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Sa ï d Business School 1-3 September 2004 Tobacco Working Group Learning from tobacco to address diet and nutrition more effectively Professor Martin McKee 2 September 2004 Remit

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sa d business school

Saïd Business School

1-3 September 2004

tobacco working group

Tobacco Working Group

Learning from tobacco to address diet and nutrition more effectively

Professor Martin McKee

2 September 2004

remit
Remit

Prepare a report of the experience of those involved in tobacco control to inform those working to tackle other risk factors for chronic disease

areas for examination
CAVEAT: FOOD = TOBACCOAreas for examination
  • The epidemiology of tobacco
    • And the need for evidence!
  • The strong pressures exerted on policies
    • Globalization
  • Policies that can make a difference
    • Who are the major players?
the difficulty with epidemiollogical evidence for diet
The difficulty with epidemiollogical evidence for diet
  • Varying intakes over lifetimes
  • Recall of consumption
  • Varying nutritional content of natural foodstuffs
  • Processing of food
who technical report 916
Obesity

Type 2 diabetes

CVD

Cancer

Dental disease

Osteoporosis

Energy and fats

Hi intake energy-dense foods

C+

Saturated fats

P+

C+

Transfatty acids

C+

Dietary cholesterol

P+

Fish and fish oils

P-

Carbohydrate

High intake dietary fibre

C-

P-

P-

Free sugars

C+

Vitamins

Vitamin D

C-

C-

Minerals

High sodium

C+

Local fluoride

C-

WHO Technical Report 916
pressures for change
Litigation has been successful against tobacco in the US

Investment banks are looking at the risks associated with food & drink companies

Pressures for change
tobacco control
What doesn’t

Education in schools

Voluntary agreements on ad bans

Voluntary agreements on smoke-free areas

Tobacco control

What works

€£$¥

Taxes

Ad bans

Smoke-free

Litigation

how might fctc policies be relevant to diet and physical activity
Make fruit & vegetables more affordable; research effect of taxation

€£$¥

Restrict advertising to children; discourage unhealthy lifestyles

Health warnings and disclosure of nutritional information; labelling guidelines, health claims

How might FCTC policies be relevant to diet and physical activity?
slide14
How might FCTC policies be relevant to diet and physical activity?
  • Product content: Regulation of harmful of ingredients; food safety regulations
  • Education campaigns: in schools, workplaces and sites reaching the general public
  • Clinical interventions: based on collaborative goal-setting, skill-building, self-monitoring, personalized feedback, planned follow-up & links to community resources
many key players in tobacco control
Agenda setters:

Researchers

NGOs

Globalink, Framework Convention Alliance

Governments:

Health Ministries

Treasuries

International:

UN

WHO

World Bank

IMF

Private sector:

Pharmaceutical companies

Tobacco companies

Many key players in tobacco control
twelve lessons from tobacco
Twelve lessons from tobacco
  • Address the issue of individual responsibility versus collective/environmental action early and often
  • Evidence of harm is necessary but not sufficient to motivate policy change
  • Decisions to act need not wait for evidence of the effectiveness of interventions
twelve lessons from tobacco17
Twelve lessons from tobacco
  • The real and perceived needs and concerns of developing countries need to be addressed even if they involve going beyond the initial scope of the risk being addressed
  • The more comprehensive the package of measures considered, the greater the impact
  • Broad-based, vertical and horizontal coalitions, well networked, are key
twelve lessons from tobacco18
Twelve lessons from tobacco
  • Media-savvy individual and institutional leadership matters
  • Change in support for tobacco control took decades of dedicated effort by all
  • Modest, well-spent funds can have a massive impact. But without clear goals they may not be sustainable
twelve lessons from tobacco19
Twelve lessons from tobacco
  • Complacency that past actions will serve well in future may retard future progress
  • Rules of engagement with the tobacco and food industries need to be different and continually under review
  • Risk factor envy is harmful!
slide20
Tobacco Working Group

Learning from tobacco to address diet and nutrition more effectively

sa d business school21

Saïd Business School

1-3 September 2004

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