The appeal, during World Breastfeeding Week, comes as WHO warned that not using mother’s milk is linked to 820,000 child deaths a year, at a cost to the global economy of $300 billion.

“WHO has been very clear in its recommendations to say absolutely breastfeeding should continue,” said Dr. Laurence Grummer-Strawn, head of the World Health Organization’s Food and Nutrition Action in Health Systems unit. “We have never documented, anywhere around the world, any (COVID-19) transmission through breastmilk.”

No substitute

Exclusive breastfeeding for six months has many benefits for the infant and mother which far outweigh any risk from the new coronavirus pandemic, according to WHO.

These advantages include the fact that breastmilk – including milk which is expressed – provides lifesaving antibodies that protect babies against many childhood illnesses.

This is only one of the reasons why new mothers should initiate “skin-to-skin contact” and “room-in” with their babies quickly, as “the risks of transmission of the COVID-19 virus from a COVID-positive mother to her baby seem to be extremely low”, added Dr. Grummer-Strawn.

Having tested the breastmilk of “many” mothers around the world in a variety of studies, the WHO official explained that although a few samples had contained the virus, “when they followed up to see whether the virus was actually viable and could be infective, they could not find any actual infective virus”.

Underscoring the WHO’s longstanding support for using mother’s milk over substitutes, Dr. Grummer-Strawn also warned that the pandemic had weakened essential breastfeeding support usually provided to families with newborns.

COVID ‘undermining essential support’

“The interruption of services has been tremendous around the world providing the kind of support mothers normally would get with breastfeeding,” Dr. Grummer-Strawn told journalists.

“Oftentimes, the health services that would provide maternal child health have been diverted to take care of the COVID response; sometimes families do not feel comfortable in going into the health services, because they’re afraid that they might get COVID and so they don’t come for the routine kinds of support.”

According to the WHO, “about 820,000 children’s lives are lost every year because of a lack of breastfeeding”,  Dr.  Grummer-Strawn continued, in reference to deaths among under-fives. “Economically, there are losses of about $300 billion a year in economic productivity, lost because of a lack of breastfeeding,” he added.

Numerous good things come from breastfeeding – for the child and their mother in developing and industrialized countries – WHO has long maintained.

It has insisted that “it is not safer to give infant formula milk”, together with UN Children’s Fund (UNICEF) and the International Baby Food Action Network (IBFAN).

Benefits for baby and mother

The three organizations have united in their call to Governments to protect and promote women’s access to skilled breastfeeding counselling, for World Breastfeeding Week 2020 (1-7 August).

“Breastfeeding provides benefits during the time of breastfeeding, and those that are most recognised are protection against diarrhoea, which is one of the top causes of mortality in low-income countries, protection against respiratory infections, against obesity – childhood obesity later on – as children get older, protection against leukaemia,” said Dr. Grummer-Strawn.

Breastfeeding also protects the mother against breast cancer, ovarian cancer, Type 2 diabetes later on, the WHO official said, “so there are benefits for both the mother and the baby, and when we added these up it comes out to about 820,000 lives around the world, even in high-income countries”.

In addition to the pandemic, breastfeeding is under pressure from what WHO and UNICEF have described as harmful promotion of breast-milk substitutes.

Countries could do more to protect parents from misleading information, the UN agencies believe. “We continue to be very concerned about the practices of the formula industries, both the big multinational corporations as well as in many countries there are local manufacturers of breastmilk substitutes that are trying to get mothers to get on to their products,” said Dr. Grummer-Strawn. “They use a number of tricks, sometimes it’s not as blatant advertising as it once was, because they know that they can get caught.”

According to WHO, of 194 countries analysed, 136 have legal measures related to the International Code of Marketing of Breast-milk Substitutes and subsequent resolutions adopted by the World Health Assembly (known as the Code).

Tricks of the trade

However, only 79 countries prohibit the promotion of breast-milk substitutes in health facilities, and only 51 have provisions that prohibit the distribution of free or low-cost supplies within the health care system, WHO said in a report published in May.

Only 19 countries have prohibited the sponsorship of scientific and health professional association meetings by manufacturers of breast-milk substitutes, which include infant formula, follow-up formula, and growing up milks marketed for use by infants and children up to 36-months old, the UN health agency study found.

WHO and UNICEF 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 at least two years old.

