Health Promotion Levy Archives

This heritage month HEALA is shining the spotlight on food sovereignty

Posted on September 16, 2024September 16, 2024 by Zukiswa Zimela

Food is a fundamental part of our cultural identities. By allowing big food to homogenise our plates we run the risk of finding ourselves losing the rich tapestry of our collective identities. This heritage month, HEALA is highlighting the importance of reclaiming our food sovereignty.

This however, this is near impossible given the proliferation of cheap, addictive ultra-processed food. HEALA is calling on government to use funds from unhealthy food taxes to subsidise healthier alternatives. Since its inception in 2018 the Health Promotion Levy has raised billions for the fiscus. The money can be used to implement health promotion measures such as subsidising healthy food and making it accessible to ordinary South Africans. It is widely excepted that our diets have changed significantly in the last few years.

These changes have led to a an alarming trend of increased deaths due to non-communicable diseases. More than six out of 10 women in South Africa are overweight or obese, a major risk factor for non-communicable diseases. Overall, the World Health Organisation estimates that almost one in three South Africans were obese in 2016. About 13% of children in South Africa are also overweight – more than twice the global average.

According to researchers “economic development has displaced traditional dietary patterns and driven a shift in food preferences, resulting in the nutrition transition”. This change in the food environment is synonymous with a proliferation of packaged foods high in sugar, salt and saturated fat, otherwise known as ultra-processed foods and undermines dietary patterns based on minimally and unprocessed food and processed culinary ingredients.

Since the dawn of democracy, experts note that our diets have shifted towards an increase in sugar-sweetened beverages, processed and packaged foods, sweet and savoury snacks, and increased meat consumption. We have moved away from consuming vegetables. These shifts in food consumption are concerning as it leads to more fat, sugar and salt intake and negative impacts on public health.

“We know that half of South Africans are dying from non-communicable disease at the moment, and that Statistics South Africa has already said this is our next looming health crisis,” says Dr Petronell Kruger, Programmes’ Manager at Healthy Living Alliance. This begs the question, why can we take diseases like Covid-19 seriously to the extent of lockdowns, but we don’t see serious government intervention to protect our lives and our cultural heritage.”

“Ends”

HEALA extends a warm welcome to the newly elected Health and Finance Ministers, Dr Aaron Motsoaledi and Mr Enoch Godongwana.

Posted on July 4, 2024July 4, 2024 by Zukiswa Zimela

In congratulating both Ministers, HEALA also urges them to prioritise the implementation of evidence-based policies that will address the triple burden of hunger, food insecurity, and obesity – and ultimately improve the health of ordinary South Africans.

To date, South Africa faces alarming levels of hunger, food insecurity, and obesity stemming from a broken food system. Globally, ultra-processed foods high in salt, sugar, and fat are more available than ever before, particularly in low and middle-income countries such as South Africa. Diets high in these components significantly increase the risk of people developing non-communicable diseases (NCDs) such as obesity, high blood pressure, type 2 diabetes, and heart disease.

According to Statistics South Africa, more and more people are dying from NCDs than ever before. Diabetes, hypertension, and heart disease rank among the top ten leading causes of natural deaths in South Africa, based on the latest figures from 2017.

“HEALA particularly wishes for the Health Minister, Dr Motsoaledi, to speed up regulation on food labelling to assist ordinary South Africans in making informed food choices, to initiate coordinated mechanisms and resource mobilisation towards government and civil society as well as support improvement of the school food environment, champion taxation and regulation of unhealthy products such as sugary drinks, tobacco and alcohol,” says HEALA CEO Nzama Mbalati.

HEALA believes the government has ample evidence demonstrating the effectiveness of the Health Promotion Levy (HPL) and Front-of-Pack Warning Labels (FOPL) in addressing many of the health issues plaguing ordinary South Africans.

Previous HPL evidence has shown that public health policies, which increase the price of harmful products, can reduce consumption. However, there is potential to do even more. Government can allocate the funds generated from the levy towards addressing issues of hunger and poverty by increasing the Child Grant and subsidising healthier foods.

HEALA calls on Finance Minister Mr Godongwana to protect the gains made by the levy by increasing it to 20%, and expanding it to include fruit juices. We also urge Health Minister Dr Motsoaledi to fast-track the implementation of easy-to-read warning labels and empower ordinary South Africans to make better food choices.

In South Africa, essential nutritional information is buried at the back of canned products, boxes, and bottles, making it difficult for consumers to read or decipher the food labels. Implementing front-of-package labelling can translate necessary nutritional information into simple language and prominently display it on the front of food products.

The FOPL regulation will also protect children from predatory marketing practices employed by food manufacturers who use fancy marketing strategies to seduce vulnerable children into being addicted to unhealthy food.

The South African health system is buckling under the weight of NCDs. Two years ago, researchers found that “overweight and obesity cost 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 was R2 769”. The cost of inaction in addressing this issue for both the state and the individual is too high.

