Posts Tagged ‘infant formula’

Thirty-three years ago today, the World Health Organization adopted the International Code of Marketing of Breastmilk Substitutes (AKA the “WHO Code”) to promote breastfeeding and limit formula companies’ influence over women’s infant feeding decisions. Today, most health care facilities and the largest formula makers continue to violate the Code in the U.S. and worldwide.

To mark the anniversary of the WHO Code, more than 20 organizations and thousands of moms and citizens today are participating in a day of action led by Public Citizen, directed at the largest formula makers in the U.S. and Canada – Mead Johnson (of Enfamil), Abbott (Similac) and Nestle (Gerber Good Start). Participants are urging the companies to end the unethical practice of promoting formula in health care facilities, particularly through the distribution of commercial discharge bags with formula samples – a longstanding violation of the code.

Mothers and leaders are delivering a petition with more than 17,000 signatures to Mead Johnson at its headquarters outside of Chicago. The petition will also be presented to Abbott and Nestle. Thousands of others are taking action remotely, sending photos and messages to companies on Facebook, Twitter and other online platforms. A diverse group of consumer rights, public health, women’s health, corporate accountability and breastfeeding advocacy organizations are co-sponsoring the effort. The day of action is not meant to advocate against formula use if necessary but to focus on the need to give mothers information that hasn’t been influenced by formula companies.

Most health care professionals and the American Academy of Pediatrics recommend that mothers exclusively breastfeed for six months. A large body of research shows that antibodies passed from a nursing mother to her baby can help lower the occurrence of many conditions among infants including ear and respiratory infections, diarrhea, meningitis and higher risks of allergies, sudden infant death syndrome and other health risks. Mothers also benefit, with a reduced risk of type 2 diabetes, breast cancer, obesity, ovarian cancer, post-partum depression and bladder infections.

Public health experts overwhelmingly discourage hospitals and doctor’s offices from distributing formula company-sponsored gift bags and formula samples – common marketing tactics – but formula companies still find ways to market formula in facilities nationwide. Studies show such formula sample distribution undermines women’s breastfeeding success because the practice is viewed as an endorsement of formula by health care providers. In 2011, then-U.S. Surgeon General Regina A. Benjamin called for more enforcement of the WHO Code through the Baby-Friendly Hospital Initiative, which requires designated hospitals to comply with the code.

Nearly half of the world’s countries have adopted legislation to implement the Code, but in the U.S. — as a result of formula industry lobbying and political influence— legislation currently remains out of reach.

But advocacy efforts have led many hospitals to end formula promotion over the past decade. According to the Centers for Disease Control and Prevention (CDC) Maternity Practices in Infant Nutrition and Care (mPINC) surveys, 27.4 percent of hospitals had discontinued the formula discharge bags for breastfeeding mothers in 2007, and by 2011, 45.5 percent had ended the practice. All hospitals in Massachusetts and Rhode Island have voluntarily banned discharge bags, and a recent Public Citizen and Ban the Bags report found that 82 percent of the U.S. News and World Report’s top-ranked hospitals, and more than two-thirds of the highest ranked hospitals in gynecology, no longer hand out commercial formula discharge bags with samples. However, formula companies have increasingly managed to push formula samples in doctor’s offices and clinics, often without the knowledge of health care providers within those offices.

Diverse organizations are co-sponsoring the day of action with Public Citizen. They include the U.S. Breastfeeding Committee (composed of more than 50 member organizations), the Best for Babes Foundation, Food and Water Watch, Corporate Accountability International, the National Women’s Health Network, Our Bodies Ourselves, La Leche League USA, HealthConnect One, the National Alliance for Breastfeeding Advocacy, the California WIC Association, Power U Center for Social Change, Breastfeed Chicago, the Chicago Region Breastfeeding Task Force, the Massachusetts Breastfeeding Coalition, the North Carolina Breastfeeding Coalition, the Coalition of Oklahoma Breastfeeding Advocates, the Pennsylvania Breastfeeding Coalition, the New York State Breastfeeding Coalition, United States Lactation Consultants Association and Women Empowered Systems Enrichment (WISE).

To learn more about the Public Citizen’s campaign to stop infant formula marketing in health care facilities, visit http://citizen.org/infant-formula.

