Nicola Calder North West Obesity Task Force Project Manager Food and Nutrition Lead, Heart of Mersey nicola.calder@heartofmersey.org.uk
Increasing the availability of healthy food and drink & influencing people’s behaviour is complex Achieving improvements large enough to impact on population obesity levels is unlikely to be achieved purely at with local actions Collaborative action is required to enable regulation and legislative policy change that will support & complement local health improvement programmes & strategies
National Government Local Government Food Industry Advertising/Media Built environment School Parents Peers Heath care professionals
A recent review of the evidence base carried out on behalf of DsPH in the North West identified the most most effective and cost effective effective and cost effective population b population based actions sed actions to reduce obesity: to reduce obesity: Food duties, especially sugary drinks Regulatory controls on junk food advertising to kids Front of Pack Food labelling 20mph speed limits in residential areas
Regulation of advertising: The current OFCOM broadcasting The current OFCOM broad asting code in the UK only regulates code in the UK only regulates food and drink high in fat, sugar and salt (HFSS) on television food and drink high in fat, suga r and salt (HFSS) on television NOT NOT on digital & non-broadcast advertising n digital & non-broadcast advertising (e.g. through online company websites, social networking sites) Products high in fat, salt and sugar (HFSS) are being exploited through non broadcast media Restricting unhealthy food marketing to children has been demonstrated as a cost effective intervention a cost effectiveness ratio of only £2940 per Disability Adjusted Life Years ◦ (DALY) averted If all TV advertising and sponsorship excluded HFSS foods, this would result in annual benefits of £125m and Quality Adjusted Life Years (QALYs)
Duties on sugary drinks Duties on sugary drinks Intake of dietary sugar has increased over the recent decade in line with the obesity pandemic SSBs form a major calorie source of this & displace healthier drinks 92 litres of sugary drinks consumed per person in UK every year 10% price increase in soft drinks will reduce consumption by 8% 160 modelling studies ◦ A SSB Tax (implemented in the USA) could reduce consumption by 11.5% could avert 2,600 deaths, 9,500 heart attacks & 240,000 new diabetes cases every year. Biggest health gains in lower income groups = a progressive policy a progressive policy SSBs Tax will obviously receive objections from beverage industry. Sustain : A children’s Future Fund Sustain : A children’s Future Fund http://www.sustainweb.org/publications/?id=263
20 MPH speed zones: 20 MPH speed zones: 7.5 million people live in places committed to 20 mph limits 7.5 million people live in places c mmitted to 20 mph limits 20 mph limits are safer –resulting in 20% fewer casualties 20 mph limits are safer –resulti ng in 20% fewer casualties (evidence from Portsmouth) 70% of drivers support 20 70% of drivers support 20 mph limits on residential streets mph limits on residential streets Reduced local emissions, improved air quality and increased likelihood of active modes of transport like walking or cycling Slower speeds Slower speeds benefit large benefit large numbers of non-car users, numbers of non-car users, reducing noise and allowing better urban design standards for quality places Deprived households tend to li Deprived household s tend to live nearer to busy roads and ve nearer to busy roads and therefore w therefore will benefit more from 20 ll benefit more from 20mph limits mph limits 20 mph reduces health inequalities by extending the life 20 mph reduces health inequalities by extending the life expectanc expectancy of deprived people of deprived people 20’s Plenty Campaign 20’s Plenty Campaign http://www.20splentyforus.org.uk/
A formal NW task force is being established and aims to: A formal NW task force is being established and aims to: Investigate public perception and support for specific Investigate public perception and support for specific policy policy interventio interventions s that are shown to be effective in achieving and maintaining healthy weight Develop research and research partnerships Develop research and research partnerships to establish further evidence that may enable policy changes at national & local levels Produce a range of briefing Produce a range of briefings, communications & events s, communications & events to disseminate best practice disseminate best practice in the implementation of local programmes and initiatives to promote healthy weight Build and strengthen partnership working across the North West
A duty on sugary drinks A duty on sugary drinks A programme of work is currently underway which includes A programme of work is current ly underway which includes: A review the evidence for public A review the evidence for public health policy interventions, health policy interventions, exploring the impact and effectiveness of food taxes, with a specific focus on sugar-sweetened beverages (SSBs) Insight work to explore e explore economic drivers of behaviour change, onomic drivers of behaviour change, with a specific focus on the taxation of sugar-sweetened drinks Interviews and foc Interviews and focus groups with adu s groups with adults and c ts and children ildren will explore current attitudes to SSBs, SSB consumption and drivers of consumption Model the impact of a sugary dr Model the impact of a sugary drinks duty acros inks duty across the North West the North West
S CIENCE evidence emerges S U NDERSTANDING spreads U P ROFESSIONALS accept paradigm P P UBLIC & POLITICIANS become aware, then P supportive O PPOSITION from vested interests is slowly O overcome R EGULATION is introduced, often strengthened by R T AXATION reinforces regulations (eg. Tobacco & alcohol T 12 Professor Simon Capewell UK Faculty of Public Health & University of Liverpool
Development of Leadership Board Establish e-communications platform Complete research & insight work For further information or to register an interest in the e-network please contact: Nic Nicola Calder la Calder Projec Project Manger t Manger North West Obesity Task Group Proj North West Obesity Task Group Project Manager ect Manager nicola.calder@heartofmersey.org.uk
Thank you Thank you
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