HEALA remains committed to holding government leaders accountable for their responsibility in ensuring that the food environment benefits ordinary people rather than industry profits.

We are calling on the newly elected ministers to put food justice on the political agenda and create a healthier, more equitable future for all South Africans.

“HEALA is confident in Dr Motsoaledi’s expertise, enthusiasm and the political will he demonstrated in his previous tenure as Health Minister, during which he prioritised pivotal public health policies and initiatives aimed at improving the health of all South Africans,” concludes Mbalati.

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

Zukiswa Zimela | HEALA Communications Manager

zukiswa[@]heala.org

Chew On This Episode 1: How is Big Food violating our right to nutritious food?

Posted on May 9, 2024June 4, 2024 by Zukiswa Zimela

South Africa suffers from high levels of hunger, food insecurity, and obesity — all of which are consequences of the country’s broken food system. It is only by fixing South Africa’s broken food system will the country be able to guarantee everyone equitable access to affordable, nutritious food. This webinar explores the role Big Food plays in our ability to access nutritious food and how evidence based policies can address these issues.

This World Obesity Day we urgently need to confront the scourge of non-communicable diseases (NCDs) in South Africa.

Posted on March 4, 2024June 4, 2024 by Zukiswa Zimela

Deaths from non-communicable diseases (NCDs) are surging worldwide. In South Africa, deaths from NCDs increased by almost 60 percent from 1997 to 2018. Urgent action is needed. We know that we can’t solve the problem of NCDs with isolated, small and convenient interventions in individual lifestyles. The Healthy Living Alliance (HEALA) is calling for a package of bold interventions with a systemic overview of the issue of obesity.

Research shows that an estimated 1 in 8 South African children are overweight which is double the global average. Experts warn that children experiencing overweight and obesity in early childhood run the risk of experiencing obesity as adults. Obesity is associated with other dangerous diseases such as diabetes and heart disease.

One of the most urgent interventions needed to curtail the explosion of NCDs in South Africa is the regulation of the food environment. The government needs to strongly regulate the food environment in favour of consumers to curb the consumption of unhealthy food, which is often heavily marketed to South Africa’s poor.

HEALA is asking the government to urgently increase the Health Promotion Levy (HPL) on select sugar-sweetened beverages to 20 percent and include fruit juices in the HPL. Currently, the levy remains at a paltry 11% and has not seen a significant increase since it was introduced in 2018.

Secondly, the National Department of Health needs to speed up the adoption of effective front-of-package warning labels on unhealthy foods to help consumers make better choices and live healthier lives. Several studies have shown that people globally and in South Africa have trouble reading traditional nutritional labels.

“The food industry spends billions of rands every year to reach children with their product marketing. They also aggressively lobby against public health policies aimed at promoting good health. We know the food industry would not spend billions of Rands fighting public health interventions that are not effective,” says Acting Interim CEO Nzama Mbalati.

What we eat is one of the biggest contributors to obesity. According to this study, our modern diets of calorie-dense foods, sugar-sweetened beverages, and high-fat and high-carb foods have been linked to obesity.

“It is unfortunate that government perpetuates the notion that public health interventions should first and foremost have economic benefits. We believe that the people’s well-being and dignity should be enough of a reason to push forward with solid regulations,” Mbalati says.

Sporadic interventions on this issue will do nothing to bring us back from the brink of the NCD cliff, what we need are sustained, evidence-based actions that look at the entire food system and address all the systematic causes of obesity in the country.

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 please contact

Zukiswa Zimela Communications Manager HEALA

0745210652 | zukiswa@heala.org

An increase in the Health Promotion Levy will not only reduce the consumption of unhealthy sugary drinks, but it can also be used to improve the health of the country’s children.

Posted on February 21, 2024June 4, 2024 by Zukiswa Zimela

In anticipation of the upcoming budget speech HEALA is reiterating its call on Finance Minister Enoch Godongwana to increase the Health Promotion Levy (HPL) to the recommended rate of 20% to ensure that all South Africans, particularly the most vulnerable, realise their right to nutritious food.

Research shows that South Africa’s children are starving. Experts warn that nearly five million South African children live below the poverty line. A lack of adequate nutrition in the early years of a child’s life is one of the leading causes of stunting. Children with stunting are more likely to grow up to be obese and overweight. We know that obesity is linked with an increased risk of life-threatening non-communicable diseases such as diabetes and heart disease.

Growing evidence shows that health taxes are the most cost-effective tools for controlling the consumption of unhealthy foods. That is why we are calling on the National Treasury to increase the HPL to the World Health Organisation’s (WHO) recommended 20% rate with annual inflation-related increases thereafter and immediately begin the public consultation process of expansion to fruit juices and lowering the 4g threshold.

As it stands, the Child Support Grant has not kept up with rising food prices, and so many children and families go hungry.

HEALA strongly believes that the HPL is one of many effective ways to ensure that South Africa’s children are taken care of. Furthermore, we believe that it is the responsibility of the Finance Minister to raise enough funds to increase the Child Support Grant to at least the Food Poverty Line, which is currently R760 per person per month.

