2026 World Cup: Global Health Leaders Demand FIFA End its Coca-Cola Partnership

Media Statement

For Immediate Release

June 10, 2026 (Johannesburg) — A formidable coalition of global health experts and advocates is demanding FIFA commit to ending its partnership with Coca-Cola by 2030. The Kick Big Soda Out movement has targeted FIFA across major tournaments, where campaigners have accused Coca-Cola of sportswashing its health and environmental harms through stadium branding, broadcasts and social media. Despite sustained pressure, FIFA has failed to respond.

The tension is hard to ignore. Governments worldwide have introduced front-of-package warning labels and health taxes on sugary drinks — measures designed to protect public health and curb consumption of the very products Coca-Cola markets to millions of fans, especially children. FIFA’s commercial partnerships have long drawn scrutiny for the way they stand in direct opposition to these local health policies. Coca-Cola’s prominent presence at FIFA tournaments follows the same playbook — asking these same countries to spotlight one of the world’s biggest sweetened drink companies while sidelining regulations designed to protect public health.

“Sugary drinks are fuelling a global health crisis. Obesity, Type 2 diabetes and heart disease are rising at alarming rates, and Coca-Cola’s aggressive marketing is a driving force behind that. FIFA reaches five billion people through this World Cup and has a responsibility to those fans. Lending that platform to one of the world’s biggest sugary drink companies sends entirely the wrong message. That is exactly why we are demanding FIFA chooses differently, ” says Nomfundo Mbuli Programmes manager at the Healthy Living Alliance (HEALA).

Excess sugar consumption drives rising rates of obesity, Type 2 diabetes and heart disease. Big Soda’s aggressive marketing reaches millions, including children, influencing their preferences and purchases.

According to Mbuli “FIFA markets itself as a force for good for children, for communities, for the world. But you cannot champion the health of young people in one breath and sell their attention to the world’s biggest sugary drink company in the next. We are not asking FIFA to choose between football and health – we are asking them to choose both. This is FIFA’s moment to show that football truly belongs to the people – not to the corporations profiting from their ill health.”

Kick Big Soda Out has amassed over 523,000 supporters and the backing of 97 organizations since its launch during the 2024 Paris Olympics. The campaign’s ask is clear: FIFA must use the 2026 World Cup as a turning point, not another missed opportunity.

Join the movement demanding FIFA end its Coca-Cola partnership by 2030 at www.kickbigsodaout.org and use #KickBigSodaOutofSport to join the conversation.

Media Contact: Zukiswa Zimela, HEALA Communications Manager 0745210652 | zukiswa@heala.org

About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.

Diabetes in Crisis: Inside the Johannesburg Declaration Media Breakfast

Youtube video

HEALA and the Diabetes Alliance hosted a powerful media breakfast unpacking South Africa’s growing diabetes crisis and the urgent need for action through the Johannesburg Declaration. Hosted by Bongiwe Zwane, the conversation brought together leading voices in public health and advocacy, including Nzama Mbalati, Dr Patrick Ngassa Piotie, and Amanda Mashego. The panel explored the systemic challenges shaping diabetes care in South Africa—from prevention and early detection to stigma, access to treatment, and the need for stronger policy action. With diabetes claiming thousands of lives each year, the discussion called for urgent, coordinated efforts to turn the tide. This media breakfast marks just the beginning. The real work starts now—taking the Johannesburg Declaration beyond the room and into communities across the country.

Confronting diabetes: South Africa’s urgent call for action following Johannesburg Declaration

Confronting diabetes: South Africa’s urgent call for action following Johannesburg Declaration

Johannesburg-15 April 2026- In a pivotal move toward addressing the escalating diabetes crisis in South Africa, the Healthy Living Alliance (HEALA) convened yet another dialogue focused on the challenges faced by the nation’s more than 4 million diabetic population.


This discussion followed the recent finalisation of the Johannesburg Declaration for Accelerated Action on Diabetes and served as a platform to galvanise public and media awareness around this pressing public health issue.


