Report of the 27th session of the Codex Committee on Nutrition and Foods for Special Dietary Uses

21st to 25th November 2005
Location: Bruckenforum, Bonn, Germany
Official report of the Codex Alimentarius Commission
Attended by: Maryse Lehners Arendt

ILCA was represented by Maryse Lehners on short-notice decision as Denise Both the current ILCA liaison for Codex was not available for family reason.

Activities:
The Twenty-seventh Session of the Codex Committee on Nutrition and Foods for Special Dietary Uses (CCNFSDU) was held from 21 to 25 November 2005 in the Bruckenforum, Bonn, courtesy of the Government of Federal Republic of Germany. The Session was attended by 315 delegates, observers and advisors representing 68 member countries and 33 international organizations.

My interventions in the discussion to the different agenda points are quoted as they will appear in the final report which is attached to get a better understanding of the context.

Development of a set of Nutrient Reference Values NRVs
The Observer from ILCA expressed concern with proposal for development of a set of NRVs for infants from 4-6 months to 1 year, as this age range did not reflect the age of introduction of complementary foods into the diet, which is 6 months. (As indicated in the scope of the Draft Standard for Cereal-Based Foods)

Draft revised standard for processed Cereal-Based Foods for infants and young children (Agenda Item 5)
Food hygiene
On the proposition of ILCA the Committee agreed to include a specific reference to the Code of Hygienic Practice for Foods for Infants and Children, in addition to the basic food hygiene texts in order to provide additional guidance to governments related to Enterobacter.

Food Labelling + Health claims
The Delegation of Botswana, supported by several delegations and observers( ILCA is not named but supported this view), expressed the view that nutrition claims should not be allowed in foods for infants and children, as they would mislead consumers, reduce the consumption of home made complementary foods and were inconsistent both with WHA Resolutions and with the Guidelines on Use of Nutrition and Health Claims, whereby nutrition claims should be consistent with national nutrition policy and support that policy. These delegations pointed out that their national regulations did not allow nutrition claims and expressed their concern with the statement that "nutrition claims shall be permitted", that could be understood as an obligation for governments to allow such claims.

After an extensive discussion, the Committee agreed that nutrition claims "may be permitted under national legislation for the foods that are the subject of the standard provided they have been demonstrated in rigorous studies with adequate scientific standards". The Delegations of Botswana, India, Kenya, South Africa, and Tanzania expressed their reservations of this decision.

Different views were expressed regarding the proposal of the Working group to add clarification in Section 3.1.1 regarding details of demonstration of physiological, biochemical and functional outcomes in formula fed infants in comparison to populations of healthy exclusively breast-fed infants, having the breastfed child as the norm. Some delegations were of the opinion that the proposed wording did not add clarity to this Section and suggested to delete it while some other delegations and observers were of the view that this addition should be maintained. After some discussion the Committee agreed to delete the proposed wording in order to keep this section short and more focused. ILCA didn't agree.

To the concerns expressed by Observers form IBFAN, ILCA and ENCA regarding safety of soy an its isolates used for the preparation of infant formula and the request to give a full consideration to this matter, the Observer of ESPGHAN clarified that the uses of soy based formulae were covered by the current standards as they were used in some cases for treatment of children who could not tolerate cow's milk.

Draft revised standard for infant formula and formulas for special medical purposes intended for infants: Section B: Formulas For Special Medical Purposes Intended For Infants (Agenda Item 6b)
The Committee agreed to insert an amended Section 1.4 as proposed by the Delegation of the EC in CRD 3 and supported by several delegations. The Delegations of Tanzania, South Africa, Botswana, India and the Observers from ILCA and IBFAN, while supporting the inclusion of Section 1.4, strongly expressed their reservations to the amended text (weakened section referring to the International Code).

It was agreed to delete the square brackets from Section 9.6.4 concerning breastfeeding contraindications. Some observers raised their concern with this decision and proposed to amend the section by inserting the text from Section A9.6.4. The Committee agreed to retain the current text. ILCA proposed to include "totally" before contraindicated to differentiate between metabolic disorders where partial Breastfeeding is possible and permitted. This was rejected (or not adopted) The Chairperson reiterated that this section together with all other sections would be open for further comments at Step 6 if adopted at Step 5 by the Commission.

Needs/Recommendations/Strategic Planning:
The next Codex Committee on Nutrition will be held from 30 of October to the 3rd of November, with a working group meeting on 28 of October, this time in Chiangmai in Thailand. We need to be well prepared, which means send timely before 31 of March (cereals) or 1st of May (IF) written comments to the draft standards to the codex secretariat. This will give oral interventions in the discussion more weight and would allow preparing an ILCA position together with the board.

Having IBCLC's in the attendance is highly important not only for our visibility but because of our competence too, because the main representatives are government people or industry with no real specialists in lactation and infant feeding.

 
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