E

REP18/NFSDU

JOINT FAO/WHO FOOD STANDARDS PROGRAMME

CODEX ALIMENTARIUS COMMISSION

Forty-first Session

Rome, Italy
2 – 7 July 2018

REPORT OF THE THIRTY-NINTH SESSION OF THE

CODEX COMMITTEE ON NUTRITION AND FOODS FOR SPECIAL DIETARY USES

Berlin, Germany

4 – 8 December 2017
REP18/NFSDU i

TABLE OF CONTENTS

Summary and Status of Work .................................................................................................................... page ii

List of Abbreviations ................................................................................................................................. page iii

Report of the Thirty-ninth Session of the Codex Committee on Nutrition and

Foods for Special Dietary Uses ................................................................................................................page 1

Paragraphs
Introduction ........................................................................................................................................................ 1
Opening of the Session ............................................................................................................................... 2 - 3
Adoption of the Agenda (Agenda item 1) .......................................................................................................... 4
Matters referred to the Committee by the Codex Alimentarius Commission
and/or Other Subsidiary Bodies (Agenda item 2) ........................................................................................ 5 - 7
Matters of interest arising from FAO and WHO (Agenda item 3) ...........................................................8 - 15
Review of the Standard for Follow-up Formula (Agenda item 4) ............................................................. 16 - 71
Proposed draft definition for biofortification (Agenda item 5) ...................................................................72 – 93
Proposed draft NRV-NCD for EPA and DHA (Agenda item 6)...............................................................94 – 104
Proposed draft guideline for ready-to-use therapeutic foods (Agenda item 7).....................................105 – 129
NRV-R for older infants and young children (Agenda item 8) ..............................................................130 – 132
Food additives – mechanism / framework for considering technological justification
and other matters (Agenda item 9) .......................................................................................................133 – 144
Discussion paper on claim for “free” of trans fatty acids (Agenda item 10) .......................................... 145 - 150
Other business and future work (Agenda item 11) ............................................................................. 151 - 161
Date and place of next session (Agenda item 12) ......................................................................................... 162

Appendices page
Appendix I - List of Participants ....................................................................................................................... 19
Appendix II – Proposed draft revised Standard for Follow-up Formula (CXS 156-1987)
(essential composition) ..................................................................................................................................... 49
Appendix III – Proposed draft revised Standard for Follow-up Formula (CXS 156-1987)
(other sections) ................................................................................................................................................. 57
Appendix IV – Proposed draft definition for biofortification .............................................................................. 63
Appendix V – Proposed draft guidelines for ready-to-use therapeutic foods (RUTF) ......................................64
Appendix VI – Proposed draft conditions for a “free” of trans fatty acids (TFA) claim .....................................66
Appendix VII – Methods of analysis for provisions in the Standard for Infant Formula and Formulas
for Special Medical Purposes Intended for Infants (CXS 72-1981) .................................................................. 67
REP18/NFSDU ii

SUMMARY AND STATUS OF WORK

Responsible Party Purpose Text/Topic Code Step Para.

Review of the Standard for
Members Follow-up Formula:
CXS 156- 71 and
CCEXEC75 Adoption Proposed draft Essential 5
1987 App.II
CAC41 composition requirements for
older infants and young children
150
Members Proposed draft Claim for “free” CXG 23 - and
Comments 3
CCNFSDU40 of trans fatty acids 1997 App.
VI
152
Methods for biotin, vitamin D CXS 234 – and
CCMAS Endorsement -
and chloride: infant formula 1999 App.
VII
Members CXS 234 –
Discussion Biological methods - 7
CCNFSDU40 1999
Para
EWG (New Zealand, Review of the Standard for
CXS 156- 71 and
France, Indonesia) Drafting Follow up Formula: scope, 2/3
1987 App.
CCNFSDU40 product definition, labelling
III
EWG
(Zimbabwe and South 93 and
Proposed draft definition for
Africa) Redrafting - 2/3 App.
biofortification
IV
CCNFSDU40
EWG
(Russian Federation Proposed draft NRV-NCD for CXG 2 -
and Chile) Redrafting 2/3 104
EPA and DHA 1985
CCNFSDU40
EWG
(South Africa, Senegal 129
Proposed draft guideline for
and Uganda) Redrafting - 2/3 and
ready-to-use therapeutic foods
App. V
CCNFSDU40
EWG
(Ireland, Mexico, and
United States of NRV-R for older infants and
Discussion - - 132
America) young children
CCNFSDU40
EWG (European
Union and the Russian Mechanism / framework for
Federation) Redrafting considering the technological - - 144
justification of food additives
CCNFSDU40
Discussion paper on
Argentina harmonized probiotic guidelines
Discussion - - 156
CCNFSDU40 for use in foods and dietary
supplements
General guidelines to establish
CCNFSDU40 Discussion 161
nutritional profiles
REP18/NFSDU iii

LIST OF ABBREVIATIONS

ARA Arachidonic acid

CAC Codex Alimentarius Commission
CCEXEC Executive Committee of the Codex Alimentarius Commission
CCFA Codex Committee on Food Additives
CCFL Codex Committee on Food Labelling
CCMAS Codex Committee on Methods of Analysis and Sampling
CCNFSDU Codex Committee on Nutrition and Foods for Special Dietary Uses
CRD Conference Room Document
DHA Docosahexaenoic acid
EFSA European Food Safety Authority
Elena WHO e-Library of Evidence for Nutrition Actions
EPA Eicosapentaenoic acid
EU European Union
EWG Electronic Working Group
FAO Food and Agriculture Organization of the United Nations
FOPL Front of pack nutrition labelling
FUF Follow-up formula
GIFT FAO/WHO Global Individual Food Consumption Data Tool
GINA WHO Global Database on the Implementation of Nutrition Action
GUL Guidance upper level
The Grading of recommendations assessment, development and
GRADE
evaluation
GSCTFF General Standard for Contaminants and Toxins in Food and Feed
GSFA General Standard for Food Additives
ISO International Organization for Standardization
JECFA Joint FAO/WHO Expert Committee on Food Additives
JEMNU Joint FAO/WHO Expert Meetings on Nutrition
NUGAG WHO Nutrition Guidance Expert Advisory Group
NCD Non-communicable disease
NRV Nutrient reference value
NRV-R Nutrient reference values-requirements
PICO Population, intervention/indicator, comparator, and outcomes
PUFA Polyunsaturated fatty acids
PWG Physical Working Group
RUTF Ready-to-use therapeutic foods
SAM Severe acute malnutrition
TFA Trans fatty acid
UNICEF The United Nations Children Fund
WHA World Health Assembly
WHO World Health Organization
WTO World Trade Organization
 REP18/NFSDU 1

INTRODUCTION
1. The thirty-ninth Session of the Codex Committee on Nutrition and Foods for Special Dietary Uses (CCNFSDU)
was held in Berlin, Germany, from 4 to 8 December 2017 at the kind invitation of the Federal Government of
Germany. Dr Pia Noble and Ms Marie-Luise Trebes, Former Head and Head of Division of Special Foods,
Food Supplements, Food Additives, Federal Ministry of Food and Agriculture of Germany, served as Chair
and vice-Chair of the Session, respectively. The Committee was attended by 66 member countries, one
member organisation and 39 observer organisations. A list of participants is given in Appendix I.
OPENING OF THE SESSION
2. Dr Maria Flachsbarth, Parliamentary State Secretary, Federal Ministry of Food and Agriculture, speaking on
behalf of Mr Christian Schmidt, Federal Minister of Food and Agriculture, opened the Session and welcomed
delegates. She indicated that the large number of participants to the meeting demonstrated both the interest
in the work in contributing towards realisation of the UN Decade of Action on Nutrition (2016-2025) and further
stressed the importance of science-based Codex standards in consumer protection and food trade. Ms Mariam
Eid, Vice-Chairperson of the Codex Alimentarius Commission, also addressed the meeting and emphasised
the importance of consensus in decision making for several crucial agenda items at this meeting.
Division of competence 1
3. The Committee noted the division of competence between the European Union (EU) and its Member States,
according to paragraph 5, Rule II of the Rules of Procedure of the Codex Alimentarius Commission as
presented in CRD1.
ADOPTION OF THE AGENDA (Agenda item 1) 2
4. The Committee adopted the Agenda with the following additions under agenda item 11 - Other business:
i. General guidelines to establish nutritional profiles (Costa Rica and Paraguay);
ii. Methods of analysis in the Standard for Infant Formula and Formulas for Special Medical Purposes
Intended for Infants (CXS 72-1981) (the United States of America); and
iii. Harmonised probiotic guidelines for use in foods and dietary supplements (International Probiotics
Association).
Matters Referred to the Committee by the Codex Alimentarius Commission and/or Other Subsidiary
Bodies (Agenda item 2) 3
5. The Committee noted that some matters were for information only, and that several matters would be
considered under other relevant agenda items, and took the following decisions:
Method for Chromium, molybdenum and selenium: Infant formula
6. The Committee; noted the request of the Committee on Methods of Analysis and Sampling (CCMAS)
concerning the possible retyping of the method for chromium, molybdenum and selenium provided validation
data is submitted; and encouraged members to submit such validation data to CCMAS.
Criteria for endorsement of biological methods used to detect chemicals of concern
7. The Committee agreed to defer the discussion on this matter to its next session.
MATTERS OF INTEREST ARISING FROM FAO AND WHO (Agenda item 3) 4
8. The Representative of FAO called the attention of the Committee to various activities of FAO of interest to
CCNFSDU: (1) FAO Expert Working Group on protein quality assessment in follow-up formula for young
children and Ready to Use Therapeutic Foods, that was held in Rome from 6 to 9 November 2017; (2)
FAO/WHO Global Individual Food Consumption Data Tool (GIFT), which provides simple and accurate food-
based indicators, derived from sex and age disaggregated data on individual food consumption; (3) UN
Decade of Action on Nutrition 2016 – 2025, under which the Milan Global Nutrition Summit has taken place
on 4 November 2017; and (4) the International Symposium on Sustainable Food Systems for Healthy Diets
and Improved Nutrition organised jointly by FAO and WHO in December 2016 and the Regional Symposia on
the same theme organised in 2017 to further anchor the discussion around the actual challenges of each
region.

1 CRD1 (Annotated Agenda – Division of competence between the European Union and its Member States)
2 CX/NFSDU 17/39/1; CRD3 (Comments of IPA); CRD4 (Costa Rica, Paraguay); CRD14 (the United States of America);
CRD21 (ISDI)
3 CX/NFSDU 17/39/2, CRD4 (Costa Rica, Paraguay)
4 CX/NFSDU 17/39/3
 REP18/NFSDU 2

9. The Representative of WHO highlighted some of the activities of relevance to the ongoing work of the
Committee. With reference to the UN Decade of Action on Nutrition, the Representative provided additional
information which included: launching of Member States’ SMART commitment repository linked to WHO Global
Database on the Implementation of Nutrition Action (GINA), establishment of Action Networks such as Global
Action Network on Sustainable Food from the Ocean for Food Security and Nutrition led by Norway, Global
Action Network on Nutrition Labelling led by France, Regional Action Network on enabling food environment led
by Chile, Regional Action Network on childhood obesity led by the Pacific countries and Regional Action Network
on school food procurement led by Thailand. She also called the attention of the Committee to the new World
Health Assembly (WHA) resolution and decision – one being WHA70.11 5 on updated Appendix 3 (which lists
“best buys” and other recommended interventions to address Non-communicable diseases (NCDs)) of the NCD
Action Plan 2013 – 2020 and the WHA70 (19) 6 on the implementation plan of the report of the Commission on
Ending Childhood Obesity.
10. The Representative also provided updates: (i) on the work of the NUGAG Subgroup on Diet and Health,
including planned launching of draft guidelines on saturated fatty acids and trans-fatty acids for public
consultation; preparation of draft guidelines on non-sugar sweeteners, polyunsaturated fatty acids (including
n-3, n-6 and total PUFA) and carbohydrates (starch and fibre); and ongoing evidence reviews on dietary
patterns, as well as starting of the work of the NUGAG Subgroup on Policy Actions, including nutrition labelling
policies, fiscal policies, trade and investment policies which affect diet and nutrition; and (ii) on WHO’s work
on nutrient profiling, including the adaptations of nutrient profile models for different applications such as
regulating food and beverages in schools and nutrition labelling, and the planned development of a regional
nutrient profile model for the African Region.
11. The Representative of WHO further informed the Committee of three additional activities which were not
included in the document CX/NFSDU 17/39/3. They were: (i) preparation of the 13th General Programme of
Work which contains 5 nutrition-related targets (reduction in stunting, reduction in wasting, no increase of
overweight/obesity in children and adolescents, elimination of industrially produced trans fatty acids (TFA) and
reduction in salt/sodium intake) and will guide WHO’s work in 2019 – 2023; (ii) taking part in the implementation
of the RESOLVE initiative which is a new global health initiative, aiming to save millions of lives by reducing
preventable deaths from cardiovascular diseases (CVDs) through accelerating progress in improving
treatments of high blood pressure, sodium reduction and elimination of industrially produced TFA; and (iii)
updating of nutrient requirements for infants and young children (0 – 24 months) jointly with FAO.
12. The Delegation of France, supported by the United States of America and the EU, stated that the WHA
“welcomed with appreciation”, but did not approve or endorse the WHA resolution on the WHO Guidance on
Ending the Inappropriate Promotion of Foods for Infants and Young Children (WHA69.9) and therefore it was
an error to state in CX/NFSDU 17/39/3 that WHA69.9 was approved by WHA. The Delegation of the United
States of America further informed the Committee that it had dissociated from WHA Resolution 70.11 because
the evidence underlying certain recommendations was not sufficient to support them.
13. In response, the Representative of WHO stated that there was no error as WHA69.9 was in fact approved by
WHA. The Representative stated that resolutions and decisions of the WHO Governing Bodies (i.e. Executive
Board, WHA) use various operative phrases to express their views regarding the substantive content contained
in or annexed to the resolutions or decisions. After reviewing resolutions and decisions approved by WHA
during the last 10 years, it was clearly noted that they do use various operative phrases and commonly used
phrases are: adopts, approves, endorses, welcomes, noted with appreciation and notes. The Representative
of the WHO reported that according to the WHO Department of Governing Bodies and External Relations, and
Office of the Legal Counsel, it is possible to see these various phrases as lying on a spectrum expressing
approval – with greater or somewhat less strength – on one side, and general recognition on the other and the
terms “welcomes”, “welcomes with appreciation” (which was the term used in WHA69.9) and “notes with
appreciation” express approval as well, although somewhat less strongly. She highlighted that regardless of
different operative phrases used by various resolutions and decisions, there is one thing which is common to
all these resolutions and decisions and that is they are the resolutions and decisions of the WHA which is the
highest Governing Body of WHO. The Representative noted that at WHA in May 2017, there were 2 Member
States which had disassociated themselves from WHA70.11 on Appendix 3 of the NCD Action Plan (2013 –
2020) which lists “best buys” and other recommended interventions to address NCDs, but no Member State
had disassociated from WHA69.9.
14. One Observer commented that conflict of interest safeguards are embedded in all WHO policies and
recommendations, and are highly relevant for the standard-setting procedures of Codex.

5 http://apps.who.int/gb/ebwha/pdf_files/WHA70/A70_R11-en.pdf
6 http://apps.who.int/gb/ebwha/pdf_files/WHA70/A70(19)-en.pdf
 REP18/NFSDU 3

15. Delegations noted that the document had been distributed late and requested that, in future, FAO and WHO
should make available the document well in advance of the meeting to allow sufficient time to undertake
thorough review and carry out consultations with their experts. A delegation, while noting the usefulness of the
information, requested that the document should focus on joint work of FAO and WHO that can benefit the
work of the Committee.
REVIEW OF THE STANDARD FOR FOLLOW-UP FORMULA (CXS 156-1987) (Agenda item 4) 7
16. The Chair of the electronic working group (EWG) New Zealand, introduced the item and briefly outlined the
work undertaken.
17. The Committee agreed to focus discussion first on the essential composition of follow-up formula for older
infants and for the “product” for young children before discussing the labelling, the name of the product, product
definition, scope and preamble, noting the proposal of one observer that the preamble should be considered
before other sections due to its importance.
General
18. An observer expressed the view that since the market growth of these products is strongest in developing
countries, it is essential for these countries to assess the risks, safety and appropriateness of these products
as a whole, in the local context, before allowing imports.
Essential Composition of Follow-up Formula for older infants (6-12 months)
19. The Chair of the EWG recalled that for follow-up formula for older infants aged 6-12 months the essential
compositional requirements for protein and Docosahexaenoic acid (DHA) needed to be finalised.
20. The Committee considered the recommendations of the EWG, and made the following decisions and
comments.
Protein
21. The chair of the EWG recalled that CCNFSDU38 had agreed to postpone decision on a minimum protein level
in order to take into account the European Food Safety Authority (EFSA) opinion. She noted that while EFSA
proposed a minimum protein level of 1.6 g / 100kcal, it was recognised that this was not a global value.
Discussion
22. Delegations, in particular those from developing countries, expressed a preference for a higher value (of
protein level) of 1.8 g / 100 kcal, noting that the high incidence of protein and energy malnutrition occurred
during the weaning period and that intake of high quality protein was necessary; and other complementary
foods in their region were often from sources with low protein content or quality and would therefore not provide
sufficient levels of protein. These delegations were also of the view this would avoid countries having to carry
out or to assess clinical trials in order to establish a higher protein level as stated in the associated footnote 6;
this would be of particular difficulty for many countries. It was noted that 1.6 g/100 kcal was not a global
recommendation as it had been evaluated for the European infant population only.
23. Those in favour of the protein level of 1.6 g / 100 kcal noted that the associated footnote would state that below
protein level of 1.8 g / 100 kcal, the follow-up formula needed to be evaluated. It was further noted that
competent authorities were not responsible for clinical trials, but the assessment or evaluation thereof.
24. Many delegations further noted that:
a) all follow-up formula based on hydrolysed protein should be evaluated, and not only those containing
less than 2.25 g of protein / 100 kcal; and
b) those products with protein levels falling between 1.6 g / 100 kcal and 1.8 g / 100 kcal should be
evaluated for their safety and suitability and assessed based on clinical evidence.
Conclusion
25. The Committee agreed with a minimum protein value (level) of 1.8 g/ 100 kcal and an amended associated
footnote 6.

7 CX/NFSDU 17/39/4 Rev1; CX/NFSDU 17/39/4-Add.1 (Comments of Argentina, Brazil, Colombia, Ecuador, India, Japan,
Nepal, New Zealand, Russia, Senegal, Switzerland, USA, EU speciality food ingredients, GOED, HKI, IACFO, IBFAN,
IDF, IFT, ISDI, UNICEF); CX/FH 17/39/5-Add.2 (Australia, Canada, Kenya, Malaysia, Norway, Philippines, Tanzania,
Thailand, EFLA, ICGMA, ISDI); CRD5 (Discussion paper by USA and Canada); CRD7 (Costa Rica, El Salvador, EU,
Kyrgyzstan, Morocco, Nigeria, Sierra Leone, Sri Lanka, African Union, EU Specialty Food Ingredients); CRD17
(Indonesia); CRD19 (Republic of Korea); CRD24 (EUVEPRO); CRD25 (Mali); CRD26 (Mexico); CRD28 (El Salvador)
 REP18/NFSDU 4

Docosahexaenoic acid (DHA)

26. The chair of the EWG noted that DHA was agreed as an optional ingredient, but that some EWG members
were of the view that it was necessary to ensure that when DHA is added, the levels should be effective. She
further noted that there was a reference to arachidonic acid (ARA) in the associated footnote, and that although
matching levels are critical for younger infants this may not be the case for older infants and young children
due to the diversified diet of these age groups. The associated footnote was consistent with the footnote in the
infant formula standard, but could be modified to suit the purpose of the product for older infants.
Discussion
27. A delegation expressed a preference for DHA to be mandatory, while another delegation was of the opinion
that DHA was not needed at all as there was no substantial scientific basis for this optional ingredient. An
observer noted that the voluntary addition of DHA could open up the possibility of claims which could create
the impression that follow-up formula is needed to provide DHA, and noted that in her view there had been
problems of acceptability of some infants and that all ingredients should be safe.
28. There was support for the Guidance Upper Limit (GUL) of 30 mg / 100 kcal, but proposals were made to raise
the minimum level covered in the associated footnote to 20 mg /100 kcal, noting that follow-up formula was
part of an increasingly diversified diet, with most complementary foods providing no or only very little DHA,
and a minimum of 20 mg / 100 kcal would get close to the intake considered adequate by WHO (10 – 12 mg /
kg body weight for the age group 6 – 24 months).
29. An observer expressed concern with the minimum level as the range between the GUL and minimum level
was narrow and this would be difficult for manufacturers to achieve; and further questioned the link between
DHA and ARA as there was no sufficient evidence to support this.
Conclusion
30. The Committee agreed with the GUL of 30 mg / 100 kcal and a minimum of 20 mg / 100 kcal and noted the
reservation of Colombia to the decision on the minimum DHA level as in their view, there was sufficient
evidence that 16 mg / 100 kcal was sufficient to achieve health benefits.
Other matters
JEMNU request for the establishment of nitrogen to protein conversion factors for soy and milk
proteins
31. The Committee considered the proposal for scientific advice from JEMNU, prepared by Canada and the United
States of America (CRD5), noting its previous discussion at CCNFSDU37 on the appropriateness of 5.71 as
the nitrogen to protein conversion factor for soy protein and the recommendation of CCMAS that FAO and
WHO could convene an expert panel to assess the scientific basis for nitrogen to protein conversion factors.
32. An observer proposed to not limit the work to soy-based and milk-based ingredients, however the Committee
agreed to the proposal as presented.
Conclusion
33. The Committee agreed to the following request to JEMNU:
1. When determining the protein content of soy-based ingredients1 used in infant formula and follow-up
formula, what is the appropriate science-based nitrogen to protein conversion factor to use when
comparing protein content derived from nitrogen based methods to amino acid based methods?
2. When determining the protein content of milk-based ingredients1 used in infant formula and follow-up
formula, what is the appropriate science-based nitrogen to protein conversion factor to use when
comparing protein content derived from nitrogen based methods to amino acid based methods?
P – Soy-based or milk-based ingredients for infant formula and follow-up formula
I – Determining the protein content from nitrogen content using a conversion factor (of milk-based and soy-
based ingredients)
C – Nitrogen based methods for deriving protein content compared to amino acid based methods
O – Determination of science-based nitrogen to protein conversion factor(s) for soy-based and milk-based
ingredients.
1. A list of ingredients is being compiled which will be included with the PICO questions.
 REP18/NFSDU 5

