Infant formula, like no other food, is regulated by its own law, the Infant Formula Act of 1980 as amended in 1986. The act sets lower limits on 29 nutrients (so-called "table nutrients" because they appear in table form. U.S. Code of Federal Regulations 21 CFR 107.100). . . . Manufacturers are required to follow "good manufacturing practice," but no requirement for sterility is specified. . . . Powdered formula is not guaranteed nor required to be free of pathogenic organisms (Baker, 2002).
Currently, suboptimal breastfeeding is associated with over a million deaths each year and 10% of the global disease burden in children. [2]