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.

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

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.