Held at the Southern Sun Hotel in Rosebank, the media breakfast event featured a dynamic panel discussion led by SABC anchor Bongiwe Zwane, alongside HEALA’s CEO, Nzama Mbalati, Dr Patrick Ngassa Piotie, Chairman of the Diabetes Alliance, as well as one of South Africa’s leading diabetes activist, Amanda Mashego.


These experts and stakeholders gathered to deliberate on the widespread implications of diabetes, which is increasingly cited as one of the world’s leading non-communicable diseases (NCDs).
Mbalati, emphasised the vision outlined in the Johannesburg Declaration – a commitment to ensuring that every South African, irrespective of income, geography, gender, or health status, has access to equitable diabetes prevention and care.


“Following last year’s Diabetes Summit, we want to keep the momentum going. The commitments made in the declaration must not be allowed to gather dust,” Mbalati asserted.
Mbalati further highlighted the need for collective society efforts, from government to academia, to confront the diabetes crisis decisively.


Yet despite years of advocacy, government policies and interventions still lag significantly. Experts attending the panel highlighted the urgent need for greater empowerment and support for individuals living with diabetes, with Dr Ngassa Piotie, pointing out that the education given to medical students is inadequate when it comes to understanding the complexities of diabetes management. “There is a danger that we may repeat the same mistakes we made with HIV/Aids treatment. We need to empower communities and ensure that the next generation of healthcare professionals is well-equipped to manage diabetes,” laments Dr Ngassa Piotie.

While there has been a notable decrease in diabetes-related fatalities, from 95,000 in 2021 to just over 24,000 in 2024, the burden of diabetes continues to escalate, posing significant threats to public health and economic stability in South Africa. Both Dr Ngassa Piotie and Mashego, whose diagnoses in 2020 spurred her to take a keen interest in advocacy work, echoed the sentiment shared by other panelists that more proactive measures and education are vital.

Despite having found new and innovative ways to contribute positively to the discussions around diabetes, Mashego expressed her frustration over the lack of support available to young individuals living with diabetes.

“Sometimes I wonder what the future looks like for young people. I am angry, and my anger stems from the fact that when I was diagnosed in 2020, I faced the most challenging time of my life. I had to educate myself in real time. Sometimes when young people contact me, I am confronted by the burdens they face daily,” she shared passionately.


Mashego reveals that she is particularly concerned about young individuals forced to navigate their diabetes journeys alone, often without adequate familial or governmental assistance.
Her experience mirrors a broader issue plaguing young diabetics—many find themselves self-educating on managing their condition amidst societal stigma. “I had to deal with nurses who would just give you insulin without explaining anything. Some nurses hand you a handful of insulin, and for the next six months, you have to figure things out by yourself. That is why I am angry due to the many unfulfilled government promises,” she lamented, illustrating the pressing gap in education and support within the healthcare system.

This conversation served not only as a forum for discussion but as a rallying cry for urgent collective action against diabetes in South Africa. As stakeholders continue to push for accountability and reforms, the impact of diabetes on individuals and the healthcare system remains a poignant reminder of the work yet to be done.

Mbalati further stresses the importance of active, rather than passive activism, which he says is needed to move the country and the government towards a more practical approach to stemming the tide against the diabetes scourge.

“We cannot accept being satisfied with doing the bare minimum. Another thing is the private sector. We keep talking about the public sector, but the private sector also has a role to play. Also, people living with diabetes need to have a seat at the table when policies are being developed,” Mbalati concludes

Glaring omission in Godongwana’s mid-term budget policy statement.

The Healthy Living Alliance (HEALA) is profoundly disappointed by the lack of mention of the Health Promotion Levy (HPL) in Finance Minister Enoch Godongwana’s mid-term budget policy statement. 

The South African government imposes taxes on certain products, such as alcohol and tobacco, to generate revenue and discourage consumption due to their negative health and societal impacts. Similarly, HPL aims to reduce the consumption of sugary drinks. However, unlike “sin taxes,” the HPL hasn’t seen a significant increase since its introduction in 2018, representing a potential missed opportunity for revenue.

The World Health Organisation has highlighted the importance of health taxes, noting that health taxes are a valuable tool for reducing disease burden and generating revenue. By implementing or increasing these taxes, governments can improve public health outcomes while securing funds for healthcare initiatives. 

