Hi all 
I think it is important to understand that public health solutions are
rarely simple and almost never uni-dimensional.  While it may be the case
that vaccination is not 'the' answer, it might well be an answer or part of
an answer to unacceptable mortality rates in parts of the majority world.
Access to clean water, sufficient food, reproductive autonomy, timely access
to medical care and several other factors will also be at play.  
There is good evidence that one of the factors at play is breastfeeding.
Furthermore that same evidence tells us that poor infant feeding practices
joins with other factors (such as poor sanitation and malaria) in a such a
way as to multiply the risks of each factor.  So the risks of poor infant
feeding practices are not simply added to the risks of poor sanitation but
the two multiply one another.  Ultimately the risks become more than the sum
of the risk factors.
So, public health interventions must be multi-dimensional.  To say that X or
Y is 'not the answer' but that Z is, is to simplify some very very complex
problems in ways that are not particularly helpful.
Cheers
Nina Berry
Australia

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