MEXICO CITY (AP) — Despite the well-known advantages to breast milk and vigorous campaigns around the world championing breast as best, Mexican mothers say the bottle is better.

In a dramatic decline over the past six years, today only one in seven mothers in Mexico breast-feeds exclusively in the first six months, the standard recommended by the World Health Organization. That leaves Mexico with nearly the lowest level of breast-feeding in Latin America.

Experts call it a public health crisis for a country where millions still live in extreme poverty, dirty water threatens the health of many families and education is poor. Mother's milk is richer in nutrients and antibodies that protect newborns from infections.

Mexico has the highest infant mortality rate among the world's 40 largest economies. Between 2005 and 2010, breast cancer deaths increased twice as fast as Mexico's female population, with some experts blaming declining rates of breast-feeding; studies show it cuts a woman's risk of cancer by 50 percent or more.

Officials blame an invasion of baby food ads, little regulation of formula companies and the failure of doctors to promote breast-feeding for an overreliance on formula.

"Mexico has become the example of what not to do. It's the strongest case of a setback in breast-feeding," said Marcos Arana Cedeno, a child nutrition expert and health adviser for the state of Chiapas.

Feeding newborns with breast milk can save lives in developing nations, where children have higher chances of dying from diarrhea and pneumonia. The WHO has recommended for the past decade that infants be given only breast milk for the first six months.

The percentage of Mexican moms who nurse their babies that long fell from 22 percent in 2006 to 14 percent last year, according to a Health Department survey.

Only the Dominican Republic has a lower rate of breast-feeding in the region, at 8 percent. Other nations have improved their numbers, led by Brazil and Colombia, which in the past two decades more than tripled the percentage of mothers breast-feeding — to 47 percent in Colombia and 39 percent in Brazil.

For many mothers drawn into the urban workforce, nursing a baby while juggling a job is too difficult.

"I had to go back to work and I wasn't going to be able to breast-feed him for long. That's why I chose formula," said Ruth Gonzalez, a clothing company manager.

Gonzalez nursed her baby boy, Luis, only at night, after work. He drank formula during the day, and went off breast milk completely after a month. "Formula was just easier," she said.

Yet, even in traditional rural areas, the trend is downward. Breast-feeding fell by half in poor, rural areas, where babies are exposed to more sanitation problems, according to the Health Department survey.

Nutritionists complain that Mexico has not adopted laws to meet guidelines adopted by WHO in 1981, which asked countries to restrict companies from providing free samples of formula or approaching new mothers to push their product.

"It really is a tragedy," said Teresa Gonzalez de Cossio, a nutritionist who researches breast-feeding at the National Institute of Public Health. "There is no one making sure we are following international codes. The country is not setting any goals regarding breast-feeding."

Countries such as Brazil and the United States have long stressed the importance of breast-feeding. The U. S. has improved its rate of mothers who exclusively breast-feed for the first six months to 16 percent in 2012 from 11 percent in 2007, according to the U. S. Centers for Disease Control and Prevention.

Most New York City hospitals no longer hand out promotional samples of formula and ask new mothers to participate in talks on why human milk is better. Portland, Maine, started a campaign asking businesses to make mothers feel welcome to breast-feed wherever they want.

Brazil reversed a decline in breast-feeding in the 1980s by strictly limiting advertising by baby food companies and airing prime-time informational spots with national celebrities to dispel myths, such as that women with small breasts were incapable of nursing.

Mexico lets companies self-regulate on following the WHO guidelines. It has rules that say hospitals and doctors should guide new mothers through breast-feeding, but it doesn't enforce them.

Dr. Rufino Luna Gordillo, the Health Department's deputy director of maternal and newborn care, said Mexico is renewing periodic checks of breast-feeding practices at public and private hospitals, a policy born in the early 1990s that had fallen by the wayside.

"It's clear that these efforts have not been enough to get to the ideal breast-feeding levels," Luna said in a written statement. "We need to debunk many myths about breast-feeding, limit the abuse of infant formula makers ... and award companies that offer nursing rooms."

Some new mothers say they didn't receive any help on breast-feeding after giving birth and say nurses, without seeking permission, offered formula to newborns at the nursery. In addition, with half of the babies born in Mexico via cesarean-section, many mothers struggle to nurse in the first hours and days after surgery.

With little government promotion of breast-feeding, myths proliferate: sagging breasts do not provide healthy milk, or that nursing babies will spoil them. Pediatricians also hear women say that they want to stop breast-feeding so they won't lose their perky breasts.