South Africa is facing a dramatic increase in non-communicable diseases such as heart disease and diabetes. The overconsumption of sugary drinks has been linked to an increase risk of these illnesses. 

These taxes offer multiple benefits, including improved health outcomes, reduced consumption of harmful products, and increased revenue for healthcare. They can also be used to fund specific health initiatives, such as universal health coverage, increases in the child support grant and the expansion of the National School Nutrition Programme. 

It is unconscionable that the sugar industry continues to be coddled by the government, while calls for an increase in the HPL to protect the lives of South Africans go unheeded.

HEALA is calling for an increase to the HPL and the recognition of the levy as a necessary health tax for the good of all who live in South Africa. 

Ends.

For media enquiries please contact

Zukiswa Zimela HEALA Communications Manager

zukiswa[@]heala.org 0745210651

Budget 2025: Godongwana has shown complete contempt for ordinary people living in South Africa. 

Press Statement

12 March 2025

For Immediate Release

The Healthy Living Alliance (HEALA) is deeply disappointed with Finance Minister Enoch Godongwana’s decision to capitulate to industry’s demands. 

The decision to hike the value-added tax (VAT) instead of increasing the Health Promotion Levy (HPL) flies in the face of scientific evidence, which shows that the increase of the HPL is vital lifesaving intervention and an easy way to boost the fiscus. Godongwana has shown complete contempt for ordinary people living in South Africa. 

The proposed increase in VAT is a regressive measure. Indeed, leading voices on tax justice have indicated how its increase will bring thousands, if not close to millions, in our country closer to poverty and economic disaster. 

We have lost an opportunity to save the lives of thousands of South Africans.  We have lost the opportunity to protect the most vulnerable amongst us, the poor. Since its inception in 2018, the levy has contributed R10bn to the fiscus and has the potential to do more. This is money which could be spent on various health promotion interventions.

Treasury itself identified the levy as a tool reduce obesity and non-communicable diseases, an out-of-control epidemic in South Africa costing the state billions of Rands in health care and affecting low-income members of our society the most. 

This missed opportunity will cost millions of South Africans their lives, their welfare and their finances. It is the responsibility of the government to protect the lives and overall wellbeing of the people it serves, not coddling an industry which has been taking advantage of the government’s good will. 

The decision to implement a further moratorium after the Finance Minister’s decision in 2023 to place a two-year moratorium on an increase of the HPL points to the government’s leniency to the sugar industry and its continued decision to pander to minority interests. It is very clear that the sugar industry is being treated with kid gloves. This is despite evidence of mismanagement and graft which has caused more damage to the industry than the HPL ever could.  We demand Treasury to reevaluate its decision and follow the science. 

 “It is deeply disappointing that the minister missed an opportunity to increase  HPL to 20% to boost the fiscus and instead chose the option to rather increase VAT, which will hit hard in the pockets of the poorest of the poor, who are the most affected by non-communicable diseases (NCDs) and will put a strain on the health system. We all are experiencing non-communicable diseases in one way or the other. Either oneself, relative, family member, friend, colleague are who is living or have lost their lives due to diabetes, heart diseases or cancer. It has become clear to the Minister of Finance that the lives and livelihoods of South Africans are less important than the profits of the sugar industry. It is obvious that the sugar industry, like it’s counterparts in the alcohol and tobacco industry, will continue to disregard the effects their products  have on South Africans”, says Nzama Mbalati, HEALA CEO. 

South Africans are dying and will continue to do so unless urgent intervention takes place. HEALA will continue to fight for the realisation of Food Justice For ALL!

