Pdt:
"I think, Slhilly that culture cannot be changed. it certainly cannot be changed very quickly."
Why do you think that? Culture is very amenable to change, for better or worse. Jemjabella mentions one example. Legislation, social marketing, commercial marketing, campaigns, media commentary, activism -- all of these and other factors contribute to changing culture.
Pdt:
"I think encouraging women to do the best they can, for as long as they can with breastfeeding is the way forwards. This would involve also being non judgemental either way - vs ff or bf."
I think encouraging women is necessary but far from sufficient. I also think that if not done carefully, it lays the entire responsibility on the mother. I don't think being non-judgemental is self-evidently the right way forward. We are judgemental about other choices to help shape behaviour and opinions, and rightly so. And the fetishisation of choice, the sexualisation / faux-prudery of the breast, the characterisation of BF leaflets/posters as "hectoring", the pictures of idiotic slebs promoting bottles in idiotic sleb magazines, all of this is cultural judgement that needs to be fought against.
"I think that the fact that figures for the first week/two weeks/month for bf are quite high is the thing to focus on instead. Why berate ourselves and our culture for the four month mark? That may come in time."
Quite high? I don't think 35% at one week is high, nor the two weeks or one month figures. I don't think any of the figures are high. I picked out one figure for the sake of brevity, not because any of the others are better.
"Catastrophe? Hmm, odd word. we are all still standing as a human race and the majority of our generation were ff. Why catastrophe exactly? I am not disputing in any way the advantages of bm but just slightly questioning your emphasis on the importance of bf in our culture? I think it would be nicer if other aspects of childhood/society were balanced out first. if I were given funds and a choice higher bf rates would not be too high up my list I don't think. Increased activity and better nutrition among children would beat it by miles imo."
Well, we're not all still standing, though, are we? There's lots of morbidity and premature mortality due to avoidable health conditions, especially those related to obesity, diabetes, heart disease, cancer and respiratory disease. BF lowers prevalence for many illnesses and avoidable health conditions -- it's a phenomenally effective health intervention and it is, as I say, bordering on a catastrophe that we aren't using it properly. As for where to invest funds, it'd be nice if we had the funds to invest in any public health interventions properly, but the combination of the reduction in funding for health and LAs, plus the white paper and the advent of GP commissioning, plus the destruction of programme funding at DH, means that we can put any thoughts of well-funded public health interventions to one side for a couple of years, sadly.