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In 2010, 500 violations were documented in 46 countries, including Asia.

This type
of widespread marketing results in mothers' recognizing certain brands and
believing their children will be healthier with formula. Reports of violations are
numerous. Sales of infant formula are increased when regulations are weak. In 2004
the Supreme Court of the Philippines issued a restraining order preventing
introduction of the Revised Rules and Regulations of the Milk Code in response to
intense lobbying by the pharmaceutical industry, and consequently formula use
increased. Although the restraining order was lifted in 2007, the regulations had
been weakened to suit the industry. In contrast, in India where advertising is strictly
controlled by the Infant Milk Substitutes Act, exclusive breastfeeding at 45 months
of age is 46% almost three times higher than that of the Philippines. Numerous
studies have documented the increase in morbidity and mortality in developing
countries from breast milk substitutes. In a recent meta-analysis of 18 studies from
the developing world, compared breast milk substitutes with exclusive or
predominant breastfeeding. The relative risk of dying from diarrhoea during the first
5 months of life was 10.52 (95% CI 2.79 to 39.6); from 6 to 12 months it was still
2.18 (95%). Two recent reviews have summarized studies from the industrialized
world where breast milk substitutes have minimal effect on mortality but significant
short-term and long-term effects on morbidity. Failure to breastfeed increases the
risk of gastrointestinal disease, acute otitis media and acute lower respiratory tract
infection in infancy. In older children the rates of leukaemia are greater, as are
cholesterol levels and hypertension and type 1 or type 2 diabetes. The aggressive
marketing of breast milk substitutes results in increased child morbidity and
mortality, especially in resource-poor countries. The WHO Code was designed to
prohibit such advertising, but the resources of the formula industry remain almost
inexhaustible. All health workers need to promote and support breastfeeding, know
and understand the Code, and report violations and thus improve child survival
throughout the world.

he Philippines used to have the lowest breastfeeding rate among 56 countries before the the
enforcement of the code's implementing rules and regulations.
The rate later on improved with a survey by the Food and Nutrition Research Institute showing that
exclusive breastfeeding in the Philippines rose from 36 percent in 2008 to 47 percent in 2011.
The same survey showed that the initiation of breastfeeding within one hour of a babys delivery had
increased from 32 percent to 52 percent during the same period.