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Infant Feeding and Climate Change. Chwang Leh-Chii Taiwan. BF Forum 8 UB, Mongolia Sept. 14, 2011. Feeding Practice in Taiwan. Year Age EB Mix FF ( month ) (%) (%) (%) 2008 1 54.3 72.9 45.7 2 37.9 54.3 62.1 4 25.8 39.9 74.2 6 15.9 32.4 84.1 2004 0 29.4 57.6 71.6
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Infant Feeding and Climate Change Chwang Leh-Chii Taiwan BF Forum 8 UB, Mongolia Sept. 14, 2011
Feeding Practice in Taiwan Year Age EB Mix FF (month) (%) (%) (%) 2008 1 54.3 72.9 45.7 2 37.9 54.3 62.1 4 25.8 39.9 74.2 6 15.9 32.4 84.1 2004 0 29.4 57.6 71.6 1 33.2 54.2 66.8 4 16.9 27.5 83.1 6 13.1 19.8 86.9 Year Age EB Mix FF (month) (%) (%) (%) 2010 1 58.5 85.4 41.5 2 48.4 70.6 51.6 4 36.2 53.6 63.8 6 26.3 46.0 73.7 • 1 56.7 81.3 43.3 2 44.0 63.6 56.0 4 34.3 49.8 65.7 6 22.4 41.6 77.6 Source: Health Promote Bureau, 2011 EB: Exclusive Breast Feeding FF: Formula Feeding
Feeding Practice in Taiwan 2004 2008 2009 2010 Source: Health Promote Bureau, 2011
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
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
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.
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.
Infant Formula Imported to Taiwan Imported Birth rate Value Year (1,000Kg) ‰ NT$ (billion) US$ (million) 2001 11,647 11.7 22.3 74.3 2002 9,276 11.0 18.1 60.3 2003 8,520 10.1 16.5 55.0 2004 7,767 9.6 15.2 50.6 2005 8,048 9.1 15.7 52.3 2006 7,788 9.0 16.1 53.6 2007 7,938 8.9 17.3 57.6 2008 6,864 8.5 16.7 55.6 2009 5,941 8.3 16.3 54.3 2010 6,590 7.2 17.3 57.6 Source: Directorate General of Customs, Ministry of Finance Department of Health
Possible Green House Gas (GHG) Emissionsfrom Infant Formula, 2010, Taiwan • 4,356Kg powder formula = 66.7 tons CO2 • 6,590,000Kg formula* = 100,907 tons CO2 Age <1 157,282 Age =1 194,878 Age =2 199,174 551,334 babies 183 Kg Co2/baby 1 tree (40 years) = 400~700 Kg Co2 * Infant formula including follow up formula and liquid formula
Thank You! We must become the change we want to see… Mohandas Karamchand Gandhi (1869-1948)