physical support, such as food and clean water, but also to encourage special parental or other psychosocial care to prevent or
address fear and traumas.
Article 24, paragraph 2(c). “To combat disease and malnutrition, including within the framework
of primary health care, through, inter alia, the application of readily available technology and
through the provision of adequate nutritious foods and clean drinking-water, taking into
consideration the dangers and risks of environmental pollution”
(a)The application of readily available technology
As new, proven technologies in children’s health, including drugs, equipment and interventions, become available, States should
introduce them into policies and services. Mobile arrangements and community-based efforts can substantially reduce some risks and
should be made universally available and these include: immunization against the common childhood diseases; growth and
developmental monitoring, especially in early childhood; vaccination against human papillomavirus for girls; tetanus toxoid injections
for pregnant women; access to oral rehydration therapy and zinc supplementation for diarrhoea treatment; essential antibiotics and
antiviral drugs; micronutrient supplements, such as vitamins A and D, iodized salt and iron supplements; and condoms. Health
workers should advise parents how they can access and administer these simple technologies as required.
The private sector, which includes business enterprises and not-for-profit organizations that impact on health, is taking an increasingly
important role in the development and refinement of technology, drugs, equipment, interventions and processes that can contribute to
significant advances in children’s health. States should ensure that benefits reach all children who need them. States can also
encourage public-private partnerships and sustainability initiatives that can increase access and affordability of health technology.
(b)The provision of adequate nutritious foods
Measures for fulfilling States’ obligations to ensure access to nutritionally adequate, culturally appropriate and safe food and to
combat malnutrition will need to be adopted according to the specific context. Effective direct nutrition interventions for pregnant
women include addressing anaemia and folic acid and iodine deficiency and providing calcium supplementation.Prevention and
management of pre-eclampsia and eclampsia, should be ensured for all women of reproductive age to benefit their health and ensure
healthy foetal and infant development.
Exclusive breastfeeding for infants up to 6 months of age should be protected and promoted and breastfeeding should continue
alongside appropriate complementary foods preferably until two years of age,wherefeasible. States’ obligations in this area are
defined in the “protect, promote and support” framework, adopted unanimously by the World Health Assembly. States are required
to introduce into domesticlaw, implement and enforce internationally agreed standards concerning children’s right to health, including
the International Code on Marketing of Breast-milk Substitutes and the relevant subsequent World Health Assembly resolutions, as
well as the World Health OrganizationFramework Convention on Tobacco Control. Special measures should be taken to promote
community and workplace support formothers in relation to pregnancy and breastfeeding and feasible and affordable childcare
services; and compliance withthe International Labour OrganizationConvention No. 183 (2000) concerning the revision of the
Maternity Protection Convention (Revised), 1952.
Adequate nutrition and growth monitoring in early childhood are particularly important. Where necessary, integrated management of
severe acute malnutrition should be expanded through facility and community-based interventions, as well as treatment of moderate
acute malnutrition, including therapeutic feeding interventions.
School feeding is desirable to ensure all pupils have access to a full meal every day, which can also enhancechildren’s attention
forlearning and increase school enrolment. The Committee recommends that this be combined with nutrition and health education,
including setting up school gardens and training teachers to improve children’s nutrition and healthy eating habits.
States should also address obesity in children, as it is associated with hypertension, early markers of cardiovascular disease, insulin
resistance, psychological effects, a higher likelihood of adult obesity, and premature death. Children’s exposure to “fast foods” that
are high in fat, sugar or salt, energy-dense and micronutrient-poor, and drinks containing high levels of caffeine or other potentially
harmful substances should be limited. The marketing of these substances – especiallywhen such marketing is focused on children –
should be regulated and their availability in schools and other placescontrolled.
(c)The provision of clean drinking water
Safe and clean drinking water and sanitation are essential for the full enjoyment of life and all other human rights. Government
departments and local authorities responsible for water and sanitation should recognize their obligation to helprealizechildren’s right to
health, and actively consider child indicators on malnutrition, diarrhoea and other water-related diseases and household size when
planning and carrying out infrastructure expansion and the maintenance of water services, and when making decisions on amounts
forfree minimum allocation and service disconnections. States are not exempted from their obligations, even when they have
privatized water and sanitation.
(d)Environmental pollution
States should take measures to address the dangers and risks thatlocal environmental pollution poses tochildren’s health in all settings.
Adequate housing that includes non-dangerous cooking facilities, a smoke-free environment, appropriate ventilation, effective
management of waste and the disposal oflitter from living quarters and the immediate surroundings, the absence of mould and other
toxic substances, and family hygiene are core requirements to a healthy upbringing and development. States should regulate and