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
Caribbean Food and Nutrition Institute/
Pan American Health Organization
CARIBBEAN WEEK OF AGRICULTURE
October 17-23, 2010
A fundamental set of questions:
What is the aim of:
increasing agricultural investments and productivity?
agricultural and rural development?
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
DETERMINANTS OF NUTRITION &
PATHWAYS LINKING AGRICULTURE AND NUTRITION
FOOD AVAILABILITY & SAFETY
WHAT IS THE PROBLEM ?
The shape of things to come
The Economist, Dec. 2003
Infectious Diseases/ Undernutrition
Data on epidemiological transition in the Caribbean—diet-related diseases are the major health problems in the Caribbean
Heart Disease* - 20
Cancer * - 12
Stroke* - 11
Injuries - 8
Hypertension* - 6
*Food/Nut related = 53%
Heart Disease * - 16
Cancer * - 15
Stroke * - 10
Diabetes * - 10
Hypertension * - 6
*Food/Nut Related = 57%
Cost of Nutrition-Related diseases
NCDs are twice as costly to treat compared to other
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)
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
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
Current vs. Recommended Consumption of Foods in the Caribbean
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?
Capturing the 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.