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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 />
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