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Profits and PandemicsProfits and PandemicsSeptember 16 2014September 16 2014
Rob Moodie (on behalf of my coRob Moodie (on behalf of my co--authors)authors)
Melbourne School of Population and Global Health Melbourne School of Population and Global Health
University of MelbourneUniversity of Melbourne
,
My co-authors
�David Stuckler, UK�Carlos Monteiro, Brasil �Nick Sheron, UK�Bruce Neal, Australia
�Thaksaphon Thamarangsi, Thailand�Paul Lincoln, UK�Sally Casswell, NZ
The Lancet NCD Action Group
�Failure to prevent NCDs to date is a political, not a technical, failure.
�Action is inadequate –
nationally and by development agencies and foundations.
The Lancet NCD Action Group and the NCD Alliance
40% of 13-15 year old boys in Indonesia smoke
� More than 300 million smokers in China
� 28.1% of total population
� 52.9% of men, 2.4% of women
The Lancet NCD Action Group
Our aim?Our aim?
To examine the role of To examine the role of
tobacco, alcohol and ultra tobacco, alcohol and ultra
processed food and drink processed food and drink
industries in NCD prevention industries in NCD prevention
and controland control
Profits and pandemics
Or are they, as they claim, Or are they, as they claim, ““part of the part of the
solution?solution?””
TThere is consensus that tobacco here is consensus that tobacco
has a conflict of interest which is has a conflict of interest which is
irreconcilable with public healthirreconcilable with public health
Are the competing interests of Are the competing interests of
alcohol and ultra processed food alcohol and ultra processed food
and drink industries similarly and drink industries similarly
irreconcilable?irreconcilable?
Profits and pandemics
The Lancet NCD Action Group
Transnational corporations Transnational corporations
are major drivers of NCD are major drivers of NCD
epidemics epidemics
And they profit from And they profit from
increased consumption of increased consumption of
tobacco, alcohol and ultratobacco, alcohol and ultra--
processed food and drink.processed food and drink.
Profits and pandemics
The Lancet NCD Action Group
As much as these are As much as these are ““lifestylelifestyle””
(personal responsibility) (personal responsibility)
epidemics epidemics
they are also they are also ““industrial industrial
epidemicsepidemics”” (societal (societal
responsibility) responsibility) and the and the
industries are industries are vectors vectors of diseaseof disease
There is a difference thoughThere is a difference though……
Annual growth rate (%) of volume consumption per person in low-income and middle-income countries, and high-income countries between 1997
and 2009
Low IncomeLow Income High IncomeHigh Income
Packaged food 1·9% 0·4%Soft drinks 5·2% 2·4%Processed food 2·0% 1·4%Oil and fats 1·6% –0·1%Snacks and snack bars 2·4% 2·0%Alcohol 2·8% 1·1%Tobacco* 2·0% 0·1%
Adapted with permission from reference 7.
* Tobacco data are in retail sales per person.
Profits and pandemics
The Lancet NCD Action Group
Alcohol and ultra processed food and drink industries use similar strategies to the tobacco industry to undermine effective public health policies by:
� Biasing research findings
� Coopting policy makers and health professionals
� Lobbying politicians and public officials to oppose public regulation
� Influencing voters to oppose public health regulation
� Blatantly ignoring codes of conduct
Profits and pandemics
The Lancet NCD Action Group
By concentrating fat, salt and sugar in products formulated for maximum “bliss,” Big Food has spent almost a century distorting the American diet in favour of calorie-dense products whose consumption pattern has been mirrored by the calamitous rise in obesity rates
Salt, Sugar, Fat: How the food giants hooked us by Salt, Sugar, Fat: How the food giants hooked us by
Michael MossMichael Moss
Profits and pandemics
The Lancet NCD Action Group
Models of working with unhealthy commodity industries
� Industry self regulation
� Preferred model of industry (and at the moment governments and UN)
� Public Private Partnerships
� Better “inside the tent than outside”
� Food and Health dialogue
� Responsibilty Deal
� Public regulation
� Acknowledging the profound conflicts of interest between protection of public health and profit from unhealthy commodities
ManufacturersManufacturers
RetailersRetailers
Advertisers Advertisers
Media Media
Sports, arts and Sports, arts and
community associationscommunity associations
The (Un)Holy Union
The top 5 brands in the Warc 100 (a global
marketing intelligence service) in 2014 are:
1.Coca-Cola Soft Drinks
2.McDonald’s Retail
3.Vodafone Telecoms
4.Dove Toiletries & Cosmetics
5.Pepsi Soft Drinks
http://www.bandt.com.au/media/coke-tops-warcs-smartest-brand-study?utm_source=*%7CLIST_LIST_NAME%7C*&utm_campaign=1e84b99f29
The 5 Top Global Brands
The top 5 advertisers in the Warc 100 for 2014
are:
1.Unilever Food, Household & Domestic
2.PepsiCo Soft Drinks, Food
3.The Coca-Cola Co. Soft Drinks
4.Mondelez Food
5.Procter & Gamble Food, Household & Domestic
The 5 Top Global Advertisers
Key messages
�Unhealthy commodity industries should have no role in the formation of national or international NCD policy
�No evidence to support the effectiveness of self-regulation and public–private partnerships to improve public health
�Public regulation and market intervention are the only evidence-based mechanisms that can prevent harm caused by unhealthy commodity industries
�Unhealthy commodity Industry behaviour should be monitored as we monitor other vectors of disease
Margaret Chan
“It is not just Big Tobacco anymore. Public health must also contend with Big Food, Big Soda, and Big Alcohol. All of these industries fear regulation, and protect themselves by using the same tactics.”
Health Promotion Conference, Helsinki 2013