
In the Philippines, only 16 percent of children between four and five months old are exclusively breastfed. This percentage has fallen by a third since 1998, and it is one of the lowest documented rates on earth.
Combined with the fact that 70 percent of Filippinos have inadequate access to clean water, 16,000 Filippino children die each year as a result of "inappropriate feeding practices".
Much of the responsibility for the decline in breastfeeding lies with the manufacturers of baby formula. Baby formula companies spend over $100 million each year advertising breastmilk substitutes in the Philippines, which is more than half the annual budget of the Philippines' Department of Health. Powdered milk now accounts for more sales than any other consumer product in the Philippines, and some families spend as much as a third of their income on these products.
In 2006, the Department of Health issued a new set of rules prohibiting advertising and promotion of infant formula for children up to two years old. After lobbying from the U.S. embassy, the U.S. regional trade representative, and the chief executive of the U.S. Chamber of Commerce, however, a restraining order has been put in place effectively preventing the rule from taking effect.
After a senior government lawyer, Nestor Ballocillo, tried to contest the order, he and his son were shot dead while walking from their home in a case that remains unsolved. The case remains unsolved; Ballocillo was working on several contentious cases at the time.