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Violations documented include: instructions to
give "gifts" to doctors and other health care professionals
in order to promote and encourage the prescribing
of breastmilk substitutes to new mothers; direct
promotions to pregnant women and new mothers; and
the use of the health care system to promote its
artificial feeding products.
Mr. Raza has documented evidence that includes
original documents signed by his supervisors that:
ã encourage the purchase of various items
requested by doctors and other professionals in
exchange for their "continued support." This "support"
enables Nestlé promotion officers to gain
direct access to new mothers and their babies in
hospitals.
ã record "incentive bonuses" for attaining
monthly sales targets -- specifically mentioning
items prohibited by the Code such as breastmilk
substitutes Lactogen 1&2, Al-110, Nan, Pre-Nan
and complementary foods such as Cerelac, Neslac
and Nestum.
ã provide free supplies, even though these
directly contradict measures adopted by the World
Health Assembly stating that free supplies should
not be in any way part of the health care system.
Some things
leave a bad taste in the mouth
In Pakistan where artificially fed infants are more
than 20 times as likely to die of infectious diseases
during the first two months of life, compared to
breastfed infants, it took the death of yet another
infant because of inappropriate feeding practices
to trigger Mr. Raza's resignation from Nestlé.
With the help of a caring doctor, Aamir began to
realize how unethical marketing practices affect
the lives of babies and their families, and he learned
of the existence of the Code. As a result of company
policy, neither he nor his co-workers were aware
of the Code; they had not been exposed to it during
training as Nestlé employees. He subsequently
issued the company with a legal notice citing all
his documentation, demanding that the company stop
its business of manufacturing and marketing its
baby milks in Pakistan; he gave them a deadline
by which they should withdraw all its infant food
products from the Pakistani market. He also asked
that the services of staff involved in unethical
marketing practices be terminated. Nestlé
reacted to Mr. Raza's charges by having the Area
Detailing Executive and Group Brand Manager bully
him alternately with bribes and threats to his life
and the lives and property of his loved ones.
Fearful of the consequences, Aamir enlisted the
help of the Pakistan IBFAN group, The Network (Association
for the Rational Use of Medication in Pakistan).
Since then, with the help of sister IBFAN groups,
Aamir's exposure of Nestlé's wilful marketing
practices have been widely publicized in the UK,
Germany and Switzerland. Currently Aamir is in Canada
continuing his quest to see Nestlé's malpractice
exposed and to create awareness that these deadly
marketing practices must be stopped, not only in
Pakistan but worldwide.
In the meantime Nestlé as always denies
the allegations and has commissioned an "external
audit" of its Pakistani operations.

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