"In Mexico, breast-feeding is not a normative behavior," said Chessa Lutter, the Pan American Health Organization's regional adviser for food and nutrition. "You are going to see probably walking down the street in Mexico City a lot more bottle-feeding than you are breast-feeding."

Advocates for breast-feeding say big business is to blame. They claim doctors are plied with gifts by formula makers to get them to help introduce infant formula to newborns.

Elia Rangel, mother of a 9-month-old girl, Samantha, said a family physician told her not to breast-feed after six months.

"We don't have information that is up to date," she complained. "I came across a doctor at a public hospital who asked me how old Samantha was. She was 7 months. He told me, 'Breast milk is no good; it can even harm her.' I was like, 'Wow, where did you get this information?'"

The government says it discourages the unnecessary use of formula, but Mexico's own Social Security Institute, whose logo shows a mother breast-feeding, provides formula to women even without a medical need if they present a doctor's note. As long ago as 1993, a study warned that Mexico needed to review that policy because of the high cost in both financial and health terms. The government still pays about $35 million a year on cans of infant formula from the Swiss-based food company Nestle, which receives more than 96 percent of the public money spent on formula.

Nestle and the U. S.-based Mead Johnson, the two main baby food companies in Mexico, responded in statements that they support the WHO's code for breast-milk substitutes and comply with the law. They say they don't advertise food for babies less than 1 year of age or discourage mothers from breast-feeding.

Nestle said it "does not give free supplies of infant formula to hospitals" and cited a 1992 "self-regulatory agreement" that the industry signed with Health Department to end the provisions of formula samples to Mexico's hospitals and doctors.

Chris Perille, spokesman for Mead Johnson, said the company tells health professionals about the benefits of their products but doesn't break the rules.

"Our work with these experts is conducted in accordance with the highest standards of ethics and integrity, and in compliance with all applicable laws, professional requirements and industry guidelines," Perille said in a statement.

___

Adriana Gomez Licon on Twitter: http://twitter.com/agomezlicon

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  1. No waiver of any term of the Conditions shall be deemed a further or continuing waiver of such term or any other term. Any failure to assert any right under the Conditions shall not constitute a waiver of such right.

Affirmation regarding age

  1. By using the Site, you affirm that you are 18 years or over or otherwise possess legal parental or guardian consent.

Applicable Law

  1. These Conditions shall be construed in accordance with and governed by the laws of the Isle of Man. You consent to the exclusive jurisdiction of the courts in the Isle of Man to determine any matter or dispute which arises under the Conditions.

Definitions

  1. In these terms and conditions:

    1. "Material" means text, illustrations, photos, audio, video, or any combination of these or other content, information, data or material.

Publishing Services International Limited Privacy Policy

1. Privacy

The Publisher recognizes the importance of protecting the privacy of its customers. For the purposes of this Privacy Policy, "customers" includes visitors to the Site, subscribers to and users of the Publisher's services, purchasers of its products and advertising customers. This privacy policy is intended to inform you about the personal information that is collected from you when you visit the Site, and in the other circumstances described under the heading "Collection of personal information" below, how this information may be used and disclosed, how you can control the use and disclosure of your information, how your information is protected, and how you can access that information. The Publisher may, from time to time, review and update this Privacy Policy, including taking account of new or amended laws, new technology and/or changes to its operations. This Privacy Policy applies only in respect of the Site. This Privacy Policy does not apply to information collected through any other website (other than by or on behalf of the Publisher in the circumstances described under the heading "Collection of personal information" below) or to the practices of companies that the Publisher does not control. Please note that the Site may contain links to other websites. For example, if you click on an advertisement on the Site and link to another website, then this Privacy Policy will not apply to any information collected on that website. The Publisher is not responsible for the privacy practices of other websites, and the Publisher recommends that you read the privacy policies of each website that you visit. All personal information held by the Publisher will be governed by the most recently updated Privacy Policy.

2. Collection of personal information

The Publisher collects personal information when the Publisher provides its services to you. When you visit and interact with the Site, certain information may be collected automatically, including:

  • your computer's Internet Protocol (IP) address;
  • your browser type and operating system;
  • the web pages you were visiting immediately before and after you came to the Site;
  • activities within community discussions;
  • web pages and advertisements that you view, and links that you click on, within the Site;
  • your bandwidth speed and information about the software programs that are installed on your computer;
  • aggregated data about email click‑through rates and user video viewing;
  • standard server log information; and
  • information collected through HTML cookies, Flash cookies, web beacons, and similar technologies.

