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The report examines food fortification in Mexico, focusing on the mandatory addition of micronutrients to wheat and maize flour. It highlights a 'double burden of malnutrition' where high obesity rates coexist with widespread micronutrient deficiencies, particularly iron and zinc. While legislation (NOM-247-SSA1-2008) mandates fortification, the report finds that the legal framework lacks details on external monitoring and enforcement, effectively leaving the industry to self-regulate. Analysis of available government data from COFEPRIS shows variable compliance, with a concerning drop in folic acid compliance in maize flour from 100% in 2015 to one-third in 2017. The report also criticizes the 'bad fortification' of ultra-processed 'junk foods' used by the industry to mislead consumers about the health benefits of unhealthy products. It concludes with recommendations for the Mexican government to strengthen monitoring protocols, introduce penalties for non-compliance, and ensure that industrially produced tortillas and breads are made from fortified flour.

The report analyzes over 400 infant formula products from Nestlé, Danone, Mead Johnson Nutrition, and Abbott. It finds that these companies use product differentiation and 'premium' branding to increase profit margins, particularly in Asian markets, without clear scientific justification for the variety of products offered. The study highlights significant price disparities between countries and a reliance on industry self-regulation for nutritional quality.