“Earlier this month we heard during the State of the Nation that more than half of South Africans live in poverty. We see how this plays out in the Eastern Cape with 1 in 4 children being stunted. We know that 1 in 5 households have experienced food insecurity. Social support grants can ensure that South Africans access the most basic of needs: food and water. We cannot live in a country where one-half struggle to live, while we also host the most billionaires on the Continent,” says Petronell Kruger, Programme Manager at HEALA.

For years National Treasury has failed to increase the Health Promotion Levy (HPL), which not only contributes to the fiscus but also reduces the consumption of sugary drinks, which reduces the risk of life-threatening non-communicable diseases.

These additional funds from the HPL will boost the fiscus, allowing the government to increase the child support grant. By raising the sugary drinks tax, treasury can fund this vital lifesaving intervention.

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. In 2023 the Finance minister announced a moratorium on any increases on the HPL until 2025. We cannot keep delaying the increase to the levy and prioritising the sugar industry’s profits over our health.

“The government is doing a disservice to the sugar industry by using the HPL as a scapegoat. It is important that we tackle the real issues: corruption by big players like Tongaat Hulett, climate change and genuine investment in diversifying the industry,” Kruger says.

“Do not punish the public. We know that poor health costs the country money. We know that poor diets are killing people. The HPL is a win-win. To suspend the HPL to try and save the sugar industry when the real issues lie elsewhere is irrational and dangerous,” Kruger adds.

HEALA believes that a healthy population is a nation’s greatest asset, by prioritising the health and overall well-being of our nation’s children, we are making an investment into our future.

ENDS

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.

Delays in increasing the Health Promotion Levy a danger to South Africans

Posted on November 20, 2023June 4, 2024 by Zukiswa Zimela

On World Diabetes Day the Healthy Living Alliance, HEALA, embarked on a day of action calling on the government to increase the Health Promotion Levy to the recommended 20% to reduce the over consumption of sugar sweetened beverages (SSB’s) and decrease the incidence of diabetes amongst South Africans. Concerned South Africans gathered outside the offices of the National Treasury demanding for the increase and calling for an expansion of the levy to include fruit juices.

New research points to an alarming trend of a dramatic increase in the consumption of sugar sweetened beverages (SSB’s) in Sub-Saharan region. The sub-Saharan Africa region had the highest increase in SSB consumption between 2005 and 2018 (2 serving/week increase) while in high income countries consumption decreased by about one serving/week.

Experts from Harvard School of Public Health found that those who drink between 1 and 2 cans of sugar sweetened beverages have a 26% greater chance of developing type two diabetes than those who limit their consumption.

There were huge differences in SSB intake between more vs. less educated adults in sub-Saharan Africa (more educated adults consumed over 4 weekly servings compared to less educated adults).

Taxes on sugary drinks have been shown to work in reducing the consumption of these drinks. A South African studyreleased in 2021, three years after the implementation of the Health Promotion Levy, a levy put in place to support of the Department of Health’s deliverables to decrease diabetes, obesity and other related diseases in South Africa, found that there “SSB taxes were associated with reduced sugary drink intake in a low-income population within a middle-income country”.

However, due to government’s inertia in increasing the tax to the recommended 20%, there is danger of eroding gains made from implementing the tax.

“It’s clear we have reached the cross roads as the country and key policy decision to significantly increase the sugar tax presents a unique opportunity to halt Noncommunicable disease rates that have doubled up in the past decade and raise much needed revenue on the fiscals in the dire strain,” says Nzama Mbalati, Programmes Manager for HEALA.

Dr Dr Lungi Hobe, Chairperson at Rural Doctors Association of SA, says the cost of diabetes on the individual is high.

“This is a multi-organ disease. So it can affect any organ in someone’s body. The reason for that is that it primarily affects your vessels. Your vessels, as we all know, exist in every organ of our body. You have veins in your eyes that may be affected by diabetes. Patients can end up with what we call diabetes retinopathy. Some patients end up with complete blindness just from diabetes,” Dr Hobe explains.

“You can also affect a vessel in your heart. So patients with diabetes have a higher risk of having heart attacks, or what we call cardiac devastation. You can have problems with the vessels in your kidneys. A lot of patients with diabetes will present with kidney failure or chronic kidney disease,” she adds.

Over 4 Million South Africans are currently living with the life altering illness, almost half of those are undiagnosed. The disease comes at a high personal and public cost. In 2018 experts estimated that the public sector costs of undiagnosed type 2 diabetes where R2,7bn. Considering the undiagnosed the number shoots up to a staggering R21.bn.

The country cannot afford any more delays to the increase of the levy. The costs of government’s inaction and pandering to the sugar industry are too high.

“We believe that government will make the right choice and not listen to the food and beverage industry who want to look out for their own interests,” concludes Mbalati.

Tag: Health Promotion Levy