The Publisher usually collects personal information directly from you, although sometimes the Publisher may use agents or service providers to do this for the Publisher. The Publisher may also acquire lists from other sources, both from other companies and from other public documents. This may include advertisers, mailing lists, recruitment agencies, contractors and business partners. The Publisher may also access information about you from third‑party sources and platforms (such as social networking sites, databases, online marketing firms, and ad targeting firms), including:

  • if you access third‑party social networking services (such as Facebook Connect or Twitter) through the Site, your username and connection lists for those services;
  • demographic data, such as age range, gender, and interests;
  • advertisement interaction and viewing data, such as ad click‑through rates and information about how many times you viewed a particular ad; and
  • unique identifiers, including mobile device identification numbers, that can identify the physical location of such devices in accordance with applicable law.

Please note that the Site may combine the information that we collect with information that the Publisher may obtain from third‑party sources. The Publisher may collect your personal information when you request or acquire a product or service from the Publisher, register with the Publisher as a member (including user name and password and contact information such as name, email address, postal address, phone number, and mobile number), provide a product or service to the Publisher, complete a survey or questionnaire, enter a competition or event, contribute in a fundraising event, participate in one of the Publisher's services (including blogs, forums, community discussions and other interactive features), search queries conducted on the Site, or when you communicate with the Publisher by e‑mail, telephone, or in writing.

The Publisher usually collects personal information such as your name, address, telephone number, and in some instances, your financial details, including your credit card information, in addition to the other specific types of information described above. The Publisher also collects information about you that is not personal information. For example, the Publisher may collect data relating to your activity on its websites (including IP addresses) via tracking technologies such as cookies, or the Publisher may collect information from you in response to a survey.

As a general rule the Publisher does not collect sensitive information, however it reserves the right to do so. If the Publisher does, it will usually be for the purposes of providing its goods or services and if the law requires the Publisher to, the Publisher will seek your consent to collect it.

If you do not provide the Publisher with information described above, the Publisher may not be able to its services to you.

If, at any time, you provide personal information about someone other than yourself, you warrant that you have that person's consent to provide such information for the purpose specified.

If you are located outside of the Isle of Man, please note that personal information provided by you or otherwise collected as described above will be transferred to the Isle of Man.

3. Use of personal information

The Publisher uses personal information to provide its services (which may include the display of personalised content and advertising) to you, to fulfil administrative functions associated with these services, for example billing, to enter into contracts with you or third parties and for marketing and client relationship purposes. The Publisher also generally uses personal information to report statistics, analyse trends, diagnose problems and target and improve the quality of its products and services. By accessing the Site, you agree that the Publisher may use your personal information for the purposes and by the means described in this Privacy Policy, and you agree that the Publisher may use your mobile number to send you promotions, notifications, or other services. In order to provide readers with free access to content, the Publisher displays advertisements on the Site, many of which are targeted based on information about you. For example, using information collected through cookies, web beacons, and other sources, the Publisher may use demographic data or information about your online activities or interests to display targeted advertising that may be relevant to your preferences. Through this process, advertisers reach Site visitors who are most interested in their products, and you see advertising for products or services in which you may be interested. Third‑party advertisers and advertising platforms also may serve targeted ads on the Site. Please remember that the information practices of third‑party advertisers or platforms collecting data on our Site are not covered by this privacy policy. The Publisher may also use the information that it collects to prevent illegal activities, to enforce the Site's Terms and Conditions, and to otherwise protect its rights and the rights of its users. In addition to the uses identified above, the Publisher may use the information that it collects for any other purposes disclosed to you at the time it collects your information or pursuant to your consent. Where your personal information is contained within an advertisement which the Publisher publishes for you, the Publisher may also use your information for publication of that same advertisement in other media, in accordance with the terms and conditions of the initial publication. The Publisher may also use your personal information to assist the Publisher in improving its products and services and to let you know about goods, services, or promotions which may interest you.

4. Disclosure to and use by Third Parties

The Publisher values your privacy, and shares information about its users only under certain circumstances. The Publisher may share your information with other companies which are related to the Publisher. The Publisher may disclose your information to its service providers and contractors from time to time to help the Publisher to provide and market its goods and services to you. The Publisher may also share your information with third parties who provide prizes for competitions or reader offers. If the Publisher does this, the Publisher generally requires these parties to protect your information in the same way as the Publisher does.

