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International Code of Marketing of Breast-milk Substitutes

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139:, manufacturers and distributors should not give material or financial inducements to health workers. Three WHA resolutions on infant and young child nutrition subsequent to the adoption of the Code specifically cautioned against conflicts of interest. A 1996 resolution (WHA resolution 49.15) called for caution in accepting financial support for health professionals working in infant and young child health which may create conflicts of interest. The need to avoid conflicts of interest was expanded in 2005 (WHA resolution 58.32) to cover programmes in infant and young child health and reiterated in 2008 (WHA resolution 61.20). 240:
On its own, the International Code is not legally enforceable. Companies are only subject to legal sanctions for failing to abide by the Code where it has been incorporated into the legislature of a nation state. Many countries have fully or partially adopted the Code as law. Other countries have no
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Free Supplies: Two subsequent resolutions (WHA 39.28 and WHA 47.5 ) effectively call for an end to all free or low-cost supplies to any part of the health care system. Manufacturers and distributors are therefore prohibited from providing products to health care facilities for free or at low cost.
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and that substitutes are used safely if needed. The Code also covers ethical considerations and regulations for the marketing of feeding bottles and teats. A number of subsequent WHA resolutions have further clarified or extended certain provisions of the Code.
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Formula feeding should be demonstrated only to those mothers or family members who need to use it and the information given should include a clear explanation of the risks of formula feeding and hazards of improper use of
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Code violations by baby food manufacturers are still widespread, especially (but not exclusively) in countries that have not implemented the Code as a national measure or where monitoring and enforcement is weak. The
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Materials regarding products given to health professionals by manufacturers and distributors should be limited to ‘scientific and factual’ matters. They should not be tools to promote the use of products.
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In line with the recommendation for exclusive breastfeeding in WHA resolution 54.2 , all complementary foods must be labeled as suitable for use by infants from six months and not earlier.
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Labels of infant formula must contain a statement on the superiority of breastfeeding and that the product should only be used after consultation with health professionals.
233:, has been the subject of an international boycott campaign since 1977 for its milk-substitute marketing practices prior to and since the development of the Code (see 507:"Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso" 229:, international agencies and campaign groups for failing to abide by the Code. One of the largest food and beverage manufacturers in the world, the Swiss giant 153:. This includes the display of products, placards and posters concerning such products and distribution of materials provided by manufacturers and distributors. 188:
Pictures or text which may idealize the use of infant formula and certain wordings, such as 'humanized” or “materialized” or similar terms should not be used.
80:. The Code and resolutions also contain specific provisions and recommendations relating to labelling of infant formula and other breastmilk substitutes. 265:(ATNI) and other international organizations perform monitoring of implementation of the Code across the world both independently and with governments. 554: 108:
Health risks to infants who are artificially fed or who are not exclusively breastfed should be highlighted through appropriate labeling and warnings.
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should be objective and consistent and emphasize the importance of breastfeeding. In no case should such materials refer to a brand name of a product.
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Since 1981, 84 countries have enacted legislation implementing all or many of the provisions of the Code and subsequent relevant WHA resolutions.
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Labels must contain explicit warnings on labels to inform consumers about the risks of contamination of powdered formula with pathogenic
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Nutrition and health claims on labels for breastmilk substitutes should not be permitted unless allowed by
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The International Code of Marketing of Breast-Milk Substitutes: A common review and evaluation framework
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guidelines on safe preparation, storage and handling of powdered infant formula (WHA resolution 61.20 ).
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Promotional devices such as discounts and special displays at the retail level are prohibited.
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for infant formula must be in simple and easy to understand terms in an appropriate language.
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World Health Organization and Food and Agriculture Organization of the United Nations.
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International Code of Marketing of Breast-milk Substitutes: Frequently Asked Questions.
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Guidelines for the safe preparation, storage and handling of powdered infant formula
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at the institutional level. In no case should these samples be passed on to mothers.
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Company representatives may not initiate direct or indirect contact with mothers.
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Product samples may be given only when necessary for professional evaluation or
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Compliance with the International Code of Marketing of Breastmilk Substitutes.
