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Agri-Food, Nutrition and Health: Capturing the Synergies Dr. Ballayram Food Economist Caribbean Food and Nutrition Institute/ Pan American Health Organization CARIBBEAN WEEK OF AGRICULTURE October 17-23, 2010 Grenada. A fundamental set of questions:. Questions: What is the aim of:

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Agri-Food, Nutrition and Health: Capturing the Synergies Dr. Ballayram Food Economist

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Agri food nutrition and health capturing the synergies dr ballayram food economist

Agri-Food, Nutrition and Health:

Capturing the Synergies

Dr. Ballayram

Food Economist

Caribbean Food and Nutrition Institute/

Pan American Health Organization

CARIBBEAN WEEK OF AGRICULTURE

October 17-23, 2010

Grenada


A fundamental set of questions

A fundamental set of questions:

Questions:

What is the aim of:

increasing agricultural investments and productivity?

agricultural and rural development?

Developing agro-processing?

Etc, etc…..?

A Plausible Answer:

We all want to enhance the well-being for everyone!

We can do this many ways—increase, income, employment..

We can do it also by good nutrition—w/o conflicting other

aims


Objectives

Objectives

  • To articulate the Agri-Food-Nutrition-Health Link

  • To identify synergies in agri-development and nutrition

  • Initiate a discussion on how to advance the agri-food-health agenda


Agri food nutrition and health capturing the synergies dr ballayram food economist

DETERMINANTS OF NUTRITION &

PATHWAYS LINKING AGRICULTURE AND NUTRITION

Agri/Food Policy

Incentives

Investments

Local Production

Imports

Globalization

FOOD AVAILABILITY & SAFETY

SES Income

Price

Distribution

FOOD

ACCESSIBILITY

Poverty

Food Preparation

Age, Gender

Nutrition

Education

FOOD

CONSUMPTION

Urban Development

Transportation

Health Policy

Genetics

Physical Activity

Disease Status

NUTRITIONAL

& HEALTH

STATUS


What is the problem

WHAT IS THE PROBLEM ?


Agri food nutrition and health capturing the synergies dr ballayram food economist

The shape of things to come

The Economist, Dec. 2003


Agri food nutrition and health capturing the synergies dr ballayram food economist

50

% of

Total

deaths

Chronic Diseases

25-

Infectious Diseases/ Undernutrition

10-

0

1970

1990

1950

Data on epidemiological transition in the Caribbean—diet-related diseases are the major health problems in the Caribbean


Main causes of death in the caribbean

1980 (%)

Heart Disease* - 20

Cancer * - 12

Stroke* - 11

Injuries - 8

Hypertension* - 6

ARI- 5

Diabetes*- 4

*Food/Nut related = 53%

2000 (%)

Heart Disease * - 16

Cancer * - 15

Stroke * - 10

Diabetes * - 10

Injuries- 7

HIV/AIDS- 6

Hypertension * - 6

*Food/Nut Related = 57%

Main Causes of Death in the Caribbean


Cost of nutrition related diseases

Cost of Nutrition-Related diseases

NCDs are twice as costly to treat compared to other

diseases

Direct cost of treating everyone with diabetes and

hypertension in the region:

US$691 million/annually (2% of GDP or 66% of current expenditures on Public Health)

Cost of diabetes and hypertension attributable to obesity is US$ 336 million annually (1 % of GDP or 32% of current expenditures on Public Health)


Agri food nutrition and health capturing the synergies dr ballayram food economist

Cost of Nutrition-Related diseases (con’d)

If nothing is done the developed countries nutrition/health

experience could be a good proxy of where we will end up

In the USA:

half of the citizens suffer from one or more chronic

disease

75 cents of every dollar spent on health care is on NCDs

80% of costs major public health programs is on NCDs

for the seven most common chronic diseases, 80 percent of

expenditures are for indirect cost while 20 percent is for

direct cost


Agri food nutrition and health capturing the synergies dr ballayram food economist

Current vs. Recommended Consumption of Foods in the Caribbean

CURRENT

CONSUMPTION

RECOMMENDED

CONSUMPTION

Deficits: (1) Staples (8%); (2) legumes (4%); (3) Vegetables (6%);

Excess: (1) Food from animals (5%); (2) Fats/oils (4%); (3) Sugar (9%)

QUESTION: HOW DO WE MOVE FROM CURRENT TO RECOMMENDED?


How can we eat healthy foods when

HOW CAN WE EAT HEALTHY FOODS WHEN………..

  • Our domestic agriculture policy lacks adequate incentives for the production of indigenous staples, fruits and vegetables

  • Our food import encourages the consumption of high energy dense, processed foods

  • Many schools canteens and vendors promote high energy dense foods with little nutrient value

  • Our local and cable networks heavily advertize fast foods, especially on children’s programs


Capturing synergies in the agri food nutrition health link

CAPTURING SYNERGIES IN THEAGRI-FOOD-NUTRITION-HEALTH LINK


Vision of agri food nutrition partners

FOOD

NUTRITION

FOOD

VISION OF AGRI-FOOD & NUTRITION & PARTNERS

PRIVATE

SECTOR

RELATED

AGENCIES

PUBLIC

SECTOR

FAO

IICA

CARDI

CTA

UWI

CARICOM

MANUFACTURERS

PROCESSORS

FOOD

ESTABLISHMENTS

FARMERS

DISTRIBUTORS

AGRI

EDU

TRADE

FIN

OTHERS


Agri food nutrition and health capturing the synergies dr ballayram food economist

Capturing the Synergies


Agri food nutrition and health capturing the synergies dr ballayram food economist

Capturing Synergies

At the policy level there is the urgent task to establish health-oriented food policies at the national level

Establish national food and nutritional goals for agriculture and the food systems to deliver adequate and nutritionally appropriate quantities of food

This would require:

The recognition by the health sector that health-prevention strategies have to be a collaboration with partners from many sectors (multi-sectoral);

A recognition at the national level that the food and agriculture sector is one of the crucial partners in any policy aimed at addressing the region’s main public health problems;

Support to facilitate the passage through to Cabinets, of National Plans of Action for Food and Nutrition Security (NPANS); and

The development and aggressive promotion of Food-Based Dietary Guidelines at national and community levels.


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