As was the case during the 2004 tsunami, now, before the earthquake catastrophe in Haiti, it is advisable not to give formula. Haiti is a desperately poor country where most people live on less than a dollar a day, and where access to clean water is scarce. All this has been exacerbated by the earthquake yesterday. Donate powdered milk involves the problem that this is prepared with water that is drinkable, or that the bottles are not cleaned and sterilized for use by the baby.