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Healthy Skepticism Library item: 13031

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Raya RR.
The Philippine breastfeeding struggle continues
The Lancet 2008 Mar 8; 371:(9615):794-795
http://www.thelancet.com/journals/lancet/article/PIIS014067360860358X/fulltext


Abstract:

…The ruling concluded nearly 3 years of legal battle that started with the strengthening of the implementation of the Milk Code in response to the rapid decline of breastfeeding. In the last quarter of 2004, the Department of Health crafted a national plan and updated the RIRR to align it with international standards.6 This effort met opposition from the industry … after 2 years of negotiation, the Secretary of Health signed the RIRR. The Pharmaceutical Health Care Association of the Philippines, representing US-based infant-formula companies in the Philippines, petitioned the Supreme Court for a temporary restraining order to declare the RIRR unconstitutional.6 A month later, the US Chamber of Commerce delivered a letter that invited President Arroyo to reconsider the RIRR to avoid complications in US–Philippine economic ties.9 A temporary restraining order was issued a week later.6

Aggressive marketing practices for breastmilk substitutes have been blamed for the decline of breastfeeding in the Philippines, where only 16·1% of Filipino infants aged 4–5 months are exclusively breastfed, half stop exclusive breastfeeding by the third week of life, and 13% are never breastfed (the lowest ever-breastfed rates in 56 countries13) … The Supreme Court’s ruling gives a fresh mandate … to the Government’s regulatory agency … the struggle goes on to restore the culture of breastfeeding in the Philippines.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909