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The Bitter Truth: Nestlé still adding more sugar to baby food in SA despite previous backlash BACKLASH

Posted on by Zukiswa Zimela

Media Statement 

18 November 2025

For Immediate release

A new investigation by Swiss NGO Public Eye has exposed how global food giant Nestlé is adding sugar to baby cereals sold in South Africa, while selling sugar-free versions of the same products in Europe. This follows the scandal that broke earlier in the year where it was revealed that Nestle has a pattern of selling sugary baby food in lower-income countries, while reserving healthier product formulation for richer counterparts.   

Laboratory tests of Nestlé’s Cerelac range found that 90% of products sold across Africa contain added sugar. In South Africa, 3 in 4 Cerelac products tested included added sugar, averaging 4.9 grams per serving — more than a teaspoon — in products marketed for babies as young as six months. Some variants contained as much as 5.2 grams per serving. Equivalent products in Germany and the United Kingdom contain none.

“This is corporate hypocrisy at its worst,” said Nzama Mbalati CEO for the Healthy Living Alliance (HEALA). “Nestlé knows full well that added sugar harms infants, yet continues to dump sugary products on African babies. It’s a blatant double standard that treats African children’s health as less important.”

The World Health Organization explicitly warns that baby foods should contain no added sugar, as early exposure increases the risk of obesity, diabetes and other non-communicable diseases later in life. South Africa already faces one of the world’s highest childhood obesity rates — a crisis fuelled by aggressive marketing of ultra-processed foods.

“South Africa has experienced a dramatic surge in overweight and obesity in children under five,” says Lori Lake, Communication and Education Specialist at the Children’s Institute, University of Cape Town.

Lake adds that rates nearly doubled from 13% in 2016 to 22% in 2022 – with one in four young children now overweight or obese – and this is more than four times higher than the global average. 

“So, we need to ask ourselves, if Nestle is really committed to optimal health and nutrition, then why are they continuing to add extra sugar to their infant cereal – and to what extent are they helping to fuel an epidemic of non-communicable disease in South Africa,” she explains. 

 According to Lake adding sugar to infant cereals acts like a gateway drug, helping establish a lifelong preference for sugary foods that then increases the risk of obesity, diabetes and other NCDs later in life. So, while sugar is sweet – it can leave a bitter aftertaste. She adds that multinational food corporations stand to profit, but it is South Africa’s children and families – and health care system – who will have to carry the costs – which further entrenches inequalities.

Despite acknowledging on its own South African website that high sugar intake poses serious health risks for children, Nestlé continues to promote Cerelac as a “nutritious” and “balanced” product. The company also pays local influencers to endorse Cerelac online, blurring the line between advertising and trusted nutrition advice.

We call on Nestlé South Africa and the National Department of Health to take immediate action: remove added sugar from all baby and toddler foods; enforce strong, mandatory front-of-package warning labels; and introduce strict regulations to stop misleading marketing practices targeting parents and caregivers.

Ends.

For media enquiries please contact:

Lori Lake: Communication and Education Specialist at the Children’s Institute, University of Cape Town. 

lori.lake@uct.ac.za | 0825580446

Dorothy Breslin: Senior Communications Organiser at Groundwork

dorothy@groundwork.org.za | 0823193741

Zukiswa Zimela Communications Manager at HEALA

zukiswa@heala.org | 0745210652

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

Posted on by Zukiswa Zimela

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

UN Political Declaration on NCD’s, mental health and food justice reflects a diluted commitment to decisive action.

Posted on by Zukiswa Zimela

Press Statement 

For Immediate Release 

23 September 2025

Ahead of the United Nations High-Level Meeting on the Prevention and Control of Noncommunicable Diseases (NCDs) and the Promotion of Mental Health and Well-Being – 25 September 2025

As the world prepares for the Fourth UN High-Level Meeting on NCDs and Mental Health, the Food Justice Coalition is deeply concerned that the current draft of the Political Declaration reflects a diluted commitment to decisive action. While it acknowledges global ambitions to reduce premature deaths and promote mental well-being, it lacks bold, measurable, and enforceable commitments urgently needed to reverse the rising tide of NCDs and diet-related ill-health.

In 2021, NCDs caused an estimated 43 million deaths, many preventable. South Africa and other low and middle-income countries carry the heaviest burden, despite proven, cost-effective, interventions. Yet, the declaration weakens critical language on industry accountability and omits clear fiscal and policy mechanisms to tackle the commercial determinants of NCDs, especially sugar-sweetened beverages (SSB), ultra-processed foods, tobacco, and alcohol.

