The International Code of Marketing of Breastmilk Substitutes was adopted in 1981. Subsequent Resolutions have clarified interpretation and addressed changes in marketing practices and scientific knowledge. By exposing violations and mobilising public support we are sometimes able to bring about changes in Nestle's activities. Where water is unsafe a bottle-fed child is up to 25 times more likely to die as a result of diarrhoea than a breastfed child. The marketing code basically bans promotion of breastmilk substitutes and gives health workers responsibility for advising parents.
Companies are limited to providing scientific and factual information on products to health workers.
The marketing code also sets out labelling requirements and aims to ensure the safe use of breastmilk substitutes, when these are necessary, as well as to protect breastfeeding. Nestle's claim to market breastmilk substitutes ethically and responsibly does not stand up to scrutiny, but it is not the only company to break the marketing requirements. It also takes the lead in attempting to undermine implementation of the marketing requirements in legislation. The boycott, which is active in 19 countries, keeps the baby milk issue in the spotlight. Following exposure on UK television earlier this year the Chief Executive of Nestle, Mr. Peter Brabeck-Letmathe, gave an undertaking to change product labels so they include the appropriate language for the country where the products are being marketed.