Eva Seidelman is a Researcher for Public Citizen’s Commercial Alert.


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I love being the bearer of good news. Eliminating infant formula marketing in hospitals is decidedly a best practice employed by the vast majority of U.S. News and World Report’s top-ranked hospitals.  Public Citizen’s new report, Top Hospitals’ Formula for Success: No Marketing of Infant Formula, co-released by the Ban the Bags campaign shows how the vast majority of the nation’s most reputable hospitals are acting ethically and thwarting pressure from formula companies to aggressively market their harmful products.

Numerous studies show that mothers breastfeed with less frequency and for shorter durations when they receive formula company-sponsored bags with formula samples in hospitals at discharge. The bags often lead moms to believe hospitals endorse formula feeding and give up more easily on breastfeeding. Healthcare professionals overwhelming recommend that women breastfeed exclusively for the six months after birth, given its numerous health and economic benefits.

The report makes the following findings:

- Sixty-seven percent of top hospitals in gynecology (30 out of 45) reported not distributing formula company sponsored discharge bags, formula samples or other formula company promotional materials to mothers in their maternity units. Another 11 percent (5 of 45) reported limiting formula company-sponsored discharge bag and sample distribution to mothers who request them, or based on other criteria.

- Eighty-two percent (14 of 17) of U.S. News’ Honor Roll, of overall best hospitals, reported having a policy or practice against distributing formula company-sponsored discharge bags or other promotional materials.

- Eleven percent of hospitals in gynecology (5 of 45) still distribute formula company-sponsored materials, and a handful of hospitals did not respond to the survey.

The report re-affirms other data showing that hospitals have been steadily trending toward ending formula promotion over the past decade. According to the Centers for Disease Control and Prevention (CDC) Maternity Practices in Infant Nutrition and Care (mPINC) survey, 27.4 percent of hospitals had discontinued the formula discharge bags in 2007 and by 2011, 45.5 percent had ended the practice. The number of Baby Friendly designated hospitals, prohibiting formula marketing, is increasing. Further, all hospitals in Massachusetts and Rhode Island have voluntarily banned discharge bags, while others including Maryland, North Carolina, Oklahoma and New York are progressively moving in that direction.

The formula companies should be the first to comply with the World Health Organization’s International Code of Marketing of Breast-milk Substitutes and stop co-opting hospitals into advertising their products. But with profits at stake, they’re ignoring the Code. More than 16,500 people have signed Public Citizen’s petition calling on the three major formula companies – Abbott, Mead Johnson and Nestle—to stop marketing in healthcare facilities. Sign the petition and forward to friends before we deliver it to the companies next month. Visit our http://www.citizen.org/infant-formula to learn more about Public Citizen’s campaign to end formula marketing and what you can do to make change in your community.

Eva Seidelman is a Researcher for Public Citizen’s Commercial Alert.

August has been designated National Breastfeeding Month to highlight the significant health and economic benefits of breastfeeding to mothers and babies. However, three mega-corporations – Nestle, Abbott and Mead Johnson – continue to spend millions inappropriately marketing infant formula including inside the hospitals we trust. Reputable authorities including the U.S. Surgeon General formally promote breastfeeding over formula feeding because studies confirm that breastfeeding, whenever possible, is the healthiest option for mothers and babies. These companies know that if they can get free formula samples into the hands of new mothers while they’re still in the hospital, moms are more likely to rely on formula, interfering with their initial intentions to breastfeed. While those samples appear to be “free,” mothers, babies and U.S. taxpayers pay large sums for the formula itself, and the associated healthcare costs, in the long-run.

I recently joined Public Citizen’s Commercial Alert and will be coordinating our campaign to keep formula marketing out of health care facilities so that mothers can make objective, informed choices about how to feed their babies. When they hand out discharge bags with free samples, hospitals are essentially signaling to mothers that they recommend or endorse formula. According to studies published by the American Academy of Pediatrics and the U.S. Government Accountability Office formula marketing discourages breastfeeding for this very reason. Formula marketing in hospitals is not only manipulative, it is a violation of the World Health Organization’s International Code of Marketing of Breastmilk Substitutes.