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The Code aims to shield breastfeeding from commercial promotion that affects
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Donated equipment and materials should not refer to brand names of products.
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All forms of product advertising and promotion are prohibited.
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International Code of Marketing of Breast-milk Substitutes.
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Aguayo VM, Ross JS, Kanon S, Ouedraogo AN (January 2003).
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International Code of Marketing of Breast-milk Substitutes
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the responsibility to encourage and protect breastfeeding.
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International Code of Marketing of Breast-milk Substitutes
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industry has been the subject of pointed criticism from
638:, International Baby Food Action Network, 2004 and 2007 620: 168:, ‘low cost’ means less than 80% of the retail price.) 52:, to ensure that mothers are not discouraged from 36:(WHO) in 1981. The Code was developed as a global 99:Mothers should not be given free product samples. 20:(also known as the WHO Code) is an international 659: 284: 40:strategy and recommends restrictions on the 241:legislation on baby food marketing at all. 149:Promotion of any product is forbidden in a 653:Alive & Thrive BMS Code Resources page 530: 89:Information and educational materials on 636:Breaking the Rules, Stretching the Rules 370: 368: 289:. Pinter & Martin, UK. p. 424. 432: 430: 660: 621:International Baby Food Action Network 251:International Baby Food Action Network 438:Understanding the International Code. 420:Reinstating the NestlĂ© Boycott (1988) 365: 339:Geneva, 2008. Accessed 5 August 2011. 427: 164:(According to guidelines under the 13: 14: 689: 609: 275:Baby Friendly Hospital Initiative 216: 166:Baby Friendly Hospital Initiative 648:Alive & Thrive BMS Code page 626:Baby Milk Action (Great Britain) 583: 563: 547: 498: 473: 450: 411: 388: 342: 327: 311: 263:Access to Nutrition Initiative 227:non-governmental organizations 91:infant and young child feeding 1: 304: 287:The Politics of Breastfeeding 205:Labels must conform with WHO/ 63: 7: 553:World Health Organization. 511:BMJ (Clinical Research Ed.) 333:World Health Organization. 317:World Health Organization. 268: 10: 694: 616:Full Code in English (PDF) 408:, Issue 41, November 2008. 678:World Health Organization 385:Accessed 6 February 2012. 362:, accessed 5 August 2011. 285:Gabrielle Palmer (2009). 34:World Health Organization 523:10.1136/bmj.326.7381.127 202:(WHA resolution 58.32 ). 195:(WHA resolution 58.32 ). 144:iii. Health care systems 580:Accessed 5 August 2011. 447:Accessed 5 August 2011. 424:Accessed 5 August 2011. 406:Baby Milk Action Update 280:Breastfeeding promotion 26:breastfeeding promotion 631:Baby Nahrung (Germany) 360:FTSE4Good Index Series 137:conflicts of interest 48:substitutes, such as 30:World Health Assembly 193:national legislation 151:health care facility 135:In order to prevent 78:health care systems 598:2017-02-19 at the 576:2011-11-15 at the 466:2010-03-10 at the 443:2017-07-15 at the 417:The Boycott Book. 401:2011-09-27 at the 394:Baby Milk Action. 381:2017-12-12 at the 355:2011-07-28 at the 113:ii. Health workers 259:Save the Children 685: 603: 589:UNICEF Ukraine. 