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Letters Coffee creamer as infant food

Authors’ reply to Nestlé

BMJ 2009; 338 doi: (Published 21 January 2009) Cite this as: BMJ 2009;338:b198
  1. Hubert Barennes, training and research coordinator1,
  2. Leila M Srour, paediatric continuing medical education coordinator2
  1. 1Institut de la Francophonie pour la Médecine Tropicale, BP 9519, Vientiane, Lao Popular Democratic Republic
  2. 2Health Frontiers, University of Health Sciences, Vientiane
  1. hubert.barennes{at}

    Stieger’s letter shows misunderstanding of the international code on the marketing of breast milk substitutes by Nestlé (Thai).1 2 The coffee creamer is only the tip of the iceberg.

    The obvious and ongoing code violations include marketing of formula and non-formula products with the logo of a baby bear held in the breastfeeding position (article 5). Sweetened condensed milk (45% sugar, 20% skimmed milk powder and palm oil) with the Bear Brand logo was still on sale in Vientiane in September 2008. In neighbouring Thailand, an aggressive advertising campaign began in 2007 with the Bear Brand logo on sweetened condensed milk, milk …

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