Press Statement: The TRUE Cost of Diabetes

This World Diabetes Day, celebrated annually on 14 November, Healthy Living Alliance (HEALA) wishes to draw attention to diabetes care, as well as urge the government to continue reinforcing those policies that contribute towards lessening the plight of those living with this non-communicable disease. 

Diabetes affects 12% of the adult population in South Africa, and is the second leading cause of death after tuberculosis. Left untreated or detected late diabetes can wreak havoc on individuals’ health and livelihoods, as well as the national fiscus. Diabetes, for diagnosed patients alone, costs South Africa’s health system about R2.7 billion. Severe complications associated with diabetes range from loss of sight, strokes, and amputation of legs to heart conditions, nerve damage, and kidney problems – to name a few.

One of those affected by this life-changing disease is Alinah. In 2010, Alinah was diagnosed with diabetes. Following the diagnosis, the sixty-four-year-olds life changed forever when her leg was amputated. Alinah attributes her condition to a poor diet and the over-consumption of sugar-sweetened beverages. 

HEALA fully supports the 2024 World Diabetes Day theme: ‘Diabetes and Well-being’, and further casts a spotlight on the Health Promotion Levy (HPL) being a pivotal first step in ensuring that store and supermarket shelves lessen the temptation of sugar-sweetened beverages for consumers. 

“It is no coincidence that we are seeing the growing epidemic of diabetes in South Africa. In townships, villages and some urban areas, supermarkets are saturated with vigorously marketed, cheap sugary drinks – the likes of energy drinks, fruit juices, and fizzy drinks. In some areas, particularly where there is limited access to clean running water, people opt to quench their thirst with sugary drinks because some can be as cheap as below R10. Therefore, it is important that we enable consumers to move to healthier alternatives instead of resorting to sugary drinks as an easily-accessible option,” notes HEALA CEO Nzama Mbalati. 

The South African government introduced the HPL in 2018 to curb the consumption of sugary drinks – which are widely known to be associated with ill health. “On the one hand, consumers are exempted from HPL when they do not purchase sugary drinks. On the other hand, it is an opportunity for manufacturers to reduce the sugar content in their products, which then exempts them from paying the levy,” explains Mbalati, adding that HPL is a proven success, per research studies conducted in the townships of Langa and Soweto. “The studies found a two third reduction in the consumption of sugar-sweetened beverages, particularly among the youth and adults, since the inception of HPL six years ago.”

If the HPL is increased and expanded, the number of people like Babalo, who says his love of sugar-sweetened beverages is one of the things that led to his amputation could be reduced. The 50-year-old has diabetes and high blood pressure. These illnesses could be caused by drinking too many sugary drinks. He says he supports raising the tax. 

“I appreciate the government’s efforts to make fizzy drinks more expensive because they are trying to save people from diabetes,” he says.

HEALA is calling on the government to protect the HPL and increase this life-changing intervention to 20% and expand the levy to include 100% fruit juices to the lives of ordinary South Africans. 

Ends.

WATCH THE TRUE COST OF DIABETES

OP-ED: Sugar tax’ a huge success in curbing sugar consumption and promoting public wellness

The evidence is undeniable: the Health Promotion Levy, enacted in 2018 to combat South Africa’s soaring rates of diet-related diseases, delivered on its promise. Multiple studies have demonstrated that the tax has successfully reduced both sugary drink consumption and overall sugar intake. 

READ MORE: Media Statement: No evidence that the Health Promotion Levy has led to job losses

In the first year alone, the volume of sugary drinks purchased plummeted by half, leading to a nearly one-third drop in sugar consumption. At the same time, South Africans turned to healthier options, replacing fizzy drinks with non-taxed options like water or diet beveragesThese findings have been validated by peer-reviewed journals and industry alike. 

Cost-effective

Around the world, governments and international organisations have recognised that taxing sugary drinks is a simple, cost-effective way to promote public health. From the UK to the US to Mexico, these taxes have reduced sugary drink consumption without hurting the economy. In five US cities that implemented sugary drink taxes, sales of these drinks dropped and the trend continued over time. 

This op-ed was first published in the Daily Maverick on the 1st of November 2024. To read the entire article please click here.