“The aggressive marketing of breast-milk substitutes, especially through health professionals that parents trust for nutrition and health advice, is a major barrier to improving newborn and child health worldwide,”  said  Dr.  Francesco  Branca, Director of WHO’s Department of Nutrition and Food Safety. “Health care systems must act to boost parent’s confidence in breastfeeding without industry influence so that children don’t miss out on its lifesaving benefits.”

According to the UN, the Humanitarian Country Team, the COVID-19 Response Plan aims to provide “critical health interventions and multi-sectoral humanitarian assistance” to those in epidemic hotspots and will be the largest response since 2013, when Typhoon Haiyan/Yolanda ravaged the country and claimed  some 7,800 lives.

“The pandemic is challenging the capacity of response of any single country in the world”, said Gustavo Gonzalez, UN Resident Coordinator and Humanitarian Coordinator in the Philippines.

“Our role is to make best use of our global knowledge and resources to join Government’s efforts to contribute to the safety and well-being of the Filipino people”, he added.

Building resiliency

Some 50 UN and local and international non-Government partners are involved in the programme. And with a price tag of about P6 billion – $122 million – 23 per cent of the response plan has already been mobilized, the UN said.

The plan is being kicked off as the epicenter of Manila and surrounding provinces have returned to lockdown after eased quarantine measures saw a surge in cases. 

Millions remain out of jobs, while the already crippled economy face bleak forecasts, according to news reports.

The response plan to COVID-19 concentrates on supporting the Government in addressing its immediate challenges, including health, food security, water and sanitation.

And while it spans until the end of the year, the plan will be updated according to needs as they arise throughout the deadly pandemic.

The response plan is also a steppingstone to the UN’s mid- and long-term support to COVID-19 recovery, which will be developed in the upcoming UN Socioeconomic and Peacebuilding Framework.

“As we work together to support Government efforts to contain the virus against the demand to restore the economy, the UN and humanitarian partners will continue to seize opportunities to build greater resiliency, equity and inclusivity, in short, to build forward better,” Mr. Gonzalez explained.

Describing education as “the key to personal development and the future of societies”, António Guterres issued recommendations to get children back in the classroom in a policy brief launched alongside a new global campaign called Save our Future.

“As the world faces unsustainable levels of inequality, we need education – the great equalizer – more than ever,” he said in a video message.

“We must take bold steps now, to create inclusive, resilient, quality education systems fit for the future.”

COVID-19 and the classroom

The UN estimates that the pandemic has affected more than one billion students worldwide.

Despite efforts to continue learning during the crisis, including through delivering lessons by radio, television and online, many are still not being reached.

The UN chief said learners with disabilities, members of minority or disadvantaged communities, as well as refugees and displaced persons, are among those at highest risk of being left behind.

Even those students who can access distance learning face challenges, as success depends on their living conditions, and other factors such as fair distribution of domestic duties.

Looming potential catastrophe

A learning crisis existed even before the pandemic, the Secretary-General said, as more than 250 million children were out of school.

Furthermore, only a quarter of secondary school children in developing countries were leaving school with basic skills.

“Now we face a generational catastrophe that could waste untold human potential, undermine decades of progress, and exacerbate entrenched inequalities,” said Mr. Guterres. “The knock-on effects on child nutrition, child marriage and gender equality, among others, are deeply concerning.”

© UNICEF/Daniele Volpe

Children work from home in Guatemala following guidelines received from the Ministry of Education during the COVID-19 pandemic.

Back to school

The policy brief calls for action in four key areas, starting with the re-opening of schools once local transmission of COVID-19 is under control.

The UN chief also called for greater investment in education, as low- and middle-income countries had already faced an annual funding gap of $1.5 trillion prior to the pandemic.

“Education budgets need to be protected and increased,” he said.

“And it is critical that education is at the heart of international solidarity efforts, from debt management and stimulus packages to global humanitarian appeals and official development assistance.”

Education initiatives must also seek to reach those at greatest risk of being left behind, he continued. They also should be sensitive to the specific challenges faced by girls and boys, and women and men, while also addressing the digital divide.

Quality education for all

For his final recommendation, the UN chief highlighted what he sees as the “generational opportunity” to deliver quality education for all children, in line with the Sustainable Development Goals (SDGs).

The 17 goals, which world leaders adopted five years ago, provide a pathway to a more sustainable future that benefits both people and the planet.

“To achieve this, we need investment in digital literacy and infrastructure, an evolution towards learning how to learn, a rejuvenation of life-long learning and strengthened links between formal and non-formal education,” said Mr. Guterres.

“And we need to draw on flexible delivery methods, digital technologies and modernized curricula while ensuring sustained support for teachers and communities.”