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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.

 

 

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

Posted on 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.

South Africa can show BRICS leadership with a new sugar approach

Posted on by Zukiswa Zimela

South Africa blazed a trail as the first African country to legalise a tax on sugary drinks, making a bold stand on 1 April 2018. By implementing this pioneering move, we paved the way for a strategy that could reduce the consumption of sugar-sweetened beverages significantly.

Studies by the World Health Organization (WHO) show that a carefully designed tax, aimed at increasing the retail price by 20% or more, would result in proportional reductions in consumption, steering citizens towards healthier choices.

READ MORE: WE Can’t Rely On Food and Beverage Industry to Safeguard Our Health.  

Not long after South Africa’s groundbreaking action, other countries, including Botswana and Zambia, followed suit, implementing their own versions of the sugary drinks tax. However, the road to a healthier society has not been smooth. Many African nations have been slow to act, potentially because of resistance from the beverage industry, which has been fighting back vehemently against these new regulations.

South Africa’s courageous step may have set the stage for a broader transformation, sparking a debate on how to combat obesity and promote healthier living. But the struggle against industry pushback and the adaptation of these laws across the continent continues.

This opinion piece was published in the Daily Maverick on the 29th of August 2023

Click here to read the rest of the article.

No evidence that voluntary actions by the food and beverage industry can safeguard public health

Posted on by Zukiswa Zimela

Recent research by PRICELESS SA at the University of Witwatersrand School of Public Health found that there is no evidence that voluntary actions by the food and beverage industry can safeguard public health.  

The increasing availability of unhealthy, ultra-processed foods is linked to rising rates of obesity and non-communicable diseases (NCDs), such as diabetes and hypertension, in low- and middle-income countries (LMICs)1. Well-designed, evidence-based fiscal and regulatory policies can improve food environments (the contexts in which people engage with food) by limiting the availability, afford- ability and accessibility of unhealthy foods to reduce consumption and improve public health2. However, the introduction of these policies has been heavily opposed by the food and beverage industry, which favours the use of voluntary actions (VAs) instead of binding government regulations . The use of VAs by the food industry has been endorsed by international bodies, despite similar action taken by the alcohol and tobacco industries being ineffective. Given that VAs often replace evidence-based policies, it is crucial that their effectiveness is evaluated and understood.

READ MORE: Click here to read the rest of the study