About HEALA: 

For media interviews contact

Zukiswa Zimela Communications Manager HEALA 

0745210652 | zukiswa[@]heala.org

A Dire Health Crisis: The Economic Burden of NCD’s

Press Release

13 February 2025

FOR IMMEDIATE RELEASE

HEALA adamant that a 20% sugary drinks tax increase will curtail the prevalence of non-communicable diseases in South Africa 

Prior to becoming a professional and passionate caregiver, Lexi Mufukari was in her mid-twenties when she first had to take care of a loved one battling non-communicable diseases (NCDs). Her grandmother, now late, had been managing her hypertension well for decades, until a diabetes diagnosis negatively impacted her health. “Prior to her diabetes diagnosis, my grandmother had been fit, active, energetic and taking her blood pressure medication religiously,” shares Mufukari. Her family, already cash-strapped, hired a full-time caregiver to assist with taking care of Mufukari’s grandmother. “We could not afford a wheelchair so she had to be carried everywhere around the house by one or three family members,” she adds. This firsthand experience of how NCDs can change the family’s trajectory – impacting finances, mental health and relations has led Lexi to believe that the prevention of any NCDs is better than cure. 

South Africa currently faces a dire health crisis. NCDs related deaths  such as cardiovascular diseases, diabetes and chronic lower respiratory diseases rose by a staggering 58.7 percent over the past two decades, according to Statistics South Africa. Diabetes now ranks as the second leading cause of death in South Africa after tuberculosis, with a concerning 25 000 deaths attributed to the disease in 2022. Diabetes affects 12 percent of the adult population in South Africa, wreaking havoc to the family’s livelihood and the individual’s health, work place productivity, – as well as the national fiscus. Diabetes, on diagnosed patients alone, costs South Africa’s health system a whopping R2.7 billion. With undiagnosed patients factored in, the amount would shoot up to R 21.8 billion. 

And this is where increasing the sugar tax from 10 to 20 percent would help. The Healthy Living Alliance (HEALA) still maintains that the South African government has an opportunity to curb the prevalence of NCDs in South Africa, including diabetes, obesity, and related health issues.

In 2023, the World Health Organization (WHO) once again called on governments worldwide to increase taxes on sugary drinks and alcohol to radically decrease the number of people dying from unhealthy diets – adding that unhealthy diets were responsible for approximately 8 million deaths, worldwide, every year. Furthermore, WHO explained that higher taxes would help reduce the consumption of unhealthy products, and therefore incentivise companies to produce healthier products – which would hopefully lead to healthier populations across the board. 

Says HEALA CEO Nzama Mbalati: “We all are experiencing non-communicable diseases in one way or the other. Either oneself, relative, family member, friend, colleague are who is living or have lost their lives due to diabetes, heart diseases or cancer”. 

About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.

For media interviews contact: 
Zukiswa Zimela Communications Manager HEALA

0745210652 or Zukiswa[@]heala.org

Ends.

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

Youtube video
Youtube video

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.

We can’t keep pretending sodas aren’t bad for our health

Media Statement

01 October 2024

For Immediate Release 

On 30 September, the SA Canegrowers Association publicly questioned whether a tax on sodas is intended to be a health tax. Higgins Mdluli, the Chair of SA Canegrowers’ Association, asks: “At what point do we look at the data with common sense and admit the tax is not working?” He asks this after referring to two local studies, (both which are used to support the success of the tax, by the way) because: one study found that the single intervention of the sugar tax did not fix the whole problem of bad diets in South Africa, so people are still gaining weight. The second found that people buy less sodas, and then buy other products with that money instead. A finding one would think speaks to the fact that consumers substitute purchasing: so a job in one industry where fewer products are being bought, will be replaced by a job in another industry, where more products are being purchased.

There is a lot to be said about the evidence about sugar-sweetened beverage taxation. Given that the Health Promotion Levy has only been in effect for six years, and that changes in population diet and health outcomes are usually measured in decades, there is comprehensive evidence to show it is already working. We know that the Levy has led to a reduction in soda purchases (especially in lower socio-economic income groups) and a reduction in sugar added to sodas by companies.  Evidence shows that people are buying less sugary drinks, and when they do those drinks are less sugary.  

We have this evidence, despite successful lobbying from the industry that has led to a Levy almost half of the recommended rate by WHO, and without it being increased for inflation. We know that after decades, sugar-sweetened beverage taxation rates are more supported than ever, and that an increasing body of evidence shows it works.

