“Disaster areas are particularly dangerous for infants because their fragile immune systems struggle to cope with stressors like overcrowding, lack of access to clean water and lack of quality medical treatment” says Stasha Jordan, breastfeeding activist and executive director of the South African Breastmilk Reserve (SABR).
Read more: How to boost breastmilk
Diarrhoea is rarely fatal in adults, but it kills over 2 million children under the age of 5 each year around the world. Up to 90% of deaths in emergency situations are due to diarrhoea.1 To compound this tragedy, many of these deaths are avoidable through breastfeeding.
A stark illustration of this fact is the investigation by the Centre for Disease Classification (CDC) into the deaths of more than 500 children in Botswana in 2005-06 after a major flood. The study found that nearly all the babies who died were formula fed, and that breastfeeding infants were almost entirely spared.2
Some of these deaths result directly from contaminated water, but even access to clean drinking water does not guarantee an infant’s safety. The United Nations Refugee Agency has found that “insufficient water means that containers and utensils used for mixing milk are often dirty, thus making secondary contamination highly probable. [Dried skim milk], [dried whole milk] or infant formula that are reconstituted with contaminated water are ideal media for breeding harmful bacteria."3
Proper cleaning and sterilising of cleaning implements, surfaces and hands consumes enormous amounts of water. Feeding an infant eight times a day on formula requires 24 litres of clean water per day, and about 170 litres per week.4
Read more: Breastfeeding benefits... for you!
Yet each time there is a humanitarian disaster, aid agencies are flooded with donations of breastmilk substitutes. This stems from a widespread misconception that, during disasters, women’s breastmilk is somehow compromised.5
“Many mothers are worried that, during times of stress or hunger, their breastmilk will not be sufficient to provide for their baby’s needs, and so they are swayed into formula feeding by well-meaning aid workers,” says Jordan, “The irony is that continuing to breastfeed is the single most healthy thing that they could do for their child,” she adds
Karleen Gribble and Nina Berry, two leading academics on breastfeeding, state unambiguously that “mothers who are exclusively breastfeeding are able to continue to provide food to their infants regardless of the stress they might be experiencing and their own access to food" and that "exclusive breastfeeding could be considered an emergency preparedness activity."4
Five of our provinces have already been declared disaster areas as a result of the drought, and millions of the country’s poorest people are struggling to access enough clean water. In that context, supporting breastfeeding mothers is more vital than ever.
“It is our collective responsibility as a society to ensure that babies who are already being breastfed continue to be and that babies who are not breastfed re-start breastfeeding,” says Jordan. ”Together we can help prevent a humanitarian disaster and save the lives of thousands of infants,” she concludes.
To get involved and alleviate the challenges faced by the SABR, including low breastfeeding rates in South Africa, sourcing donor mothers and funding for the operation of the milk-banks, please visit www.sabr.org.za or call 011 482 1920 or e-mail: email@example.com.
1. Why infant formula causes deaths due to diarrhoea. Karleen Gribble (2007).
2. Protecting infants in emergencies: Information for the Media, IFE Core Group
3. UNHCR policy related to the acceptance, distribution and use of milk products in refugee settings
4. Emergency preparedness for those who care for infants in developed country contexts, Gribble and Berry, International Breastfeeding Journal (2011)
5. Supporting breastfeeding in emergencies: protecting women’s reproductive rights and maternal and infant health, Karleen D. Gribble, Marie McGrath, Ali MacLaine and Lida Lhotska