Infant Feeding and Climate Change Chwang Leh-Chii Taiwan BF Forum 8 UB, Mongolia Sept. 14, 2011 LCChwang, BF Forum 8, 2011
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Infant Feeding and Climate Change Chwang Leh-Chii Taiwan BF Forum 8 UB, Mongolia Sept. 14, 2011 LCChwang, BF Forum 8, 2011 1 Feeding Practice in Taiwan Year Age EB (month) (%) Mix (%) FF (%) Year Age EB (month) (%) Mix (%) FF (%) 2010 1 2 4 6 58.5 48.4 36.2 26.3 85.4 70.6 53.6 46.0 41.5 51.6 63.8 73.7 2008 1 2 4 6 54.3 37.9 25.8 15.9 72.9 54.3 39.9 32.4 45.7 62.1 74.2 84.1 2009 1 2 4 6 56.7 44.0 34.3 22.4 81.3 63.6 49.8 41.6 43.3 56.0 65.7 77.6 2004 0 1 4 6 29.4 33.2 16.9 13.1 57.6 54.2 27.5 19.8 71.6 66.8 83.1 86.9 EB: Exclusive Breast Feeding FF: Formula Feeding Source: Health Promote Bureau, 2011 LCChwang, BF Forum 8, 2011 2 Feeding Practice in Taiwan 1 month 2 month 100 100 90 90 80 80 70 70 60 60 % 50 % 50 40 40 30 30 20 20 10 10 0 2004 2008 2009 2010 0 EB Mix FF EB 4 month Mix FF 6 month 100 100 90 90 80 80 70 70 60 60 % 50 % 50 40 40 30 30 20 20 10 10 0 0 EB Mix FF Source: Health Promote Bureau, 2011 EB Mix FF LCChwang, BF Forum 8, 2011 3 Trends in Formula Feeding (%) Age 2004 2008 2010 2010-2008 2010-2004 1 month 71.6 45.7 41.5 ↓ 4.2 ↓ 30.1 2 month 66.8 62.1 51.6 ↓ 10.5 ↓ 15.2 4 month 83.1 74.2 63.8 ↓ 10.4 ↓ 19.3 6 month 86.9 84.1 73.7 ↓ 10.4 ↓ 13.2 Source: Health Promote Bureau, 2011 LCChwang, BF Forum 8, 2011 4 Commercial Complementary Feeding Practice • Only 20% caregivers used commercial baby foods (US 73%, 90% for full-time working mothers). i.e. The majority of complementary foods are home made. • Major complementary foods are baby cereals, fruit/vegetable juice or pureed, porridge, fish, egg, purred meat, to-fu. Source: 2005-2008 NAHSIT LCChwang, BF Forum 8, 2011 5 Trends in Commercial Complementary Feeding • Half infant started juice at age 4-6 months, baby cereal at age 7-12 months, biscuits at age 10-12 months. • Recommendation: caregivers use spoon to feed infants pureed foods and avoid mixing with milk powder in milk bottle. However, 75% infants get foods from bottle. • Commercial products of baby cereal mixed with milk powder are getting popular. LCChwang, BF Forum 8, 2011 6 Trends in Commercial Complementary Feeding • Mothers are the main decision makes (80%) in complementary foods. Mothers are target person for education • Current recommendation to introduce complementary foods. 4-6 month starting from with baby cereal, F/V juice, 7-9 month: pureed, semi-liquid food, 8 month: fruit, 9 month: whole egg. in respond to EB up to 6 month, recommendation should be revised. LCChwang, BF Forum 8, 2011 7 Infant Formula Imported to Taiwan Year Imported (1,000Kg) 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 11,647 9,276 8,520 7,767 8,048 7,788 7,938 6,864 5,941 6,590 Birth rate ‰ Value NT$ (billion) US$ (million) 11.7 11.0 10.1 9.6 9.1 9.0 8.9 8.5 8.3 7.2 Source: Directorate General of Customs, Ministry of Finance Department of Health 22.3 18.1 16.5 15.2 15.7 16.1 17.3 16.7 16.3 17.3 74.3 60.3 55.0 50.6 52.3 53.6 57.6 55.6 54.3 57.6 LCChwang, BF Forum 8, 2011 8 Possible Green House Gas (GHG) Emissions from Infant Formula, 2010, Taiwan • 4,356Kg powder formula = 66.7 tons CO2 • 6,590,000Kg formula* = 100,907 tons CO2 Age <1 Age =1 Age =2 157,282 194,878 199,174 551,334 babies 183 Kg Co2/baby 1 tree (40 years) = 400~700 Kg Co2 * Infant formula including follow up formula and liquid formula LCChwang, BF Forum 8, 2011 9 Thank You! We must become the change we want to see… Mohandas Karamchand Gandhi (1869-1948) LCChwang, BF Forum 8, 2011 10