The sugar industry relies on studies – funded by them – to show that there are job losses in their sector “due to the HPL”. It would be refreshing to see these studies being reported accurately to reflect the whole set of circumstances that lead to forecasted or modelled job losses. Significant sugar dumping in South Africa, droughts, the impact of the Durban riots and the corporate fraud of Tongaat Hulett (leading to 5000 retrenchments) are all cited as underlying reasons by their own studies. The actual job portion of job losses attributed to the HPL are disputed. 

For far too long industry has been allowed to aggressively fight health promotion interventions across the globe by making deceptive economic threats, supporting junk science that minimizes the health impacts of their products and other strategies to block and undermine SB tax- advocacy efforts by influencing governments, the public and the media. South Africa is hanging on the edge of a non-communicable disease cliff.  We know that the overconsumption of sweetened beverages is bad for our health. It is common sense for government to take steps to reduce consumption. We can no longer allow industry to bully, coerce and misinform decision makers for the benefit of their bottom line.

“ENDS”

For media interviews contact 

Zukiswa Zimela Communications Manager

0745210652 | zukiswa[@]heala.com

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

Following the SA Canegrowers Association’s unsubstantiated claim that the Health Promotion Levy (HPL) has led to the loss of 16 000 jobs, the Healthy Living Alliance (HEALA) feels it is important to dispute the claim as baseless and unfounded. 

Researchers from SAMRC/Wits Centre for Health Economics and Decision Science, Priceless SA, used a single-group interrupted time series analyses using the Quarterly Labour Force Survey data from Statistics South Africa to find out how many jobs were lost due to the implementation of the HPL. The study, released in 2024 found no evidence of job losses due to the levy. 

The true cost of sugar consumption

The science is clear that the over-consumption of sugar in liquid form is highly dangerous for our health. Evidence shows that “Independent of the “empty” calories from sugary drinks, the sugars in sugary drinks alter the body’s metabolism, affecting insulin, cholesterol, and metabolites that cause high blood pressure and inflammation. These changes to the body increase the risk of diabetes, cardiovascular disease, tooth decay, and liver disease.”  

The aim of the Health Promotion Levy (HPL) is to reduce local demand and consumption of refined white sugar and safeguard the health of all South Africans. 

South Africa is seeing an explosion of obesity and diet-related non-communicable diseases like diabetes, and heart disease. An estimated 7 in 10 women and 1 in 3 men in the country are obese and overweight. South Africans cannot be forced to continue to consume high levels of sugar for the sake of the sugar industry. The same industry, which laments the so called effects of the HPL, has been rocked by numerous scandals of mismanagement and fraud.

Robbing Peter to pay Paul

While the SA Canegrowers Association misrepresents the truth, tax payers and the state are bearing the huge cost of overweight and obesity. A 2022 study from Priceless SA found that these diseases “are costing South Africa’s health system R33 billion (US$1.9bn) a year. This represents 15.38% of government health expenditure and is equivalent to 0.67% of GDP. Annual per person cost of overweight and obesity is R2,769.”

On the other hand, from its inception on 1 April 2018 to 31 March 2021, the HPL has generated R7.9 billion in cumulative revenue from domestically produced and imported products. Specifically, collections in 2018/19, 2019/20 and 2020/21 were R3.2 billion, R2.5 billion and R2.1 billion respectively.  An increase in the HPL to the recommended 20% could almost double the revenue collected by Treasury.

Pivoting to Biofuels

Times are changing. South Africa needs to join countries like India who have moved away from a consumption model to keep the industry afloat towards the production of ethanol for biofuel production. The sugar industry has been given two years to focus on diversification by the government. Currently there is been no proof that they have used that time in good faith.

Change will come

Obesity is a complex issue that requires a multipronged approach. Slowing down and reversing the trend will take some time. We cannot allow the trend to continue unabated. It is clear that the government urgently needs to put in place evidence-based solutions to get the process started, including increasing the levy to 20% and adding fruit juices in the HPL.

In less than a decade since its implementation the HPL has had positive results. Following the implementation of the HPL young adults in Langa in the Western Cape aged 18-39 years reported they drank 37% less sugar sweetened beverages and reduced sugar intake by nearly a third (31%).