Nikki-

I'm wondering if there is some confusion about the purpose of the Guide. The 
Guide was written in order to help communities decide on the most effective 
interventions to promote breastfeeding.  Just as we ask doctors and midwives 
to take evidenced based actions in their practices, it is important for us 
to look at our practices and see which show evidence of their effectiveness. 
Particularly when funds may be an issue, knowing how to get the most out of 
our money is a valuable thing for state and local entities, as well as for 
local volunteers.

The Guide does not propose getting rid of the code. Limited evidence means 
exactly that- at this time there is limited evidence that using the WHO code 
is an effective means of increasing breastfeeding rates. It is possible that 
this is simply because more research is needed. It is possible that the lack 
of any enforcement of the WHO code in the United States limits what using 
the WHO code can acheive here. Please also note that "Although evidence of 
effectiveness is limited for these interventions, CDC does not discourage 
their implementation."

While it is easy to see government as the big, bad wolf I think we need to 
keep in mind that there are many, many honorable government employees, who 
believe in breastfeeding as much as anyone else on this list, and who are, 
in fact, long term members of the Lactnet community.

Warmly,

Jennifer Morris, LLLL and eagerly awaiting Oct 19th

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