“For every health and developmental outcome breastfeeding confers significant benefits, but what’s the point of advising breastfeeding when patients live in a context where it’s nearly impossible.”

@drguddisingh speaking at the launch of @thelancet 2023 series on #breastfeeding
Katie Gilbert, managing director at M&C Saatchi World Services says that this is about caregivers being misled by an industry that spends over $3 billion on marketing every year. “People need to feel angry about this”
Formula milk is vital - it should be cheap and very high quality and parents should have a right to the best information about what it is and how it affects their children.
That means that no practicing doctor or midwife should take any money ever from the infant formula industry.
This series isn’t just about formula milk - it’s about the impact of commercial interests on child health and development.
A legal global treaty is needed to end the marketing of formula milk - this means putting the @who code into law.
The series is available here - thelancet.com/series/breastf…
Exceptional leadership by @richardhorton1

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More from @DoctorChrisVT

Feb 6
At some point in all our lives we will be kept alive by a nurse. Morally and practically we should pay them properly. Yet my nursing colleagues have had a decade of real terms pay cuts - I support the #nursingstrike - it’s not about politics it’s about public health. Some say…
…that nurses are paid above average wage.
1. They should be: it’s incredibly skilful work with enormous responsibilities
2. This is a nursing STAFF strike which includes many people who are paid way below average and who have been terribly affected by the economic crisis
Now some people (many ministers) say it will exacerbate inflation but the evidence says otherwise - paying public sector workers properly is not an engine of inflation. High prices are coming from increases in the price of energy and food, imported from elsewhere in the world…
Read 5 tweets
May 31, 2022
Food addiction is scientifically unfashionable (for good reasons) but lots of us do feel addicted to Ultra Processed Food - aka UPF. So @xandvt and I made a series about addition, food and trying to change. It starts today on @BBCRadio4 and @BBCSounds bbc.co.uk/programmes/m00…
We spoke to @GilesYeo about why Xand is 20kg heavier than me and how genes affect our weight through our brains and behaviour - buy his amazing book here simonandschuster.com/books/Gene-Eat…
@KevinH_PhD told us about his groundbreaking experiment showing that it's the processing of food more than the nutritional content which drives weight gain. It’s impossible to overstate his impact on the field of global nutrition.
Read 11 tweets
Feb 21, 2021
Lots of truth in this video - colossal damage to business, mental health and treatment of non-COVID disease. But these are the exact reasons NOT to release lockdown early. Crushing community transmission before gradual release is the best hope of avoiding further lockdowns.
James presents a similar logic to the Great Barrington Declaration - shield those who want to be shielded. But without any detailed consideration of the hard data about what this looks like.
It’s not possible to wall vulnerable people away from everyone else. They need food, medicine, services care. Who will deliver these?
Read 7 tweets
Feb 20, 2021
I have two daughters so I was interested in this study. If I had a son (and I lived in the Netherlands) I would have a 20.12% chance of divorce by the time he was 18. Turn that son into a daughter and the rate of marriage collapse skyrockets 🚀 to a staggering...
...20.48%.

An absolute risk increase of 0.36%.

Without exhaustively going through the methodological flaws it’s very clear that this isn’t important. Divorce rates whether you have boys or girls are the functionally identical.
The “daughters have long been linked with divorce” has a subtle misogyny that I don’t expect from the Economist and the paper gives precisely no insight into anything useful at all.
Read 4 tweets
Feb 20, 2021
The K number describes the variability in the number of people an infected person infects! So pathogens with low K numbers (like SARS-CoV-2) are spread by a SMALL number of infected people who pass the virus to a LARGE number of others. This is really important...thread
For the influenza which caused the 1918 pandemic, K is around 1. So 60% of people spread the virus. Sars, Mers and COVID-19 have K around 0.1 so only around 30% of people are responsible for most of the spread of the virus. Large outbreaks are caused by a few super-spreaders.
This makes control trickier - isolating many people won’t make much difference if you miss a few super spreaders. One person can mess it up for everyone.
Read 9 tweets
Feb 15, 2021
This is not an important study. Neither its findings nor its methods are clear. It is flawed to the point where it has no use.
I’m sympathetic to David Davis not understanding cluster randomisation, bias in trials, t-tests and Kaplan Meier analyses, but...
...I’m not clear why he would share something he didn’t understand and follow it with such dogmatic assertions about policy?
The damage that sharing this does isn’t that people will take too much vitamin d - a small regular supplement won’t be harmful. nhs.uk/conditions/vit…
Read 15 tweets

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