Taxes on harmful commodities are proven tools to reduce consumption and generate revenue for health systems. The latest advocacy report by the NCD Alliance,  a global alliance of organisations committed to fighting the rising tide of NCDs,  shows that financing essential NCD interventions requires at least 1.1–1.7% of gross national income, with up to 54% of costs allocated to essential medicines. Removing or softening commitments on taxation undermines governments’ ability to protect health and achieve financial protection for people living with NCDs.

Weak language signals weak resolve, emboldening powerful industries that profit from disease. The commercial drivers of NCDs, including aggressive marketing, price manipulation, and policy interference, cannot be addressed without binding, measurable fiscal and regulatory commitments.

Call to Action: South Africa and Member States Must Lead

The Food Justice Coalition calls on the Government of South Africa and all UN Member States to:


• Adopt binding regulations to reduce sugar, salt, and harmful chemicals in processed foods, alongside strict monitoring.


• Implement and scale up taxes on sugar-sweetened beverages, ultra-processed foods, tobacco, and alcohol, at levels proportional to their health harms.


• Ringfence revenues from these taxes to finance universal access to NCD prevention, essential medicines, and mental health services.


• Enact safeguards against industry interference, including full transparency on political donations and lobbying.


• Mandate independent monitoring of corporate products and marketing, with annual reviews against explicit targets on reducing harmful consumption and NCD mortality.


• Guarantee equitable access to nutritious food, mental health care, and primary health services, prioritising low-income and marginalised communities.


• Centre the voices of people living with NCDs in policy design, implementation, and evaluation.

Conclusion

The Political Declaration cannot be another missed opportunity. A bold and uncompromising stance is needed to confront the structural drivers of ill health, close the financing gap, and protect future generations. South Africa, with its constitutional right to health and progressive public health record is uniquely positioned to champion stronger language and insist on clear fiscal and accountability measures.

The Food Justice Coalition stands ready to work with government, civil society, and global partners to ensure that the UN High-Level Meeting delivers on its promise: a future where every person can exercise their right to health, free from the predatory practices of industries that profit from disease.

[Ends]

Issued by:

The Food Justice Coalition –

The Food Justice Coalition is a values-driven alliance of organisations committed to advancing food justice through collective action, mutual support, and shared leadership. 

For media enquiries please contact:

Zukiswa Zimela | HEALA | zukiswa@heala.org | 074521065

HEALA pushes back against the recent ruling by the Advertising Regulatory Board 

Posted on by Zukiswa Zimela

PRESS RELEASE

IMMEDIATE: 08 SEPTEMBER 2025 

HEALA (Healthy Living Alliance), a non-profit organisation that advocates for healthy living and food justice for all, is appealing an Advertising Regulatory Board (ARB) ruling that found its public-interest advert on the harmful effects of sugary drinks misleading and inaccurate. 

The ARB claimed that the messaging of the HEALA advertisement in question was positioned as fact instead of opinion, further citing that it was specifically worded to shock consumers into believing that any consumption of sugary drinks would lead to disease. 

We at HEALA believe that, if anything, our advertisement simply urges South Africans to be mindful of what they eat – especially foods high in sugar, salt, saturated fats and sweeteners, which can increase the risk of diabetes, heart disease, stroke and other non-communicable diseases.


“This case is important because it will determine whether organisations such as HEALA can continue to run evidence-based public health campaigns without being unfairly restricted by advertising rules. It affects how civil society can raise awareness about diet-related diseases, such as obesity and diabetes, and advocate for policies like a stronger Health Promotion Levy. The appeal also raises key questions about freedom of expression, association, and the right to food and health, while setting an important precedent for non-commercial, advocacy-focused campaigns in South Africa. A ruling in HEALA’s favour would protect the space for public-interest advocacy and ensure that scientific evidence can be used to inform and protect communities,” notes HEALA CEO, Nzama Mbalati. 

HEALA, and its partners, believe the public should be made aware of how industry players often try to block life-saving policies through tactics such as the one outlined above. We also believe that people have the right to understand the grounds of this case, as our mission is to inform and educate South African consumers. Below, we share more details on the case and the next steps to help our partners and the public stay informed.

What was the cause of the case?

In October 2024, HEALA ran a campaign calling for a stronger Health Promotion Levy (the tax on sugary drinks). One of the advertisements, broadcast in Afrikaans, stated:

“Fizzy drinks and fruit juice make our children sick. With every sip, sugar is dumped into their bodies, leading to obesity, heart disease and diabetes as they age. We must protect our children from all drinks with sugar in them. Insist on a stricter health promotion levy now. Sign the petition on heala.org.”