The essential composition of [name of the product] for young children (12-36 months)
34. The Chair of the EWG recalled that outstanding requirements for the essential composition of product for
young children (12-36 months) included: i) minimum total fat level; ii) maximum available carbohydrates and
associated sugar specifications in footnote 4; iii) whether a calcium-to-phosphorous ratio should be
established; and iv) vitamin D minimum and maximum levels.
35. The Committee agreed that no calcium to phosphorous ratio was needed, and took the following decisions on
minimum total fat, maximum available carbohydrates and vitamin D minimum and maximum levels.
Minimum total fat
36. Those in favour of a higher minimum total fat level of 4 g / 100 kcal expressed the opinion that this level would
contribute to about 30% of energy from fat; and fat was an important contributor to child growth and
development in the first three years of age.
37. Those in favour of a minimum total fat of 3.5 g / 100 kcal were of the opinion that:
• this level was in line with public health advice to lower fat intake by young children
• the level was consistent with low fat milk recommended as part of a diet for this age group; and
• there was a problem with overweight, therefore the need for the lowest minimum level of fat.
38. An observer pointed out that a minimum total fat of 4 g / 100 kcal would result in a 36% of energy intake from
fat. Another observer clarified that 28 – 29% of energy should come from fat and the product was part of a
diversified diet.
39. It was also pointed out that all macronutrient options should be considered together and add up to 100% of
needed kcal, i.e. the ranges of total fat, protein and maximum carbohydrates.
Maximum level for available carbohydrates
40. Those in favour of 12.5 g / 100 kcal (of available carbohydrates) expressed the following views:
• that this level was closer to that of breastmilk and cow’s milk;
• that the level was within the recommended range for available carbohydrates and would contribute to
about 50% of energy which was aligned with the recommendations on energy; and
• there was a need to limit the addition of sugars in order to avoid that young children consume products
with too high sugar levels.
41. Those in favour of a higher maximum level of 14 g / 100 kcal (of available carbohydrates) expressed the
following views:
• that this was based on nutrient modelling;
• was in line with international recommendations for nutrient range for young children; and
• if taken with the agreed protein level, the proposed minimum total fat level, 14 g / 100 kcal, was
appropriate to achieve 100kcal.
42. A delegation clarified that a product with 14 g / 100 kcal of available carbohydrate could result in a product
with little protein and fat. Breastmilk had a high carbohydrate content, and this was the sole food for infants,
whereas the product in question was part of a diversified diet with carbohydrates from other sources in the
diet. Several observers noted that the carbohydrate content in breastmilk was different from that in these
products.
43. In view of the discussion on the total available carbohydrate and fats, it was agreed to convene an in-session
working group led by New Zealand to prepare further proposals for consideration.
44. The in-session working group proposed a minimum level of fat of 3.5 g / 100 kcal of fat (equivalent to 31.5%
of energy), but could not conclude on the maximum level of available carbohydrate. It was noted that the
product was considered a substitute for cow’s milk, the level of 14 g /100 kcal of available carbohydrate was
too high, but would provide greater flexibility.
45. In view of this, consideration was given to the lower level available carbohydrates of 12.5 g / 100 kcal with the
addition of a footnote to clarify that a maximum level of available carbohydrate up to 14 g / 100 kcal may be
permitted by competent national and/or regional authorities for a product with a protein level below 3 g / 100
kcal.
 REP18/NFSDU 6

Footnote 4
46. The Committee; agreed that lactose should be the preferred carbohydrate in the product and the need to limit
the amount of mono- and disaccharides to reduce sweet taste; but could not agree on a proposal that for
products not based on milk protein, carbohydrate sources that have no contribution to the sweet taste should
be preferred. The Committee also noted that no non-carbohydrate sweeteners were permitted in this products.
47. There was agreement that the percentage limit for sugars is converted to an absolute amount based on energy
density.
48. Further proposals considered were to include: (i) a text to clarify that the content of mono- and disaccharides,
other than lactose, should not exceed 2.5 g /100 kcal amounting to 20% of available carbohydrate; and (ii) that
competent authorities may limit this level to 1.25 g / 100 kcal. The major discussion was on ensuring that when
carbohydrates were added they were not added for the purpose of sweetening the product; and that the text
should avoid making comparisons on sweetness as this would be difficult to implement and control due to a
lack of internationally validated methods and it would be difficult to objectively measure sweetness. A
delegation stated that the sensory profile could be measured in an objective way by ISO methods 3972 and
13299 and that in this context the sweetness level could be compared. Several observers expressed concern
about the impact that sweet products have on the development of a child’s taste palate.
Conclusion
49. The Committee agreed with a minimum level for fat of 3.5 g / 100 kcal and for a maximum level for available
carbohydrates of 12.5 g / 100 kcal with the addition of a new footnote to indicate that for a product with a
protein level below 3 g/ 100 kcal, a maximum level of available carbohydrate up to 14 g / 100 kcal may be
permitted by national and/or regional competent authorities; and agreed to retain the amended footnote 4 in
square brackets for further consideration.
Vitamin D
50. Some delegations supported the view for vitamin D to be an optional ingredient as increased levels of vitamin
D could have toxic effects, especially in countries with high sunlight. However, some other delegations were
of the opinion that vitamin D should be a mandatory ingredient.
51. Other delegations expressed support for the levels recommended by the EWG and noted that even in countries
with high sunlight, vitamin D deficiency remained a problem. It was further noted that it was necessary to clarify
which form of Vitamin D was referred to, either vitamin D2 or vitamin D3. While other delegations reiterated
their position for lower levels of vitamin D, i.e. minimum of 1 µg / 100 kcal and maximum of 3 µg /100 kcal,
noting that levels up to 4.5 µg /100kcal could result in unsafe levels of vitamin D being consumed; that the
lower levels would safeguard breast feeding. A delegation pointed out that there was a wide margin of safety
between the maximum level and the upper level of 62.5 µg per day of vitamin D for this age group set by the
US Institute of Medicine.
52. Noting the different requirements for vitamin D in different parts of the world, a proposal was made to allow
competent authorities to deviate from the conditions appropriate for the nutritional needs of their local
population.
Conclusion
53. The Committee noted the diverse views on the appropriate levels for vitamin D and the need to clarify in the
text that the form of vitamin D was vitamin D3, the Committee agreed to retain the proposal in square brackets
for further consideration at CCNFSDU40.
Labelling section: older infants
54. The Committee agreed with the sections: list of ingredients which was amended by deletion of reference to
“optional ingredients”, declaration of nutritive value; and date marking and storage instructions which was
aligned with the work on date marking finalised by Codex Committee on Food Labelling (CCFL); and made
the following additional decisions or comments.
55. The Committee noted the diverse views on whether to include in the introductory text, explaining that the
requirements included a prohibition on the use of nutrition and health claims, from the Guidelines for use of
nutrition and health claims (CXG 23-1997). Those in favour of retaining the text noted that the proposed
wording was consistent with the infant formula standard; and that it was necessary to reiterate and clarify that
nutrition and health claims were not appropriate for older infants.
Conclusion
56. The Committee agreed to retain the last sentence of the introductory paragraph in square brackets for further
consideration.
 REP18/NFSDU 7

Section 9.1 name of product

57. The Committee agreed to sections 9.1.1, 9.1.2 and 9.1.3. Regarding 9.1.4, the Committee agreed to option 1,
i.e. to split the provision 9.1.4 into two parts in order to clearly explain that the name of the food may also
contain the reference to the source of protein. The proposal was further amended to indicate that in case of
mixed source products, the source of both the animal and plant proteins should be indicated in the name of
the product, with the main source being mentioned first. In addition, the Committee agreed to use the term
“shall” in section 9.1.5 instead of “may”.
Section 9.5 – Information for use
58. The Committee noted and discussed the following views on section 9.5.1:
• that the product should be prepared with potable water; and that potable was a broader term to ensure
both chemical and microbiological safety;
• whether to maintain the current wording as it was aligned with the Standard for Infant Formula and
Formulas for Special Medical Purposes Intended for Infants (CXS 72 – 1981); or to refer to clean
water for which a definition existed; and
•
• to maintain the current wording stating that water could be rendered safe by previous boiling and to
include guidance that the water should be not less than 70 °C before reconstitution in line with
WHO/FAO guidelines on the preparation, storage and handling of powdered infant formula and the
guidance in the Code of Hygienic Practice for Powdered Formulae for Infants and Young Children
(CXC 66-2008). This was especially important taking into account that the product was not sterile and
could contain Enterobacter and Salmonella, amongst others.
59. It was agreed to retain the text “it is not to be used as a sole source of nutrition” in section 9.5.6.
Conclusion
60. The Committee agreed to insert reference to potable water and to maintain the text as proposed by the EWG.
Section 9.6 – Additional labelling requirements
61. The Committee considered the following points and views expressed:
• a proposal to insert in 9.6.1 c) an exception to introduce the product to infants under 6 months as
there might be situations where the product could be introduced earlier under medical supervision.
Delegations questioned this proposal noting that it would imply that the follow-up formula was meant
to deal with special dietary needs for which it was not intended for. The Representative of WHO
expressed concern over the ambiguity of the proposed wording, as it failed to qualify why and when
exceptions are justified, thereby creating opportunities for inappropriate promotion of the product for
use below 6 months of age. For infants below 6 months of age, who do not receive breastmilk for
legitimate reasons, infant formula should be available up to, and where needed beyond, 6 months.
Therefore WHO did not agree with the proposed wording.
• a question was also raised on why it was needed to refer to independent health workers, as all health
workers were professionals and independent;
• the need to reference the International Code of Marketing of Breastmilk Substitutes and subsequent
WHA resolutions, especially WHA69.9, in this section; and
• the need to finalise the preamble first, before the labelling provisions can be finalised.
Conclusion
62. The Committee agreed to retain the section in square brackets for further consideration.
Labelling for product for young children
63. Due to time constraints, the Committee did not discuss the proposals for the labelling of product for young
children.
Preamble, scope, name of product and product definitions and structure: older infants and young
children
64. The Committee did not take a decision on the definition for these two products, but agreed not to refer to the
products as “specially” manufactured; and in the case of the definition for the product for young children to
delete the last two sets of text in square brackets; and noted the following opinions:
• the name of the product should clearly state that the product for both older infants and young children
was a breastmilk substitute;
 REP18/NFSDU 8

• the product for young children should not be considered breastmilk substitutes as it was not intended
to replace breastmilk and was not nutritionally adequate;
• the preference for other terms such as “formula for older infants” which would help to better define the
product for older infants; and that consideration should be given to combining the standard for infant
formula with that for older infants, and to have a separate standard for the product for young children;
• the term “follow-up” implied that one does follow up, which was not the case and consideration should
therefore be given to naming the product “drink for older infants”; and
• the product for young children was meant to be used as part of a diversified diet, but the product for
older infants could be part of the overall foods to meet nutritional requirements for this age group.
65. The Committee noted that consideration could be given to the structure of the standard as discussed at
CCNFSDU38.
66. The Committee noted that it was premature to discuss the name of the product for young children and the
scope, and agreed to hold a general exchange of views on the preamble to inform the ongoing work.
67. The Committee confirmed its decision to have a preamble to the standard. However, the chair noted that
several fundamental questions needed to be answered first on whether to have specific references to WHA
resolutions and WHO guidelines or whether to have a more general reference; that some of the WHA
resolutions went beyond the mandate of Codex and therefore was inappropriate to reference them; and
whether guidance from the CCEXEC or CAC might be needed before the wording of the preamble could be
refined.
68. The Committee noted the following views made by delegations but did not take any decisions:
• That relevant WHA resolutions, such as WHA69.9, 55.25 and 39.28, and the International Code of
Marketing of Breastmilk Substitutes, the Global Strategy for Infant and Young Child Feeding and the
Guidance on Ending the Inappropriate Promotion of Foods for Infants and Young Children should be
explicitly mentioned either in the preamble or the scope and such references would give credibility to
Codex standards;
• That inclusion of references to WHA resolutions could have implications under the World Trade
Organization (WTO) and that decision on the preamble was premature in view of ongoing discussions
in CAC on WHO and FAO policies in relation to Codex work;
• It was not the role of Codex to include references to WHO policies and some WHA resolutions that
may go beyond the scope of the standard and the mandate of Codex, and such inclusion could set a
risky precedent and could undermine the credibility of Codex standards;
• There was precedent in Codex to include WHA resolutions and WHO guidelines and it should be borne
in mind that the preamble was an introductory part to the standard to set the context for the standard;
• Governments that had adopted the 1981 Code of Marketing of Breastmilk Substitutes were under
obligation to promote breast feeding beyond 6 months and beyond, and reference to relevant WHO
policies in this regard could serve as reminder to governments;
• Resolutions of WHA state that Codex should give full consideration to WHA resolutions; and
• It was premature to discuss the preamble and that such a discussion would be informed once there
was more clarity on the structure of the standard.
69. The Secretariat clarified that CCEXEC73 had concluded its discussion on relations between FAO and WHO
policies, strategies and guidelines and Codex work 8 and that the discussion at CAC was not on policy
coherence, but was on matters arising from FAO and WHO: policy and related matters 9. The aim was to inform
members of the WHO and FAO policies and other related matters so that the work of FAO and WHO could be
taken into account at national and other levels, including Codex.
70. The Committee further noted that it was premature to request advice from CCEXEC and that work should
continue on the preamble, scope, product name and definitions in order to assess whether any further
guidance was needed. The Committee also recalled that CCNFSDU38 10 had agreed that the reference to
relevant WHO guidelines and WHA resolutions could either be included in a preamble to the standard or in
the scope.

8 REP17/EXEC2, paras 161 - 170

9 REP17/CAC, paras 168 - 184
10 REP17/NFSDU, para. 113 ii
 REP18/NFSDU 9

Conclusion
71. The Committee agreed to:
• forward the essential composition requirements for older infants and young children agreed at this
and previous sessions to Step 5 for adoption by CAC41 (Appendix II);
• to keep in bracket the preamble for further discussion at the next session of the CCNFSDU; and
• re-establish the EWG chaired by New Zealand, and co-chaired by France and Indonesia and working
in English with the following terms of reference:
i. finalise the labelling requirements for follow up formula for older infants (see Appendix III);
ii. finalise the labelling requirements for [name of product] for young children (see Appendix
III);
iii. consider options for the structure of the standard/standards (e. g. whether one standard or
two separate standards for the products for the two age groups);
iv. develop a proposal for the scope sections for both follow-up formula for older infants and
[name of product] for young children consistent with discussions at CCNFSDU39; and
v. finalise the product definitions contained within section 2.1 for both follow-up formula for
older infants and [name of product] for young children and finalise the name of the product
for young children.
PROPOSED DRAFT DEFINITION FOR BIOFORTIFICATION (Agenda item 5) 11
72. Zimbabwe, as the co-chair of the EWG, introduced the item and noted that the EWG had focused on further
development of the five criteria to assist in guiding the drafting of the definition. Accordingly the EWG had
made six recommendations (five related to the draft criteria and one on the draft definition) for consideration
by the Committee.
73. The Chair of the Committee reminded the Committee of the other outstanding issues from CCNFSDU38, i.e.
how the definition would be used and where it would be placed, and that these would also need consideration.
She proposed that the Committee first consider the draft definition (recommendation 6) since the criteria had
been discussed several times and that these were tools developed to assist the EWG in coming up with the
draft definition. She further noted that not all the specific wording in the five criteria would necessarily form part
of the definition.
74. The Committee agreed with the proposal of the Chair to first consider the definition (recommendation 6) and
noted the following general and specific comments made by delegations:
General Comments
75. The EU and its Member States, supported by two delegations, observed that before embarking on the
elaboration of the definition, it would be important to first clarify how the definition would be used; the purpose
of the work and where the definition would be best placed as requested by CAC38 following the CCEXEC
recommendations. Answers to these questions were a pre-requisite to enable substantial progress on the
definition. These delegations further observed that in the EU there were legally binding regulations on the use
of the term “bio” where it is reserved for organic production. Therefore, a claim for biofortification on a food
label of any foods not produced through organic farming could not be supported. It was not necessary for
Committee resources to be spent on developing a definition for biofortification as a definition already existed
in the WHO website under the glossary of terms.
76. Some observers, expressed support for the views of the EU. In addition, it was noted that there was no Codex
definition for the term “conventional fortification”. Some observers and one delegation noted that such a
definition would open avenues for use of technologies including genetic modification (GM), that they consider
harmful. These observers proposed that the work be discontinued and further expressed the view that the
definition would also promote a single nutrient approach rather than a biodiverse diet.
77. The observer from NHF objected to the inclusion with definition of the words “any potential sources,” and “any
method of production”, and the associated footnote 5 – “the methods of production may be determined by
national authorities” -, in their view, this would allow use of techniques used in genetic modification to be
employed for biofortification thereby misleading consumers who could view “biofortification” as a natural
processes for enhancing the nutrient content of food. NHF further objected to the term itself as “bio” is already
a term of art meaning “organic” and consumers would be confused by the two terms’ similarity.

11 CX/NFSDU 17/39/5; CX/NFSDU 17/39/5 Add.1 (Comments of Albania, Australia, Brazil, Canada, Colombia, Costa Rica,
Egypt, India, New Zealand, Paraguay, Philippines, Switzerland, Thailand, USA, IBFAN, ICBA, ICGMA, IFU, FAO);
CX/NFSDU 17/39/5 Add.2 (Kenya, Malaysia, Tanzania and IACFO); CRD8 (EU, Nicaragua, Nigeria, African Union);
CRD16 (Sierra Leone); CRD22 (NHF); CRD 25 (Mali); CRD26 (Mexico).
 REP18/NFSDU 10

78. The observer from IFPRI reiterated their view expressed at previous committee sessions that the focus of
biofortification was the breeding of conventional crops as one of the strategies to combat micronutrient
deficiencies in the population. She explained that alternative, but equivalent terminologies to biofortification
existed, e.g. agro-fortification, agri-fortification, nutri-fortification, and these could be used in different countries.
To bring clarity around the definition, the observer proposed that the Committee could consider inserting a
footnote: “Some member governments may prefer to use the equivalent terms agri-fortification, agro-
fortification, nutri-fortification” to this effect.
79. A delegation expressed the view that the definition of biofortification was important for countries in developing
their legislation and policies, particularly since biofortification is currently used to increase the vitamin A content
of cassava, for example.
80. Noting the potential limitation to the use of the term biofortification in some regions/countries where it was
associated with organic agriculture, the Committee therefore agreed that the use of alternative term(s) to
“biofortification” be explored.
81. In response to the question about the definition of biofortification noted in the WHO e-Library of Evidence for
Nutrition Actions (eLENA), the Representative of WHO clarified that there is in fact a title page on
biofortification of staple foods where some information on biofortification can be found in eLENA. But it states
clearly that currently there is no WHO guideline on biofortification and although the 2016 WHO/FAO technical
consultation reviewed the definition of biofortification of staple crops among various other issues, it was not a
guideline-development expert meeting and therefore did not develop any definitive recommendations.
82. The Chair of the Committee explained that the request for undertaking new work originated from CCFL, that
CCFL was the right committee to make a recommendation on how the definition would be used and where it
would be best placed, but that CCNFSDU could make proposals to CCFL. It was further clarified that the
definition would exclude feed.
Specific comments
83. The Committee considered the proposed draft definition and exchanged views on the following elements:
- “Potential Source organisms”
84. Agreed that the definition should be simple, clear and concise, and that examples of potential source
organisms, i.e. animal, plant, fungi, yeasts, bacteria should be included in a footnote.
- “Nutrient”
85. Noted that the term “nutrients” as defined in the Guidelines on Nutrition Labelling (CXG 2-1985) was more
appropriate for use in the definition. The Committee noted that the term “nutrient”, instead of essential nutrient
(as defined in the General Principles for the Addition of Essential Nutrients to Foods (CXG 9-1985)), should
be used both in the definition and the associated footnote 1.
- “Related substances”
86. It was explained that the inclusion of the term “related substances” was intended to accommodate other
substances such as phytochemicals and anti-nutritional factors that may not fall within the definition of
nutrients. However, a concern was raised that including “related substances” in the definition would make the
scope broader and thus complicate the situation, and that such substances needed to be clearly defined.
87. The Representative of FAO noted that there would be a need to clarify explicitly which substances fall within
the category of related substances; how the health outcomes associated with these would be evaluated and
proposed that this parameter be reconsidered.
88. It was thus proposed that these should be excluded from the definition.
- Increase of nutrient by measurable levels and nutrient bioavailability
89. It was mentioned that the intended positive health outcomes could be achieved either, through a quantitative
increase in the desired nutrients, or through reduction of target anti-nutrients (e.g. phytate) and thus make the
nutrients more bioavailable. However, from an enforcement point of view, it would be easier to measure the
nutrient increase rather than nutrient bioavailability. Therefore the definition should focus on the expected
outcome, i.e. measurable levels but also take into account nutrient bioavailability.
- Footnote 4 – Intended purpose
90. The Committee considered the suitability of the principles listed in section 3.1.1 of CXG 9-1987, and reaffirmed
that the purpose of biofortification is to improve nutritional quality and confirmed that the principles as listed
were applicable and suitable for use in the definition. To ensure clarity and precision of the definition, it was
proposed the principles should be listed in a footnote as follows:
 REP18/NFSDU 11

a) preventing/reducing the risk of, or correcting, a demonstrated deficiency of one or more essential
nutrients in the population;
b) reducing the risk of, or correcting, inadequate nutritional status or intakes of one or more essential
nutrients in the population;
c) meeting requirements and/or recommended intakes of one or more essential nutrients;
d) maintaining or improving health; and/or
e) maintaining or improving the nutritional quality of foods.
- Method of production
91. Some delegations expressed the view that production methods should not be part of the definition and that
their inclusion would create potential trade barriers as competent authorities would seek verification of
production methods. Other delegations noted that the definition should apply only to conventional plant
breeding and should exclude GM techniques.
Other considerations
- Allergenicity
92. Concerns were also expressed on the potential increase in allergens in foods; and that there would be a need
to specify the target population the products obtained from biofortification are intended for. It was clarified the
allergenicity should be dealt with through labelling.
Conclusion
93. The Committee noted that a number of aspects in the definition needed further consideration, as well as the
questions on where the definition would be placed and how it should be used, and agreed to re-establish the
eWG, chaired by Zimbabwe and co-chaired by South Africa and working in English and French to:
a) refine the draft definition and its accompanying footnotes’ texts on the basis of the comments received
and CCNFSDU39 recommendations (Appendix IV);
b) explore other alternative terms to biofortification; and
c) consider the request from CAC38 on how the definition would be used and where it would be best
placed.
PROPOSED DRAFT NRV-NCD for EPA and DHA LONG CHAIN OMEGA-3 FATTY ACIDS (Agenda item
6) 12
94. The Russian Federation, as Co-Chair of the EWG, introduced the item and presented the results of the EWG.
95. The Co-Chair of the EWG reported that:
• the EWG proposal of 250 mg/day for EPA/DHA was based on two Joint FAO/WHO expert
consultations and one FAO expert consultation in accordance with the general principles, in a similar
way for establishing NRV-NCD for sodium and potassium;
• ten RASBs whose opinion was recommended to be taken into account when discussing NRV-NCD
for EPA and DHA had been identified; and
• there were conflicting views on the RASB selection, i.e. whether opinions of RASBs which did not find
convincing evidence for setting a daily intake reference value (DIRV) should also be considered or
not.
96. The Committee was further informed that the two NUGAG documents (abridged versions) were also
considered in the work of the EWG.
97. The Representative of WHO further clarified that with reference to NRV-NCD for sodium and potassium, the
Committee established initially the values based on the outcome of the 2002 Joint WHO/FAO Expert
Consultation on Diet, Nutrition and the Prevention of Chronic Diseases (TRS 916), but when the updated WHO
guideline on sodium intake for adults and children (2012) became available, the Committee updated it to follow
the 2012 WHO guideline as indicated in the reference to the NRV-NCD for sodium. In the same manner, NRV-
NCD for potassium was developed based on the WHO guideline on potassium intake for adults and children
(2012) as the 2002 Joint WHO/FAO expert consultation did not provide any specific value for potassium.

