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Healthy Skepticism Library item: 19667

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Electronic Source

Stuebe A
Nestle, AAP Partnership half-baked
Breastfeeding Medicine 2010 Oct 7
http://bfmed.wordpress.com/2010/10/07/nestle-aap-partnership-half-baked/


Full text:

Would the American Cancer Society sign on a tobacco giant to fund a prevention campaign? Or would the American Diabetes Association get in bed with Krispy Kreme? Until this week, I thought not, but the American Academy of Pediatrics has teamed up with Nestle — makers of Baby Ruth, Butterfinger, and Haagen-Dazs — to battle childhood obesity.

Would that this were an April Fool’s joke. PhD in Parenting broke the news earlier this week, linking to an announcement on the AAP web site about the Health Active Living for Families (HALF) initiative. In an open letter to the AAP, Birthing Beautiful Ideas outlines the many, many ways that Nestle’s marketing of both infant formula and processed baby food directly contradict the AAP’s stated policies and goals for infant and young child feeding.

What’s more, this partnership violates the spirit, if not the letter, of the Council of Medical Specialty Society’s Code for Interactions with Companies. The Code outlines ethical guidelines designed to avoid a conflict of interest between Medical Societies, such as the AAP, and for-profit companies that may support their programs:

We adopt this Code to reinforce the core principles that help us maintain actual and perceived independence. Adopting this Code helps to ensure that a Society’s interactions with Companies will be for the benefit of patients and members and for the improvement of care in our respective specialty fields. (Emphasis added)

Of note, the code explicitly prohibits direct support from a company in developing a guideline for clinical practice:

7.3. Societies will not permit direct Company support of the development of Clinical Practice Guidelines or Guideline Updates.

The AAP has signed onto the code, and, best I can tell, Nestle is a Company. So why is the Nestle Nutrition Institute funding development of a comprehensive program to educate parents and children about nutrition?

The AAP should not be taking money for an anti-obesity project from an institute whose parent company sells candy and ice cream — and hawks flawed advice designed to undermine breastfeeding mothers.

If the AAP is really “dedicated to the health of all children,” they should send that check back to Nestle and start over. American families deserve nothing less.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909