A consumer lodged a complaint claiming that his daughter was distressed after hearing the HEALA advertisement. He argued that the advert wrongly implied that drinking sugary drinks will definitely cause serious illnesses such as heart disease and diabetes, and that the advertisement therefore amounted to misleading health claims. 

Who is the ARB?

According to the ARB’s website it is “South Africa’s official self-regulation body that adjudicates complaints about advertising content.”  

The ARB is directly funded by several industry bodies, including companies that produce sodas and sugary drinks – which is the very controversial product in the public health advertisement.

What did the ARB originally say?

The Directorate of the Advertising Regulatory Board originally upheld the consumer’s complaint against HEALA’s advert. It found that the statement suggesting sugary drinks and fruit juice “make our children sick” was misleading because it implied that any consumption of such drinks would directly cause diseases like obesity, heart disease, and diabetes. The Directorate concluded that the advert presented these health risks as inevitable outcomes rather than potential long-term effects, and therefore breached the Code of Advertising Practice. This ruling meant the advert could no longer be carried by ARB member platforms, prompting HEALA’s appeal.

What did the Appeal Committee conclude?

The Advertising Appeals Committee (AAC) dismissed HEALA’s appeal on 23 June 2025 and upheld the Directorate’s ruling against the advert. The AAC agreed the advert was misleading because it gave the impression that any sugary drink would automatically make children sick and cause diseases such as obesity, heart disease, and diabetes. The Committee also rejected HEALA’s argument that the advert was public-interest advocacy and should be exempt from the Code, and that it should instead be treated as a set of factual health claims. HEALA argues this misrepresents both the purpose and wording of the advert, which was clearly intended as public health advocacy to protect children and build support for strengthening the Health Promotion Levy. By focusing on one consumer’s reaction rather than the broader advocacy message, the AAC’s ruling has limited HEALA’s ability to share its evidence-based campaign with the public.

What are the key issues to be decided before the final appeal committee?

  • Accuracy and evidence supporting the advert. The appeal body is to consider that HEALA’s advert is grounded in scientific evidence and expert reports, which clearly support the claims made about the harms of sugary drinks. HEALA provided two independent expert reports providing that the claim was accurate and highlighting the significant health risk of soda and fruit juice consumption on health.
  • Proper interpretation of the advert. The appeal body is to assess whether the ARB misread the advert as claiming that any sugar consumption will inevitably cause disease, when in fact it communicates that sugary drinks can contribute to long-term health risks.
  • Public-interest advocacy versus commercial advertising. The appeal body should recognise that the advert is part of HEALA’s public health advocacy, aiming to protect children and encourage public support for a heftier Health Promotion Levy. 
  • Jurisdiction of the ARB. The appeal body should consider whether health-related claims fall within the regulatory authority of the Department of Health rather than the ARB, and whether the ARB exceeded its mandate.
  • Non-commercial nature and consumer impact. The appeal body should weigh whether the advert misleads or harms consumers, noting that it simply encourages public engagement through petitioning and access to information.
  • Constitutional rights and advocacy standards. The appeal body should consider whether the AAC’s ruling imposes unreasonable restrictions on public health advocacy and infringes constitutional rights, including freedom of expression, association, and the right to adequate nutrition and health.

Why is this case important?

  • Protecting public health messaging. The outcome will affect how organisations such as HEALA can communicate evidence-based health risks, especially around sugar and diet-related diseases.
  • Safeguarding advocacy space. A ruling in HEALA’s favour would reinforce the ability of civil society to campaign on public-interest matters without being unfairly constrained by advertising regulations beyond that of commercial advertising.
  • Encouraging evidence-based action. The case underscores the importance of using scientific evidence in public campaigns to inform the public and influence policy, such as strengthening the Health Promotion Levy.
  • Defending constitutional rights. The appeal raises critical questions about freedom of expression, freedom of association, and the right to food and health, particularly in public health advocacy contexts.
  • Setting a precedent for non-commercial campaigns. The decision could clarify how non-commercial, advocacy-focused adverts are treated under the Advertising Code, shaping the landscape for future public health campaigns.

What are possible outcomes?