12 CX/NFSDU 17/39/6; CRD9 (Comments of European Union, Thailand, GOED); CRD23 (Canada); CRD29 (Peru)
 REP18/NFSDU 12

98. The Committee welcomed the side-event on evidence reviews on n-3 polyunsaturated fatty acids (PUFA):
background reviews conducted for the work of NUGAG, considered the six recommendations of the EWG and
made the following decisions and comments.
Recommendations 1 - 3
99. Delegations were of the view that: i) the systematic reviews conducted for the PUFA guideline development
by the NUGAG Subgroup on Diet and Health (NUGAG documents) were: very comprehensive, but had been
presented late to the EWG and more time would be needed to consider them; ii) risk assessors should consider
the systematic NUGAG reviews rather than the Committee who were risk managers.
100. In response to the question on the publication process and status of the NUGAG documents, the
Representative of WHO stated that it is planned that the n-3, n-6 and total PUFA randomised clinical trial
(RCT) reviews on CVD related outcomes would be published as Cochrane reviews while RCT reviews on all
other health outcomes and the reviews on cohort studies would be published in peer-reviewed journals in
2018.
101. The Committee agreed with recommendations 1, 2 and 3.
Recommendation 4 - 6
102. The Committee noted the explanation from WHO that the term “convincing” was included in the text of section
3.2.2 on NRV-NCD under general principles after the discussion took place at CCNFSDU32 (2010) based on
the criteria used by the 2002 Joint WHO/FAO Expert Consultation on Diet, Nutrition and the Prevention of
Chronic Diseases (TRS 916). The criteria for evaluating the strength of evidence using “critical, probably,
possible and insufficient” was developed based on the criteria used by the World Cancer Research Fund, but
with some modifications made by the 2002 Expert Consultation in an effort to evaluate the quality of evidence
in a more systematic manner. But these criteria were used only at the 2002 Expert Consultation and again at
the 2008 Joint FAO/WHO Expert Consultation on Fats and Fatty Acids in Human Nutrition. But since the
implementation of the organisation-wide change in the guideline development process in WHO in 2010, WHO
no longer uses such criteria as the evaluation of the quality of evidence is now required to be done through
Grading of Recommendations Assessment, Development and Evaluation (GRADE). The Representative
therefore suggested that the Committee might wish to consider whether it was still necessary to keep the term
“convincing”.
103. The Committee agreed to recommendations 5 and 6 and that recommendation 4 should be further considered.
The Committee also agreed that the clarification of sections 3.1 and 3.2 of the Annex: General Principles for
Establishing Nutrient Reference Values for the General Population to the Guidelines on Nutrition Labelling
(CXG 2-1985) would first focus on resolving the work on establishing NRV-NCD for EPA and DHA noting the
interpretation of the principles might be applicable for other NRV-NCD in future.
Conclusion
104. The Committee agreed to establish an EWG, co-chaired by the Russian Federation and Chile, working in
English with the following terms of reference:
(i) to complete the assessment of the most current scientific evidence as presented in the NUGAG
systematic reviews taking into consideration further advice from FAO/WHO;
(ii) to clarify under Section 3.1 of the Annex: General Principles for Establishing Nutrient Reference
Values for the General Population to the Guidelines on Nutrition Labelling (CXG 2-1985) if opinions
from RASBs that did not set DIRVs could also be taken into account when establishing NRVs;
(iii) to discuss the first bullet of Section 3.2.2 of the Annex: General Principles for Establishing Nutrient
Reference Values for the General Population to the Guidelines on Nutrition Labelling (CXG 2-1985)
and clarify what level of evidence quality under the GRADE classification shall be considered as the
“relevant convincing/generally accepted scientific evidence”;
(iv) to discuss if the definition of convincing evidence given in “Diet, Nutrition and the Prevention of Chronic
Diseases: Report of a Joint FAO/WHO Expert Consultation, 2002” is applicable for the purpose of
establishing an NRV-NCD; and
(v) to make proposals to CCNFSDU40.
 REP18/NFSDU 13

PROPOSED DRAFT GUIDELINE FOR READY-TO-USE THERAPEUTIC FOODS (Agenda item 7) 13

105. South Africa as chair of the EWG, introduced the item and noted that based on written comments the chairs
had prepared a revised proposal (CRD15).
106. The Committee considered the recommendations, made proposals, amendments and took the following
decisions:
Recommendation 1
107. The Committee briefly discussed the preamble, and agreed that it would be considered after discussing the
technical part of the guideline. The Committee noted the clarification from the Secretariat that the first
paragraph should be deleted as the current wording was not appropriate and reference to the Code of Ethics
for International Trade in Food including Concessional and Food Aid Transactions (CXC 20 – 1979) could be
inserted at an appropriate point at the end of the preamble. Similar points were also raised by other
delegations.
108. Concerns were raised that the guideline could result in increased marketing and sale of ready-to-use
therapeutic food (RUTF) products, the Secretariat clarified that the project document clearly explained that the
guideline for RUTF will provide a reference for industry, consumers and government regulatory authorities to
follow and provide the needed framework for the supply of consistently safe and nutritionally appropriate
emergency food aid products across borders and was therefore not for general sale. One delegation did not
support the use of RUTF as enough evidence was not available for the use of commercially manufactured
RUTF for the management of severe acute malnutrition (SAM) and strongly supported the use of local foods
to manage the condition in accordance with national policy. Another delegation noted that RUTF should not
be prioritised and noted that children with SAM needed adequate treatment and care.
Recommendation 2 - Description
4.1 Ready-to-Use Therapeutic Foods (RUTF)
109. The definition was amended to clearly indicate that RUTF should contain adequate protein and other essential
nutrients. It was clarified that the term high energy was associated with high fats and high sugars and there
was no need to specifically mention these two nutrients in the definition. The Committee generally supported
this recommendation.
5. Raw materials and ingredients
110. Agreed to:
- delete the words “powdered or ground ingredients” and instead refer to ingredients in general as this
would provide for other ingredients that may exist in liquid form, and allow for innovative products and
use of emerging technologies; and
- support the recommendation
5.1.1 Milk and other Dairy Products
111. Agreed to:
- amend section 5.1.1 (Milk and other Dairy Products) to include “other animal source products” to cater
for other ingredients that could be sourced locally;
- make reference to relevant Codex Standards on milk and milk products; and
- support the recommendation.
5.1.2 Legumes and Seeds
112. Agreed to:
- replace the term “pulses” with “seeds” as the raw materials were broadly classified into either legumes
or seeds (e.g. sesame); and
- include soybeans among the raw materials as soybeans were widely used as a source of protein.
113. An Observer noted there were a number of advisories on feeding children between 6 to 59 months on soy
based products and such information should be taken into account.

13 CX/NFSDU 17/39/7; CX/NFSDU 17/39/7 Add 1 (Albania, Brazil, Canada, Colombia, Costa Rica, Egypt, India, Paraguay,
Philippines, USA, EU Specialty Food Ingredients, HKI, IBFAN, ICAAS, IDF, IOFI, ISDI, MSF, UNICEF);CX/NFSDU
17/39/7 Add.2 (Kenya, Malaysia, Tanzania, Thailand and IACFO); CRD10 (European Union, Nigeria, African Union);
CRD15 (Proposal of EWG Chairs); CRD16 (Sierra Leone); CRD25 (Mali)
 REP18/NFSDU 14

5.1.3 Fats and oils and 5.1.4 Cereals

114. Agreed with the proposed changes detailed in CRD 15.
5.1.5 Vitamins and Minerals
115. Noted that the list for nutrients compounds should:
- be an open list to allow for its updating based on emerging science;
- include clearly those vitamins and minerals that are recommended and those that should be avoided;
and
- make reference to the WHO Publication of 1999.
116. Agreed that minerals in general would require further consideration.
5.2.1 Available Carbohydrates
117. The Committee considered the footnote associated to available carbohydrates and noted the following issues
for further consideration:
- the quantity of free sugar in the product should be restricted and should be in accordance with WHO
guidelines and WHA recommendations;
- the value of 20% was too high and should be indicated on the label;
- a statement to read “Any carbohydrate added for sweetness should be used sparingly” should be
included in the footnote; and
- glucose syrup and corn syrup should be grouped together, as their reported negative health
implications were similar.
118. The Representative of WHO mentioned that there were clear recommendations to reduce the consumption of
sugars and understanding that it may be possible to further reduce the content of sugars with future
technological advances, clearer relevant language could be included in the guideline to address this issue.
119. The Representative of UNICEF explained that sugar was normally added to RUTF to enhance palatability of
the product, and for technological reasons to act as a filler and a binder and extend the shelf-life. It was
currently only possible to reduce sugar by 5%, but in future, with technological advances, sugar might be
further reduced.
120. One observer said that countries should not be pressurised to accept globally traded RUTF, as locally made
foods could be more nutritious and might not need the addition of such high levels of sugar.
121. The Committee agreed that available carbohydrates would require further consideration.
Contaminants
122. The EWG Chair noted that the section would cover all types of contaminants to be controlled in RUTF; however
there were no set maximum levels for contaminants in the General Standard for Contaminants in Food and
Feed (CXS 193-1995) (GSCTFF) for RUTF; and that the stepwise approach proposed to deal with
contaminants.
123. The Representative of WHO expressed support for the proposals by the EWG to manage contaminants in
products such as RUTF, and noted that one way would be to make a cross reference to the relevant standards
where the ML could be found (such as CXS 193-1995). However to better help and guide producers of RUTF
to comply with the ML for contaminants (stated in CXS 193-1995) consideration could be given to listing the
relevant ML for contaminants for RUTF products in the guideline. He also stressed the importance of having
proper risk management measures in place for contaminants, like aflatoxins, focusing more on the raw
material, rather than in the finished product.
124. The Representative of FAO emphasised the important need to having safe RUTF. Yet, a ML might not always
be the most suitable risk management measure, he encouraged the Committee to carefully consider the best
measures to minimise the amount of contaminants present in RUTF. FAO reminded the Committee that the
Committee on Contaminants in Food (CCCF) is the committee under the Codex system that focused on all
aspects of contaminants in foods and CCNFSDU might consider to ask CCCF for advice on this critical
question. FAO reminded the Committee further that contaminants are best controlled through a careful
management of the ingredients and the supply chains in general, and pointed out that suitable provisions from
various codes of practice, GAP, GMP and a close control of the ingredients used for the production of RUTF
already existed. The Committee was encouraged to consider the suitability of these provisions in addition of
or in place of a maximum level for contaminants in the final product.
 REP18/NFSDU 15

125. The Secretariat clarified that while a reference to the GSCTFF was the preferred option as outlined in the
Format for Codex Commodity Standards in the Procedural Manual, exceptions to this rule were allowed.
However, any MLs would still require endorsement by CCCF and clear justification should be provided on why
a general reference to the GSCTFF was not appropriate. She further explained that any MLs sent to CCCF
should also be accompanied by an explanation on the scientific basis of the ML.
126. A delegation proposed that consideration be given to a ML for aflatoxin of 5 ppb as prescribed in the Joint
Statement by the World Health Organization, the World Food Programme, the United Nations System Standing
Committee on Nutrition and the United Nations’ Children’s Fund: Community-based Management of Severe
Acute Malnutrition.
127. The Committee agreed with the proposed stepwise approach by the EWG, and that it would be the starting
point for further work in this area.
Other sections
128. Due to time constraints, other sections could not be considered.
Conclusion
129. The Committee agreed to establish:
a) an EWG, Chaired by South Africa and co-chaired by Senegal and Uganda and working in English and
French (with the support of France) to continue drafting the guidelines for RUTF taking into account
the decisions and comments made at the session (Appendix V) and written comments submitted to
CCNFSDU39, for comments and further discussion at the next session.
b) a PWG, to meet immediately prior to the next session, chaired by South Africa, and co-chaired by
Senegal and Uganda, working in English, French and Spanish, to further elaborate the proposed draft
guidelines for RUTF taking into account the conclusions and recommendations of the EWG and the
comments received prior to CCNFSDU40.
NRV-R FOR OLDER INFANTS AND YOUNG CHILDREN (Agenda item 8) 14
130. The Chair introduced the item and recalled that while there was interest to continue this work, the Committee
had been unable to find countries ready to lead the work in the previous two sessions. The Delegation of
Australia urged the Committee to continue the work and proposed how it could be taken forward through an
EWG as presented in CRD 2.
131. The Committee agreed to continue this work and considered the terms of reference of the EWG presented by
Australia. The Committee made amendments to the terms of reference for clarity and feasibility.
Conclusion
132. The Committee agreed to establish an EWG chaired by Ireland, and co-chaired by Mexico and the United
States of America, working in English and Spanish, with the following terms of reference:
A. Assess the need and value for the establishment of NRV-R for older infants and young children in
Codex texts in relation to:
i. the purpose of such NRVs-R in the Guidelines for Nutrition Labelling (CXG 2-1985) and Codex
texts for special dietary use for older infants and young children; and
ii. the specific age groups to which these NRV-R may apply.
Where a need is established under TOR A:
B. Analyse nutrition labelling provisions in Codex texts under TOR A (i) and, where appropriate,
develop a request to CCFL to provide advice on the potential for amendments to provide further
clarity.
FOOD ADDITIVES – MECHANISM / FRAMEWORK FOR CONSIDERING TECHNOLOGICAL
JUSTIFICATION AND OTHER MATTERS (Agenda item 9) 15
133. The EU as chair of the EWG, reviewed the process followed by the EWG, and presented their results.
134. The Committee considered the three recommendations of the EWG and made the following decisions and
comments.

14 REP17/NFSDU, para.40; CRD2 (Discussion paper by Australia); CRD11 (Comments of Tanzania, Thailand, African
Union, ISDI); CRD17 (Indonesia); CRD25 (Mali)
15 CX/NFSDU 17/39/8; CRD6 (ISDI); CRD12 (Canada, European Union, USA); CRD17 (Indonesia)
 REP18/NFSDU 16

Recommendation 1 – Scope
135. One observer was of the view that the scope should be limited to standards with foods intended for infants and
young children.
136. The Committee agreed that all foods within its mandate should be covered by the framework.
Recommendation 2 – criteria (Annex A)
137. The Committee noted the views that: i) the questions included in Annex A were overly complex and difficult to
understand; ii) some questions went beyond technological justification, and should be considered by the
Committee on Food Additives (CCFA); and iii) the three sub-titles were unnecessary.
138. After explaining the rationale for the three sections in Annex A, i.e. section I was to check the eligibility and
intended use, Section II was to verify the compliance with the approach on the use of additives in foods
intended for infants and young children, and section III was to verify the compliance with section 3.2 of the
preamble to the General Standard for Food Additives (GSFA), the EU indicated that the order of sections II
and III could be changed in view of the decision on the scope.
139. The Committee agreed to use Annex A, comments received at the meeting, and comments reflected in the
CRDs as a basis for further consideration.
Recommendation 3 - continuation of the framework
140. In response to the concern on whether the framework could have an impact on special dietary foods such as
gluten-free foods, it was clarified that the purpose of the development of the framework was to appraise the
technological justification for food additives intended for JECFA evaluation rather than to prevent use of food
additives.
141. The Committee agreed to continue the work on the framework.
142. On the proposed list of food additives for testing the framework, the Committee noted the explanation and
views that:
• there had been concerns that several adopted food additive provisions for foods intended for infants
below 12 weeks of age had no appropriate safety assessment (see CRD15 of CCFA49), and that the
Committee was requested to consider this matter in its ongoing work on technological justification;
depending on the outcome of technological justification, these food additives could be either deleted
from the Standard for Infant Formula and Formulas for Special Medical Purposes Intended for Infants
(CXS 72-1981) or included in the JECFA priority list;
• testing of the framework should be focused first on xanthum gum (INS 415), pectin (INS 440) and
gellan gum (INS 418); and that the food additives in CRD15 of CCFA49 should only be considered
after the framework had been tested on the aforementioned three food additives; and
• the framework should be applicable to new food additive requests and not delay decision on pectin
and xanthan gum for which JECFA has already undertaken safety assessments, and for which
sufficient technological justification had already been provided.
143. In the spirit of compromise, the Committee agreed to evaluate the relevant food additives in CRD15 of CCFA49
as a next step.
Conclusion
144. The Committee agreed to establish an EWG, chaired by the EU, and co-chaired by the Russian Federation
working in English with the following terms of reference:
(i) continue working on a mechanism or framework for considering the technological justification on the
basis of CX/NFSDU 17/39/8 and taking into account the comments in the CRDs and the discussion at
CCNFSDU39; and
(ii) test the agreed framework with the proposed use of xanthan gum (INS 415), pectin (INS 440) and
gellan gum (INS 418).
 REP18/NFSDU 17

DISCUSSION PAPER ON CLAIM FOR “FREE” OF TRANS FATTY ACIDS (Agenda item 10) 16
145. Canada introduced the item and recalled that CCNFSDU38 had been presented with a value for a free of TFAs
claim of 1 g per 100 g of fat, and that three analytical methods for determining TFAs, had been referred to
CCMAS for consideration. Canada further informed the Committee that CCMAS38 had replied that the three
analytical methods could detect the levels of the proposed claim.
146. Based on the discussions of CCNFSDU38 and feedback from CCMAS38, the discussion paper had been
revised. The Committee considered an updated proposal of Canada that in order to carry a claim for “free of
trans-fat” the food should contain no more than 1 g per 100 g of fat and must meet the conditions set for “low”
in saturated fats.
Discussion
147. There was a general agreement on the value of 1 g per 100 g of fat. Several delegations and an observer,
while in support of the level of 1 g per 100 g of fat, did not support the accompanying conditions for “low” in
saturated fats based on a number of recent studies including a prospective cohort study in 18 countries (PURE
study) in five continents that saturated fat consumption showed no association with CVD and mortality, hence
the approach to limit the choice of TFA-free products to only those low in saturated fats would deprive
consumers of the right choice of food.
148. The Representative of WHO supported the proposal made by Canada to include the conditions for low
saturated fats in order to avoid increasing replacement of TFA with saturated fats. She also stated that the
PURE study cited by some member countries as new scientific evidence had in fact been criticised by many
experts and that WHO had also reviewed it carefully. It could be considered that an important strength of the
PURE study might be the large sample size and inclusion of populations from various countries and regions
throughout the world. But the pooling together of such diverse populations with diverse dietary patterns and
other factors would pose challenges and concerns with respect to interpretation of the results presented in the
study. WHO further found various concerns about their conclusion indicating that a higher intake of fats
(including saturated fats) was associated with lower NCD events and mortality. Among others, a key limitation
of the study was a lack of a clear definition of carbohydrates, whose consumption was compared with that of
fats in the paper. It was not clear which carbohydrates were included in the analyses and they did not seem to
distinguish carbohydrates with detrimental health effects (e.g. free sugars, refined grains) and those with health
benefits (e.g. fibre rich wholegrains, legumes, vegetables and fruits). She stated, therefore, it should not be
used as the evidence to promote the consumption of saturated fats.
149. The Committee further noted the following additional views expressed by delegations and observers:
• the condition for nutrient content claims for saturated fats requires that TFA should be taken into
account, and therefore the same should be applied to the claim free of TFA for consistency;
• the two large-scale prospective cohort studies, the Nurses’ Health Study and the Health Professional
Follow-up Study, found that increase in TFA by 1% was associated with 10% increase in total mortality
whereas increase in saturated fats by 5% was associated with the same outcome: therefore, the ratio
between TFA (1 g) and saturated fats (1.5 g) seemed to be an underestimation;
• the ingredient of concern was industrial trans fats; and that the methods should be sent back to
CCMAS to obtain validation data per 100 g of fat; and
• the issue of trans fats was better addressed through warnings, rather than through health claims.
Conclusion
150. The Committee agreed to send the proposal for comments at Step 3 and further consideration at its next
session (Appendix VI).
OTHER BUSINESS AND FUTURE WORK (Agenda item 11) 17
Methods of analysis for provisions in the Standard for infant formula and formulas for special medical
purposes intended for infants (CXS 72-1981)
151. The United States of America introduced this item.

16 CX/NFSDU 17/39/9; CRD13 (Comments of Philippines, Tanzania, Thailand, USA, African Union); CRD17 (Indonesia);
CRD18 (Malaysia); CRD19 (Republic of Korea); CRD20 (IFMA); CRD25 (Mali)
17 CRD3 (Comments of IPA); CRD4 (Costa Rica, Paraguay); CRD14 (USA); CRD21 (ISDI); CRD27 (Argentina).
 REP18/NFSDU 18

152. The Committee agreed to:

(i) submit the methods for biotin, vitamin D, and chloride to CCMAS for typing, endorsement and inclusion
in the Recommended Methods of Analysis and Sampling (CXS 234-1999) as these methods reflected
the most recent scientific methods of analysis for these nutrients in infant formula and had been
validated in this product (Appendix VII); and
(ii) request CCMAS to re-type the related existing methods for biotin, vitamin D and chloride in CXS 234-
1999.
Harmonised probiotic guidelines for use in foods and dietary supplements
153. The observer of IPA introduced this item and proposed to develop guidelines with a harmonised framework
for probiotics to ensure and sustain the quality of probiotic products on a global scale.
154. Argentina expressed their support to the proposal and their willingness to lead this work.
155. In view of the late receipt of the document, delegations were not in a position to fully discuss the proposal in
order to make an informed decision on starting new work.
156. The Committee agreed that Argentina would prepare a discussion paper together with a project document for
consideration at its next session.
General guidelines to establish nutritional profiles
157. Costa Rica, speaking also on behalf of Paraguay, introduced the item and explained that the guidelines to
establish nutritional profiles would be used to complement the work on front of pack nutrition labelling (FOPL)
in CCFL. Costa Rica proposed to establish an EWG to further scope the new work and refine the project
document; or to issue a circular letter to collect information on models of nutritional profiles from members in
order to have a global stock take.
158. Ecuador stated that they had lots of experience on this matter and would be willing to chair the EWG, if agreed.
159. In response to the question on the difference between FOPL and nutrition profiles, the Representative of WHO
clarified that a nutrient profile model is a tool to classify or rank foods and are used to implement various
applications including FOPL. The Representative also expressed their willingness to share the catalogue on
models of nutrient profiles for different application compiled by WHO which needed to be updated.
160. While recognizing the importance of this work, delegations expressed their views that: i) the document was
made available very late and more time for consultation and consideration would be needed; ii) it might be
premature to discuss this item as CCFL had not reached decision on whether nutrient profiles were necessary;
iii) there were already a number of agenda items and pending issues to be considered by this Committee; iv)
a circular letter would be of assistance to analyse different nutritional profile systems and facilitate better
understanding of this work.
161. The Committee agreed that:
(i) the discussion on this item be postponed to its next session; and
(ii) Costa Rica could look into the possible specific questions for the circular letter, if such a CL to be sent
out after CCNFSDU40.
DATE AND PLACE OF THE NEXT SESSION (Agenda item 12)
162. The Committee was informed that the 40th Session was scheduled to be held in Berlin, Germany from 26 to
30 November 2018, the final arrangements being subject to confirmation by the host government in
consultation with the Codex Secretariat.
REP18/NFSDU Appendix I 19

Appendix I

LIST OF PARTICIPANTS
LISTE DES PARTICIPANTS
LISTA DE PARTICIPANTES

CHAIRPERSON – PRÉSIDENTE – PRESIDENTA

Dr Pia Noble
Federal Ministry of Food and Agriculture
Rochusstraße 1
53123 Bonn
Germany
Email: [email protected]

VICE-CHAIRPERSON – VICE-PRÉSIDENTE – VICEPRESIDENTA

Ms Marie-Luise Trebes
Federal Ministry of Food and Agriculture
Rochusstraße 1
Bonn
Germany
Tel: +49 (0)228 99 529 3394
Email: [email protected]

ASSISTANT TO THE CHAIRPERSON - ASSISTANTE DE LA PRÉSIDENTE - ASISTENTE DE LA

PRESIDENTA
Ms Katharina Adler
Federal Ministry of Food and Agriculture
Rochusstraße 1
53123 Bonn
Germany
Tel: +49 228 99 529 4647
Email: [email protected]

MEMBER COUNTRIES - PAYS MEMBRES - PAÍSES MIEMBROS

ALGERIA - ALGÉRIE - ARGELIA ARGENTINA - ARGENTINE

Ms Henda Souilamas Ms Alejandra Larre

Sous Directrice Asesora Tecnica
Ministère du Commerce Punto Focal del Codex - Direccion Nacional de
Cité Zerhouni Mokhtar El Mohammadia Alger Relaciones Agroalimentarias Internacionales
Alger Ministerio de Agroindustria
Algeria Azopardo 1025
Tel: 00 213 662 839 686 Buenos Aires
Email: [email protected] Argentina
Tel: +54-11-4363-6272
ANGOLA Email: [email protected]

Mrs Lidia Morais AUSTRALIA - AUSTRALIE

1ª Secretária Executiva Adjunta do Codex
Serviços de Saúde do EMG-FAA Ms Jenny Hazelton
Codex-Angola/Ministério da Defesa Nacional Manager, Labelling and Information Standards
Largo António Jacinto-Ministério da Agricultura Food Standards Australia New Zealand
Luanda PO Box 5423
Angola Kingston ACT
Tel: +244 923 31 66 78 Australia
Email: [email protected] Tel: +61262712623
Email: [email protected]
REP18/NFSDU Appendix I 20

Ms Gillian Duffy Ms Judith Benedics

Senior Nutritionist Executive Officer
Food Standards Australia New Zealand Federal Ministry of Health and Women´s Affairs
PO Box 5423 Radetzkystraße 2
Kingston ACT Vienna
Australia Austria
Tel: +61262712227 Tel: +43171100644271
Email: [email protected] Email: [email protected]

