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Caribbean - IBFAN

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Breaking the Rules, Stretching the Rules 2004<br />

� Company reps and health workers distribute gift packs<br />

with samples of Enfalac, Enfalac A+ or Enfapro to<br />

mothers in health facilities in Thailand. Mothers are<br />

required to give their particulars to the company<br />

to facilitate future contact.<br />

� An ad in the Thai Medical Times claims Enfalac is<br />

the only formula that research shows can increase MDI<br />

(Mental Development Index) scores 7% higher than<br />

those in babies not on Enfalac.<br />

� Mead Johnson hands out gift bags to mothers at health<br />

facilities in Thailand which include the ‘Smart System:<br />

birth – 6 months’<br />

booklet, Smart System<br />

Programme Guide, registration<br />

form for Smart System<br />

and stimulation development<br />

materials, and a<br />

200gm box of Enfapro.<br />

� When mothers or nurses order Enfalac in Malaysian<br />

hospitals, the product gets delivered with a gift pack<br />

containing samples of EnfaMama, a towel with the<br />

company logo,<br />

nappies, baby<br />

books and leafletspromoting<br />

the entire<br />

Enfa range.�<br />

� In the Maldives the company distributes calendars,<br />

pens, educational materials and free samples to health<br />

workers.<br />

� In Trinidad and Tobago free samples of Enfamil<br />

LactoFree are given to<br />

mothers at health facilities.<br />

Book marks from “Enfamil<br />

Family of Formulas” list<br />

the “101 ways to praise a<br />

child” and show 6 Mead<br />

Johnson formula products.<br />

<strong>IBFAN</strong> -- International Baby Food Action Network<br />

MEAD JOHNSON<br />

� In China, health education boards in hospitals bear<br />

the Mead Johnson logo. Company reps distribute free<br />

samples of Enfamil to mothers; calendars with the<br />

Enfamil and Enfapro brands, note pads and pens to<br />

health workers.<br />

� Health facilities in the Dominican Republic display<br />

products with the Enfamil brand and mothers receive<br />

free samples of Enfamil from health workers and<br />

company reps.<br />

� In Mexico the label for<br />

Enfamil AR states<br />

that the product is designed<br />

specially for infants<br />

with physiological<br />

reflux problems,<br />

whereas breastfeeding<br />

is the best<br />

method to deal with<br />

this problem.�<br />

Labelling<br />

� Article 9 of the Code requires labels to NOT discourage<br />

breastfeeding and to inform about the correct use of the<br />

product and the risk of misuse.<br />

� WHA Resolution 54.2 (2001) advises exclusive<br />

breastfeeding for 6 months which means that the<br />

recommended age for use of complementary foods cannot<br />

be under 6 months.<br />

� Enfamil Prematuros in Peru competes with<br />

breastmilk by claiming it is a complete formula<br />

which promotes good visual and mental development.<br />

� Mead Johnson’s Enfamil label in Indonesia encourages<br />

mixed-feeding by recommending it to be used to<br />

complement breastmilk for infants under 12 months.<br />

It also recommends complementary food for babies<br />

above 4 months.<br />

� In Puerto Rico and the Dominican Republic the<br />

Enfamil Lipil label idealises the product by claiming<br />

that the DHA and ARA composition is closest to<br />

that of breastmilk.�<br />

41

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