Mothers are strongly encouraged to continue to breastfeed during the COVID-19 pandemic Mum breastfeeding her baby in Erakor Bridge a suburb of Port Vila town, the capital
© UNICEF/UN0216247/Pirozzi
SUVA, 5 June 2020 – As the Pacific region works on the preparedness and response for the COVID-19 pandemic, there is a need for strong
legislation to protect families from false claims about the safety and role of breast-milk substitutes or aggressive
marketing practices.
A new report by WHO, UNICEF, and the International Baby Food Action Network (IBFAN) reveals that despite efforts to stop
the harmful promotion of breast-milk substitutes, Pacific Island countries have few measures in place to protect parents
from misleading information.
UNICEF and WHO encourage women to continue to breastfeed during the COVID-19 pandemic, even if they have confirmed or
suspected COVID-19. The active virus of this deadly disease has not been detected in the breast-milk of any mother with
confirmed or suspected COVID-19. At this time therefore, there is no evidence that COVID-19 would be transmitted through
breastfeeding or by giving breast-milk that has been expressed by a mother who is confirmed or suspected to have
COVID-19.
Of the 13 Pacific Island countries studied in the report, only four have in place some form of legal measure related to
the International Code of Marketing of Breast-milk Substitutes and subsequent resolutions adopted by the World Health
Assembly (the Code). However, only two of these four countries, including Fiji and Palau, have taken regulatory actions
substantially aligned with the Code.
UNICEF and WHO strongly recommend that babies be fed nothing but breast-milk for their first six months, after which
they should continue breastfeeding – as well as eating other nutritious and safe foods – until two years of age or
beyond. Breast-milk saves children’s lives as it provides antibodies that give babies a healthy boost and protect them
against many childhood illnesses.Breastfeeding under threat as health systems stretched thin
Babies who are exclusively breastfed are 14 times less likely to die in the first six months than babies who are not
breastfed. However, today, only about 50 per cent of infants six months and below in the Pacific are exclusively
breastfed. Inappropriate marketing of breast-milk substitutes continues to undermine efforts by UNICEF, WHO and Pacific
Island governments to improve breastfeeding rates and the COVID-19 crisis is intensifying the threat.
“While progress has been made, far too many countries in the Pacific region are falling behind in putting in place and
enforcing legal measures to protect babies from breast-milk substitutes,” said Sheldon Yett, UNICEF Pacific
Representative. “With thousands of mothers in the region facing strained healthcare systems, fear of infection and
lockdowns with COVID-19, UNICEF is working closely with the Pacific Island governments to ensure that we step up efforts
to ensure that families receive the support they need to breastfeed their children.”
The Code regulates the promotion of breast-milk substitutes, including advertising, gifts to health workers and
distribution of free samples. Labels cannot make nutritional and health claims or include images that idealize infant
formula. Instead, labels must carry messages about the superiority of breastfeeding over formula and the risks of not
breastfeeding.
“Protecting parents from misleading promotion of formula milk is critical in our region, as such promotion undermines
breastfeeding,” said WHO Representative to the South Pacific, Director of the Division of Pacific Technical Support, Dr.
Corinne Capuano. “Exclusive breastfeeding is recommended up to six months of age and it’s the perfect food for the
newborn.”
Adoption, monitoring and enforcement of the Code is inadequate in most Pacific Island countries. The report, "Marketing of breast-milk substitutes: National implementation of the International Code – Status report 2020,” provides updated information on the status of country implementation, including which measures have and have not been
enacted into law.
UNICEF and WHO are working closely with Pacific Island governments on strengthening protection and support for
breastfeeding in the context of COVID-19, and caution against unnecessary and harmful donations of breast-milk
substitutes.
The 13 Pacific countries and areas studied in the report include: Cook Islands, Federated States of Micronesia, Fiji,
Kiribati, Marshall Islands, Nauru, Niue, Palau, Samoa, Solomon Islands, Tonga, Tuvalu and Vanuatu.Breastfeeding and COVID-19
Women with confirmed or suspected COVID-19 can breastfeed if they wish to do so but with precautions including:Washing hands frequently with soap and water or using alcohol-based hand rub especially before touching the baby;Wearing a medical mask during any contact with the baby, including while feeding;Sneezing or coughing into a tissue. Then disposing of it immediately and washing hands again;Routinely cleaning and disinfecting surfaces after touching them.
Even if mothers do not have a medical mask, they should follow all the other infection prevention measures listed and
continue breastfeeding.