Dr Michelle Farnfield BELGIUM - BELGIQUE - BÉLGICA

Group Scientific & Regulatory Affairs Manager
Aspen Pharmacare Australia Pty Ltd Ms Isabelle Laquière
34-36 Chandos Street, NSW 2065 Regulatory Expert
St Leonards Food, Feed and other consumption product
Australia FPS public health.
Tel: +61 409 326 645 Eurostation - Place victor horta, 40 bte 10
Email: [email protected] Brussels
u Belgium
Tel: +32 2 524 73 64
Ms Victoria Landells Email: [email protected]
General Manager Group Regulatory Affairs
Fonterra Australia Pty Ltd BRAZIL - BRÉSIL - BRASIL
327 Ferntree Gully Road
Mount Waverly, VIC
Ms Elisabete Goncalves Dutra
Australia
Technical Assistent
Tel: +61 3 8541 1327
National Health Surveillance Agency - Anvisa
Email: [email protected]
SIA, TRECHO 5, ÁREA ESPECIAL 57- Brasília
Brazil
Prof Barbara Meyer Email: [email protected]
Director, Lipid Research Centre
University of Woolongong
Ms Ana Claudia Marquim Firmo De Araújo
Building 41, room 316, School of medicine,
Specialist in Health Surveillance
University of Wollongong
National Health Surveillance Agency - Anvisa
Wollongong, NSW
SIA, Trecho 5, área especial 57-71.205-050
Australia
Brasília-DF
Tel: +61 2 4221 3459
Brazil
Email: [email protected]
Email: [email protected]

Ms Melissa Toh
Mr Alexandre Novachi
Nestle Australia Ltd
ABIA’s Technical Consultant
Level 2, Building D 1 Homebush Bay Drive
ABIA – Brazilian Association of Food Industries
Rhodes, NSW
Av. Brigadeiro Faria Lima, 1478 – 11ª andar
Australia
São Paulo
Tel: +61 411 162 459
Brazil
Email: [email protected]
Email: [email protected]

AUSTRIA - AUTRICHE
Dr Marina Ferreira Rea
Coordinator for IBFAN/Brasil
Mrs Lisa-Maria Urban IBFAN/Brasil
Deputy Head of Department Rua Mourato Coelho, 208.
Federal Ministry of Health and Women´s Affairs Sao Paulo - SP
Radetzkystraße 2 Brazil
Vienna Tel: + 55 11 999033801
Austria Email: [email protected]
Tel: +43171100644793
Email: [email protected]
REP18/NFSDU Appendix I 21

Dr Virgínia Resende S. Weffort CANADA - CANADÁ

Membership Country
Brazilian Society of Pediatrics Ms Maya Villeneuve
Universidade Federal do Triangulo Mineiro Associate Director
Rua Barão da Ponte Alta, 63 Bureau of Nutritional Sciences
Uberaba - MG Health Canada
Brazil 251 Sir Frederick Banting Driveway, AA.L.2203E,
Email: [email protected] room E346
Ottawa
Mr Hélio Vannucchi Canada
University of Sao Paulo Tel: 613-960-4740
Av. Bandeirantes, 3900 Email: [email protected]
Ribeirão Preto - SP
Brazil Mrs Chantal Martineau
Email: [email protected] Manager, regulatory projects
Bureau of Nutritional Sciences
BULGARIA - BULGARIE Health Canada
251 Sir Frederick Banting Driveway A.L. 2203E
Prof Yanko Ivanov Ottawa
Director Canada
Risk assesment center on food chain Tel: 613 299 8331
bul."Tsar Boris" III” № 136 et.11, Email: [email protected]
Sofia
Bulgaria Mrs Annie Morvan
Tel: +359 888707720 Acting National Manager
Email: [email protected] Consumer Protection and Market Fairness Division
Canadian Food Protection Agency
BURKINA FASO 1400 Merivale Road, Tower 2 Floor 6, Room 147
Ottawa
Canada
Mr Cyrille Sansan Régis Kambire
Tel: 613-773-5508
Cadre Supérieur/Service du Contrôle
Email: [email protected]
Phytosanitaire et de la Qualité des Aliments
Direction de la Protection des Végétaux et du
Conditionnement CHILE - CHILI
Ministère de l'Agriculture
Direction de la Protection des Végétaux et du Ms Cassandra Pacheco Vásquez
Conditionnement (DPVC) 03 BP 5362 Punto de Contacto del Codex
Ouagadougou, Burkina Faso Agencia Chilena para la Inocuidad y Calidad
ouagadougou Alimentaria (ACHIPIA)
Burkina Faso Ministerio de Agricultura
Tel: 0022670890010 Nueva York 17, piso 4
Email: [email protected] Santiago
Chile
CAMBODIA - CAMBODGE - CAMBOYA Tel: +56 2 27979900
Email: [email protected]

Mr Theng Dim
Deputy Director General Mr Héctor Cori Traverso
General Directorate of CAMCONTROL Nutrition Science Director LatAm, DSM Nutritional
Ministry of Commerce Products
New building, National Road-1/ Str. No 18; Nutrition Science and Advocacy
Sangkat Viel Sbov, Khan Meanchey, Phnom Penh DSM Nutritional Products Chile S.A.
Phnom Penh Nueva Sucre 2544, Ñuñoa
Cambodia Santiago
Tel: +855-12526660 Chile
Email: [email protected] Tel: 56 222375 4179
Email: [email protected]
REP18/NFSDU Appendix I 22

CHINA - CHINE Mr Huzhong Li

Assistant Researcher
Mr Bo Chen China National Center for Food Safety Risk
Deputy Director Assessment
Department of Food Safety Standards 37 Guangqu Road, Building2, Chaoyang, Beijing
Risk Surveillance and Assessment NHFPC of Email: [email protected]
China
No1 Nanlu Xizhimen, Xicheng District Ms Dong Liang
Beijing Assistant Researcher
China CHINA National Center for Food Safety Risk
Tel: +86-10-68792402 Assessment
Email: [email protected] Building 2, No.37 Guangqu Road, Chaoyang
District
Mrs Junhua Han Beijing
Professor China
China National Center for Food Safety Risk Email: [email protected]
Assessment
37 Guangqu Road, Building 2, Chaoyang Mr Gang Wang
Beijing China Nutrion and Health Food Association
China Baoneng Building, Futong East str 12, Chaoyang
Email: [email protected] District
Beijing
Ms Linan Hao China
Senior Manager Email: [email protected]
Synlait
Room 703, Shan Yuan Street , Haidian District Mr Xiaoming Xu
Beijing Principal Staff Member
China Department of Food Safety Supervision
Email: [email protected] China Food and Drug Administration
No.26 Xida Street, Xuanwu Men, Xicheng District,
Mr Kwok Wai Ho Beijing
Scientific officer China
Centre for Food Safety, Food and Environmental Email: [email protected]
Hygiene Department, HKSAR Government
3/F,4 Hospital Road, HongKong Mr Weixing Yan
China Deputy Director
Email: [email protected] China National Center for Food Safety Risk
Assessment
Mrs Linlin Huo Building 2, no 37. Guangqu Road, Chaoyang
Chief Staff Member District
Hangzhou Entry Exit Inspection and Quarantine Beijing
Bureau China
Room No.1810, He Mao Building, No.1116, South Tel: +86-10-52165426
Xing Fu Road Economic and Technological Email: [email protected]
Development Zone
HangZhou Mr Zhi Yan
China Consultant
Tel: +86-571-56758582 Department of Science Technology and Standards
Email: [email protected] China Food and Drug Administration
No.26 Xida Street, Xuanwumen, Xicheng District
Mrs Hongru Jiang Beijing
National Institute for Nutrition and Health, Chinese China
Center for Disease Control and Prevention Tel: +86-10-88331064
Building 27, Nanwei Road, Xicheng District Email: [email protected]
Beijing
China
Email: [email protected]
REP18/NFSDU Appendix I 23

Mr Shian Yin COSTA RICA

Professor
National Institute for Nutrition and Health, Chinese Mrs Alejandra Chaverri Esquivel
Center for Disease Control and Prevention Unidad de Normalización y Control Dirección de
Building 27, Nanwei Road, Xicheng District Regulación de Productos de Interés Sanitario
Beijing Ministerio de Salud
China San José
Tel: +86-10-83132932 Costa Rica
Email: [email protected] Tel: 506 2233 6922
Email: [email protected]
Mr Bing Zhang
Deputy Director Mrs Melina Flores Rodríguez
National Institute for Nutrition and Health, Chinese Asesor Codex
Center for Disease Control and Prevention Codex Costa Rica
Building 27, Nanwei Road, Xicheng District Ministerio de Economia Indutria y Comercio
Beijing 400 m al Oeste de la Contraloría General de la
China República, Sabana Sur .
Tel: +86-10-66237008 San Jose
Email: [email protected] Costa Rica
Tel: 506-25491434
Mrs Chaomin Zhao Email: [email protected]
Engineer
Shanghai Entry-Exit Inspection and Quarantine CUBA
Bureau of the P.R. China (SHCIQ)
No.1208, Minsheng Road, Pudong New Area
Mrs Yarisa Domínguez Ayllón
Shanghai
Jefa Departamento de Nutrición Comunitaria
China
Departamento de Nutrición Comunitaria
Tel: +86-21-38620527
Instituto de Higiene Epidemiología y Microbiología
Email: [email protected]
INHEM
Infanta No. 1158e/ Clavel y LLinás Centrohabana
COLOMBIA - COLOMBIE La Habana
Cuba
Prof Alba Rocio Jimenez Tovar Tel: 78785919
Profesional Especializada Email: [email protected]
Instituto Nacional de Vigilancia de Medicamentos y
Alimentos - INVIMA DENMARK - DANEMARK - DINAMARCA
Carrera 10 No. 64 - 28
Tel: 57-1-2948700 ext 3924
Mrs Dagny Løvoll Warming
Email: [email protected]
Scientific Officer
Danish Veterinary and Food Administration
Ms Diana Carolina Rojas Stationsparken 31
Food Engineer, MSc. Glostrup
Food and Nutrition Denmark
Industry Tel: +45 7227 6900
Calle 76 No. 11-17 piso 3 Email: [email protected]
Bogotá
Colombia
Ms Sandra Fisker Tomczyk
Tel: 57 315341494
Academic Officer
Email: [email protected]
Danish Veterinary and Food Administration
Stationsparken 31
Glostrup
Denmark
Tel: +4572276900
Email: [email protected]
REP18/NFSDU Appendix I 24

Mrs Louise Myhre Utzen Dr Shaimaa Sarhan

Senior Advisor Regulatory Affairs Manager
Danish Agriculture and Food Council Wyeth Nutrition
Agro Food Park 13 Nestle-Egypt
Århus N Summit 44- ElShamaly 90 St., AlTagamoaaa
Denmark ElKhames
Tel: +4533394792 New Cairo
Email: [email protected] Egypt
Tel: +201281130888
ECUADOR - ÉQUATEUR Email: [email protected]

Mr Carlos Andrés Cisneros Pazmiño ESTONIA - ESTONIE

Subsecretaría Nacional de Promoción de la Salud
e Igualdad Ms Siret Surva
Ministerio de Salud Pública Counsellor for Agricultural Affairs
Av. República de El Salvador 36-64 y Suecia Permanent Representation of Estonia to the EU
Quito Rue Guimard 11/13
Ecuador Brussels
Tel: 593-2 381-4400 Belgium
Email: [email protected] Tel: +32 (0) 224 307 027
Email: [email protected]
EGYPT - ÉGYPTE - EGIPTO
Ms Ebe Meitern
Eng Mohamed Naser Chief Specialist
Technical Secretariat for Foods for Special Dietary Food Safety Department
Uses Committee Ministry of Rural Affairs
Food Standards Lai tn 39 // Lai tn 41
Egyptian Organization for Standardization and Tallinn
Quality (EOS) Estonia
16 Tadreeb Aimudarbeen St, AlAmeriyah Tel: (+372) 6256 231
Cairo Email: [email protected]
Egypt
Tel: +201281337667 Mr Alexander Rogge
Email: [email protected] Policy Officer - Member of the Estonian Delegation
General Secretariat of the Council of the European
Union
Prof Mervat Fouad
Council of the European Union
Consultant of Herbs and medicinal plants & Foods
Rue de la Loi, 175
for Special Dietary Uses
Bruxelles
National Nutrition Institute (NNI)
Belgium
53, Amman St, Dokki
Tel: +32 (0)2 281 5349
Giza
Email: [email protected]
Egypt
Tel: +201005016726
Email: [email protected] Ms Airika Salumets
Chief Specialist
Food Department
Dr Adel Ismail
The Veterinary and Food Board
Research and Development Director
Väike-Paala 3
Hero Middle East & Africa
Tallinn
New Cairo
Estonia
Cairo
Tel: +372 5694 1551
Egypt
Email: [email protected]
Tel: +201223449563
Email: [email protected]
REP18/NFSDU Appendix I 25

EUROPEAN UNION - UNION EUROPÉENNE - Ms Sabine Pelsser

UNIÓN EUROPEA Administrator
DG SANTE
Ms Barbara Moretti European Commission
A Administrator Rue Froissart 101
DG SANCO Brussels
European Commission Belgium
Rue Froissart 101 Tel: +32 229 84746
Brussels Email: [email protected]
Belgium
Email: [email protected] Mr Jiri Sochor
Administrator
Ms Stephanie Bodenbach Directorate General Health and Food Safety
Administrator European Commission
DG Sante E 1 Rue Belliard 232
European Commission Brussels
Rue Belliard 232 Belgium
Brussels Tel: +32 229-76930
Belgium Email: [email protected]
Tel: +32 229-80938
Email: [email protected] FINLAND - FINLANDE - FINLANDIA

Mr Valeriu Curtui Ms Anna Lemström

Head of Unit Senior Officcer, Food Policy
Head of Nutrition Unit Ministry of Agriculture and Forestry
EFSA P.O.Box 30 00023 Government FINLAND
Via Carlo Magno 1A, Finland
Parma Tel: +358 295 162 145
Italy Email: [email protected]
Tel: +39 0521 036 526
Email: [email protected] FRANCE - FRANCIA

Mr Sebastien Goux Ms Alice Stengel

Deputy Head of Unit DGCCRF
Directorate General Health and Food Safety Ministère de l'économie, de l'industrie et du
European Commission numérique
Rue Froissart 101 Office: 02/048 59, bd Vincent Auriol
Brussels Paris
Belgium France
Tel: +32 229-21555 Tel: 00 33 1 44 97 33 25
Email: [email protected] Email: [email protected]

Ms Fruzsina Nyemecz Mrs Magali Bocquet

Administrator Secrétaire générale SFNS
DG Sante E 1 @NutSpecialisee
European Commission 9, bd Malesherbes 75008
Rue Belliard 232 PARIS
Brussels France
Belgium Tel: 00 33(0) 6 16 75 35 97
Tel: +32 229-72461 Email: [email protected]
Email: [email protected]
REP18/NFSDU Appendix I 26

Mrs Mathilde Bridier Ms Klara Jirzik

Director of quality department Food Chemist
Nutriset Federal Office of Consumer Protection and Food
Email: [email protected] Safety (BVL)
Mauerstr. 39 - 42
Mr Thomas Couaillet Berlin
Deputy General Manager Germany
Nutriset Tel: +49 30 18444 10128
Hameau du Bois Ricard Email: [email protected]
Malaunay
France Dr Gert Krabichler
Tel: +33 2 32 93 82 82 Representing
Email: [email protected] Merck Consumer Health Darmstadt
Food-PharmaOTC Consult Bettingerstr. 116
GERMANY - ALLEMAGNE - ALEMANIA Grenzach
Germany
Tel: +49(0)160 97278931
Mrs Anja Broenstrup
Email: [email protected]
Federal Ministry for Food and Agriculture
Rochusstraße 1
Bonn Mr Norbert Pahne
Germany Managing Director
Tel: +49 228 99 529 4245 Federation of German Dietetic Foods
Email: [email protected] Godesberger Allee 142 - 145
Bonn
Germany
Dr Carolin Bendadani
Tel: +49 228 3085110
Food Chemist
Email: [email protected]
Federal Office of Consumer Protection and Food
Safety (BVL)
Mauerstr. 39 – 42 Ms Antje Preussker
Berlin Manager Scientific and Regulatory Affairs
Germany German Federation for Food Law and Food
Tel: +49 30 18444 101117 Science
Email: [email protected] Claire-Waldoff-Strasse 7
Berlin
Germany
Dr Evelyn Breitweg-Lehmann
Tel: +49 30 206143 146
Head of Unit
Email: [email protected]
Federal Office of Consumer Protection and Food
Safety (BVL)
Mauerstr. 39 – 42 Mr Niklas Schulze Icking
Berlin Deputy Head of Division
Germany German Codex Contact Point
Tel: +49 30 18444 10100 Federal Ministry of Food and Agriculture
Email: [email protected] Wilhelmstr. 54
Berlin
Germany
Ms Claudia Callies-Klüpfel
Tel: +4930185293515
Manager Global Regulatory & External Affairs
Email: [email protected]
Human Nutrition
BASF SE
Chemiestraße 22 Ms Inken Stark
Lampertheim Jurist
Germany Federation of German Dietetic Foods
Tel: +49 621 60 58377 Godesberger Allee 142 - 145
Email: [email protected] Bonn
Germany
Tel: +49 228 3085111
Email: [email protected]
REP18/NFSDU Appendix I 27

Ms Sabine Sulzer GREECE - GRÈCE - GRECIA

Manager Regulatory and Scientifc Affairs
Nestlé Deutschland AG Mr Emmanouil Soultanopoulos
Lyoner Straße 23 Embassy of Greece in Berlin
Frankfurt am Main Email: [email protected]
Germany
Tel: +49 69 6671 2276
HUNGARY - HONGRIE - HUNGRÍA
Email: [email protected]

Dr Éva Barna
Dr Susanne Veith
Expert Registration Referent
EU Government Affairs Manager
National Institute of Pharmacy and Nutrition
DuPont Deutschland Holding GmbH & Co. KG
Albert Flórián út 3/a
Unter den Linden 21
Budapest
Berlin
Hungary
Germany
Tel: +36 1 476 6450
Tel: +49 (0) 30-2092-4130
Email: [email protected]
Email: [email protected]

INDIA - INDE
Dr Anke Weissenborn
Unit Nutritional Risks, Allergies and Novel Foods
Department of Food Safety Mr Kms Khalsa
German Federal Institute for Risk Assessment Deputy Secretary
Max-Dohrn-Strasse 8-10 Food and Public Distribution
Berlin Ministry of Consumer Affairs, Food & PD
Germany Department of Food & Public Distribution Krishi
Tel: +49 30 18412-3812 Bhawan.
Email: [email protected] New Delhi
India
Tel: +91 11 23383046
Mrs Petra Wendorf-Ams
Email: [email protected]
Nutricia Research Early Nutrition Team
Milupa Nutricia GmbH
Germany Mr Ganesh Vishweshwar Bhat
Tel: 0049 6172 99 1186 Technical Officer
Email: [email protected] Ministry of Health and Family Welfare
Food Standards and Safety Authority of India
FDA Bhawan, Kotla Road, Near BAL Bhawan
GHANA
New Delhi
India
Ms Maria Aba Lovelace-Johnson Tel: +91 7834988648
Chief Regulatory Officer Email: [email protected]
Head Food Enforcement Department
Food and Drugs Authority
Ms Sukhmani Singh
P. O. BOX CT 2783 Cantonments
Technical Officer -Codex
Accra
Ministry of Health and Family Welfare
Ghana
Food Standards and Safety Authority of India
Tel: +233 208115619
FDA Bhawan, Kotla Road, 110002
Email: [email protected]
New Delhi
India
Mrs Gloria Aba Aryee Tel: +91 9560517397
Principal Regulatory Officer Email: [email protected]
Food and Drugs Authority
P. O. BOX CT 2783 Cantonments
Accra
Ghana
Tel: +233 243 089522
Email: [email protected]
REP18/NFSDU Appendix I 28

INDONESIA - INDONÉSIE ITALY - ITALIE - ITALIA

Mrs Yusra Egayanti Mr Ciro Impagnatiello

Deputy Director for Certain Food Standardization Codex Contact Point
Directorate of Food Products Standardization Department of the European Union and
National Agency of Drug and Food Control International Policies and of the Rural
Jl Percetakan Negara 23 Development
Jakarta Ministry of Agricultural Food and Forestry Policies
Indonesia Via XX Settembre, 20
Tel: +62-21-42875584 Rome
Email: [email protected] Italy
Tel: +39 06 46654058
Mrs Nani Hidayani Email: [email protected]
Secretary General
APPNIA JAPAN - JAPON - JAPÓN
Souvereign Plaza 1st Floor Jl. RA Kartini
Jakarta Dr Megumi Haga
Indonesia Deputy Director
Tel: +62 21 29400269 Food Labelling Division
Email: [email protected] Consumer Affairs Agency
3-1-1,Kasumigaseki, Chiyoda-ku
Dr Prima Sehanputri Tokyo
Regulatory Affairs Japan
GAPMMI Tel: +81-3-3507-8800
TS Office Tower Lt. 8 Unit 16 Nifarro Park, Jl. Raya Email: [email protected]
KM. 18, Pasar Minggu
Jakarta Mr Yoshiaki Sakai
Indonesia Technical Officer
Tel: +6221 29517511 Office of International Food Safety Pharmaceutical
Email: [email protected] Safety and Environmental Health Bureau
Ministry of Health, Labour and Welfare
Mrs Roch Ratri Wandansari 1-2-2, Kasumigaseki, Chiyoda-ku, Tokyo
Vice Chairman Tokyo
Regulatory Japan
The Indonesian Food and Beverages Association Tel: '+81-3-3595-2326
ITS Office Tower 8th Fl, Unit 16, Nifarro Park Jl. Email: [email protected]
Raya Pasar Minggu Km 18
Jakarta Dr Yoshiko Ishimi
Indonesia Senior Adviser
Tel: +62 21 2951 7511 National Institute of Health and Nutrition, National
Email: [email protected] Institutes of Biomedical Innovation, Health and
Nutrition
IRELAND - IRLANDE - IRLANDA 1-23-1 Toyama, Shinjuku-ku
Tokyo
Dr Mary Flynn Japan
Chief Specialist Public Health Nutrition Tel: '+81 3 3203 5721
Food Safety Authority of Ireland Email: [email protected]
The Exchange George’s Dock IFSC, Dublin 1 D01
P2V6 Prof Satoshi Ishizuka
Dublin Adviser
Ireland Laboratory of Nutritional Biochemistry Research
Tel: +353 1 8171315 Faculty of Agriculture
Email: [email protected] Hokkaido University
Kita 9, Nishi 9, Kita-ku, Sapporo
Hokkaido
Japan
REP18/NFSDU Appendix I 29

Tel: +81-11-706-2811 KUWAIT - KOWEÏT

Email: [email protected]
Dr Mona Alsumaie
Ms Aya Orito-Nozawa Director
Section Chief Department of Education and Community Nutrition
Food Safety Policy Division, Food Safety and Promotion
Consumer Affairs Bereau Public Authority of Food and Nutrition
Ministry of Agriculture, Forestry and Fishries Kuwait, Sabah Alsalem area
1-2-1, Kasumigaseki, Chiyoda-ku Mubarak Alkabeer
Tokyo Kuwait
Japan Tel: +965 99373776
Tel: '+81-3-3502-8732 Email: [email protected]
Email: [email protected]
LEBANON – LIBAN – LÍBANO
Dr Hiroshi Tsuchita
Director Ms Mariam Eid
Nutrition Food Department Vice-chair of the Codex Alimentarius Commission
Japan Health & Nutrition Food Association Head of Department
2-7-27，Ichigaya Sadohara-cho, Shinjuku-ku, Agro-Industries
Tokyo Ministry of Agriculture
Japan Beirut
Tel: ' +81 3 3268 3132 Lebanon
Email: [email protected] Tel: 009613567542
Email: [email protected]

KENYA
LITHUANIA - LITUANIE - LITUANIA

Mrs Alice Okelo Akoth Onyango

FAO/WHO CCAFRICA Coordinator Codex Contact Dr Indre Makarskiene
Point Senior Specialist
Kenya Bureau of Standards Public Health Department
P.O.Box 54974 Ministry of Health
Nairobi Vilniaus Str. 33
Kenya Vilnius
Tel: +254 722268 225/+254206948303 Lithuania
Email: [email protected] Tel: +370 5 219 3337
Email: [email protected]

