Curtin University, Perth, Australia.
Asia Pac J Public Health. 2012 Jul;24(4):672-80. doi: 10.1177/1010539512453253. Epub 2012 Jul 11.
In the aftermath of many disasters the silence is punctuated by the crying of infants, hungry infants. The aim of this paper is to discuss ethical issues in feeding infants after disasters. The Asia Pacific region generates 25% of the world's GDP, but experiences 45% of natural disasters and 42% of the economic losses due to disasters. The region has 61% of the world's population, but 86% of the population affected by disasters. Breastfeeding, exclusive to six months and continuing thereafter, is important for growth and the health of the infant in the short term and later in life. In most natural disasters, mothers and infants will both suffer, but in some disasters, such as earthquakes and building collapses, infants can survive in small spaces. Infants separated from mothers require a wet nurse (rarely available) or feeding with infant formula and sterile water. Formula companies often donate supplies of infant formula but distribution should follow ethical principles. Mothers who are injured or short of food can still continue breastfeeding and don't need formula. Where formula must be used, health workers need to follow the highest ethical standards to avoid promoting infant formula to vulnerable communities in the post recovery phase.
在许多灾难之后，婴儿的哭声打破了寂静，他们是饥饿的婴儿。本文旨在讨论灾难后喂养婴儿的伦理问题。亚太地区占全球 GDP 的 25%，但经历了 45%的自然灾害，以及 42%的因灾经济损失。该地区拥有世界 61%的人口，但却承受了 86%的受灾人口。母乳喂养，持续到六个月并持续到以后，对婴儿的短期和长期生长和健康都很重要。在大多数自然灾害中，母亲和婴儿都会受到影响，但在某些灾害中，如地震和建筑物倒塌，婴儿可以在小空间中存活。与母亲分离的婴儿需要奶妈（很少有）或用婴儿配方奶粉和无菌水喂养。配方奶粉公司经常捐赠婴儿配方奶粉，但分配应遵循伦理原则。受伤或食物短缺的母亲仍可以继续母乳喂养，而不需要配方奶粉。如果必须使用配方奶粉，卫生工作者需要遵循最高的伦理标准，以避免在灾后恢复阶段向弱势社区推销婴儿配方奶粉。
