A boycott was launched in the United States on July 7, 1977, against the Swiss-based Nestlé corporation. It spread in the United States, and expanded into Europe in the early 1980s. It was prompted by concern about Nestlé's "aggressive marketing" of breast milk substitutes, particularly in less economically developed countries (LEDCs), which campaigners claim contributes to the unnecessary suffering and deaths of babies, largely among the poor. Among the campaigners, Professor Derek Jelliffe and his wife Patrice, who contributed to establish the World Alliance for Breastfeeding Action (WABA), were particularly instrumental in helping to coordinate the boycott and giving it ample visibility worldwide.
Baby milk issue
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 language may be unable to read the language in which sterilization directions are written.
- Although some mothers can understand the sanitation standards required, they often do not have the means to perform them: fuel to boil water, electric (or other reliable) light to enable sterilisation at night. UNICEF estimates that a formula-fed child living in disease-ridden and unhygienic conditions is between 6 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.
- Breast milk has many natural benefits lacking in formula. Nutrients and antibodies are passed to the baby while hormones are released into the mother's body. Breastfed babies are protected, in varying degrees, from a number of illnesses, including diarrhea, bacterial meningitis, gastroenteritis, ear infection, and respiratory infection. Breast milk contains the right amount of the nutrients essential for neuronal (brain and nerve) development. The bond between baby and mother can be strengthened during breastfeeding. Frequent and exclusive breastfeeding can also delay the return of fertility, which can help women in developing countries to space their births. The World Health Organization recommends that, in the majority of cases, babies should be exclusively breast fed for the first six months.
Advocacy groups and charities have accused Nestlé of unethical methods of promoting infant formula over breast milk to poor mothers in developing countries. For example, IBFAN claim that Nestlé distributes free formula samples to hospitals and maternity wards; after leaving the hospital, the formula is no longer free, but because the supplementation has interfered with lactation, the family must continue to buy the formula. IBFAN also allege that Nestlé uses "humanitarian aid" to create markets, does not label its products in a language appropriate to the countries where they are sold, and offers gifts and sponsorship to influence health workers to promote its products. Nestlé denies these allegations.
History of the boycott
Nestlé's marketing strategy was first written about in New Internationalist magazine in 1973 and in a booklet called The Baby Killer, published by the British NGO War On Want in 1974. Nestlé attempted to sue the publisher of a German-language translation (Third World Action Group) for libel. After a two-year trial, the court found in favour of Nestlé because they could not be held responsible for the infant deaths 'in terms of criminal law'. Because the defendants were only fined 300 Swiss Francs (just over US$400, adjusted for inflation), and Judge Jürg Sollberger commented that Nestlé "must modify its publicity methods fundamentally", TIME magazine declared this a "moral victory" for the defendants.
The widespread publicity led to the launch of the boycott in Minneapolis, USA, by the Infant Formula Action Coalition (INFACT) and this boycott soon spread to Australia, Canada, New Zealand, and Europe. In May 1978, the US Senate held a public hearing into the promotion of breast milk substitutes in developing countries and joined calls for a Marketing Code. In 1979, WHO and UNICEF hosted an international meeting that called for the development of an international code of marketing, as well as action on other fronts to improve infant and early child feeding practices. The International Baby Food Action Network (IBFAN) was formed by six of the campaigning groups at this meeting.
In 1981, the 34th World Health Assembly (WHA) adopted Resolution WHA34.22 which includes the International Code of Marketing of Breast-milk Substitutes. The Code covers infant formula and other milk products, foods and beverages, when marketed or otherwise represented to be suitable as a partial or total replacement of breast milk. It bans the promotion of breast milk substitutes and gives health workers the responsibility for advising parents. It limits manufacturing companies to the provision of scientific and factual information to health workers and sets forth labeling requirements.
In 1984, boycott coordinators met with Nestlé, which agreed to implement the code, and the boycott was officially suspended. In 1988 IBFAN alleged that formula companies were flooding health facilities in the developing world with free and low-cost supplies, and the boycott was relaunched the following year.
In May 1999 a ruling against Nestlé was issued by the UK Advertising Standards Authority (ASA). Nestlé claimed in an anti-boycott advertisement that it markets infant formula “ethically and responsibly”. The ASA found that Nestlé could not support this nor other claims in the face of evidence provided by the campaigning group Baby Milk Action.
In November 2000 the European Parliament invited IBFAN, UNICEF, and Nestlé to present evidence to a Public Hearing before the Development and Cooperation Committee. Evidence was presented by the IBFAN group from Pakistan and UNICEF's legal officer commented on Nestlé's failure to bring its policies into line with the World Health Assembly Resolutions. Nestlé declined an invitation to attend, claiming scheduling conflicts, although it sent a representative of the auditing company it had commissioned to produce a report on its Pakistan operation.
Current status of the boycott
As of 2013[update], the Nestlé boycott is coordinated by the International Nestlé Boycott Committee, the secretariat for which is the UK group Baby Milk Action. Company practices are monitored by the International Baby Food Action Network (IBFAN), which consists of more than 200 groups in over 100 countries.
In parallel with the boycott, campaigners work for implementation of the Code and Resolutions in legislation, and claim that 60 countries have now introduced laws implementing most or all of the provisions.
Some universities, colleges, and schools have banned the sale of Nestlé products from their shops and vending machines in the period since the revelations. In the United Kingdom, 73 student unions, 102 businesses, 30 faith groups, 20 health groups, 33 consumer groups, 18 local authorities, 12 trade unions, education groups, 31 MPs, and many celebrities support the Nestlé boycott.[when?]