The Publisher will make information about you available to other companies, applications, or people in the circumstances listed below:

  • The Publisher may share aggregated information or information that does not directly identify you with third parties to help the Publisher develop content, services, and advertising that the Publisher hopes you will find of interest. Please note that the Publisher does not share contact information with third parties that advertise on the Site.
  • The Publisher may employ third parties to perform Site‑related services, including database management, maintenance services, analytics, marketing, data processing, and email and text message distribution. These third parties have access to your information only to perform these tasks on the Publisher's behalf.
  • If you choose to engage in public activities on the site, such as posting comments on community message boards, any information you submit can be read, collected, or used by others. Please exercise caution when deciding to disclose any personal information in public activities or submissions.
  • The Publisher may share information about you in the event that the Site is acquired by or merged with another company or a similar corporate transaction takes place. However, the Site will notify you by placing a prominent notice on the Site or sending a notice to the primary email address specified in your account before your information is transferred and becomes subject to a different privacy policy.
  • The Publisher may share information about you to investigate, prevent, or take action regarding illegal activities, suspected fraud, situations involving potential threats to the physical safety or other rights and interests of any person, violations of the Site's Terms and Conditions, or as otherwise required by law.
  • The Publisher may share information about you to respond to subpoenas, search warrants, judicial proceedings, court orders, legal process, or other law enforcement measures, to establish or exercise our legal rights, or to defend against legal claims.
  • In addition to the scenarios identified above, the Publisher may share information about you for any other purposes disclosed to you at the time the Publisher collects your information or pursuant to your consent.

Please note that third parties may independently collect data about you, including your IP address and information about the websites you visit and the links you click, through cookies, clicks on links, or other means when you visit or view ads on the Site.

To customize your experience on the Site and to simplify the Site's registration process, the Publisher provides you with the opportunity to access or interact with third‑party services, such as Facebook and Twitter. When you connect to the Site through these third‑party services, the Publisher may share information about you with these third‑party service providers and they may share data about you with the Publisher. When you allow the Publisher to access your data through a third‑party service to create a Site profile, the Publisher may use this data for several purposes, including:

  • For example, if you connect to the Site via a service with a public friend list, like Twitter, the Publisher may check to see if any people you follow on Twitter are also Site members. If the Publisher finds a match, the Publisher will replicate your Twitter relationship with those members, setting them to be fans, followers, or friends on the Publisher Site.
  • For example, if you connect via a service that has a private contact list (like Google and Yahoo!), the Publisher checks for people in your contacts who are Site members and suggest that you become a fan of these users.
  • When users share content with their friends, the Publisher may use friend lists from third‑party services to create a list of contacts to whom you may choose to send the email message.
  • For example, the Publisher may use friend lists from a third‑party service to create a list of contacts to whom you may choose to send an invitation to view an interactive slideshow.
  • When you are connected via a third‑party service, the Publisher may access certain account information, such as your profile picture, what stories are popular in your network, and what your friends are saying about certain articles or blog posts, in order to enhance and personalize your experience on the Site.

In addition, if you connect to a Facebook account, your experience on the Site may be personalized. For example, you may automatically see what stories are popular in your network, and what your friends are saying about particular stories. Please note that you may disconnect third party accounts at any time.

Please remember that the Publisher does not control the privacy practices of these third‑party services. The Publisher encourages you to read the privacy policies of all third‑party service providers. You can deactivate your account at any time by visiting the preferences page for your profile. When you deactivate your account, your user profile will be disabled, but your public comments will remain on the site. The Site has no responsibility to take down, remove, or edit any of your public activities or any submissions that are a result of your public activities. If you opt out of these technologies, you will continue to see advertising displayed on the Site, but the advertising may not be targeted to your interests. Please remember that the Publisher does not have access to, or control over, advertisers' or service providers' cookies, and the information practices of third parties are not covered by this privacy policy.

5. Use of Aggregate Data

The Publisher may collect and use certain non‑personal information (e.g., the identity of your Internet browser, the type of operating system you use, your IP address and the domain name of your Internet service provider) to optimise its goods and services (which may include the display of personalised content and advertising) including the Publisher's web pages for your computer. The Publisher may use personally identifiable information in aggregate form to improve its goods and services including its web sites and make them more responsive to the needs of its customers. This statistical compilation and analysis of information may also be used by the Publisher or provided to others as a summary report for marketing, advertising or research purposes.

