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Politics, Regulations and Obesity

Politics, Regulations and Obesity. Warisa Panichkriangkrai DDS, MPH International Health Policy Program Fellow Ministry of Public Health, Thailand risapanich@yahoo.com. 2005. apps.who.int/infobase/report.aspx?rid=118&print=1. 2015. apps.who.int/infobase/report.aspx?rid=118&print=1.

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Politics, Regulations and Obesity

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  1. Politics, Regulations and Obesity Warisa Panichkriangkrai DDS, MPH International Health Policy Program Fellow Ministry of Public Health, Thailand risapanich@yahoo.com

  2. 2005 apps.who.int/infobase/report.aspx?rid=118&print=1

  3. 2015 apps.who.int/infobase/report.aspx?rid=118&print=1

  4. The Politics of Obesity: A Current Assessment and Look Ahead Rogan Kersh, New York University The Milbank Quarterly, Vol. 87, No. 1, 2009(pp. 295-316)

  5. Outline • Obesity Politics: An Issue regime Emerges • State and Local policy responses • Looking Ahead: Promising Approaches

  6. “ Supersizing of America ” Health Effects OBESITY $120 billion lost NEWS and Reports

  7. BIG & CHAOTIC SMALL & SYSTEMATIC ideas, arguments, viewpoints, opinions from many parties “ISSUE REGIME”

  8. Issue regime • 1. Familiar voices • 2. Solidifying frames • 3. Limited national options

  9. 1. Familiar Voices

  10. www.ific.org/research/obesitytrends.cfm

  11. 2. Solidifying Frames • 2.1 Personal responsibility • 2.2 Environmental frames

  12. 2.1 Personal responsibility = concern of individual consumers overeating and consuming high-fat, low nutrition foods

  13. Responsibility and Political effect • Obesity = Personal failure • difficult to mobilize • point away from robust legislative solutions “ SOFT MEASURE ” Government-sanctioned nutrition education Exercise promotion

  14. 2.2 Environmental frames • expanding portion sizes • foods high in fat, sugar and sodium • availability of food at outlets • advertising of high-fat, low-nutrition foods “ induced demand ”

  15. 3. Limited National Policy Options exercise promotion obesity-education program consumer-injury lawsuits No policy change effort

  16. 3. Limited National Policy Options Successful food-industry lobbying subsidizing healthy food, restricting advertising, limiting unhealthy food sales, offering economic incentives, Federal litigation Regulations Little support from Congress

  17. Issue regime Minimal federal government action

  18. State and Local policy responses 1. Calorie Menu Labeling 2. School Policies

  19. 1. Calorie Menu Labeling www.worldchanging.com/archives/007241.html

  20. http://www.restaurantdietitian.com/menu_labeling_law.html

  21. Menu Education And Labeling Act

  22. + -

  23. Calorie Menu Labeling • Questions remain: • consumers see or understand label? • any difference in consumers behavior?

  24. 2. School Policies • Limits on sugar, fat and sodium consumption in school cafeterias • Voluntary bans on sodas in vending machines • School Nutrition Policy Initiative (SNPI)

  25. SNPI • removing all sodas • encourage the consumption of nutritious foods Pennsylvania 50% reduction of obesity incidence Nationwide D+

  26. Looking Ahead: Promising Approaches 1. Foods of Minimal Nutritional Value (FMNV) 2. Reformulation

  27. 1. Foods of Minimal Nutritional Value(FMNV) • List of reducing • soft drinks • water ices • chewing gum • certain candies Remain unchanged since 1980 !!!

  28. 2. Reformulation • Removal or reduction of ingredients that linked to rising • obesity rates ( fat, salt, sugar ) • Government effort • a moral-suasion campaign • creating a low-interest federal loan program for food • and beverage industry • Potential danger = food safety risk

  29. Conclusion • Policies that gain legislative favor • Clear plan of action • A program of “rapid-response” research • The genetic component research

  30. 2005 www.who.int

  31. 2015 www.who.int

  32. Personal responsibility VS Environmental frames Ecological Model

  33. Policy change Public policy Regulations Community Organizational Policy analysis research, Media, Food industry Help group Interpersonal Concern about obesity problem Individual

  34. The National School Lunch Program Schools get cash subsidies from USDA Schools must serve lunches that meet Federal requirements

  35. http://www.youtube.com/watch?v=tVfAWbitBTs

  36. http://www.opensecrets.org/lobby/indusclient.php?year=2008&lname=N01&id=http://www.opensecrets.org/lobby/indusclient.php?year=2008&lname=N01&id=

  37. Regulatory axes on food advertising to children on television Elizabeth Handsley, Kaye Mehta, John Coveney and Chris Nehmy Australia and New Zealand Health Policy 2009, 6: 1

  38. Outline • The type of program • The type of product • The target audience • The time of day • The content of the advertisement

  39. The type of program: Dedicated children’s program

  40. The type of product

  41. The target audience

  42. The time of day

  43. The content of the advertisement

  44. Conclusion • The most effective means • Limit time that children expose to food advertising Consumers can understand the criteria

  45. Program: Thailand view No commercial free program 42 snack advertisements / 1 hour program

  46. Thailand view • government: strong regulations, strong action • broadcast system: moral • consumers: breach finding & complaint system

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