Mr Peter Mutua
MALAYSIA - MALAISIE - MALASIA
Principle standard officer
Standard development
KENYA BUREAU OF STANDARDS Ms Zalma Abdul Razak
P.O.BOX 54974 POPO ROAD OFF MOMBASA Director
ROAD Nutrition Division
Nairobi Ministry of Health Malaysia
Kenya Level 1, Block E3, Parcel E, Federal Government
Tel: +254-20 6948000 Administration Centre
Email: [email protected] Putrajaya
Malaysia
Mr James Ojiambo Olumbe Tel: +603-8892 4556
Regulatory and scientific affairs Manager Email: [email protected]
Regulatory Affairs
Nestle Kenya Limited Ms Norrani Eksan
P.O.Box 30265 Nairobi Deputy Director
Nairobi Food Safety and Quality Division
Kenya Ministry of Health Malaysia
Tel: +254 20 3990000 Level 4, Menara Prisma No 26, Jalan Persiaran
Email: [email protected] Perdana, Precint 3
Putrajaya
Malaysia
REP18/NFSDU Appendix I 30

Tel: +603 88850794 Oklahoma No. 14, Colonia Nápoles, Del. Benito
Email: [email protected] Juárez , Ciudad de México, México
Ciudad de México
Ms Rohaya Mamat Mexico
Director Email: [email protected]
Regulatory Affairs
Federation of Malaysian Manufacturers Mr Javier Luna
Wisma FMM, No. 3, Persiaran Dagang PJU 9, Chairman of ANIPRON
Bandar Sri Damansara Mexican Trade Association for Natural Products
Kuala Lumpur CDMX
Malaysia Mexico
Tel: +6012-4880110 Email: [email protected]
Email: [email protected]
Mr Carlos Almanza
Dr Kanga Rani Selvaduray Coordinador del Comité de Industria para la
Head of Nutrition Unit Atención de Codex Alimentarius
Product Development and Advisory Services Confederación de Cámaras Industriales (CIACA-
Division CONCAMIN)
Malaysia Palm Oil Board Manuel Ma. Contreras 133
No 6, Persiaran Institusi Bandar Baru Bangi CDMX
Kajang, Selangor Mexico
Malaysia Email: [email protected]
Tel: +603-87694216
Email: [email protected] Ms Ana Laura Castro Becerra
Representante
MALI - MALÍ Cámara Nacional de Industriales de la Leche,
CANILEC
Dr Diakite Oumou Soumana Maiga Benjamín Franklin 134, Colonia Escandón ,
Directrice Générale Delegación Miguel Hidalgo.
Ministère de la Santé et de l'Hygiène Publique CDMX
Agence Nationale de la Sécurité Sanitaire des Mexico
Aliments Email: [email protected]
Centre Commercial, Quartier du Fleuve BPE: 2362
Bamako Ms Magda Cristina García Domínguez
Mali Sr. Manager Regulatory Science, México
Tel: +223 66741504 /+223 20220747 Mead Johnson Nutrition
Email: [email protected] Lago Zurich No. 245, Edificio Presa Falcón, Piso
11, Col. Ampliación Granada, Del. Miguel Hidalgo
Mr Mahmoud Abdoul Camara CDMX
Chargé du Service Central de Liaison du Codex Mexico
pour le Mali Email: [email protected]
Ministère de la Santé et de l'Hygiène Publique
Agence Nationale de la Sécurité Sanitaire des Ms Angélica Carmina Martinez Méndez
Aliments Gerente de Asuntos Regulatorios North Latam
Centre Commercial, Rue 305 Quartier du Fleuve Cámara Nacional de Industriales de la Leche,
BPE: 2362 Bamako CANILEC
Mali Benjamín Franklin 134, Colonia Escandón ,
Tel: +223 20 22 07 54 , +223 663245 Delegación Miguel Hidalgo.
Email: [email protected] CDMX
Mexico
MEXICO - MEXIQUE - MÉXICO Email: [email protected]

Mr Aldo Heladio Verver Y Vargas Duarte Ms Xochitl Morales Macedo

Director General Adjunto Representante
Comisión de Fomento Sanitario Cámara Nacional de Industriales de la Leche,
Comisión Federal para la Protección contra CANILEC
Riesgos Sanitarios, COFEPRIS Benjamín Franklin 134, Colonia Escandón ,
Delegación Miguel Hidalgo
REP18/NFSDU Appendix I 31

CDMX Tel: +212 661868220

Mexico Email: [email protected]
Email: [email protected]
Prof Mouane Nezha
MOROCCO - MAROC - MARRUECOS Professeur en Pédiatrie surspécialité
Gastroentérologie Nutrition
Mr El Mekroum Brahim Pédiatrie
Chef de Département Hôpital d’enfants Rabat – CH Ibn Sina
Département Recherche et Développement Hopital d’enfants Avenue Ibn Rochd , Agdal
Société les Eaux Minérale d'Oulmes Rabat
les Eaux Minérales d'Oulmes S.A 20180 Morocco
Bouskoura Tel: +212 661208173
Casablanca Email: [email protected]
Morocco
Tel: +212 661326698 Mr El Madrassi Youness
Email: [email protected] External Relations and policy Application Manager
NESTLE/AMNI
Mrs Khadija Haddad CasaNearshore, Bd AL Qods, Shore 10
Cadre au Service du Controle des Produits Casablanca
Végétaux et d'origine Végétale Morocco
Office National de Sécurité Sanitaire des Produits Tel: 00212661101943
Alimentaires Email: [email protected]
Avenue Hadj Ahmed Cherkaoui, Agdal
Rabat NEPAL - NÉPAL
Morocco
Tel: 0661144014 Mr Suman Dhital
Email: [email protected] Senior Food Research Officer
Department of Food Technology and Quality
Dr Beqqali Himdi Ihssane Control
Chef de la Division de la Normalisation et des Ministry of Agricultural Development
questions SPS Babarmahal
Département de l'Agriculture Kathmandu
Office National de Sécurité Sanitaire des Produits Nepal
Alimentaires Tel: 009779842058220
Avenue Hadj Ahmed Cherkaoui, Agdal Rabat Email: [email protected]
Rabat
Morocco Dr Atul Upadhyay
Tel: +212 537 676513 Email: [email protected]
Email: [email protected]
NETHERLANDS - PAYS-BAS - PAÍSES BAJOS
Mr Tannaoui Mohamed
Chef de la Section Agricole
Ms Erika Smale
Ministère de l'Agriculture et de la Pêche Maritime
Senior Policy Advisor
Laboratoire Officiel d'Analyses et de Recherches
Ministry of Health, Welfare and Sports
Chimiques
PO Box 20350
25, Rue Nichakra (ex rue de Tours)
The Hague
Casablanca
Netherlands
Morocco
Tel: +31 (0)6 11370803
Tel: +212 522 302007
Email: [email protected]
Email: [email protected]

NEW ZEALAND - NOUVELLE-ZÉLANDE -

Ms Bentahila Nawal
NUEVA ZELANDIA
Présidente de l'AMNI
Association Marocaine de la Nutrition Infantile
Casablanca Business Center Mandarouna 300, Ms Jenny Reid
6ème étage N°63 Sidi Maârouf Manager
Casablanca Ministry for Primary Industries
Morocco 25 The Terrace
REP18/NFSDU Appendix I 32

Wellington Abuja
New Zealand Nigeria
Email: [email protected] Tel: +2348034591774
Email: [email protected]
Ms Jane Broughton
Manager NORWAY - NORVÈGE - NORUEGA
Fonterra Co-operative Group Ltd
Private Bag 11029, Fitzherbert Dairy Farm Rd Mrs Svanhild Vaskinn
Palmerston North Senior Adviser
New Zealand Head Office
Email: [email protected] Norwegian Food Safety Authority
Brumunddal
Ms Charlotte Channer Norway
Senior Adviser Tel: 0047 22 40 00 00
Ministry for Primary Industries Email: [email protected]
25 The Terrace
Wellington Mrs Gry Hay
New Zealand Senior Adviser, Dr.Philos
Email: [email protected] Norwegian Directorate of Health
Oslo
Ms Dianne Lowry Norway
Regulatory and Technical Liaison Manager Tel: 0047 24 16 30 00
Dairy Goat Co-operative (NZ) Ltd Email: [email protected]
18 Gallagher Drive
Hamilton PHILIPPINES - FILIPINAS
New Zealand
Email: [email protected]
Ms Helena Alcaraz
Food and Drug Regulation Officer V
NIGERIA - NIGÉRIA Food and Drug Administration
Department of Health
Mrs Adeyinka Elizabeth Akinbinu Civic Drive Filinvest Corporate City, Alabang
Principal Agric. Superintendent Muntinlupa City
Federal Department of Agriculture Philippines
Federal Ministry of Agriculture and Rural Tel: 0063 9209499432
Development Email: [email protected]
FCDA Secretariat, Area 11, Garki Abuja FCT
Abuja Ms Catherine Sarmiento
Nigeria Official Representative
Tel: +2348059607576 Infant Nutrition Association of the Philippines
Email: [email protected] Infant and Pediatric Nutrition Association of the
Philippines
Mrs Margaret Efiong Eshiett 6A, 6/F DAO 1 Condominium, 189 Salcedo Street
Head, Codex Contact Point (Nigeria) Legaspi Village
Standards Organisation of Nigeria Makati City
Plot 13/14 Victoria Arobieke Street, Off Admiralty Philippines
Way, Lekki Pennisula- Lekki Phase 1 Tel: 639175312771
Lagos Email: [email protected]
Nigeria
Tel: +2348023179774 POLAND - POLOGNE - POLONIA
Email: [email protected]

Dr Katarzyna Stos
Mrs Olanrewaju Olaotan Olaobaju Deputy Director
Assistant Chief Regulatory Officer Food Safety and Food Supplements
Food Safety and Applied Nutrition Directorate National Food and Nutrition Institute
National Agency for Food and Drug Administration Powsińska Street 61/63
and Control (NAFDAC) Warsaw
NAFDAC, Wuse Zone 7
REP18/NFSDU Appendix I 33

Poland 166, Nongsaengmyeong-ro, Iseo-myeon, Wanju-

Email: [email protected] gun, Jeollabuk-do
Wanju-gun
Ms Anna Janasik Republic of Korea
Main Expert Tel: 82-10-6263-9274
International Co-operation Department, Codex Email: [email protected]
Contact Point for Poland
Agricultural and Food Quality Inspection Dr Chansoo Lee
30, Wspolna St. Scientific Officer
Warsaw Food Standard
Poland Ministry of Food and Drug Safety
Tel: +48 22 623 29 03 Osong Health Technology Administration Complex
Email: [email protected] 187, Osongsaengmyeong 2-ro, Osong-eup,
Heungdeok-gu, Cheongju-si, Chungcheongbuk-do
Dr Marta Tomaszewska Pielacha Cheongju-si
Food & Nutrition Director Republic of Korea
Polish Federation of Food Industry Union of Tel: +82 43-719-2420
Employers Email: [email protected]
8, Chalubinskiego str.,
Warsaw RUSSIAN FEDERATION - FÉDÉRATION DE
Poland RUSSIE - FEDERACIÓN DE RUSIA
Tel: +48 22 830 70 55
Email: [email protected] Dr Elena Smirnova
Scientific Secretary
QATAR Federal Research Centre of Nutrition,
Biotechnology and Food Safety
Mr Faisal Al-Bader Ustyinskiy proezd 2/14
Senior Food Standardizer Moscow
Standards and Metrology Department Russian Federation
Qatar General Organization for Standardization Tel: +7 495 698 53 42
Abou Hamour - Opposite the Medical Commission, Email: [email protected]
P.O Box 23277
Doha Dr Julia Kalinova
Qatar Expert
Tel: 00974 55553566 Consumer Market Participants Union
Email: [email protected] 1-y Schipkovsky per., 20, 403а
Moscow
REPUBLIC OF KOREA - RÉPUBLIQUE DE Russian Federation
CORÉE - REPÚBLICA DE COREA Tel: +7 (499) 235-74-81
Email: [email protected]

Mrs Hyunsuk Jeong

Researcher Mr Dmitriy Miklin
Dietary and Nutritional Safety Policy Division Regulatory Affairs Expert
Ministry of Food and Drug Safety Consumer Market Participants Union
Osong Health Technology Administration Complex 1-y Schipkovsky per., 20, 403а
187, Osongsaegmyeong 2-ro, Osong-eup, Moscow
Heungdeok-gu, Cheongju-si, Chungcheongbuk-do, Russian Federation
28159, Korea Tel: +7 (499) 235-74-81
Cheongju-si Email: [email protected]
Republic of Korea
Tel: +82 43-719-2260 Dr Alexey Petrenko
Email: [email protected] Expert
Federal Research Centre of Nutrition,
Dr Jungbong Kim Biotechnology and Food Safety
Senior Scientific Officer Ustyinskiy proezd 2/14
National Institute of Agricultural Sciences Moscow
Ministry of Agriculture, Food and Rural Affairs Russian Federation
REP18/NFSDU Appendix I 34

Tel: +7 495 698 53 60 52, Jurong Gateway Road, #13-01

Email: [email protected] Singapore
Tel: +656805 2913
SAUDI ARABIA - ARABIE SAOUDITE - ARABIA Email: [email protected]
SAUDITA
Ms Yi Ling Tan
Mr Fahad Albadr Senior Manager
Senior Nutrition Specialist Regulatory Programmes Department, Regulatory
Executive Dept. of Technical Regulations and Administration Group
Standards Agri-Food & Veterinary Authority of Singapore
Saudi Food and Drug Authority (3292) North Ring 52, Jurong Gateway Road, #14-01
Road - Al Nafal Unit (1) Singapore
Riyadh Tel: +65 6805 2915
Saudi Arabia Email: [email protected]
Tel: +966112038222
Email: [email protected] SLOVAKIA - SLOVAQUIE - ESLOVAQUIA

SENEGAL - SÉNÉGAL Dr Iveta Trusková, Md

Deputy Director for Professional Activities
Dr Maty Diagne Camara Head of Department on Nutrition and Food Safety
Chef Division Alimentation et Nutrition, Public Health Authority of the Slovak Republic
Coordonnatrice du Comité du Codex sur les Trnavská 52
Aliments Diététiques ou de Régime Bratislava
Ministere Sante et Action Sociale Slovakia
Direction de la Santé de la Reproduction et de la Tel: +421 2 492 84 392
Survie de l'Enfant Email: [email protected]
Cité Keur Gorgui - VDN
DAKAR Ms Katarina Kromerova, Md
Senegal Deputy Head
Tel: +221 77 566 70 30 Department on Food Safety
Email: [email protected] Public Health Authority of the Slovak Republic
Trnavská 52
Prof Mohamadou Guelaye Sall Bratislava
Professeur Titulaire Slovakia
Ministere Enseignement Superieur et de la Tel: +421249284327
Recherche Email: [email protected]
UCAD
BP 6251 SOUTH AFRICA - AFRIQUE DU SUD -
Dakar SUDÁFRICA
Senegal
Email: [email protected] Mr Gilbert Tshitaudzi
Deputy Director: Nutrition
Dr Ndeye Khady Toure Department of Health
Nutritionniste Private Bag X828
Primature Pretoria
Cellule de Lutte Contre la Malnutrition South Africa
Dakar Tel: +27 12 3958513
Senegal Email: [email protected]
Email: [email protected]
Prof Marius Smuts
SINGAPORE - SINGAPOUR - SINGAPUR Senior Lecturer
School of Physiology, Nutrition and Consumer
Ms Peik Ching Seah Science
Deputy Director North West University
Regulatory Programmes Department, Regulatory Private Bag X 6001
Administration Group Potchefstroom
Agri-Food & Veterinary Authority of Singapore South Africa
REP18/NFSDU Appendix I 35

Tel: +2718 299 1111 Switzerland

Email: [email protected] Email: [email protected]

SRI LANKA Dr Dirk Cremer

Regulatory Affairs Manager
Dr Sapumal Dhanapala DSM Nutritional Products Europe Ltd., Human
Director Nutrition and Health
Environmental Health, Occupational Health and P.O. Box 2676 Bldg. 242/2nd floor
Food Safety Basel
Ministry of Health, Nutrition and indigenous Switzerland
Medicine Tel: +41 61 815 79 65
No.464, T.B Jaya Mawatha, Colombo 10, Sri Email: [email protected]
Lanka
Colombo Prof Manfred Eggersdorfer
Sri Lanka DSM Nutrition Products
Tel: 0094112672004 P.O. Box 2676
Email: [email protected] Basel
Switzerland
SUDAN - SOUDAN - SUDÁN Email: [email protected]

Ms Thoria Elnageeb Akasha Dr Karola Krell Zbinden

Chemist of Food Managing Director
Laboratory Sector Swiss Association of Nutrition Industries - SANI
Sudanese Standard & Metrology Worbstr. 52
Eljamaa Street Muri bei Bern
Khartoum Switzerland
Sudan Email: [email protected]
Tel: +249912468700
Email: [email protected] Mrs Marie-France Pagerey
CT-Regulatory and Scientific Affairs
Mrs Maha Ibrahim Nestec SA
Executive Office Manager Avenue Nestlé 55 Post Box
Sudanese Standard & Metrology Organization Vevey
Eljamaa Street Switzerland
Khartoum Tel: +41 21 924 64 29
Sudan Email: [email protected]
Tel: +249127460726
Email: [email protected] THAILAND - THAÏLANDE - TAILANDIA

SWEDEN - SUÈDE - SUECIA Prof Kraisid Tontisirin

Senior Advisor
Ms Cecilia Wanhainen National Bureau of Agricultural Commodity and
Principal Regulatory Officer Food Standards
National Food Agency Ministry of Agriculture and Cooperatives
Box 622 50 Phaholyothin Road, Lad Yao, Chatuchak
Uppsala Bangkok
Sweden Thailand
Tel: +46 18 17 55 00 Tel: +66 (2) 561 2277
Email: [email protected] Email: [email protected]

SWITZERLAND - SUISSE - SUIZA Ms Mayuree Ditmeytharoj

Food and Drug Technical Officer, Professional
Level
Mr Didier Lusuardi
Food and Drug Administration
Scientific Officer
Ministry of Public Health
Food and Nutrition
Tiwanond Road
Federal Food Safety and Veterinary Office FSVO
Nonthaburi
Bern
REP18/NFSDU Appendix I 36

Thailand Tel: 00903122587755

Tel: +66 (2) 590 7185 Email: [email protected]
Email: [email protected]
UGANDA - OUGANDA
Dr Pichet Itkor
Vice Chairman Ms Irene Wanyenya
Food Processing Industry Club Food Safety Officer
The Federation of Thai Industries Food Desk
Queen Sirikit National Convention Center, Zone C National Drug Authority
4th Floor, 60 New Rachadapisek Rd., Klongtoey Plot 46-48 Lumumba Avenue P.O. Box 23096
Bangkok Kampala
Thailand Uganda
Tel: +66 (2) 725 1093 Tel: +256 712 478333
Email: [email protected] Email: [email protected]

Ms Malee Jirawongsy Mr Brian Rwabogo

Food and Drug Technical Officer, Expert Level Director
Food and Drug Administration Reco Industries
Ministry of Public Health Plot 34, Makubuya Road, Kampala
Mueang Nonthaburi District Kampala
Nonthaburi Uganda
Thailand Tel: +256792194007
Tel: +6625907249 Email: [email protected]
Email: [email protected]
UNITED KINGDOM - ROYAUME-UNI - REINO
Ms Sanida Khoonpanich UNIDO
Standards Officer, Professional Level
National Bureau of Agricultural Commodity and
Ms Pendi Najran
Food Standards
Senior Scientific Officer
Ministry of Agriculture and Cooperatives
Department for Environment, Food and Rural
50 Phaholyothin Road, Lad Yao, Chatuchak
Affairs
Bangkok
Area 1A, Nobel House 17, Smith Square
Thailand
London
Tel: +66 (2) 561 2277 ext. 1445
United Kingdom
Email: [email protected]
Tel: + 44 (0) 2080263867
Email: [email protected]
TOGO

Mrs Debby Webb

Dr Tchala Kazia Department of Health, Population Health
Codex Contact Point Directorate 6th floor, 39 Victoria Street
Agriculture London
Ministry of Agriculture United Kingdom
1, rue de l'Espérance Tel: 020 7972 4742
Lome Email: [email protected]
Togo
Tel: +22890023325
Ms Beth White
Email: [email protected]
Policy Advisor
Department for Environment, Food and Rural
TURKEY - TURQUIE - TURQUÍA Affairs Area 1A, Nobel House 17, Smith Square
London
Mr Dursun Kodaz United Kingdom
Engineer Tel: 02080268845
The General Directorate of Food and Control Email: [email protected]
The Ministry of Food, Agriculture and Livestock
Eskisehir Yolu 9. km Lodumlu
Ankara
Turkey
REP18/NFSDU Appendix I 37

UNITED STATES OF AMERICA - ÉTATS-UNIS 600 17th Street NW

D'AMÉRIQUE – ESTADOS UNIDOS DE Washington, DC
AMÉRICA United States of America
Tel: +1 202-395-9582
Dr Douglas Balentine Email: [email protected]
Director
Office of Nutrition and Food Labeling Dr Susan Carlson
U.S. Food and Drug Administration AJ Rice Professor of Nutrition, Director
5001 Campus Drive, HPS-830 PhD Program in Medical Nutrition Science
College Park, MD Univ. of Kansas Medical Center
United States of America 3901 Rainbow Blvd
Tel: 240 402 2373 Kansas City
Email: [email protected] United States of America
Tel: 913 588 5359
Dr Paul Hanlon Email: [email protected]
Associate Director
Regulatory Affairs Mrs Doreen Chen-Moulec
Abbott Nutrition International Issues Analyst
3300 Stelzer Road Food Safety and Inspection Service; Office of
Columbus, Ohio CODEX
United States of America U.S. Department of Agriculture
Tel: +1 614-624-3213 1400 Independence Ave
Email: [email protected] Washington, DC
United States of America
Mr John Allan Tel: 202-720-4063
Vice President Email: [email protected]
Regulatory Affairs & International Standards
International Dairy Foods Association Dr Carolyn Chung
1250 H Street, NW, Suite 900 Nutritionist
Washington, Dc Center for Food Safety and Applied Nutrition
United States of America U.S. Food and Drug Administration
Tel: +1/202/220-3519 5100 Paint Branch Parkway, HPS-830
Email: [email protected] College Park, MD
United States of America
Ms Jeniece Alvey Tel: 202 402 3068
Nutrition Advisor Email: [email protected]
Bureau for Global Health, Office of Maternal, Child
Health and Nutrition Ms Audrae Erickson
USAID Vice President External and Public Affairs
Washington DC Mead Johnson Nutrition 601 13th Street, NW,
United States of America Suite 730 South
Tel: 1-202-808-3784 Washington, DC
Email: [email protected] United States of America
Tel: (202) 393-4741
Ms Joanna Brown Email: [email protected]
International Economist
U.S. Department of Agriculture Ms Mallory Gage
Foreign Agriculture Service Gage & Associates
1400 Independence Avenue, SW United States of America
Washington, DC Tel: +1/202-320-9281
United States of America Email: [email protected]
Tel: (202) 690-0131
Email: [email protected] Dr Cheryl Issa
Public Health Nutritionist
Ms Julie Callahan Infant Formula and Medical Foods, Staff HFS-850
Senior Director, Agricultural Affairs Office of Food Safety and Applied Nutrition, U.S.
Executive Office of the President Food and Drug Administration
Office of the U.S. Trade Representative 5100 Paint Branch Parkway
REP18/NFSDU Appendix I 38