We’re on the Right Track

The good news is we’re making significant progress, hopefully as a result of our and others’ campaign efforts. In 2012, the U.S. Centers for Disease Control and Prevention’s mPINC study found that 45.5 percent of hospitals nationwide had stopped distributing formula samples. This is a notable improvement from 2009, when 34.2 percent of hospitals had ended the practice, which itself was an improvement over 2007. Certain states have made extraordinary progress. Over the past few years, nearly all hospitals in Maryland committed to stop distributing formula samples to new mothers, among other changes. In July of 2012, Massachusetts became the second state after Rhode Island to ban discharge bags in all of its hospitals thanks to the Ban the Bags campaign. Many more hospitals, including in New York City and California, have followed. These efforts likely led to the significant increase in breastfeeding initiation nationwide, which may have contributed to declines in obesity among preschoolers from 2008-2011.

But the fight is far from over. The majority of the nation’s hospitals still provide discharge bags with free samples. The majority do not exclusively breastfeed during the six months when it matters most. Over the next few months, we will be pressuring the nation’s highest-ranked hospitals to ban formula marketing. Some have, but all of these industry leaders need to set an example.

There are many challenges to exclusive breastfeeding, and new moms need much more support at home and work, and in the broader society. But one thing is clear: Corporate formula marketing in hospitals provides no support and sends the wrong message. What can you do to end it? Sign this petition to Nestle, Mead Johnson and Abbott and demand that they end formula marketing in health care facilities. Then visit our campaign page for other action ideas.

Eva Seidelman is a Researcher for Public Citizen’s Commercial Alert.

 

Earlier this year, Newark Mayor Cory Booker excitedly announced the launch of a new partnership between Let’s Move! Newark and Nestlé to address the obesity problem facing the children of Newark.

Kit Kat: Nestle's "health food" - flickr photo by Howard Lake

Nestle's "health food" - flickr photo by Howard Lake

“This is an amazing day in the city of Newark!” Booker exclaimed. Amazing, indeed. It’s amazing that Newark is partnering with a giant candy bar and infant formula corporation to conquer health problems that the company itself plays a role in perpetuating. A press release announced that Nestlé had helped to devise a nutritional education curriculum for Newark families highlighting “the importance of breastfeeding, increasing fruit and vegetable consumption, healthy snacking, dealing with a fussy eater, portion control and physical activity.”  The program draws on “the nutritional expertise of Gerber,” Nestlé’s infant formula brand.

But why would a company that depends for its profits on women not breastfeeding and families purchasing candy (not fruits and vegetables) be an ideal source of nutritional expertise?

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Congress has just returned from recess and life here for your favorite watchdog continues to be busy!"Public Citizen Lady Liberty"

Last week, we reported on a victory for democracy: The Vermont State Senate approved a resolution calling for a constitutional amendment to overturn Citizens United v. Federal Election Commission, the U.S. Supreme Court ruling that has ushered in a corporate political spending free-for-all, the negative effects of which we began seeing in the congressional midterms and we see now in the presidential race. The ball is now in the court of the Vermont House, but the clock is ticking. The House Government Operations Committee has yet to schedule a vote on the resolution — the first step in moving it through that chamber. The state’s legislative session ends next week. If you live in Vermont, please call your state representative and urge him or her to move this bill forward.

If the Vermont House passes the bill — and there is a lot of support for it among Vermont House members — Vermont would be the third state to call for an amendment to overturn the Supreme Court’s 2010 ruling. Public Citizen’s Democracy Is For People Campaign is playing an instrumental role in getting Vermont, California, Maryland and Massachusetts on board with calling for a constitutional amendment to help curb corporate power in elections.

We also are working with activists throughout the country to persuade local councils to support an amendment – and to do so the second week of June as part of, “Resolutions Week.” Resolutions Week and other efforts by other organizations — as well as congressional lawmakers — will be the focus of a congressional Summit on Capitol Hill this Wednesday (Facebook event invite link, here). Public Citizen is pleased to have had the opportunity to help facilitate and witness the growth of an ever-more powerful team of lawmakers, organizational allies and activists that are determined to make sure the voices of everyday people are not drowned out by mega-rich individuals and corporations. This summit is a signal: This movement is the real thing. We are determined. We are growing and together we will ensure that our democracy is for the people and by the people.

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