587: 581: 567: 561: 551: 545: 544: 534: 502: 496: 495: 493: 492: 483:. Archived from 477: 471: 454: 448: 434: 425: 415: 409: 392: 386: 372: 363: 346: 340: 331: 325: 315: 300: 693: 692: 688: 687: 686: 684: 683: 682: 658: 657: 612: 607: 606: 600:Wayback Machine 588: 584: 578:Wayback Machine 568: 564: 552: 548: 503: 499: 490: 488: 479: 478: 474: 468:Wayback Machine 455: 451: 445:Wayback Machine 435: 428: 416: 412: 403:Wayback Machine 393: 389: 383:Wayback Machine 373: 366: 357:Wayback Machine 347: 343: 332: 328: 316: 312: 307: 297: 271: 219: 178:Information on 118:The Code gives 66: 28:adopted by the 12: 11: 5: 691: 681: 680: 675: 670: 668:Infant formula 656: 655: 650: 645: 639: 633: 628: 623: 618: 611: 610:External links 608: 605: 604: 582: 562: 546: 497: 472: 449: 426: 410: 387: 364: 341: 326: 309: 308: 306: 303: 302: 301: 295: 282: 277: 270: 267: 235:NestlĂ© boycott 218: 217:Implementation 215: 211: 210: 203: 200:microorganisms 196: 189: 186: 183: 175: 174: 170: 169: 161: 158: 154: 146: 145: 141: 140: 133: 126: 123: 120:health workers 115: 114: 110: 109: 106: 103: 100: 97: 94: 86: 85: 74:health workers 65: 62: 50:infant formula 24:framework for 9: 6: 4: 3: 2: 690: 679: 676: 674: 673:Breastfeeding 671: 669: 666: 665: 663: 654: 651: 649: 646: 643: 640: 637: 634: 632: 629: 627: 624: 622: 619: 617: 614: 613: 601: 597: 594: 593: 586: 579: 575: 572: 566: 560:Geneva, 1996. 559: 557: 550: 542: 538: 533: 528: 524: 520: 517:(7381): 127. 516: 512: 508: 501: 487:on 2017-04-08 486: 482: 476: 470:Geneva, 2007. 469: 465: 462: 460: 453: 446: 442: 439: 433: 431: 423: 421: 414: 407: 404: 400: 397: 391: 384: 380: 377: 371: 369: 361: 358: 354: 351: 345: 338: 337: 330: 324:Geneva, 1981. 323: 321: 314: 310: 298: 296:9781905177165 292: 288: 283: 281: 278: 276: 273: 272: 266: 264: 260: 256: 252: 248: 242: 238: 236: 232: 228: 224: 214: 208: 204: 201: 197: 194: 190: 187: 184: 181: 177: 176: 173:iv. Labelling 172: 171: 167: 162: 159: 155: 152: 148: 147: 143: 142: 138: 134: 131: 127: 124: 121: 117: 116: 112: 111: 107: 104: 101: 98: 95: 92: 88: 87: 83: 82: 81: 79: 75: 71: 61: 58: 55: 54:breastfeeding 51: 47: 43: 39: 38:public health 35: 32:(WHA) of the 31: 27: 23: 22:health policy 19: 591: 585: 565: 555: 549: 514: 510: 500: 489:. Retrieved 485:the original 475: 458: 452: 419: 413: 405: 390: 359: 344: 335: 329: 319: 313: 286: 243: 239: 220: 212: 67: 59: 17: 15: 602:Kyiv, 2004. 571:Code Watch. 46:breast milk 662:Categories 491:2011-08-05 305:References 84:i. Mothers 64:Provisions 644:(Spanish) 253:(IBFAN), 223:baby food 157:products. 42:marketing 596:Archived 574:Archived 541:12531842 464:Archived 441:Archived 399:Archived 379:Archived 374:UNICEF. 353:Archived 269:See also 130:research 569:IBFAN. 436:IBFAN. 70:mothers 539:  532:140002 529:  348:FTSE. 293:  255:UNICEF 231:NestlĂ© 180:labels 642:ibfan 537:PMID 291:ISBN 221:The 76:and 16:The 527:PMC 519:doi 515:326 247:WHO 237:). 207:FAO 44:of 664:: 535:. 525:. 513:. 509:. 429:^ 367:^ 261:, 257:, 249:, 72:, 558:. 543:. 521:: 494:. 461:. 422:. 322:. 299:.

Index

health policy
breastfeeding promotion
World Health Assembly
World Health Organization
public health
marketing
breast milk
infant formula
breastfeeding
mothers
health workers
health care systems
infant and young child feeding
health workers
research
conflicts of interest
health care facility
Baby Friendly Hospital Initiative
labels
national legislation
microorganisms
FAO
baby food
non-governmental organizations
Nestlé
Nestlé boycott
WHO
International Baby Food Action Network
UNICEF
Save the Children

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