College Park, Maryland VIET NAM

United States of America
Tel: 124041441 Mrs Thi Ngoc Dung Huynh
Email: [email protected] Manager
VINAMILK
Ms Mary Frances Lowe No.10, Tan Trao Street, Tan Phu Ward, District 7
US Codex Manager Ho Chi Minh
Department of Agriculture Viet Nam
Food Safety and Inspection Services Email: [email protected]
1400 Independence Avenue, SW Room 4861-S
Bldg. Mrs Huyen Trang Ngo
Washington Manager
United States of America Product Management Department
Tel: +1-202-205-7760 Eneright Vietnam Corporation
Email: [email protected] Villa 01, Lot 96, C2 Gamuda Gardens, Yen So
Ward, Hoang Mai District
Dr Julie Moss Hanoi
Deputy Director, International Affairs Staff Viet Nam
Health and Human Services Email: [email protected]
U.S. Food and Drug Administration
5100 Paint Branch Parkway HFS-550 Mr Quoc Khanh Nguyen
College Park Executive Director – R&D
United States of America VINAMILK
Tel: 240-402-2031 No 10, Tan Trao street, Tan Phu ward, District 7
Email: [email protected] Ho Chi Minh
Viet Nam
Ms Mardi Mountford Tel:
Executive Vice President Email: [email protected]
International Formula Council
1100 Johnson Ferry Road, Suite 300 Mr Hong Uy Nguyen
Atlanta, GA Director
United States of America Abbott Laboratories SA
Tel: 1404 252 3663 Handi Resco building 521 Kim Mã, Hà Nội
Email: [email protected] Hanoi
Viet Nam
Dr Pamela Pehrsson Tel: 0913215626
Research Leader Email: [email protected]
USDA
ARS-Nutrient Data Laboratory Mrs Thuy Trang Nguyen
10300 Baltimore Avenue Bldg. 005, Room 105 Regulatory Affairs Manager
Beltsville Mead Johnson Nutrition Company
United States of America No. 1 Thang Long Boulevar
Tel: 3015040635 Hanoi
Email: [email protected] Viet Nam
Tel: 0933805098
Dr Rufino Perez Email: [email protected]
USAID/FFP Senior Food Technology Advisor
U.S. Agency for International Development Mrs Thi Ngoc Pham
Office for Food for Peace Deputy of General Scretary
180 West Manchester Drive Vietnam Diary Association
Wheeling, IL 205 Giang Vo Street, Dong Da District
United States of America Hanoi
Tel: 571 225 4287 Viet Nam
Email: [email protected] Tel: 0915247896
Email: [email protected]
REP18/NFSDU Appendix I 39

Mrs Nguyen Thi Minh Ha Viet Nam

Deputy Head Tel: 913 552166
Ministry of Health Email: [email protected]
Vietnam Codex Office
Lane 135 Nui Truc Street, Ba Dinh District. ZIMBABWE
Hanoi
Viet Nam
Mr Fredy Chinyavanhu
Tel: 0917298786
Deputy Director-Food Control
Email: [email protected]
Gvt Analyst Laboratory
Ministry of Health and Child Care
Mrs Thi Thuy Thu Truong P.O.Box CY 231, Causeway
Director Harare
Center for Food Safety Application Zimbabwe
Vietnam Food Administration Tel: +263 772 426 084
135 Nui Truc Street Email: [email protected]
Hanoi
Viet Nam
Mrs Monica Muti
Tel: 0989211268
Manager
Email: [email protected]
National Nutrition
Ministry of Health and Child Care
Mr Ngoc Quynh Vu P.O.Box CY112, Causeway
Secretary General Harare
Vietnam Dairy Association Zimbabwe
205 Giang Vo Street, Dong Da District Email: [email protected]
Hanoi

SPECIAL OBSERVERS - OBSERVATEURS SPÉCIAUX - OBSERVADORES ESPECIALES

PALESTINE – PALESTINA

Mr Mousa Alhalayqa Ms Ghada Braika

Director of Nutrition Department Technical Consultant
Ministry of Health Tel: +970 562 666147
Tel: +970 562 401848 Email: [email protected]
Email: [email protected]

OBSERVER ORGANIZATIONS - ORGANISATIONS OBSERVATRICES - ORGANIZACIONES

OBSERVADORAS

AFRICAN UNION (AU) ASSOCIATION EUROPÉENNE POUR LE DROIT

DE L'ALIMENTATION (AEDA/EFLA)
Mr John Oppong-Otoo
Food Safety Officer Mrs Nicole Coutrelis
Standards and Trade Secretariat, Interafrican European Food Law Association (EFLA)
Bureau for Animal Resources Email: [email protected]
African Union
Kenindia Business Park Westlands Road AOAC INTERNATIONAL (AOAC)
Nairobi
Kenya
Mr Darryl Sullivan
Tel: +254203674338
Secretary
Email: [email protected]
AOAC INTERNATIONAL
2275 Research Blvd, Suite 300
Rockville
United States of America
Email: [email protected]
REP18/NFSDU Appendix I 40

Mr Wayne Wargo Mr Paul Bolar

Principal Res Scientist Vice President
AR&D and Food Safety Quality and Regulatory Affairs
Abbott Nutrition CRN - Pharmavite LLC
3300 Stelzer Road, D104110/RP4-2 8510 Balboa Blvd, Suite 300
Columbus Northridge
United States of America United States of America
Email: [email protected] Tel: 818-221-6260
Email: [email protected]
AMERICAN OIL CHEMISTS' SOCIETY (AOCS)
Ms Maya English
Dr Scott Bloomer Manager
Director, Technical Services Education
American Oil Chemists' Society CRN
2710 Boulder Drive 1828 L St., NW Ste. 510
Urbana Washington
United States of America United States of America
Tel: 2176934830 Tel: 202-204-7687
Email: [email protected] Email: [email protected]

ASSOCIATION OF EUROPEAN COELIAC Mr Harvey Kamil

SOCIETIES (AOECS) Vice Chairman
CRN - NBTY, Inc.
NBTY, Inc. 2100 Smithtown Avenue
Mrs Hertha Deutsch
Ronkonkoma
Codex and Regulatory Affairs
United States of America
AOECS
Tel: 631-200-2020
Anton-Baumgartner-Strasse 44/C5/2302
Email: [email protected]
Vienna
Austria
Tel: +43/1 66 71 887 Dr Daniel Marsman
Email: [email protected] Head, Product Safety
Product Safety
CRN - Procter & Gamble
CALORIE CONTROL COUNCIL (CCC)
P&G 8700 Mason-Montgomery Road
Mason
Mr Wim Caers United States of America
Director, Product Assurance & Reg. Affairs Tel: 513-698-6088
Calorie Control Council Email: [email protected]
Tate & Lyle Plc 1 Kingsway London WC2B 6AT
UK
EARLY NUTRITION ACADEMY (ENA)
London
United Kingdom
Email: [email protected] Prof Berthold Koletzko
Professor of Paediatrics
LMU Ludwig-Maximilians-Universität Munich
COUNCIL FOR RESPONSIBLE NUTRITION
ESPGHAN
(CRN)
Dr. von Haunersches Kinderspital Lindwurmstr. 4
München
Dr James Griffiths Germany
Vice President Tel: +49 89 4400 52826
Science & International Affairs Email: [email protected]
CRN
1828 L St., NW Ste. 510
Washington
United States of America
Tel: 202-204-7662
Email: [email protected]
REP18/NFSDU Appendix I 41

EUROPEAN ASSOCIATION OF POLYOL Belgium

PRODUCERS (EPA) Email: [email protected]

Mrs Isabel Ortiz FOODDRINKEUROPE

Member
EPA - European Association of Polyol Producers Ms Sara Lamonaca
Avenue de Tervuren 13 A Manager
Brussels Nutrition and Health
Belgium FoodDrinkEurope
Email: [email protected] Email: [email protected]

EUROPEAN SOCIETY FOR PAEDIATRIC Mrs Annie Loc'h

GASTROENTEROLOGY HEPATOLOGY AND Danone
NUTRITION (ESPGHAN) Email: [email protected]

Prof Alexandre Lapillonne Ms Aleksandra Wesolowska

ESPGHAN Email: [email protected]
Email: [email protected]
GLOBAL ORGANIZATION FOR EPA AND DHA
FEDERATION OF EUROPEAN SPECIALTY OMEGA-3S (GOED)
FOOD INGREDIENTS INDUSTRIES (EU
SPECIALTY FOOD INGREDIENTS )
Dr Harry Rice
Global Organization for EPA and DHA Omega-3s
Ms Catherine Mignot (GOED)
Member 1075 Hollywood Avenue Salt Lake City, Utah
EU Specialty Food Ingredients 84105
Email: [email protected] Salt Lake City
United States of America
Ms Caroline Bustandi Email: [email protected]
Member
EU Specialty Food Ingredients Dr Aldo Bernasconi
Email: [email protected] Global Organization for EPA and DHA Omega-3s
(GOED)
Prof Stewart Forsyth 1075 Hollywood Avenue
Member Salt Lake City
EU Specialty Food Ingredients United States of America
Email: [email protected] Email: [email protected]

Mr Petr Mensik Mr Paul Browner

EU Specialty Food Ingredients Global Organization for EPA and DHA Omega-3s
Email: [email protected] (GOED)
1075 Hollywood Avenue
Dr Stephane Pasteau Salt Lake City
Member United States of America
EU Specialty Food Ingredients Email: [email protected]
Email: [email protected]
Ms Sheila Gautier
EUROPEAN VEGETABLE PROTEIN Global Organization for EPA and DHA Omega-3s
ASSOCIATION (EUVEPRO) (GOED)
1075 Hollywood Avenue Salt Lake City, Utah
84105
Mrs Susanne Meyer
United States of America
Secretary General
Email: [email protected]
EUVEPRO
Avenue Jules Bordet 142
Brussels
REP18/NFSDU Appendix I 42

Mr David Pineda Ereno Tel: +441223240483

Global Organization for EPA and DHA Omega-3s Email: [email protected]
(GOED)
1075 Hollywood Avenue Salt Lake City, Utah INTERNATIONAL ALLIANCE OF
United States of America DIETARY/FOOD SUPPLEMENT
Email: [email protected] ASSOCIATIONS (IADSA)

HELEN KELLER INTERNATIONAL (HKI) Ms Cynthia Rousselot

International Alliance of Dietary/Food Supplement
Ms Jane Badham Associations (IADSA)
Consultant One Pancras Square
Hellen Keller International London
PO Box 67396 Bryanston 2021 South Africa United Kingdom
Johannesburg Email: [email protected]
South Africa
Tel: 27114630679 Mr Tomoji Igarashi
Email: [email protected] Member
International Alliance of Dietary/Food Supplement
Dr Elhadji Issakha Diop Associations (IADSA)
Regional Nutrition Specialist One Pancras Square
Helen Keller International London
Yoff Toundoup Rya Lot 122| 29898 Dakar-Yoff United Kingdom
Senegal Email: [email protected]
Dakar
Senegal Mr Simon Pettman
Tel: +221 33 869 10 63 Executive Director
Email: [email protected] International Alliance of Dietary/Food Supplement
Associations (IADSA)
Dr Chessa Lutter One Pancras Square
Consultant London
Helen Keller International United Kingdom
1889 F Street, NW Washington, D.C. 20006 USA Email: [email protected]
Washington
United States of America Mrs Michelle Stout
Email: [email protected] Board Member
International Alliance of Dietary/Food Supplement
Mrs Elizabeth Zehner Associations (IADSA)
Director - ARCH Project One Pancras Square
Helen Keller International London
1889 F Street, NW Washington, D.C. 20006. Email: [email protected]
United States
Washington DC INTERNATIONAL BABY FOOD ACTION
United States of America NETWORK (IBFAN)
Email: [email protected]

Dr Jai Prakash Dadhich

INTERNATIONAL ASSOCIATION OF National Coordinator
CONSUMER FOOD ORGANIZATIONS (IACFO) BPNI
BP-33, Pitampura
Ms Patti Rundall Delhi
Policy Director Baby Milk Action/IBFAN Global India
Advocacy/ IACFO Email: [email protected]
Baby Milk Action IACFO
4 Brooklands Avenue
Cambridge
United Kingdom
REP18/NFSDU Appendix I 43

Ms Elisabeth Sterken United States of America

Director Tel: +14048592480
INFACT Canada/IBFAN North America Email: [email protected]
63 Butch's Lane
Rockport Dr Suzan Baaghil
Canada Manager
Email: [email protected] Scientific and Regulatory Affairs
PepsiCo
INTERNATIONAL CO-OPERATIVE ALLIANCE Al-Zaben Building, Tahlia Street, P.O.Box 11414
(ICA) Jeddah
Saudi Arabia
Mr Kazuo Onitake Email: [email protected]
Senior Scientist
Quality Assurance Division Dr Tatsuya Ehara
Japanese Consumers' Co-operative Union Technical Advisor
CO-OP Plaza, Shibuya, Shibuya-Ku Morinaga Milk Industry Co.,LTD
Tokyo 5-1-83, Higashihar Kanagawa pref.
Japan Zama city
Tel: +81 3-5778-8109 Japan
Email: [email protected] Tel: +81-462-52-3046
Email: [email protected]
Mr Hitoshi Inoue
Assistant Manager INTERNATIONAL CHEWING GUM
Safety Policy Service ASSOCIATION (ICGA) (ICGA)
Japanese Consumers' Co-opetative Union
CO-OP Plaza, 3-29-8, Shibuya, Shibuya-Ku Mr Christophe Lepretre
Tokyo Executive Director Regulatory and Scientific
Japan Affairs
Tel: +81-3-5778-8109 International Chewing Gum Association
Email: [email protected] 54, Avenue Louise
Brussels
INTERNATIONAL COUNCIL ON AMINO ACID Belgium
SCIENCE (ICAAS) Tel: 0032 2 645 5078
Email: [email protected]
Dr Masashi Nagata
Email: [email protected] INTERNATIONAL COUNCIL OF GROCERY
MANUFACTURERS ASSOCIATIONS (ICGMA)
Dr Kaori Ono
ICAAS - International Council on Amino Acid Ms Melissa San Miguel
Science Senior Director
Email: [email protected] Global Strategies
Grocery Manufacturers Association
Mr Miro Smriga 1350 I ST NW
Email: [email protected] Washington
United States of America
Tel: +1 202-639-5982
Mr Keiji Takahashi
Email: [email protected]
Email: [email protected]

INTERNATIONAL DAIRY FEDERATION

INTERNATIONAL COUNCIL OF BEVERAGES
(IDF/FIL)
ASSOCIATIONS (ICBA)

Ms Luisa Candido
Ms Joanna Skinner
Nutrition and Technical Manager
Manager, Regulatory Labeling & Nutrition
Dairy UK
Global Scientific & Regulatory Affairs
United Kingdom
The Coca-Cola Company
Email: [email protected]
One Coca-Cola Plaza
Atlanta
REP18/NFSDU Appendix I 44

Ms Mélanie Lembert INTERNATIONAL LACTATION CONSULTANT

Regulatory Affairs Officer ASSOCIATION (ILCA)
ATLA, French Dairy Processors' Association
42, rue de Chateaudun F-75009 Paris , France Mrs Maryse Arendt
Email: [email protected] Lactation Consultant IBCLC
ILCA Liaison to Codex
Ms Laurence Rycken ILCA
Technical Manager 17 rue Charlemagne
International Dairy Federation Luxembourg
Boulevard Auguste Reyers 70B Luxembourg
Brussels Email: [email protected]
Belgium
Email: [email protected] INTERNATIONAL LIFE SCIENCES INSTITUTE
(ILSI)
Mr Harrie Van Den Bijgaart
Operations Manager Laboratories Dr Flavia Goldfinger
Qlip B.V. Executive Director
Oostzeestraat 2a, P.O. Box 119 ILSI Brasil
Zutphen Rua Dr. Paulo Ferraz da Costa Agular 1600 apt
Netherlands 62C Osasco
Tel: +31887547010 Sao Paulo
Email: [email protected] Brazil
Tel: 55-11989752275
INTERNATIONAL FEDERATION OF Email: [email protected]
MARGARINE ASSOCIATIONS (IFMA)
Dr Rubens Feferbaum
Mrs Siska Pottie Professor
Secretary General Child Institute
IFMA University of Sao Paulo
Email: [email protected] Instituto da Crianca Faculadede de Medicina
Universidade de Sao Paulo
INSTITUTE OF FOOD TECHNOLOGISTS (IFT) Sao Paulo
Brazil
Tel: 55-11-38625346
Prof Rosemary Walzem, RD, PhD
Email: [email protected]
Department of Poultry Science and Faculty of
Nutrition
Institute of Food Technologists Mr Takashi Shimizu
101 Kleberg Center MS 2472 Texas A&M Department Manager
University College Station, TX 77843-2472 R&D Division
Texas A&M University Morinaga Milk industry Co., LTD
United States of America 5-1-83 Highashihara Zama
Tel: 979.847.7361 Kanagawa
Email: [email protected] Japan
Tel: 81-46-252-3046
Email: [email protected]
INTERNATIONAL FRUIT AND VEGETABLE
JUICE ASSOCIATION (IFU)
Mr Shigeru Taniguchi
Executive Officer
Mr John Collins
R&D Division
Executive Director
Meiji Company, Ltd.
IFU - International Fruit and Veg. Juice
540 Naruda Odawara
Association
Kanagawa
57 Royal Sands Weston Super Mare
Japan
Somerset
Tel: 81-465-37-3674
United Kingdom
Email: [email protected]
Tel: +44 1934 627 844
Email: [email protected]
REP18/NFSDU Appendix I 45

INTERNATIONAL PROBIOTICS ASSOCIATION Ms Cristine Bradley

(IPA) Member
ISDI-International Special Dietary Foods Industries
Mrs Aliah Abdul Wahab Email: [email protected]
Regional Regulatory Affairs Director, APAC
CHR. Hansen Singapore Pte Ltd Ms Jan Carey
Email: [email protected] Member
ISDI-International Special Dietary Foods Industries
Dr Bart Degeest Email: [email protected]
Managing Director
Yakult Belgium Ms Edita De Leon
Email: [email protected] Member
ISDI-International Special Dietary Foods Industries
Mrs Marjon Dey-Wolters Email: [email protected]
Regulatory Affairs Manager
Head office and Production Ms Mary Friel
Yakult Europe Member
Email: [email protected] ISDI-International Special Dietary Foods Industries
Email: [email protected]
Mr George Paraskevakos
Executive Director Ms Marie-Odile Gailing
International Probiotics Association (IPA) Member
1824 S. Robertson ISDI-International Special Dietary Foods Industries
Los Angeles Email: [email protected]
United States of America
Tel: 514-571-5949 Ms Louise Gottsche
Email: [email protected] Member
ISDI-International Special Dietary Foods Industries
Mrs Rosanna Pecere Email: [email protected]
Executive Director
IPA EUROPE Mr Kaushik Janakiraman
Ave d'Auderghem 22-28 Member
Brussels ISDI-International Special Dietary Foods Industries
Belgium Email: [email protected]
Tel: +32 2 549 50 81
Email: [email protected]
Mr Jean Christophe Kremer
Secretary General
Mr Huub Scheres ISDI-International Special Dietary Foods Industries
Director of External Affairs Email: [email protected]
Dupont Nutrition and Health
Archimedesweg 30
Ms Marieke Lugt
Leiden
Member
Netherlands
ISDI-International Special Dietary Foods Industries
Tel: +3171
Email: [email protected]
Email: [email protected]

Ms Nuria Moreno Odero

INTERNATIONAL SPECIAL DIETARY FOODS
Regulatory Affairs Officer
INDUSTRIES (ISDI)
ISDI-International Special Dietary Foods Industries
Email: [email protected]
Mr Michael Barry
President
Ms Sabine Seggelke
ISDI-International Special Dietary Foods Industries
Member
Email: [email protected]
ISDI-International Special Dietary Foods Industries
Email: [email protected]
REP18/NFSDU Appendix I 46

INTERNATIONAL FOOD POLICY RESEARCH Ms Laure De Hauteclocque

INSTITUTE Specialised Nutrition Europe
Avenue des Nerviens 9-31
Ms Marilia Nutti Brussels
HarvestPlus Manager for Latin America and the Belgium
Caribbean Email: [email protected]
HarvestPlus-IFPRI
Email: [email protected] Ms Wioleta Dzieszuk-Brzozowska
Specialised Nutrition Europe
Dr Anne Mackenzie Avenue des Nerviens 9-31
Head, Standards and Regulatory Brussels
HarvestPlus Belgium
IFPRI Tel: +32 2 508 10 74
6442 Aston Rd. Email: [email protected]
Ottawa
Canada Mr Xavier Lavigne
Tel: 613 6920211 Specialised Nutrition Europe
Email: [email protected] Avenue des Nerviens 9-31
Brussels
MÉDECINS SANS FRONTIÈRES Belgium
INTERNATIONAL MSF (MSF) Email: [email protected]

Mrs Odile Caron Ms Sasha Lazidu

Quality Specialised Nutrition Europe
MSF International / Doctors without Borders Avenue des Nerviens 9-31
Email: [email protected] Brussels
Belgium
Tel: +32 2 508 10 74
NATIONAL HEALTH FEDERATION (NHF)
Email: [email protected]

Mr Scott Tips
Ms Mareike Preller
President
Specialised Nutrition Europe
National Health Federation
Avenue des Nerviens 9-31
PO Box 688
Brussels
Monrovia
Belgium
United States of America
Tel: +32 2 508 10 74
Tel: 6263572181
Email: [email protected]
Email: [email protected]

UNITED STATES PHARMACOPEIAL

Ms Katherine Carroll
CONVENTION (USP)
Executive Director
California
National Health Federation Mrs Kristie Laurvick
PO Box 688 Senior Manager, Food Standards
Monrovia Food Standards
United States of America U. S. Pharmacopeial Convention (USP)
Tel: 16263572181 12601 Twinbrook Parkway
Email: [email protected] Rockville MD
United States of America
Tel: +13018168356
SPECIALISED NUTRITION EUROPE (SNE)
Email: [email protected]

Ms Aurélie Perrichet
Specialised Nutrition Europe (SNE)
Brussels
Belgium
Tel: +32 2 508 10 74
Email: [email protected]
REP18/NFSDU Appendix I 47

UNITED NATIONS CHILDREN'S FUND WHO PERSONNEL

(UNICEF) (UNICEF) PERSONNEL DE L’OMS
PERSONAL DE LA OMS

Ms Alison Fleet
Technical Specialist Dr Chizuru Nishida
Nutrition Coordinator, Nutrition Policy and Scientific Advice
UNICEF (NPU)
Oceanvej 10-12 Department of Nutrition for Health and
Copenhagen Development (NHD)
Denmark World Health Organization
Tel: +45 45335642 Email: [email protected]
Email: [email protected]
Dr Lee Hooper
FAO PERSONNEL Reader in Research Synthesis, Nutrition and
PERSONNEL DE LA FAO Hydration
PERSONAL DE LA FAO Norwich Medical School
University of East Anglia NR4 7TJ Norwich United
Dr Warren Lee Kingdom of Great Britain and Northern Ireland
Senior Nutrition Officer & Group Leader United Kingdom
Nutrition and Food Systems Division (ESN) Tel: +44 1603 591 268
FAO Email: [email protected]
Viale delle Terme di Caracalla
Rome Dr Cintia Lombardi
Italy Specialist, Prevention of Childhood and Adolescent
Tel: +39 06 570 54077 Obesity
Email: [email protected] Department of Noncommunicable Diseases and
Mental Health
Mr Markus Lipp 525 23rd Street NW Washington DC 20037 USA
Senior Food Safety Officer Tel: +1 202 974-3280
Agriculture and Consumer Protection Department Email: [email protected]
Food and Agriculture Organization of the U.N.
Viale delle Terme di Caracalla Dr Jason Montez
Rome Technical Officer
Italy Department of Nutrition for Health and
Email: [email protected] Development (NHD)
WORLD HEALTH ORGANIZATION
Ms Maria Xipsiti AVENUE APPIA, 20
Nutrition Officer GENEVA 27
Nutrition and Food Systems Division Switzerland
Food and Agriculture Organization of the UN Email: [email protected]
Viale delle Terme di Caracalla
Rome Mr Kim Petersen
Italy Scientist
Tel: 0657056060 Food Safety and Zoonoses Department (FOS)
Email: [email protected] World Health Organization
20 Avenue Appia
Geneva
Switzerland
Tel: +41227911439
Email: [email protected]

Mr Marcus Stahlhofer
Technical Officer
Department of Maternal, Newborn, Child and
Adolescent Health &
WORLD HEALTH ORGANIZATION
20, AVENUE APPIA
GENEVA 27
REP18/NFSDU Appendix I 48

