Professional Documents
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MOIZ NASEEM
M.SHARIQUE SJAFIQUE
REHAN AHMED
ETHICAL ISSUES FACED BY NESTLE
BABY MILK ISSUE:
The most resounding and far-reaching unethical international business practices that Nestl has
been involved in is the marketing and sale of infant milk formula in developing countries in the 1970s.
This practice resulted in several premature infant deaths because uneducated and poor mothers
ceased to breastfeed and instead fed their babies Nestls formula. Unable to understand the
instructions for preparing the formula and having insufficient money to afford adequate doses of it, led
several of them to unknowingly starve their children to death.
Groups such as the International Baby Food Action Network (IBFAN) and Save the Children claim
that the promotion of infant formula over breastfeeding has led to health problems and deaths among
infants in less economically developed countries. There are four problems that can arise when poor
mothers in developing countries switch to formula:
Formula must normally be mixed with water, which is often contaminated in poor countries, leading to
disease in vulnerable infants. Because of the low literacy rates in developing nations, many mothers
are not aware of the sanitation methods needed in the preparation of bottles. Even mothers able to
read in their native tongue may be unable to read the language in which sterilization directions are
written.
Although some mothers can understand the sanitation standards required often do not have the
means to perform them: fuel to boil water, electric (or other reliable) light to enable sterilization at
night. UNICEF estimates that a formula-fed child living in disease-ridden and unhygienic conditions is
between six and 25 times more likely to die of diarrhea and four times more likely to die of
pneumonia than a breastfed child.
Many poor mothers use less formula powder than is necessary, in order to make a container of
formula last longer. As a result, some infants receive inadequate nutrition from weak solutions of
formula.
CONSEQUENCES FACED BY
NESTLE
When news of this reached the global public in the late 1970s, it caused a boycott of
Nestl products in the United States and several European countries, which has, to this
day, not yet completely ceased. Nestl has since stopped marketing the formula in third
world countries and in their marketing policy they now maintain that breast milk is the
most appropriate form of nutrition for infants, but that women who cant or choose not to
breastfeed can find a good substitute in using the formula.
Re-writing history:
After a break of more than a year, Nestl's Code 'Action' Report has appeared on the
scene again and been distributed to health campaigners and policy makers around the
world. Nestl welcomes one aspect of Resolution 54.2 adopted by the World Health
Assembly in May 2001. This relates to the appropriate age for introducing
complementary foods.
However, this is just one issue addressed by the Resolution. Nestl ignores other
aspects, probably because it is already violating provisions enshrining a mother's right
to information free from commercial influence. For example, Nestl recently launched
an infant formula promotion campaign in southern Africa which violates the sections
relating to HIV and infant feeding.
In the 'Action' Report Nestl's Chief Executive Officer, Peter Brabeck-Letmath, states:
"I can publicly assure you that Nestl is in favour of the new recommendation
as it aims at removing the ambiguity on the recommendation which prevailed up
to now, and hopefully will end the long-standing debate over the optimal
duration of exclusive breastfeeding."
Mr. Brabeck's statement misrepresents the Resolutions adopted in the past by the
World Health Assembly and attempts to excuse 7-years of inaction by Nestl.
Nestl in Brazil:
It is worth commenting on the interview with Jos Serra, Minister of Health Brazil, obtained
by Nestl and published in the Code 'Action' Report.
The Brazilian government has taken a strong line in putting forward Resolution 54.2 and
has been congratulated by IBFAN and Baby Milk Action for this and other stands it has
taken in support of infant health. However, the government is also under immense
pressure from the baby food industry. Last year it planned to publish the results of its own
monitoring which found violations by companies including Nestl. Nestl dispatched its
Vice-President, Niels Christiansen, prompting newspaper articles about industry lobbying
to suppress the report, followed by claim and counter claim. While it is known that one
government department refused to discuss the report with Mr. Christiansen, it has still not
been published over a year later.
In the interview published by Nestl, Jos Serra, Minister of Health Brazil, states: "The
Brazilian food industry was an important partner in both the formulation and recent
update of the Code [in Brazil]". It should be appreciated that this is a statement from a
politician in diplomatic mode. Elsewhere the Brazilian Ministry of Health has written:
"The outcomes of the government policies toward breastfeeding in Brazil have
become well-known internationally. Brazil is perhaps the only country in the world
to have managed, by implementing integrated strategic actions, to take on the
aggressive infant food industry marketing and reverse the disastrous impact of
untimely weaning on infant health."
IBFAN was also involved in the development of the Brazilian Code and has worked to
strengthen it to reflect all WHA Resolutions and received the Order of Merit from Jos
Serra on 18th June 2000 for the actions it has developed to promote breastfeeding.