F- 69654 Villefranche sur Saone

Int erna tional Secretariat for the Industri es of Dietetic Food Products (JSOT)

Dr C. J. W. Weber Nutricia Netherlands B.V Postfach I 2700 Ma Zoutermeer NETHERLANDS

Professor John Dobbing University of MancheEt er The Department of Child Health Child Growth and Development SLopford Building Oxford Road GB -Manchester Ml3 9PT

- 47 -

A}lFRICA

Mr ~· ~ i~ssenberg B. V. Lijempf Sixmastraat J 8901 BE Leeuwarden NETHERLANDS

Or Fumiyasu Tsuchiya Di r ector. Research Institute Heiji Milk Products Co .. Ltd. 1-21-J, Sakae-cho. Higashimurayama-shi Tokyo 189 JAPAN

Mr Hisayoshi Takeuchi Assistant to the General Manager Overseas Department MPiji Milk Products Co., Ltd J-6 Kyobashi 2-chome Chuo-ku Tokyo 104 JAPAN

Mr Ernest W. Saunders HPad of Nest!~ Nutrition Division CH- l8J~our-de-Peilz ( SWTTZF:RLANO) Case postale 88

Mr G. A. Fookes Assistant Vice-President N~stl~ Products Technical A~sistance Co. ltd Post Officf' Box 88 CH - 1814 La Tour-de-Peilz

Mr A. W. G. van Riemsdijk Managing Director Nutricia International B.V P.O. Box I 2700 HA Zoetermf'e r NFTHERLANDS.

Mr David 0. Cox Pres•dent Ross Laboraror•es. Division of

Abbott Laboratories 62~ Cleveland Avenue Columbus, Ohio 4321~ UNITED STATES OF AfolER l\A

- 48 -

Hr Tom HcCollouRh Di recto r of Task f orce on Third ~orld

Research and Policies Ross Laborator1es Division Abbott Laboratories 67S Cle veland Avenue Co lumbus, Ohio 43 1 Ill UNITED STATES OF AHFRT(A

Mr Hasse Teramura Snow Brand Hilk Pr oduc t s Co . Lt d 1J Honsh i o- cho Shin ju ku-l< u To_!sy~ J APAN

Mr Maurf cp L. Clan cy Pres 1dent ~1erh Tnt Prnati onal L~mited P 0 . Box 8616 Phi ladelph i a . Pa. JqJQI UNITED STATES Or A/ofERTCA

Mr E. Ste ven Bauer Vice Pres iden t Co r porate ~nd

Government Affair s WX!~~ Internati onal Limited P .0. Box 8616 Philadelphia . Pa. 1q101 UNITED STATES C\F AMERICA

TNTERCOVER~NTAL ORGANIZATIONS

Mrs P. Hosea Food Aid Division (DC VIII) Co~iasion of the European Communities 200 Rue de Ia Loi B - 1049 Brussels BELGIUM

Hr J. C. Schutz Food Products Division (DC Ill) Commission of the European Communities 200 Rue de Ia Loi B - 1049 Brussels BELCJUH

Hr Mikolaj Vernjuk Counsellor to the Secretariat Council for Mutual fconomic

Assistance (CHEA) Prospekt Kalinin 56 121205 Moscow USSR

- ~0 -

~iss J. A Burdu~ Chairman ~cCsnn Erickson AdverrisinR Howland Street GB - London W. I

EXPERTS

Professor lhsan Dogramsci ~ .D D.Sc., t.L.D , F. R.C.P .

Professor of Child Health Hacetcepe UnivPr5ity Hacetcepe Cocuk Haatanesi Hacettepe Anka ra TURKEY

Professor Spyros Doxtadis l-hn1ster of Social Services Nf'of Vamva 3 Athens (138)

GREECE

Dr Jos~ Renan Esqutvel Director M~dico Hospital del Ntno Apartado 4087 Panama 5 PANAMA

Professor Dr M. Gabr Minister of Health Cairo EGYPT

Professor Y. Hofvander Department of Pedta tri cs University Hospital S - 750 14 Uppaala

Professor Charles Jeanneret-Grosjean Vice-Dean for Research faculty of Social Sciences University of Ottawa Ottawa , Ontario CANADA

Professor De rrick B. Jelliffe Professor of Public Health and Pediatrics School of Public Health Univereity of California School of Public Health Loa Ange les, Calif. 90024 UNITED STATES OF AMERICA

- .Sl -

Rapporteur, Plenarv

Rapporteur, Plenary

Or Sanjaya Lall Senior Research Officer Institute of Economics and

Statistics University of Oxford St Cross Building Manor Road CB - Oxford OXl 3UL

Professor Michael C. Latham Professor of International Nutrition and

Director Pro~ram on International Nutrition Savage Hall Cornell University Ithaca. New York 148S3 UNITED STATES OF AMERICA

Hiss Clara E. Lopez Apartado A~rpo No . 171~

!ogota COLOMBIA

Professeur Michel Manciaux Directeur g~n~ral Centre Internet iona1 de I' F.n fance ChAteau de Longchamp Bois de Bou1ogne F - 75016 Paris

