I think that it is unlikely for banked donor milk to be able to be widely available in the community. However,  think it is a realistic possibility that every maternity hospital could have banked donor milk available to infants who have hypoglycaemia or whose mother's milk is delayed because of a PPH for example. 
I wonder if milk banking people on Lactnet could comment on why milk banks are more widely available in Brazil than in the developed West?
Karleen Gribble
Australia

On 29/05/2013, at 4:55 PM, Sarah Vaughan wrote:

> This is really interesting stuff - thanks, Jannette, Hilary, Jeanette and Jane! From what you're saying, it sounds as though it would *not* be feasible to manufacture human milk cheaply without cutting corners that most of us really wouldn't want to cut!
> 
> I'm also thinking there are issues around physical accessibility (i.e. getting it somewhere where mothers can get hold of it easily - corner grocery store, that kind of thing) that would also come down to the 'economy of scale' thing - the costs of getting stuff distributed are worthwhile when you're selling large amounts of that stuff, but not for small quantities unless it's very expensive. 
> 
> 
> Best wishes,
> 
> Dr Sarah Vaughan
> MBChB MRCGP
> 
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