Switzerland Viale delle Terme di Caracalla Rome Italy

Tel: +41 22 791 2909 Roma
Email: [email protected] Italy
Tel: +39 06570 53218
CODEX SECRETARIAT Email: [email protected]
SECRÉTARIAT DU CODEX
SECRETARÍA DEL CODEX CCNFSDU SECRETARIAT
SECRÉTARIAT DU CCNFSDU
Mrs Verna Carolissen-Mackay SECRETARÍA DEL CCNFSDU
Food Standards Officer
Joint FAO/WHO Food Standards Programme Ms Alina Steinert
Food and Agriculture Organization of the United Federal Ministry of Food and Agriculture
Nations (FAO) Rochusstraße 1
Viale delle Terme di Caracalla Bonn
Rome Germany
Italy Tel: +49 228 99 529 4459
Tel: +39 06 5705 5629 Email: [email protected]
Email: [email protected]
Mrs Ursula Siebert
Mr Patrick Sekitoleko Federal Ministry of Food and Agriculture
Food Standards Officer Rochusstraße 1
Joint FAO/WHO Food Standards Programme Bonn
Food and Agriculture Organization of the United Germany
Nations (FAO) Tel: +49 228 99 529 4109
Viale delle Terme di Caracalla Email: [email protected]
Rome
Italy
Tel: +39 06 5705 6626
Email: [email protected]

Dr Rain Yamamoto
Food Standards Officer
FAO/WHO Codex Alimentarius Commission
Viale delle Terme di Caracalla
Rome
Italy
Tel: (+39) 06 5705 5868
Email: [email protected]

Ms Lingping Zhang
Food Standards Officer
Joint FAO/WHO Food Standards Programme Food
and Agriculture Organization of the UN
REP18/NFSDU Appendix II 49

Appendix II
PROPOSED DRAFT REVISED STANDARD FOR FOLLOW-UP FORMULA (CXS 156-1987)
- ESSENTIAL COMPOSITION -
(for adoption at Step 5)

SECTION A: FOLLOW-UP FORMULA FOR OLDER INFANTS

3 ESSENTIAL COMPOSITION AND QUALITY FACTORS
3.1 Essential composition
3.1.1 Follow-up formula for older infants is a product based on milk of cows or other animals or a mixture
thereof and/or other ingredients which have been proven to be safe and suitable for the feeding of
older infants. The nutritional safety and adequacy of follow-up formula for older infants shall be
scientifically demonstrated to support growth and development of older infants.
3.1.2 When prepared ready for consumption in accordance with the instructions of the manufacturer, the
products shall contain per 100 ml not less than 60 kcal (250 kJ) and not more than 70 kcal (295 kJ) of
energy
3.1.3 Follow-up Formula prepared ready for consumption shall contain per 100 kcal (100 kJ) the following
nutrients with the following minimum and maximum or guidance upper levels (GUL) 1 as appropriate.

a) Protein 2), 3), 4)

Unit Minimum Maximum GUL
g/100 kcal 1.8 5), 6) 3.0 -
g/100 kJ 0.43 5), 6) 0.72 -

2) For the purpose of this standard the calculation of the protein content of the final product ready for consumption should be based on
N x 6.25, unless a scientific justification is provided for the use of a different conversion factor for a particular product. The protein levels
set in this standard are based on a nitrogen conversion factor of 6.25. For information the value of 6.38 is used as a specific factor
appropriate for conversion of nitrogen to protein in other Codex standards for milk products.
3) For an equal energy value the formula must contain an available quantity of each essential and semi essential amino acid at least
equal to that contained in the reference protein (breast-milk as defined in Annex I of the Standard for Infant Formula and Formulas for
Special Medical Purposes Intended for Infants (CXS 72-1981)); nevertheless for calculation purposes the concentrations of tyrosine and
phenylalanine may be added together and the concentrations of methionine and cysteine may be added together.
4) Isolated amino acids may be added to follow-up formula only to improve its nutritional value for infants. Essential and semi-essential
amino acids may be added to improve protein quality, only in amounts necessary for that purpose. Only L-forms of amino acids shall be
used.
5) The minimum value applies to cows’ and goats’ milk protein. For follow-up formula based on non-cows’ or non-goats’ milk protein
other minimum values may need to be applied. For follow-up formula based on soy protein isolate, a minimum value of 2.25 g/100 kcal
(0.54 g/100 kJ) applies.
6)
A lower minimum protein level between 1.6 and 1.8 g/100 kcal (0.38 and 0.43 g/100 kJ) in follow-up formula based on non-hydrolysed
milk protein can be accepted. Such follow-up formula and follow-up formula based on hydrolysed protein should be evaluated for their
safety and suitability and assessed by a competent national and/or regional authority based on clinical evidence.

b) Lipids
Total Fat 7), 8)
Unit Minimum Maximum GUL
g/100 kcal 4.4 6.0 -
g/100 kJ 1.1 1.4 -
7)
Partially hydrogenated oils and fats shall not be used in follow-up formula for older infants.
8)
Lauric acid and myristic acids are constituents of fats, but combined shall not exceed 20% of total fatty acids. The content
of trans fatty acids shall not exceed 3% of total fatty acids. Trans fatty acids are endogenous components of milk fat. The
acceptance of up to 3% of trans fatty acids is intended to allow for the use of milk fat in infant formulae. The erucic acid content
shall not exceed 1% of total fatty acids. The total content of phospholipids should not exceed 300 mg/100 kcal (72 mg/100 kJ).

Linoleic acid
Unit Minimum Maximum GUL
mg/100 kcal 300 - 1400
mg/100 kJ 72 - 335
REP18/NFSDU Appendix II 50

α-Linolenic acid
Unit Minimum Maximum GUL
mg/100 kcal 50 N.S.* -
mg/100 kJ 12 N.S. -
*N.S. = not specified

Ratio linoleic acid/ α-Linolenic acid

Min Max
5:1 15:1

c) Carbohydrates
Available carbohydrates 9)
Unit Minimum Maximum GUL
g/100 kcal 9.0 14.0 -
g/100 kJ 2.2 3.3 -
9)
Lactose and glucose polymers should be the preferred carbohydrates in formula based on cow’s milk protein and hydrolysed protein.
Only precooked and/or gelatinised starches gluten-free by nature may be added. Sucrose and/or fructose should not be added, unless
needed as a carbohydrate source, and provided the sum of these does not exceed 20% of available carbohydrate.

d) Vitamins
Vitamin A
Unit Minimum Maximum GUL
µg RE10)/100 kcal 75 180 -
µg RE10)/100 kJ 18 43 -
10)
expressed as retinol equivalents (RE)
1 µg RE = 3.33 IU Vitamin A = 1 µg trans retinol. Retinol contents shall be provided by preformed retinol, while any contents of carotenoids
should not be included in the calculation and declaration of vitamin A activity.

Vitamin D
Unit Minimum Maximum GUL
µg11) /100 kcal 1.0 3.0 -
µg11) /100 kJ 0.24 0.72 -
11)
Calciferol. 1 µg calciferol = 40 IU vitamin D.

Vitamin E
Unit Minimum Maximum GUL
mg α-TE12) /100 kcal 0.5 13) - 5
mg α-TE12) /100 kJ 0.12 13) - 1.2
12)
1 mg α-TE (alpha-tocopherol equivalents) = 1 mg d-α-tocopherol
13)
Vitamin E shall be at least 0.5 mg α-TE per g PUFA, using the following factors of equivalence to adapt the minimal vitamin E content
to the number of fatty acid double bonds in the formula: 0.5 mg αTE /g linoleic acid (18:2 n-6); 0.75 α-TE/g α-linolenic acid (18:3 n-3); 1.0
mg α-TE/g arachidonic acid (20:4 n-6); 1.25 mg α-TE/g eicosapentanoic acid (20:5 n-3); 1.5 mg α-TE/g docosahexaenoic acid (22:6 n-3).

Vitamin K
Unit Minimum Maximum GUL
µg /100 kcal 4 - 27
µg /100 kJ 1.0 - 6.5

Thiamin
Unit Minimum Maximum GUL
µg /100 kcal 60 - 300
µg /100 kJ 14 - 72

Riboflavin
Unit Minimum Maximum GUL
µg /100 kcal 80 - 500
µg /100 kJ 19 - 119
REP18/NFSDU Appendix II 51

Niacin 14)
Unit Minimum Maximum GUL
µg /100 kcal 300 - 1500
µg /100 kJ 72 - 360
14)
Niacin refers to preformed niacin

Vitamin B 6
Unit Minimum Maximum GUL
µg /100 kcal 35 - 175
µg /100 kJ 8.4 - 41.8

Vitamin B12
Unit Minimum Maximum GUL
µg /100 kcal 0.1 - 1.5
µg /100 kJ 0.024 - 0.36

Pantothenic acid
Unit Minimum Maximum GUL
µg /100 kcal 400 - 2000
µg /100 kJ 96 - 478

Folic acid
Unit Minimum Maximum GUL
µg /100 kcal 10 - 50
µg /100 kJ 2.4 - 12

Vitamin C 15)
Unit Minimum Maximum GUL
mg /100 kcal 10 - 70 16)
mg /100 kJ 2.4 - 17 16)
15)
expressed as L-ascorbic acid
16)
This GUL has been set to account for possible high losses over shelf-life in liquid formulas; for powdered products lower upper levels
should be aimed for.

Biotin
Unit Minimum Maximum GUL
µg /100 kcal 1.5 - 10
µg /100 kJ 0.4 - 2.4

e) Minerals and Trace Elements

Iron 17)
Unit Minimum Maximum GUL
mg /100 kcal 1.0 2.0 -
mg /100 kJ 0.24 0.48 -
17)
For Follow-up formula based on soy protein isolate a minimum value of 1.5 mg/100 kcal (0.36/100 kJ) and maximum of 2.5 mg/100
kcal (0.6 mg/100 kJ) applies.

Calcium
Unit Minimum Maximum GUL
mg /100 kcal 50 - 180
mg /100 kJ 12 - 43

Phosphorus
Unit Minimum Maximum GUL
mg /100 kcal 25 - 100 18)
mg /100 kJ 6 - 24 18)
18)
This GUL should accommodate higher needs with Follow-up formula based on soy protein isolate.
REP18/NFSDU Appendix II 52

Ratio calcium/phosphorus
Min Max
1:1 2:1

Magnesium
Unit Minimum Maximum GUL
mg /100 kcal 5 - 15
mg /100 kJ 1.2 - 3.6

Sodium
Unit Minimum Maximum GUL
mg /100 kcal 20 60 -
mg /100 kJ 5 14 -

Chloride
Unit Minimum Maximum GUL
mg /100 kcal 50 160 -
mg /100 kJ 12 38 -

Potassium
Unit Minimum Maximum GUL
mg /100 kcal 60 180 -
mg /100 kJ 14 43 -

Manganese
Unit Minimum Maximum GUL
µg /100 kcal 1.0 - 100
µg /100 kJ 0.24 - 24

Iodine
Unit Minimum Maximum GUL
µg /100 kcal 10 - 60
µg /100 kJ 2.4 - 14.3

Selenium
Unit Minimum Maximum GUL
µg /100 kcal 2 - 9
µg /100 kJ 0.48 - 2.2

Copper 19)
Unit Minimum Maximum GUL
µg /100 kcal 35 - 120
µg /100 kJ 8.4 - 29

19) Adjustment may be needed in these levels for Follow-up formula made in regions with a high content of copper in the water supply.

Zinc 20)
Unit Minimum Maximum GUL
mg /100 kcal 0.5 - 1.5
mg /100 kJ 0.12 - 0.36

20) For Follow-up formula based on soy protein isolate a minimum value of 0.75 mg/100 kcal (0.18 mg/100 kJ).

3.2 Optional Ingredients

3.2.1 In addition to the compositional requirements listed under 3.1.3 Section A, other ingredients or
substances may be added to follow-up formula for older infants where the safety and suitability of the
optional ingredient for particular nutritional purposes, at the level of use, is evaluated and
demonstrated by generally accepted scientific evidence.
3.2.2 When any of these ingredients or substances is added the formula shall contain sufficient amounts to
achieve the intended effect, taking into account levels in human milk.
REP18/NFSDU Appendix II 53

3.2.3 The following substances may be added in conformity with national legislation, in which case their
content per 100 kcal (100kJ) in the Follow-up Formula ready for consumption shall not exceed the
levels listed below. This is not intended to be an exhaustive list, but provides a guide for competent
national and/or regional authorities as to appropriate levels when these substances are added.
Taurine
Unit Minimum Maximum GUL
mg /100 kcal - 12 -
mg /100 kJ - 3 -

Total nucleotides
Levels may need to be determined by national authorities.

Docosahexaenoic acid 21)

Unit Minimum Maximum GUL

mg /100 kcal - - 30
mg /100 kJ - - 7.2
21)
If docosahexaenoic acid (22:6 n-3) is added to follow-up formula, a minimum level of 20 mg/100 kcal (4.8 mg/100 kJ) should be
reached, and arachidonic acid (20:4 n-6) contents should reach at least the same concentration as DHA. The content of
eicosapentaenoic acid (20:5 n-3), which can occur in sources of LC-PUFA, should not exceed the content of docosahexaenoic
acid. Competent national and/or regional authorities may deviate from the above conditions, as appropriate for the nutritional
needs.

Choline
Unit Minimum Maximum GUL
mg /100 kcal - - 50
mg /100 kJ - - 12

Myo-inositol
Unit Minimum Maximum GUL
mg /100 kcal - - 40
mg /100 kJ - - 9.6

L-carnitine
Levels may need to be determined by national authorities.
L (+) lactic producing cultures
Only L (+) lactic producing cultures may be used for the purpose of producing acidified follow-up formula for
older infants. The acidified final formula product should not contain significant amounts of viable L (+) lactic
acid-producing cultures, and residual amounts should not represent any health risk.
The safety and suitability of the addition of specific strains of L(+) lactic acid producing cultures for particular
beneficial physiological effects, at the level of use, must be demonstrated by clinical evaluation and generally
accepted scientific evidence. When added for this purpose, the final product ready for consumption shall
contain sufficient amounts of viable cultures to achieve the intended effect.
REP18/NFSDU Appendix II 54

SECTION B: [NAME OF PRODUCT] FOR YOUNG CHILDREN

3 ESSENTIAL COMPOSITION AND QUALITY FACTORS
3.1 Essential composition
3.1.1 [Name of product] for young children is a product based on milk of cows or other animals or a
mixture thereof and/or other ingredients which have been proven to be safe and suitable for the feeding
of young children. The nutritional safety and adequacy of [Name of Product] for young children shall
be scientifically demonstrated to support growth and development of young children.
3.1.2 When prepared ready for consumption in accordance with the instructions of the manufacturer, the
products shall contain per 100 ml not less than 60 kcal (250 kJ) and not more than 70 kcal (295 kJ) of
energy. National and/or regional authorities can deviate from the minimum energy content in line with
national/regional dietary guidelines taking into account the nutritional needs of the local population.
3.1.3 (Name of product) for young children prepared ready for consumption shall contain per 100 kcal (100
kJ) the following nutrients with the following minimum and maximum or guidance upper levels (GUL) ∗,
as appropriate. The general principles for establishing these levels are identified in Annex I of this
standard.
a) Protein 1), 2)

Unit Minimum Maximum GUL

g/100 kcal 1.8 - -
g/100 kJ 0.43 - -
1)
For the purpose of this standard the calculation of the protein content of the final product ready for consumption should be based
on N x 6.25, unless a scientific justification is provided for the use of a different conversion factor for a particular product. The protein
levels set in this standard are based on a nitrogen conversion factor of 6.25. For information the value of 6.38 is used as a specific
factor appropriate for conversion of nitrogen to protein in other Codex standards for milk products.
2)
When determined by PER methodology, the quality of protein shall not be less than 85% of that of casein.
The protein quality shall be determined provisionally using the PER or PDCAAS and other methods that come available in the future.

b) Lipids 3)
Total fat
Unit Minimum Maximum GUL
g /100 kcal 3.5 - -
g /100 kJ 0.84 - -

α-linolenic acid
Unit Minimum Maximum GUL
mg /100 kcal 50 - -
mg /100 kJ 12 - -

Linoleic acid
Unit Minimum Maximum GUL
mg /100 kcal 300 - -
mg /100 kJ 72 - -
3)
Partially hydrogenated oils and fats shall not be used in [name of product] for young children.

c) Carbohydrates
Available carbohydrates 4)
Unit Minimum Maximum5) GUL
g /100 kcal - 12.5 -
g /100 kJ - 3.0 -

∗
Guidance upper levels are for nutrients without sufficient information for a science-based risk assessment. These levels are values
derived on the basis of meeting nutritional requirements of young children and an established history of apparent safe use. They may be
adjusted based on relevant scientific or technological progress. The purpose of the GULs is to provide guidance to manufacturers and
they should not be interpreted as goal values. Nutrient contents in [name of product] for young children should usually not exceed the
GULs unless higher nutrient levels cannot be avoided due to high or variable contents in constituents of [name of product] for young
children or due to technological reasons. When a product type or form has ordinarily contained lower levels than the GULs, manufacturers
should not increase levels of nutrients to approach the GULs.
REP18/NFSDU Appendix II 55

4) [Lactose should be the preferred carbohydrates in [name of product] based on milk protein. For products not based on milk protein,
carbohydrate sources (like starch) that have no contribution to the sweet taste should be preferred.
Mono- and disaccharides, other than lactose, either added as ingredients, or constituents of ingredients and/or increased above the
amount contributed by the ingredients by some other means, should not exceed 2.5 g/100kcal (0.60 g/100kJ) of available carbohydrate.
National and/or regional authorities may limit this level to 1.25 g/100 kcal (0.30 g/100 kJ). Sucrose and/or fructose or other carbohydrates
contributing to the sweet taste of [name of product] should not be added, unless needed as a carbohydrate source. Other non-carbohydrate
ingredients should not be added with the purpose of imparting or enhancing a sweet taste. ]
5
) For [Name of the product] for young children with a protein level below 3.0 g/100 kcal a maximum level of available carbohydrates
up to 14 g/100 kcal (3.3 g/100 kJ) may be permitted by competent national and/or regional authorities.

d) Vitamins and Minerals

Iron 6)
Unit Minimum Maximum GUL
mg /100 kcal 1.0 3.0 -
mg /100 kJ 0.24 0.72 -
6) For [name of product] based on soy protein isolate a minimum value of 1.5 mg/100 kcal (0.36 mg/100 kJ) applies.

Vitamin C 7)
Unit Minimum Maximum GUL
mg /100 kcal 10 - 70
mg /100 kJ 2.4 - 17
7) expressed as L-ascorbic acid

Calcium
Unit Minimum Maximum GUL
mg /100 kcal 90 - 280
mg /100 kJ 22 - 67

Riboflavin
Unit Minimum Maximum GUL
µg /100 kcal 80 - 650
µg /100 kJ 19 - 155

Vitamin B12
Unit Minimum Maximum GUL
µg /100 kcal 0.1 - 2.0
µg /100 kJ 0.024 - 0.48

Zinc
Unit Minimum Maximum GUL
mg /100 kcal 0.5 - 1.5
mg /100 kJ 0.12 - 0.36

Vitamin A
Unit Minimum Maximum GUL
µg RE8) /100 kcal 60 180 -
µg RE8) /100 kJ 14 43 -
8)
expressed as retinol equivalents (RE)
1 µg RE = 3.33 IU Vitamin A = 1 µg all-trans retinol. Retinol contents shall be provided by preformed retinol, while any contents of
carotenoids should not be included in the calculation and declaration of vitamin A activity.
REP18/NFSDU Appendix II 56

[Vitamin D39)]
Unit Minimum Maximum GUL
µg10) /100 kcal [1.5] [4.5] -
µg10) /100 kJ [0.36] [1.08] -
[9) Competent national and/or regional authorities may deviate from the conditions as appropriate for the nutritional needs of their
population.]
10)
Calciferol. 1 µg calciferol = 40 IU vitamin D.

Sodium chloride should not be added to [name of the product] for young children.
3.1.4 National and/or regional authorities may add mandatory requirements for essential nutrients listed
under 3.1.3, Section B. Any additional mandatory nutrients should be chosen from the essential
composition of follow-up formula for older infants under 3.1.3 Section A. If additional mandatory
nutrients are added, the nutrient levels must be based on the nutrient composition of follow-up formula
for older infants (3.1.3 Section A) which is informed by the composition of breast milk, and take into
account the inherent levels of nutrients in cows’ milk.
All nutrient levels may be amended if the nutritional needs of the local population and scientific
justification warrants such deviation.
3.2 Optional Ingredients
3.2.1 In addition to the essential compositional requirements listed under 3.1.3 Section B, other ingredients,
substances or nutrients may be added to [name of the product] for young children where the safety
and suitability of the optional ingredient for particular nutritional purposes, at the level of use, is
evaluated by national and/or regional authorities and demonstrated by generally accepted scientific
evidence. Optional ingredients listed in 3.2.3 Section A are also permitted.
3.2.2 When any of these ingredients, substances or nutrients is added the formula shall contain sufficient
amounts to achieve the intended effect.
3.2.3 Additional nutrients may also be added to [name of the product] for young children provided these
nutrients are chosen from the essential composition of follow-up formula for older infants and levels
are as per the minimum, maximum, GULs stipulated for follow-up formula for older infants (3.1.3
Section A) and take into account the inherent levels of nutrients in cows’ milk; or amended by national
and/or regional authorities if the nutritional needs of the local population and scientific justification
warrants such deviation.
REP18/NFSDU Appendix III 57

Appendix III
PROPOSED DRAFT REVISED STANDARD FOR FOLLOW-UP FORMULA (CXS 156-1987)
- OTHER SECTIONS -
(for further consideration by EWG)
PREAMBLE
[The Codex Alimentarius Commission acknowledges the need to [protect and support / recognize] breast-
feeding as an unequalled way of providing ideal food for the healthy growth and development of infants. At the
same time Codex acknowledges that numerous formulae have been produced, intended for use, where
[necessary / appropriate], as a substitute for human milk in meeting the normal nutritional requirements of
infants provided they are prepared under hygienic conditions and given in adequate amounts. In addition,
various products have also been produced intended specifically for young children as they progress to a more
diversified diet of family foods and these products should not discourage breastfeeding.
The production, distribution, sale and use of follow-up formula for older infants and [name of product] for young
children should be consistent with national health and nutrition policies and relevant national/regional
legislation, and take into account, [as appropriate,] the recommendations made in the International Code of
Marketing of Breast-milk Substitute (1981) and the Global Strategy for Infant and Young Child Feeding.
Relevant WHO guidelines and policies as well as relevant World Health Assembly (WHA) resolutions that have
been [endorsed / supported] by member states [may also] provide guidance to countries in this context.
This Standard is divided into two sections. Section A refers to Follow-up Formula for Older Infants (6 to 12
months of age), and Section B deals with [Name of Product] for Young Children (12 to 36 months of age). It
does not apply to products covered by the Codex Standard for Infant Formula and Formulas for Special
Medical Purposes Intended for Infants (CODEX STAN 72 – 1981 CXS 72-1981).]
SECTION A: FOLLOW-UP FORMULA FOR OLDER INFANTS
1 [SCOPE
1.1 This section of the Standard applies to Follow-up Formula for Older Infants, as defined in Section 2.1,
in liquid or powdered form.
1.2 This section of the Standard contains compositional, quality, safety, [labelling and analytical]
requirements for Follow-up Formula for Older Infants.
1.3 Only products that comply with the criteria laid down in the provisions of this section of this
Standard [should / shall] be presented as Follow-up Formula for Older Infants.]
2 DESCRIPTION
2.1 Product Definition
2.1.1 [Follow-up formula for older infants means a product, specially manufactured for use as a
substitute for breastmilk, as a liquid part of a progressively diversified diet for older infants when
complementary feeding is introduced.]
2.1.2 Follow-up formula [for older infants] is so processed by physical means only and so packaged as to
prevent spoilage and contamination under all normal conditions of handling, storage and distribution
in the country where the product is sold.
2.2 Other Definitions
2.2.1 The term infant means a person of not more than 12 months of age.
2.2.2 The term older infant means a person from the age of 6 months and not more than 12 months of age.
9. [LABELLING]
The requirements of the Codex General Standard for the Labelling of Pre-packaged Foods (CXS 1-1985), the
Guidelines on Nutrition Labelling (CXG 2-1985) and the Guidelines for Use of Nutrition and Health Claims
(CXG 23-1997) apply to follow-up formula for older infants. [These requirements include a prohibition on the
use of nutrition and health claims for foods for infants and young children except where specifically provided
for in relevant Codex Standards or national legislation.]
9.1 The Name of the Product
9.1.1 The text of the label and all other information accompanying the product shall be written in the
appropriate language(s).
REP18/NFSDU Appendix III 58