Hs Rachel E. Marshall Assistant Minister for Coordination Ministry of Health and Soc1al Wei fare P.O. Box 1061 Monrovia LIBERIA

Professor E. Novikova Deputy Minister of Health Mini~try of Health of the USSR Rahmanovskij per . 3 Moscow USSR

Professor J. E. Dutra Oliveira Professor of Nutrttion Medi cal School of Ribeirao Preto Faculdade de Medi cina 14.100- Ribeirao Preto, SP BRAZIL

- 5'1 -

Rapporteur, Croup 4

Prnf~~sor SerPOP Pihooon1vom Prnfpssor of Riocheni5trv F~culty of Sc1POCP Mah1dnl Pn•versitv 1\ama VI Road Ban£ol< _1. THAIJANO

Prof•ssnr H. A. Rnnarhv DrpArtmrnt of Commun1tv Med• cinr Shiraz Poivers1tv School of ~~rlici~r Shir;~z

IRAN

nr F . T. Sa i 11"'1 rrrPrinn.11 (nordiO<ltor l.~r J •·:-t

P 0. Box M I Q 7 Accril C:JIANA

M;~rla~ ~ A. Savan~

PrPsidt>ntr Association des Femmrs Afr•cainrs

pour Ia R~chPrchP sur le J1Pv<'l<'ppPmPnt II P. I 1007 CO AnnrxP Oak a r SF~fGAJ

~r~ Mercede• A Snlno DPputv FxPcuttve Oirrctnr Nutrll1on CPntrr of thr Phil1ppinrs South Superhi,hwav (Nichol• lnterchanr• l ~akati. Metro Manila D-311~ PHILIPPINES

Dr Somhoon Vachrota1 DirPrtnr-Crneral DrpartmPnt of Health Oevaves"' PalacP Bangk~

THAI LAND

Profrssrur H. -L. Vis Professrur de P~d1atrie ~ l'llnivPrsir.S

I ihrp de Br uxell es Serv1CP Unlver•itairP rlP P.SrliatriP IHop1tal Saint-Plerr•l Rue l!nu te 120 1(100 - ll r uxel ]PS

I\FLC:Il1M

lha•rl!lan, l.r0•1r t.

RrtpportPior . rr,...ur '

SECRETARIAT

UNICEF:

WRO:

Hr H. R. Labouiss~. Executiv~ Dir~ctor, New York

Hr E. J. R. Heyward, S~nior Deputy Ex~cutiv~ Director, New York

Dr L. Teply, Senior Nutritionist, New Yor~

Ma S. Barry, NGO Liaison, New York Mr R. Faberg~ , Information, Geneva Hs S. Prosper, Programme Officer, Nairobi He H. Toure N'Gom, Programme Officer, Abidjan

Joint Secretariea of the Metoting

Hr R. Tuluhungwa, Project Support Communications, New York

Dr H. Mahler , Director-General Dr T. A. Lembo, Deputy Director-General Dr D. Tejada-de-Rivero, Assistant Director-General

Dr H. BEhar, Chief, Nutrition unit Dr G. Sterky , Chief, Maternal and Child

Health unit

Dr R H. Strudwick, Responsible Officer for organizatt on of the H~eting

Dr K. Bagchi, Nutrition unit Dr H. Carballo, Maternal and Child Health unit

)Joint Secretariee )of th~ Meeting

Or 0. W. Chriateneen, Chief, Coordinat ion With Oth~r Organizat ion a

Dr E. DeHaeyer, Nutrition unit Dr C. Daza, Regional Office for the Americas Dr J.-P. Dustin, Food Aid Programmes Dr P. L. Fazzi, WRO Chief Medical Advieer to UNJC!F Dr Shanti Ghosh, Regional Office for the Eastern Mediterranean Dr Kanti Giri, Regional Office for South East Aaia Dr A. Hammed, Primary Health Care Ha V. Hammer. Division o[ Family Health He H. Hamunen, Expanded Programme on Immunization Dr G. Lavoipierre, Food Aid Programmes Dr A. Mangay-Haglacaa, Chief, Nureing unit Or G. G. Heilland, Cooperative Programme• for Development Ha E. Heyer, Divieion of ~ntal H~alth Dr A. Moar~fi, H~alth Education unit Hr C. Morrow, Director, Public Information Hra A.-H . Mutschler, Protocol and Governing Body Affaire Dr N. V. ~ . Nair , Regional Office fo r the Western Pac1fic Dr A. Petroe-Barvazian, Director, Division of Family Health

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Dr H. Schlenzka , Legal Di vision Dr H. ThorMe, Regional Office for Africa Dr H. Wagner , Regional Office for Europe Dr A. Zahra , Director, Division of Conmruni cab l e Di seases

Dr P. Bo rghol t .z:, Temporary Adviser Dr J . DeHoerl ooee, Temporary Adviser Dr J. Gallagher , Temporary Adviser Dr E. Hels i ng , Temporary Adviser

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