A/69/275 39. Maintaining breast-feeding programmes, especially in countries experiencing the HIV epidemic poses a major challenge. The Special Rapporteur intends to coordinate with the United Nations Children’s Fund the World Health Organization and other relevant stakeholders to help develop policies for strengthening specific programmes for young children. She also encourages States to fully implement the Global Strategy on Infant and Young Child Feeding, to position breastfeeding as the norm and to respect and promote community-based food sovereignty approaches to complementary feeding. The International Code of Marketing of Breast -milk Substitutes, adopted by the World Health Assembly at its thirty-fourth session in 1981 as a minimum requirement to protect and promote appropriate infant and young child feeding, should also be supplemented by further monitoring and regulation to ensure that companies responsible for the production of baby food follow similar quality control regulations for domestic use to those for export products. 40. In contrast to undernutrition, developed and middle -income countries, as well as the poorest countries of the world, are now faced with rising levels of chronic diseases related to obesity, including heart disease, diabetes and some cancers. Dietary changes associated with urbanization, such as increased consumption of sugars and fats and declining levels of physical activity, are largely to blame. Marketing campaigns employed by the food and beverage industry, targeting children and adolescents, also bear much of the responsibility. 41. A right-to-food approach requires that States fulfil their obligation to ensure that safe, nutritionally adequate and culturally acceptable food is available; they must also respect and protect consumers and promote good nutrition for all. The Voluntary Guidelines, in particular Guidelines 9, on food safety and consumer protection, and 10, on nutrition, can guide States in the establishment and maintenance of effective food and nutrition policies, thereby increasing the protection of the most vulnerable from unsafe food and inadequate diets, while helping to combat overweight and obesity. The Convention on the Rights of the Child indicates that access to adequate nutrition, including family support for optimal feeding practices, is a right that should be supported for every child. The Special Rapporteur believes that increased focus must be placed on mother and child nutrition as the core of a healthy start in life, with the correlation between infant and young child feeding and food security being treated as a priority in all global food and nutrition security programmes and with formal recognition at the international and national level, including in legal frameworks. D. Climate change and the right to food 42. Climate change, sustainable resource management and food security are now widely considered among the most complex, interdependent and urgent global policy challenges. With average temperatures predicted by the world scientific community to rise by 2-4° C by the end of the century, the ability of entire regions to maintain current levels of agricultural production is being threatened and many of the adverse effects of climate change are now acutely felt. Individua ls and communities already in vulnerable situations and at risk of discrimination due to 12/18 14-58889