The appeal could have a few different outcomes. The Final Appeal Committee might rule in HEALA’s favour, confirming that the advert was lawful public-interest advocacy and allowing the campaign to continue. It could also dismiss the appeal, upholding the AAC’s finding that the advert was misleading, which would limit HEALA’s ability to run similar campaigns through ARB member channels. The Committee could also issue a partial ruling, clarifying how health claims or non-commercial advocacy should be treated under the advertising code. Whatever the outcome, both HEALA and the consumer would have the option to take the matter to the High Court for further review, keeping the door open for additional legal scrutiny. 

HEALA, looks forward to engaging with other stakeholders including the National Department of Health, National Treasury, and the sugar industry. It is vital that we properly educate and engage all stakeholders on this and other serious issues that could have a dire effect on the health of our nation. The industry needs to start putting the lives of South Africans ahead of profits.   

Ends

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 enquiries and interviews, please contact:

Mr. Neo Merafi: 071 359 9738 or Neo@maverickbrand.co.za 

HEALA embarks on roadshows to highlight the importance Front-of-Packaging Labelling on packaged foods

Posted on by Zukiswa Zimela

FOR IMMEDIATE RELEASE

31 July 2025

The Healthy Living Alliance (HEALA) is calling on the South African government to ratify regulations that make it mandatory for foods high in salt, sugar and saturated fat to carry a clear warning label on the front of packages. This, so that consumers can be empowered to make informed, and healthier decisions when buying food – especially when trying to identify healthier options.

Shockingly, low-income South African adults consume, on average, 40% of their calories from ultra-processed products, according to a study published in Public Health Nutrition. Experts are clear on the dangers of eating ultra-processed foods. Two large European studies published in The BMJ Journal found direct links between lengthened exposure to ultra-processed foods and heart disease deaths, poor mental health, obesity and diabetes. 

The National Department of Health (NdoH) has had almost two years to ratify the R3337 (formally referred to as the Draft Regulation Relating to Labelling and Advertising of Foodstuffs published by the South African National Department of Health on April 21, 2023). This set of regulations is aimed at introducing significant changes to how food products are labelled and advertised – particularly focusing on front-of-pack warning labels, marketing restrictions aimed at protecting children, and stricter guidelines for health-related claims.

South Africans have been waiting since the conclusion of the public consultation process on September 21, 2023. Time is up, our health is on a steady decline, and we are vulnerable to predatory food manufacturers that prioritise profit over the wellness of the masses.

HEALA will be embarking on roadshows in Gauteng, Limpopo and KwaZulu-Natal to raise awareness on the importance of font-of-package warning labels. We are inviting all South Africans to add their voice to the call for the National Department of Health (NdoH) to protect our health. Each day without these regulations is a denial of vulnerable consumers’ rights to know what they are putting in their bodies. 

“Some packaged foods put us at risk of dangerous, life-altering illnesses. South Africans have the right to understand the ingredients in the food they eat. For many consumers, back-of-pack labels are complicated and difficult to read, making it nearly impossible for people to choose healthier alternatives. Regulations will make it easier for us to readily identify foods that are bad for our health and choose better for ourselves. We urgently need easy-to-read warning labels that highlight the dangerous contents in some of these packaged foods,” urges HEALA CEO Nzama Mbalati. 

Sign petition at heala.org

Roadshow Dates

Pretoria, Gauteng: 6 and 7 August 2025

Atlyn Shopping Mall, Khoza St, Atteridgeville, 

Giyani Limpopo: 12 and 13 August 2025

Masingita Mall, Giyani

Durban, KZN: 18 and 19 August 2025

The Workshop, Durban CBD

– Ends – 

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 enquiries contact:

Mr. Neo Merafi: 071 359 9738 or Neo@maverickbrand.co.za

HEALA statement on Advertising Appeal Committee’s ruling on sugary drinks advert

Posted on by Zukiswa Zimela

HEALA is studying the decision by the Advertising Appeal Committee. It is important to note that the Committee does not state that our campaign advert is misleading due to warning the public against the harms of fizzy drinks and fruit juice, and expressly provided that it would not be misleading to warn against the consumption of “excessive sugary drinks” or “regular consumption of sugary drinks”.

The Committee also cites the World Health Organisation in this analysis, indicating even “a single serving (at least 250 ml) of commonly consumed sugary drinks per day” is to be avoided for health reasons. For a full synthesis on the harms of sodas and fruit juice, we direct interested persons to HEALA.org, where we provide an easy-to-read summary of the most up-to-date science as co-developed by several world-leading nutritionists, medical doctors, and public health specialists.

We would like to thank the Advertising Appeal Committee for its express recognition and commendation for the work that HEALA does to further the interests of public health.