9.1.2 The name of the product shall be Follow-up Formula for Older Infants as defined in Section 2.1, or any
appropriate designation indicating the true nature of the product, in accordance with national [or
regional] usage.
9.1.3 The sources of protein in the product shall be clearly shown on the label.
a) If [name of animal] milk is the only source of protein[*], the product may be labelled ‘Follow-up
Formula for Older Infants Based on [name of animal] milk [protein].
b) If [name of plant] is the only source of protein[*], the product may be labelled ‘Follow-up Formula
for Older Infants Based on [name of plant] [protein].
c) if [name of animal] milk and [name of plant] are the sources of proteins*, the product may be
labelled ‘Follow-up Formula for Older Infants Based on [name of animal] milk protein and
[name of plant] protein or ‘Follow-up Formula for Older Infants Based on [name of plant]
protein and [name of animal] milk protein’.
[* For clarity, addition of individual amino acids where needed to improve protein quality does not
preclude use of the above labelling options.]
9.1.5 A product which contains neither milk nor any milk derivative [shall] [may] be labelled "contains no
milk or milk products" or an equivalent phrase.
9.2 List of Ingredients
9.2.1 A complete list of ingredients [including optional ingredients] shall be declared on the label in
descending order of proportion except that in the case of added vitamins and minerals, these
ingredients may be arranged as separate groups for vitamins and minerals. Within these groups the
vitamins and minerals need not be listed in descending order of proportion.
9.2.2 The specific name shall be declared for ingredients of animal or plant origin and for food additives. In
addition, appropriate functional classes for these ingredients and additives may be included
on the label. [The food additives INS number may also be optionally declared the INS number].
9.3 Declaration of Nutritive Value
The declaration of nutrition information [for follow-up formula for older infants] shall contain the following
information which should be in the following order:
a) the amount of energy, expressed in kilocalories (kcal) and/or kilojoules (kJ), and the number of grams
of protein, carbohydrate and fat per 100 grams or per 100 millilitres of the food as sold [as well as] [or]
per 100 millilitres of the food ready for use, when prepared according to the instructions on the label.
b) the total quantity of each vitamin, and mineral as listed in paragraph 3.1.3 of Section A and any other
ingredient as listed in paragraph 3.2 of Section A per 100 grams or per 100 millilitres of the food as
sold [as well as] [or] per 100 millilitres of the food ready for use, when prepared according to the
instructions on the label.
c) In addition, the declaration of nutrients in a) and b) per 100 kilocalories (or per 100 kilojoules) is
permitted.
9.4 Date Marking and Storage Instructions
9.4.1 (i) The “Best Before Date” or “Best Quality Before Date” shall be declared by the day, month and
year except that for products with a shelf-life of more than three months, [at least] the month and year
[shall be declared]. [The day and year shall be declared by uncoded numbers with the year to be
denoted by 2 or 4 digits, and the month shall be declared by letters or characters or numbers. Where
only numbers are used to declare the date or where the year is expressed as only two digits, the
competent authority should determine whether to require the sequence of the day, month, year, be
given by appropriate abbreviations accompanying the date mark (e.g. DD/MM/YYYY or
YYYY/DD/MM).]
(ii) In the case of products requiring a declaration of month and year only, the [date shall be introduced
by the words “Best before end <insert date>; or “Best Quality Before end <insert date>].
9.4.2 In addition to the date, any special conditions for the storage of the food shall be indicated if [where
they are required to support the integrity of the food and, where] the validity of the date depends
thereon.
Where practicable, storage instructions shall be in close proximity to the date marking.
REP18/NFSDU Appendix III 59

9.5 Information for Use

9.5.1 [Ready to use] products in liquid form should may be used [either] directly.or in the case of
cConcentrated liquid products [and powdered products], must be prepared with potable water that is
safe or has been rendered safe by previous boiling before feeding, according to directions for
use. [Products in powder form should be reconstituted with water that is safe or has been rendered
safe by previous boiling for preparation.] Adequate directions for the appropriate preparation and
handling should be in accordance with Good Hygienic Practice.
9.5.2 Adequate directions for the appropriate preparations and use of the product, including its storage and
disposal after preparation, i.e. that [product] remaining after feeding should be discarded, shall appear
on the label.
9.5.3 The label shall carry clear graphic instructions illustrating the method of preparation of the product.
9.5.4 The directions should be accompanied by a warning about the health hazards of inappropriate
preparation, storage and use.
9.5.5 Adequate directions regarding the storage of the product after the container has been opened, shall
appear on the label.
[9.5.6 The label of follow-up formula for older infants shall include a statement that the product shall not be
introduced before 6 months of age, [is not to be used as a sole source of nutrition] and that older
infants should receive complementary foods in addition to the product.]
[9.6 Additional Labelling Requirements
9.6.1 Labels should not discourage breastfeeding. Each container label shall have a clear, conspicuous and
easily readable message which includes the following points:
[a) the words "important notice" or their equivalent;]
b) the statement "Breast milk is the best food for your baby" or a similar statement as to the superiority
of breastfeeding or breast milk;
[c) a statement that the product should only be used on advice of an [independent] health worker as to
the need for its use [including any exception to the age of introduction of 6 months] and the
proper method of use.]
[d) the statement; ‘The use of this product must not replace breastmilk and lead to cessation of continued
breastfeeding’.]
[9.6.2 The label shall have no pictures of infants and women nor any other picture[,] or text[,] which idealizes
the use of follow up formula. The label shall have no pictures images, text or other representation that
might:
9.6.2.1 idealize the used of follow-up formula for older infants;
9.6.2.2 suggest use for infants under the age of 6 months (including references to milestones and
stages);
9.6.2.3 recommend or promote bottle feeding;
9.6.2.4 undermine or discourage breastfeeding, that makes a comparison to breast-milk, or suggests
that the product is nearly equivalent to or superior to breast-milk;
9.6.2.5 convey an endorsement or anything that may be construed as an endorsement by a
professional or any other body, unless this has been specifically approved by relevant national,
regional or international regulatory authorities.]
9.6.3 The terms "humanized", "maternalized" or other similar terms shall not be used. [In addition, the
product should not be compared to breast-milk].
[9.6.4] Products shall be labelled in such a way as to avoid any risk of confusion between infant formula,
follow-up formula for older infants, (name of product) for young children, and formula for special
medical purposes[, and to enable consumers to make a clear distinction between them, in particular
as to the text, images and colours used.]]
REP18/NFSDU Appendix III 60

SECTION B: [NAME OF PRODUCT] FOR YOUNG CHILDREN

1 [SCOPE
1.1 This section of the Standard applies to [name of product] for young children, as defined in Section 2.1,
in liquid or powdered form.
1.2 This section of the Standard contains compositional, quality, safety, [labelling and analytical]
requirements for [name of product] for young children.
1.3 Only products that comply with the criteria laid down in the provisions of this section of this Standard
[should / shall] be presented as] [name of product] for young children.]
2 DESCRIPTION
2.1 Product Definition
2.1.1 [[Name of product] for young children means a product specially[formulated and] manufactured for
use [as a breastmilk substitute], as a liquid part of the [progressively] [diversified] diet of young
children [in order to contribute to the nutritional needs of young children] [when nutrient intakes may
not be adequate to meet nutritional requirements.]
2.1.2 [Name of product] for young children is so processed by physical means only and so packaged as
to prevent spoilage and contamination under all normal conditions of handling, storage and distribution
in the country where the product is sold.
2.2 Other Definitions
2.2.1 The term young child means a person from the age of more than 12 months up to the age of three
years (36 months).
9. [LABELLING
The requirements of the Codex General Standard for the Labelling of Pre-packaged Foods (CXS 1-1985), the
Guidelines on Nutrition Labelling (CXG 2-1985) and the Guidelines for Use of Nutrition and Health Claims
(CXG 23-1997) apply to [Name of Product] for young children. These requirements include a prohibition on
the use of nutrition and health claims for foods for infants and young children except where specifically provided
for in relevant Codex Standards or national legislation.
9.1 The Name of the Product
9.1.1 The text of the label and all other information accompanying the product shall be written in the
appropriate language(s).
9.1.2 The name of the product shall be [Name of Product] for Young Children as defined in Section 2.1, or
any appropriate designation indicating the true nature of the product, in accordance with national [or
regional] usage.
9.1.3 The sources of protein in the product shall be clearly shown on the label.
9.1.4 OPTION 1: Split provision 9.1.4 into two:
9.1.4(a) If [name of animal] milk is the only source of protein[*], the product may be
labelled ‘[Name of Product] for Young Children based on [name of animal] milk [protein]’.
9.1.4(b) If [name of plant] is the only source of protein[*], the product may be labelled ‘[Name of
Product] for Young Children based on [name of plant] [protein]’.
[* For clarity, addition of individual amino acids where needed to improve protein quality does
not preclude use of the above labelling options.]
OR
OPTION 2: Delete provision 9.1.4 as it is covered by 9.1.3
9.1.5 A product which contains neither milk nor any milk derivative [shall] [may] be labelled "contains no
milk or milk products" or an equivalent phrase.
9.2 List of Ingredients
9.2.1 A complete list of ingredients [including optional ingredients] shall be declared on the label in
descending order of proportion except that in the case of added vitamins and minerals, these
ingredients may be arranged as separate groups for vitamins and minerals. Within these groups the
vitamins and minerals need not be listed in descending order of proportion.
REP18/NFSDU Appendix III 61

9.2.2 The specific name shall be declared for ingredients of animal or plant origin and for food
additives. [Food additives may also optionally declare the INS number].
9.3 Declaration of Nutritive Value
The declaration of nutrition information [for [name of product] for young children] shall contain the following
information which should be in the following order:
a) the amount of energy, expressed in kilocalories (kcal) and/or kilojoules (kJ), and the number of grams
of protein, carbohydrate and fat per 100 grams or per 100 millilitres of the food as sold [as well as] [or]
per 100 millilitres of the food ready for use, when prepared according to the instructions on the label.
b) the total quantity of each vitamin, and mineral as listed in paragraph 3.1.3 of Section B and any other
ingredient as listed in paragraph 3.2 of Section B per 100 grams or per 100 millilitres of the food as
sold [as well as] [or] per 100 millilitres of the food ready for use, when prepared according to the
instructions on the label.
c) In addition, the declaration of nutrients in a) and b) per [serving size and/or per] 100 kilocalories (or
per 100 kilojoules) is permitted.
9.4 Date Marking and Storage Instructions
9.4.1 The “Best Before Date” or “Best Quality Before Date” date of minimum durability (preceded by the
words "best before") shall be declared by the day, month and year in uncoded numerical sequence
except that for products with a shelf-life of more than three months, [at least] the month and year [shall
be declared] will suffice. The month may be indicated by letters in those countries where such use will
not confuse the consumer. [The day and year shall be declared by uncoded numbers with the year to
be denoted by 2 or 4 digits, and the month shall be declared by letters or characters or
numbers. Where only numbers are used to declare the date or where the year is expressed as only
two digits, the competent authority should determine whether to require the sequence of the day,
month, year, be given by appropriate abbreviations accompanying the date mark (e.g. DD/MM/YYYY
or YYYY/DD/MM).]
In the case of products requiring a declaration of month and year only, and the shelf-life of the product
is valid to the end of a given year, the expression "end (stated year)" may be used as an alternative.
9.4.2 In addition to the date, any special conditions for the storage of the food shall be indicated if [where
they are required to support the integrity of the food and, where] the validity of the date depends
thereon.
Where practicable, storage instructions shall be in close proximity to the date marking.
9.5 Information for use
9.5.1 [Ready to use] products in liquid form may be used [either] directly or in the case of concentrated liquid
products [and powdered products], must be prepared with water that is safe or has been rendered
safe by previous boiling before feeding, according to directions for use. [Products in powder form
should be reconstituted with water that is safe or has been rendered safe by previous boiling for
preparation.] Adequate directions for the appropriate preparation and handling should be in
accordance with Good Hygienic Practice.
9.5.2 Adequate directions for the appropriate preparations and use of the product, including its storage and
disposal after preparation, i.e. that formula [product] remaining after feeding should be discarded, shall
appear on the label.
9.5.3 The label shall carry clear graphic instructions illustrating the method of preparation of the
product. [Pictures of feeding bottles are not permitted on labels of (name of product) for young
children.]
9.5.4 [The directions should be accompanied by a warning and about the health hazards of inappropriate
preparation, storage and use].
9.5.5 Adequate directions regarding the storage of the product after the container has been opened, shall
appear on the label.
[9.5.6 The label of [name of product] for young children shall include a statement that the product shall not
be introduced before 12 months of age and should be used as part of a [diversified] [balanced] diet.]
REP18/NFSDU Appendix III 62

9.6 Additional Labelling Requirements

[9.6.1 The label of [name of product] for young children shall have no image, text or representation,
[including pictures of feeding bottles,] that could undermine or discourage breastfeeding or which
idealises the use of [name of product] for young children. The terms ‘humanized’, ‘maternalized’ or
other similar terms must not be used on the label.]
[9.6.2] Products shall be labelled in such a way as to avoid any risk of confusion between infant formula,
follow-up formula for older infants, [name of product] for young children, and formula for special
medical purposes[, and to enable consumers to make a clear distinction between them, in
particular as to the text, images and colours used]. ]
REP18/NFSDU Appendix IV 63

Appendix IV
PROPOSED DRAFT DEFINITION FOR BIOFORTIFICATION
(for further consideration by EWG)

Definition:
[ Biofortification* is the process whereby any nutrients1) are increased [by a measurable level] or become
more bioavailable inof all potential source organisms2) [for] OR [of] OR [and] foods are increased by a
measurable levelfor the intended nutritional purposes3).The process applies to any method of production4)
[and excludes conventional addition of nutrients to food5)].
*)
Some Member governments may prefer to use the equivalent term of agro-fortification, agri-
fortification or nutri-fortification.
1) Nutrientis defined by Guidelines on Nutrition Labelling (CAC/GL 2-1985) to mean: any substance normally
consumed as a constituent of food: a) which provides energy; or b) which is needed for growth and
development and maintenance of life; c) or a deficit of which will cause characteristic biochemical or
physiological changes to occur.
2) e.g. animal, plant, fungi, yeasts, bacteria.
3) Intended purposes:
- preventing/reducing the risk of, or correcting, a demonstrated deficiency in the population;
- reducing the risk of, or correcting, inadequate nutritional status or intakes in the population;
- meeting requirements and/or recommended intakes of one or more nutrients;
- maintaining or improving health; and/or
- maintaining or improving the nutritional quality of food.
4) Method of production should be determined by the competent National/Regional authority.
5) Biofortification does not include conventional fortification covered by CAC/GL 9/1987.]
REP18/NFSDU Appendix V 64

Appendix V
PROPOSED DRAFT GUIDELINES FOR READY TO USE THERAPEUTIC FOODS (RUTF)
(for further consideration by EWG)
1. PREAMBLE
[The major objectives of the work of the Codex Alimentarius Commission are to protect the health of the
consumer and ensure fair practices in the trade in food through the elaboration and harmonization of definitions
and requirements for food. In order to realize this objective CAC developed a Code of Ethics for International
Trade in Food including Concessional and Food Aid Transactions (CAC/RCP 20-1979) embodying the
principles of sound consumer protection. The objective of this code is to establish standards of ethical conduct
for all those engaged in international trade in food or for those responsible for regulating food and thereby
protecting the health of the consumers and promoting fair trade practices. It is within this context that all those
engaging in the international trade in food with specific reference to Ready-to-Use Therapeutic Foods (RUTF)
commit themselves to the provisions of the code].
Children affected by severe acute malnutrition (SAM) need [adequate treatment and care] OR [safe,
palatable foods with a high energy content and adequate amounts of vitamins, minerals and other critical
nutrients. Children with SAM need timely treatment and RUTF is a critical part of the treatment]. [RUTF are
high energy, fortified, ready-to-eat foods for special medical purposes suitable for the dietary management of
children with SAM]. RUTF are primarily intended for children with uncomplicated SAM from 6-59 months.
Although RUTF are given to other age groups with various forms of malnutrition at the implementation level,
the primary focus for these guidelines is children with SAM from 6-59 months. Since RUTF are prescribed
according to weight, National Authorities may decide to include the provision of RUTF in their national protocols
for use by other age groups.
1JointStatement on Community-Based Management of Severe Acute Malnutrition by the World Health Organization, the
World Food Programme, the United Nations System Standing Committee on Nutrition and the United Nations Children’s
Fund, 2007
2WHO. Child growth standards and the identification of severe acute malnutrition in infants and children, 2006

A Joint Statement by the World Health Organization and the United Nations Children's Fund; Geneva: World Health
Organization; 2009
3WHO. Guideline: Updates on the management of severe acute malnutrition in infants and children.
Geneva: World Health Organization; 2013.
4WHO. Global Strategy for Infant and Young Child Feeding. Geneva: World Health Organization; 2003.
5WHO. International code of marketing of breast-milk substitutes. Geneva: World Health Organization;
1981.
4. DESCRIPTION
4.1 Ready-to-Use Therapeutic Foods (RUTF) are foods for special medical purposes that are high-
energy, fortified, ready-to-eat foods for special medical purposes and contain adequate protein and other
essential nutrients for the dietary management of children from 6 to 59 months with severe acute malnutrition
without medical complications and with appetite. These foods should be soft or crushable and should be easy
for children to eat without any prior preparation.
4.2 Severe Acute Malnutrition is defined by weight for height (or length) less than –3 Z-score of the median
WHO growth standards, or by mid upper arm circumference (MUAC)<11.5 cm, or by the presence of bilateral
oedema10.
5. RAW MATERIALS AND INGREDIENTS
RUTF are made of powdered or ground ingredients embedded in a lipid-rich matrix, [e.g. paste or and biscuit],
resulting in an energy and nutrient-dense food. The following raw materials, many of which can be sourced
locally, are suitable ingredients for the production of RUTF under the specified conditions given below. The
formulation of RUTF shall comply with Section 3 of the Standard for the Labelling of and Claims for Foods for
Special Medical Purposes (CXS 180-1991).
5.1 Basic Raw Materials and Ingredients
5.1.1 Milk and other Dairy Products OR “Animal source products”
Milk and other dairy products used in the manufacturing of RUTF must comply with the Standard for Milk
Powders and Cream Powder (Codex STAN 207-1999) and the Standard for Whey Powders (CXS 289-1995),
and other Codex milk and milk product standards as well as other guidelines and Codes of Practice
recommended by Codex Alimentarius Commission which are relevant to these products. Relevant codes of
practice include the Code of Hygienic Practice for Milk and Milk Products (CXC 57-2004) and the Code of
Hygienic Practices for Low-Moisture Foods (CXC 75-2015).
REP18/NFSDU Appendix V 65

5.1.2 Legumes and [Pulses] Seeds

Legumes and pulses seeds, such as soybeans, lentils, chickpeas, cowpeas, beans, peanut, sesame and
other types of legumes and pulsesseeds must comply with theStandard for Peanuts (CODEX STAN 200-
1995), Code of Hygienic Practice for Groundnuts (Peanuts) (CAC/RCP 22- 1979) and the Code of Hygienic
Practices for Low-Moisture Foods (CAC/RCP 75-2015), and other relevant Codex Alimentarius texts when
used in the manufacturing of RUTF.
Legumes and pulses must be appropriately processed to reduce, as much as possible, the anti-nutritional
factors normally present, such as phytate, lectins (haemagglutenins), trypsin and chymotrypsin inhibitors.
6Guidelines for Vitamin and Mineral Food Supplements (CXG 55-2005)
7Standard for Processed Cereal-Based Foods for Infants and Young Children (CXS 74-1981)
8Guidelines on Formulated Complementary Foods for Older Infants and Young Children (CXG 8-1991)
9Standard for Canned Baby Foods (CXS 73-1981)
[10 WHO child growth standards and the identification of severe acute malnutrition in infants and children. A joint statement

by the World Health Organization and the United Nations Children’s Fund. Geneva: World Health Organization; 2009]
5.1.3 Fats and Oils
Fats and oils used in the manufacturing of RUTF must comply with the relevant Codex Alimentarius texts. Fats
and oils are incorporated as technologically feasible for the purpose of achieving the energy density and
providing essential fatty acids. [Care must be taken to avoid oxidized fat which will adversely affect nutrition,
flavour and shelf life]. [The composition of fats and oils should allow for a product that flows during processing
to have desirable consistency and ensures physical and chemical stability throughout the supply chain].
Partially Hydrogenated fats and oils [, the major dietary source of industrially-produced trans fat in processed
food,] should not be used in RUTF.
5.1.4 Cereals
All milled cereals suitable for human consumption may be used provided that [their processing reduces] they
are processed in such a way that the fibre content is reduced, when necessary. , and that The effects of aAnti-
nutritional factors such as phytates, tannins or other phenolic materials, lectins, trypsin, and chymotrypsin
inhibitors which can lower the protein quality and digestibility, amino acid bioavailability and mineral absorption
should be are removed or reduced, whilst retaining maximum nutrient value.
5.1.5 Vitamins and Minerals
All added vitamins and minerals must be in accordance with the [principles of] Advisory Lists of Nutrient
Compounds for use in Foods for Special Dietary Uses Intended for Infants and Young Children (CXG 10-
1979). Examples of minerals for RUTF can be found in WHO Management of severe Malnutrition: a
manual for physicians and other senior health workers (1999).
5.2 Other Ingredients
5.2.1 [Available] Carbohydrates1
The palatability of the RUTF can be increased by the addition of [appropriate] available carbohydrates.
[Available] carbohydrates must adhere to the relevant Codex Alimentarius texts.
Honey should not be used in RUTF due to the risk of infant botulism from Clostridium botulinum.

1[Sucrose, plant vegetable starch, [maltodextrin], glucose, glucose syrup] should be the preferred carbohydrates in RUTF.
[Fructose and corn syrup as ingredients should [not be used] OR [be avoided] in RUTF, because of potential adverse
effects in SAM children.] Only precooked and/or gelatinised starches [gluten-free] by nature may be added]. [Any
carbohydrate added for sweetness should be used sparingly.]
REP18/NFSDU Appendix VI 66

Appendix VI
PROPOSED DRAFT CONDITIONS FOR A “FREE” OF TRANS FATTY ACIDS (TFAs) CLAIM
IN THE GUIDELINES FOR USE OF NUTRITION AND HEALTH CLAIMS (CXG 23-1997) 1
(for comments at Step 3)

Component Claim Conditions (not more than)

Trans fatty 1 g per 100 g of fat

Free
acids And must meet the conditions for “low” in saturated fats 2

1 To be inserted between Saturated Fat and Cholesterol within the Table of conditions for nutrient content claims in the
Guidelines for Use of Nutrition and Health Claims (CXG 23-1997)
2 As per the Table conditions for nutrient content claims in the Guidelines for Use of Nutrition and Health Claims, the

conditions for “low” in saturated fats are as follows: 1.5 g saturated fat per 100 g (solids), 0.75 g saturated fat per 100 mL
(liquids) and 10% of energy of saturated fat.
REP18/NFSDU Appendix VII 67

Appendix VII
METHODS OF ANALYSIS FOR PROVISIONS IN THE STANDARD FOR INFANT FORMULA AND
FORMULAS FOR SPECIAL MEDICAL PURPOSES INTENDED FOR INFANTS
(CXS 72-1981)
(for endorsement by CCMAS)

Commodity Provision Method Principle Proposed Type

EN 15607 HPLC II III

Biotin
AOAC 2016.02 HPLC II

AOAC 992.26 HPLC III

EN 12821 HPLC II III

Infant Formula Vitamin D
AOAC 995.05 HPLC III

AOAC 2016.05 | LC-MS II

ISO DIS 20636

AOAC 986.26 Potentiometry III

Chloride AOAC 2016.03 | Potentiometry II

ISO DIS 21422 |
IDF 242