Nestlé claims that it is in full compliance with the International Code. According to Nestlé CEO Peter Brabeck-Letmathe, "we also carry out annual audits on WHO Code compliance with a sample of Nestlé companies, and we investigate any substantiated claims made by those who believe we have broken the Code.... If we find that the Code has been deliberately violated, we take disciplinary action." The company maintains that many of the allegations are unsubstantiated, out of date, or use IBFAN's own non-standard interpretation of the Code.
In May 2011, the debate over Nestlé's unethical marketing of infant formula was relaunched in the Asia-Pacific region. Nineteen leading Laos-based international NGOs, including Save the Children, Oxfam, CARE International, Plan International and World Vision have launched a boycott of Nestlé and written an open letter to the company. Among other unethical practices, the NGOs criticized the lack of labelling in Laos and the provision of incentives to doctors and nurses to promote the use of infant formula. An independent audit of Nestlé's marketing practices in Laos was commissioned by Nestlé and carried out by Bureau Veritas in late 2011. The audit found that "the requirements of the WHO Code and Lao PDR Decree are well embedded throughout the business", but that "promotional materials in 4% of the retail outlets visited" violated either the Lao PDR Decree or the WHO Code.
Boycott in the media
An episode of the TV show The Mark Thomas Comedy Product produced by the British Channel Four in 1999 investigated the boycott and Nestlé's practices concerning baby milk. Mark Thomas attempted to find evidence for claims against Nestlé and to speak to heads of the company. In one portion of the show he "received a tin of baby milk from Mozambique. All instructions are in English. 33 languages and dialects are recognised in Mozambique. Portuguese is the official language. However, only about 30% of the population can speak it. English is usually the second language for people in Mozambique.
In 2001, comedian Robert Newman and actress Emma Thompson called for a boycott of the Perrier Comedy Award, because Perrier is owned by Nestlé. An alternative competition called the Tap Water Awards was set up the following year.
- H2NO (a campaign by Coca-Cola to offer diners alternatives to drinking water)
- Campaigners website stating their claims
- "What is the Problem?". IBFAN. Retrieved June 6, 2007.
- A Generation On: Baby milk marketing still putting children’s lives at risk Save the Children report, May 2007 (pdf).
- Milking it Joanna Moorhead, The Guardian, May 15, 2007
- "Infant and Young Child Feeding and Care". UNICEF. Retrieved June 8, 2007.
- World Concern website describes mothers' needs to dilute formula
- "Breastfeeding". Centers for Disease Control and Prevention. Retrieved January 23, 2007.
- Gartner LM et al. (2005). "Breastfeeding and the use of human milk". Pediatrics 115 (2): 496–506. doi:10.1542/peds.2004-2491. PMID 15687461.
- "Mothers and Children Benefit from Breastfeeding". Womenshealth.gov. 27 February 2009. Archived from the original on 16 Mar 2009.
- "Gastroenteritis". Merck Manuals Online Medical Library. February 1, 2003. Retrieved November 21, 2006.
- Atkinson, S; Bo Lönnerdal (1989). Proteins and non-protein nitrogens in human milk. CRC Press. p. 131. ISBN 0-8493-6795-6.
- "Comparison of Effectiveness". Planned Parenthood. April 2005. Retrieved August 12, 2006., which cites:
:Hatcher, RA, Trussel J et al. (2000). Contraceptive Technology (18th ed.). New York: Ardent Media. ISBN 0-9664902-6-6.
- World Health Organization, "Global strategy for infant and young child feeding," section titled "EXERCISING OTHER FEEDING OPTIONS" November 24, 2001
- Nestlé Products to Boycott
- History of the campaign Baby Milk Action Group
- "How breastfeeding is undermined". IBFAN. Archived from the original on April 15, 2007. Retrieved June 6, 2007.
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- Sethi, S. Prakash (1994). "Multinational Corporations and the Impact of Public Advocacy on Corporate Strategy: Nestlé and the Infant Formula Controversy". Journal of International Business Studies 25 (3): 658–660. doi:10.1057/jibs.1994.41. JSTOR 155364.
- The Formula Flap TIME Magazine, Jul. 12, 1976
- "The International Code of Marketing of Breast Milk Substitutes" (PDF). WHO. 1981. Retrieved June 6, 2007.
- Ferriman, Annabel (February 13, 1999). "Advertising Standards Authority finds against Nestlé". BMJ 318 (7181): 318:417. PMC 1114895. PMID 9974443.
- "European Parliament public hearing on Nestlé's baby food marketing" (PDF) (Press release). Breast Feeding Promotion Network of India. November 22, 2000. Retrieved June 8, 2007.
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- Baby Milk Action
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- An example of one such ban Council of the Oxford University Student Union, June 9, 2006
- "The "International Code of Marketing of Breast Milk Substitutes"". Nestlé. Archived from the original on May 16, 2007. Retrieved June 6, 2007.
- "Foreword by Peter Brabeck". Nestlé. Archived from the original on April 9, 2007. Retrieved June 11, 2007.
- "The "LAOS: NGOs flay Nestlé’s infant formula strategy". Retrieved 2011-06-023.
- "Bureau Veritas report".
- Website for the Mark Thomas Product TV show
- Scott, Kirsty (August 27, 2001). "Spoof horror writer wins £5,000 Perrier award: Fringe comedy contest soured by baby milk protests". The Guardian. Retrieved June 11, 2007.
- "The Tap Water Awards". Retrieved June 11, 2007.
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- International Baby Food Action Network (IBFAN)
- Baby Milk Action
- Nestlé marketing profile, from Breaking the Rules Stretching the Rules, IBFAN, 2004
- Edinburgh University Néstle Boycott Campaign
- Nestlé's response to the baby milk issue