For media interviews please contact

Zukiswa Zimela: Communications Manager HEALA

Zukiswa[at]heala.org

This World Health Day, HEALA calls on the government to protect our children’s health

Posted on by Zukiswa Zimela

Our children are growing up in an increasingly unhealthy food environment. Experts warn that the increased marketing of unhealthy food and beverages to children is leading to an increasingly obesogenic food landscape. This year’s theme, “Healthy beginnings, hopeful futures,” highlights the need for the government to prioritise the health and well-being of our country’s most valuable asset: our children.  

South Africa is facing a double burden of overnutrition and undernutrition. A staggering 27 percent of children in South Africa suffer from stunting. 

According to experts, “Chronic child malnutrition is one of the leading causes of stunting in children, which can be irreversible. Stunting can have short- and long-term consequences, including developmental delays, poor cognitive function, and an increased risk of chronic diseases such as diabetes and heart disease.”  

Conversely, an estimated 1 in 8 children under the age of 5 are overweight. This is due in part to the overconsumption of high-calorie diets rich in salt, sugar, and fats, leading to a childhood obesity crisis.  

As it stands, South Africa does not have any laws that curtail the marketing of unhealthy food to children.  

What can we do?

We are calling for the National Department of Health( NdoH) to fast-track the implementation of the R3337 regulations. Not only will these regulations make it easier for parents and caregivers to make informed decisions about the food they provide to their children, but they will also restrict the advertising of foods high in salt, sugar, and fats to children.  

HEALA is also calling for the Department of Basic Education (DBE) to intensify its efforts to enhance the school nutrition program, instead of further socialising young children into the consumption of health-devastating foods. These foods jeopardize the physical, mental, and emotional performance of children, and thereby their futures. 

A healthy nation is a prosperous nation, and our children deserve to be protected from predatory organisations seeking to target them for profit at the expense of their future health and well-being.    

ENDS

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 Interview please contact: 

 Zukiswa Zimela | Communications Manager HEALA

+2710 825 4403| zukiswa[@]heala.org

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

Posted on by Zukiswa Zimela

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

Press Statement: The TRUE Cost of Diabetes

Posted on by Zukiswa Zimela

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

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Keep the focus on the health of South Africans.

Posted on by Bilal Mpazayabo

By Bilal Mpazayabo | 22 October 2024

Media Statement 

22 October 2024

FOR IMMEDIATE RELEASE

Keep the focus on the health of South Africans.

HEALA acknowledges the recent comments from SA Canegrowers, which attempt to question the nature of our organisation as not being “home-grown.” This diversionary tactic is timed to shift attention away from the proven, life-saving effects of the South African Health Promotion Levy (HPL) and the irrefutable connection between excessive sugar consumption and diseases such as diabetes. With the mid-term budget speech approaching, it is vital to stay focused on what matters most: the health of South Africans.

HEALA is fully transparent regarding its staff, organisational journey, and funding sources—all publicly available. Moreover, we collaborate extensively with South African universities and local NGOs in our health promotion efforts, which cover multiple aspects of the food system. These partners, like HEALA, are transparent about their funding, and it is essential to note that none of our funders profit from our food justice advocacy. It is important to underline that philanthropy support has always played a critical role in responding to socio-economic needs in this country and that HEALA’s work is not an exception. In the spirit of transparency, we ask SA Canegrowers to disclose the origin of their funding and confirm whether it is free from any profit-driven motives.

The attempt to distract from the substance of this debate is telling. The policy rationale for the Health Promotion Levy is backed by a wide range of experts, including the World Health Organization, the South African Department of Health, the Treasury, economists, and public health specialists locally and internationally. Sugar taxation has been shown to reduce the amount of sugar added to beverages, discourage the consumption of sugary drinks, and generate government revenue—all while promoting public health. This model has been successfully used for tobacco and alcohol taxes, and it is no different for sugar.

In a country where more than 4.2 million people live with diabetes—now the second-leading cause of death after tuberculosis—this is a critical health intervention. The data is clear: households facing food insecurity are also often dealing with weight-related diseases like diabetes, hypertension, and high cholesterol. These diseases not only threaten lives but also impose crippling financial burdens on families already struggling to make ends meet.

An honest, home-grown debate on the HPL should focus on these realities. It should prioritise South Africans’ long-term health and financial well-being, particularly those most affected by non-communicable diseases. We urge SA Canegrowers and other stakeholders to engage in this debate with the same transparency and commitment to public health that HEALA brings to the table.

“ENDS”

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:

Bilal Mpazayabo, HEALA Social Media Coordinator

Bilal@heala.org | 0612374651