6. Security

The Publisher strives to ensure the security, integrity and privacy of personal information of its customers. The Publisher may hold your information in either electronic or hard copy form. The Publisher uses a variety of physical and electronic security measures including restricting physical access to its offices and firewalls and secure databases to keep personal information secure from misuse, loss or unauthorized use or disclosure. Unfortunately, no data transmission over the Internet can be guaranteed to be totally secure. The Publisher limits access to contact information about you to employees or service providers who the Publisher believes reasonably need to come into contact with that information to provide products or services to you or in order to do their jobs, and subject to section 4 of this Privacy Policy. The Publisher also has adopted commercially reasonable technical, physical, and administrative procedures to help protect information about you from loss, misuse, and alteration. Personal information is destroyed or de‑identified when no longer needed. Please note that no data transmission or storage can be guaranteed to be 100% secure. The Publisher wants you to feel confident using the Site, but the Publisher cannot ensure or warrant the security of any information you transmit to the Publisher.

7. Access to Personal Information

You have a right to request access to personal information the Publisher holds about you. Where the Publisher holds personal information that you are entitled to access, the Publisher will endeavour to provide you with suitable means of accessing it (e.g. by emailing or mailing it to you). If the Publisher denies access in some circumstances, the Publisher will tell you why. To request access, please contact the Publisher's privacy officer as set out at the end of this document. If you believe that personal information the Publisher holds about you is incorrect, incomplete or inaccurate, then you may request amendment of it. The Publisher will consider if the information requires amendment. If the Publisher does not agree that there are grounds for amendment then the Publisher will add a note to the personal information stating that you disagree with it.

8. Public Information

Any information posted on bulletin boards and/or communicated in chat areas becomes public information. While the Publisher strives to protect and respect your privacy, the Publisher cannot guarantee the security of any information you disclose in a chat room or bulletin board.

9. Cookies

Cookies are data that a Web site transfers to an individual's hard drive for record‑keeping purposes. Cookies can facilitate a user's ongoing access to and use of a site. They allow the Publisher to track usage patterns and to compile data that can help the Publisher improve its content and target advertising. If you do not want information collected through the use of Cookies, there is a simple procedure in most browsers that allows you to deny or accept the Cookie feature. But you should note that Cookies may be necessary to provide you with features such as merchandise transactions or registered services.

10. Online Links to Third Party and Co‑Branded Sites

The Publisher may establish relationships with business partners that allow visitors to the Publisher's web sites to link directly to sites operated by these partners. Some of these sites may be "co‑branded" with the Publisher's logo - however, these sites may not be operated or maintained by or on behalf of the Publisher. These sites may collect personal information from you that may be shared with the Publisher. This Privacy Statement will apply to any personal information the Publisher obtains in this manner. The Publisher is not responsible for the content or practices of web sites operated by third parties that are linked to the Publisher's sites. These links are meant for the user's convenience only. Links to third party sites do not constitute sponsorship, endorsement or approval by the Publisher of the content, policies or practices of those third party sites. Once you have left the Publisher's site via such a link, you should check the applicable privacy policy of the third party site.

11. What else you should know about privacy on the Internet

Remember to close your browser when you have finished your user session. This is to ensure that others cannot access your personal information and correspondence if you share a computer with someone else or are using a computer in a public place like a library or Internet cafe. You as an individual are responsible for the security of and access to your own computer. Whenever you voluntarily disclose personal information over the Internet this information can be collected and used by others. In short, if you post personal information in publicly accessible online forums, you may receive unsolicited messages from other parties in return. Ultimately, you are solely responsible for maintaining the secrecy of your username and passwords and any account information. Please be careful and responsible whenever you are using the Internet. The Publisher does not knowingly collect personal information from children under 13. If the Publisher learns that it has collected any personal information from a child under the age of 13 without verifiable parental consent, the Publisher will delete that information from its database as quickly as possible. If you believe that the Publisher may have collected information from a child under 13, please contact the Publisher at privacy@publishingservicesinternational.im.

12. For further information

Please contact our Privacy Officer to ask for access to your information or if you have a complaint concerning your information privacy or if you would like more information about our approach to privacy at privacy@publishingservicesinternational.im.

13. Changes to the privacy policy

The Publisher reserves the right to update this Privacy Policy at any time to reflect changes in the Publisher's practices and service offerings. The Publisher will use it best endeavours to update the Privacy Policy on the Site, however it does not warrant that it will post these updates immediately.

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