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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

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

Posted on by Zukiswa Zimela

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

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

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

This heritage month HEALA is shining the spotlight on food sovereignty

Posted on 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. 

READ MORE: 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.

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 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

World Hunger Day — a chance for South Africa to vote for food justice

Posted on by Zukiswa Zimela

South Africa faces a nutritional crisis of a double burden of under and overnutrition. Over half a million South African households that have children under five years old face hunger every day.  This has led to a quarter of our children being stunted (an indicator of chronic malnutrition).

Stunting does not only disadvantage the individual into adulthood but also ultimately affects national development due to its health and economic consequences. Children who are stunted at two years old are likely to be stunted as adults. They are also at high risk of developing chronic diseases and obesity in adulthood (let’s not forget that 1 in 8 South African children under five years are already overweight or obese).

As these kids’ brains have not developed properly, a magnitude of intellectual issues persist such as reduced cognitive ability, fewer schooling years achieved, poor attainment of job opportunities, and lower wages later in life.  This proposes many economic consequences for individuals, households, and our country, including higher healthcare costs.

Read the rest of the article in Daily Maverick.

OP-ED: Government must take steps to end hunger in SA

Posted on by Zukiswa Zimela

Last month we commemorated 25 years of the SA constitution – a document that was supposed to usher in a generation of South Africans living in dignity, equality and freedom.

However, we see a dangerous dualism in SA: while eight million children go hungry every day and a quarter of all children are stunted, we also see that one in eight children is overweight.

According to statistics, these children will grow into a cohort of adults where every second person is obese. Being overweight or obese is a well-known driver of diseases like cancer, heart disease, diabetes and high blood pressure.

More than half of South Africans are dying of these diseases each year, which Stats SA has termed a “looming health crisis”. At first glance, the idea of a society where half of the population is overweight, while severe hunger persists seems dystopian, akin to the Hunger Games, where the rich gorge themselves and the poor fight to survive.

READ MORE: This World Obesity Day We Urgently Need To Confront The Scourge Of Non-Communicable Diseases (NCDs) In South Africa.

But the reality is that in individual households, both co-exist. Low income households are more likely to purchase energy dense, nutritionally poor food, which contributes to weight gain.

Strong evidence has emerged that food companies that sell low nutrition products target poorer families through marketing and retail outlet placement – the “double burden of malnutrition”.

Human rights are the idea that human beings are entitled to certain protections. After World War 2, the first modern international instrument setting out these rights was created – the Universal Declaration of Human Rights.

This article was published on SowetanLive on the 4th of April 2024. Click HERE to read the full oped.

HEALA is deeply disappointed with Finance Minister Enoch Gondwana’s failure to announce an increase of the Health Promotion Levy.

Posted on by Zukiswa Zimela

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. This levy is a vital tool in South Africa’s fight against life threatening non communicable diseases.

Ordinary South Africans bear the burden of non-communicable diseases such as diabetes, heart disease and cancer. Researchers have alerted us of the dangers of a high NCD burden. One study warns that “the implications for the current situation are widespread: a future population with deteriorated physical and mental health, presenting with co-morbidities that render these individuals more susceptible to infectious diseases”.

Treasury’s continued failure to act to protect ordinary South African’s against industry interest shows it’s lack of commitment to stopping and reversing the tsunami of non-communicable diseases in South Africa. The Finance minister has once again failed South Africans by refusing to increase the HPL to 20% or at least announce the implementation of annual inflation-related increases of this lifesaving intervention that has been shown to work.

HEALA believes that the government is doing a disservice to any efforts to curtail the avalanche of NCD’s in the country by allowing the sugar industry to use the HPL as a scapegoat for its ongoing failure. We will continue to hold treasury accountable in implementing pro-people policies that put people’s health at the forefront.

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.

 For media interviews please contact

Zukiswa Zimela Communications Manager HEALA

0745210652 | zukiswa@heala.org

Giving you the squeeze: Fruit Juice companies are not 100% honest

Posted on by Zukiswa Zimela

Packed lunches are top of mind for parents and care givers who are getting ready to send their little ones back to school. These often include fruit juices which parents see as a healthy alternative to sodas and other sugar sweetened beverages.

However, fruit juices benefit from the health halo effect. These days the dangers of drinking too many sugar sweetened beverages like soda are well known, however many of us do not realise that some fruit juices have more sugar than sodas. Drinking too much fruit juices has been shown to lead to an increased risk of obesity and type 2 diabetes. Unlike a regular fruit, which contains fibre and is more filling, fruit juices have little to no fibre giving them a high glycaemic index.

Cereal companies are no better. South African researchers have highlighted the targeting of children by cereal manufacturers. Of the 222 breakfast cereals studied, about 97 % had a health claim. Even worse, the cereals with health claims which were marketed at children were found to be less healthy overall: such cereal had a significantly lower protein and fibre content and a significantly higher total carbohydrate and total sugar content.

Parents want to be healthy and make good food choices. Often this means making buying decisions based on a claim on the food package that it has some positive effect on your health (termed health claims). Unfortunately, these claims are not always true, or focus on one aspect of food to the exclusion of mentioning unhealthy components.

Food manufacturers often rely on health claims to create false impressions on food.

Many of the so-called “health foods” claim to be high in fibre and low in fat while hiding the fact that they contain high levels of other unhealthy ingredients, think of your classic yoghurt advert. This creates a “health halo” – a phenomenon where select claims on a product create an overestimated or false sense that the whole product is healthy.

While one cannot claim that intentions are always malicious, in a world where people are becoming increasingly health conscious it is obvious that big food would use the health halo to influence consumers’ purchasing decisions. The health halo makes it harder for people to decide between healthy and unhealthy food.

This is why South Africans urgently need a regulation that prohibits food manufacturers from making health claims on foods that are high in nutrients of concern such as salt, sugar and saturated fat.

Should the government, and over 12 000 South Africans have their way, all foods and beverages that have high levels of salt, sugar or saturated fat and fall within “high in” thresholds or contain any non-sugar sweetener will have a front-of-pack warning label (FOPWL) on them. Foods that contain a warning label will not be allowed to carry a health claim that changes the perceived healthfulness of the product.

In a country where most of the nutrition labels on food are complicated and difficult to understand for the ordinary person, it makes sense that people would rely on health claims to make their decisions.

Parents and caregivers deserve better.

Experts are sounding the alarm on the prevalence of noncommunicable diseases such as diabetes. South Africa in particular is on the precipice of a disaster. “The prevalence of diabetes mellitus has rapidly increased in South Africa, from 4.5% in 2010 to 12.7% in 2019. Of the 4.58 million people aged 20–79 years who were estimated to have diabetes in South Africa in 2019, 52.4% were undiagnosed” the researchers found. The primary cause of this explosion of disease was found to be closely related to nutrition.  People need to be given an opportunity to make better choices for themselves without being misled by untrue claims.

A suggestion from the food and beverage industry is to be given a chance to self-regulate. However, research has proven time and time again that voluntary regulations are often weak and do not go far enough to protect the consumer.

Researchers in Brazil found that food producers deliberately used nutrition claims as a promotional strategy for their unhealthy foods. This study, looked at the packaging on over 2000 ultra-processed foods noting that of which 59.8% of the packaging presented at least one promotional strategy. Unsurprisingly, nutrition claims were the most commonly found promotional strategy, followed by health claims and the use of characters.

In order to give people a chance to make meaningful changes to their health, South Africans need clear, easy-to-read nutrition labels on the front of food packages. Companies cannot be allowed to continue to mislead well-meaning South Africans. Mandatory, comprehensive labelling laws are vital to achieve this end.

 

 

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