Mai 2021
«La propagande malavisée sur l'alimentation des nourrissons doit être punie comme la forme la plus misérable de sédition; ces décès doivent être considérés comme des meurtres. » - Dr Cicely Williams, 1938
Mai 2021 marque le 40e anniversaire de l'adoption du Code international de commercialisation des substituts du lait maternel - par un vote presque unanime des États membres de l'Assemblée mondiale de la Santé (WHA). Le Code est le résultat d'un long processus participatif sur plusieurs années, avec un plaidoyer intense de la part des militants du monde entier et des prestataires de soins de santé et des gouvernements des États en voie de décolonisation.
Le document sur lequel beaucoup d'entre nous se penchent pour trouver des conseils sur les défis éthiques quotidiens peut sembler éloigné et éloigné des défis pratiques. Pourtant, les termes et concepts juridiques contenus dans le Code et les résolutions pertinentes ultérieures sont nés du besoin le plus pratique de protéger les familles à un moment où leur santé est directement menacée par des intérêts commerciaux.
L'urgence que le Dr Cicely Williams a exprimée dans son discours de 1938 au Rotary Club de Singapour reste aussi urgente et réelle aujourd'hui, sinon plus. Malgré 40 ans de plaidoyer et des progrès significatifs dans la mise en œuvre de la législation du Code à travers le monde, les mêmes images qui ont poussé les prestataires de soins de santé, les gouvernements et les militants à agir dans les années 1970 sont prises aujourd'hui.
Image 1 - Infirmières en Afrique du Sud dans les années 1950 (https://www.researchgate.net/figure/Nestle-Milk-nurses-in-South-Africa-c-1950_fig3_32898323)
Image 2 - https://www.nestle-cwa.com/en/media/newsandfeatures/nnia-advanced-training
À quoi ressemble le Code aujourd'hui et à quoi ressemblera-t-il dans les 40 prochaines années? Connectez-vous à l'événement du Global Breastfeeding Collective le 21 mai pour voir où nous avons été et à quoi ressemble l'avenir.
Michelle Pensa Branco MPH IBCLC
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References:
Williams, Cicely. 1938. Of Milk and Murder. https://archive.wphna.org/wp-content/uploads/2014/03/1939_Cicely_Williams_Milk_and_murder.pdf
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