An average child will go through several thousand diapers in their life.[45] Since disposable diapers are discarded after a single use, usage of disposable diapers increases the burden on landfill sites, and increased environmental awareness has led to a growth in campaigns for parents to use reusable alternatives such as cloth or hybrid diapers.[46] An estimated 27.4 billion disposable diapers are used each year in the US, resulting in a possible 3.4 million tons of used diapers adding to landfills each year.[47] A discarded disposable diaper takes up to 450 years to decompose.[48]
At the time the Pampers Size 6 were introduced, there was a debate between a pediatrician, T. Berry Brazelton, and syndicated columnist and best-selling author of books for parents, John Rosemond. The controversy was about the length of time a baby should wear diapers and when to start toilet training. Rosemond believes it is a "slap to the intelligence of a human being that one would allow baby to continue soiling and wetting him/herself past age 2."[20] While Rosemond concedes that Brazelton has been giving the same advice for decades, he criticized the pediatrician for serving as a consultant to Pampers, a division of Procter & Gamble, and for appearing in Pampers commercials.[21]
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