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By Fiona Dykes; Victoria Hall Moran

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3 million metric tonnes (Nigeria), and production per capita between 8 kg (Zimbabwe) and 15 kg (Mali) per year (Hatløy & Oshaug 1997). It is difficult to place a precise economic value on breast milk. In addition to being so much more than a mere food, it is rarely traded in the marketplace. Hatløy and Oshaug included in their analysis of sub-Saharan African breast milk production a reference to the contemporaneous retail price of US$36–47 per litre in Norwegian hospitals. They then proceeded to assign a ridiculously low global price of US$1 per litre and, on this basis, to calculate the impact in just two countries had the value of human milk been included in calculating gross national product (GNP).

2006) Lactation and risk of endometrial cancer in Japan: a case-control study. Tohoku Journal of Experimental Medicine, 208 (2): 109–115. Oshaug, A. & Botten, G. (1994) Human milk in food supply statistics. Food Policy, 19 (5): 479 –482. , Kajantie, E. G. (2009) Duration of breast-feeding and adiposity in adult life. Journal of Nutrition, 139 (2): 422S–425S. , et al. (2008) Does initial breastfeeding lead to lower blood cholesterol in adult life? A quantitative review of the evidence. American Journal of Clinical Nutrition, 88 (2): 305–314.

We need to remove infant formula, once and for all, from the kitchen pantry and permanently relegate it to the medicine cupboard, where it got its start as an emergency nutrition intervention. In the first decade of the third millennium, deconstructing infant formula – by transforming both popular and health professional perceptions of formula from the best nutritional alternative to breast milk to the least-bad alternative – may well be our single most important priority in this context (Akre 2006).

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