9.30 robin ireland taking action tackling obesity ireland

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Obesity and Related Conditions 25 March 2014 Manchester

Transcript of 9.30 robin ireland taking action tackling obesity ireland

  • 1. SLIDE TITLE March 2014Health Equalities Group TAKING ACTION: TACKLING OBESITY AND RELATED CONDITIONS Robin Ireland Chief Executive, Health Equalities Group

2. Tackling obesity and related conditions Health Equalities Group In my home city of Liverpool: 13.3% of children aged 4-5 years and 23.2% of children aged 10-11 years are classified as obese. This contributes to a life expectancy at birth of three years below the England average. In addition 33% of children aged under 16 years are living in poverty Source: PHE, Child Health Profiles, March 2014 3. Tackling obesity and related conditions Health Equalities Group How are we measuring up to the medical professions prescription for the nations obesity crisis? (Academy of Medical Royal Colleges, 2013) Health policy can be slow to emerge even when evidence is strong. The lobbying opposition to intervention can be well-rehearsed when commercial interests are at stake p.15 4. Tackling obesity and related conditions Health Equalities Group An Effectiveness Hierarchy for Public Health Downstream prevention interventions targeting individuals consistently achieve a smaller public health impact than Upstream population based policies such as regulation or taxes Capewell, 2014 5. Tackling obesity and related conditions Health Equalities Group Upstream Downstream: The Ambulance Down in the Valley The Safety Net represents secondary prevention for people who are already sick. The Ambulance represents acute medical care for people who are sick. Moving people away from the cliff edge represents addressing the social determinants of health The Fence represents primary prevention with a focus on individual risk. Based on poem by Joseph Malins The Ambulance Down in the Valley (1895). Original Diagram at: Addressing the Social Determinants of Childrens Health: A Cliff Analogy, http://www.vdh.virginia.gov/healthpolicy/healthequity/documents/c liff-analogy.pdf 6. Tackling obesity and related conditions Health Equalities Group Nuffield ladder of public health interventions Eliminate choice e.g. isolate patient with nasty infectious disease Restrict choice e.g. remove toxins from drinking water Guide choice Through disincentives e.g. tobacco tax, congestion charging Through incentives e.g. tax breaks for cycling to work Changing default e.g. side dish routinely salad, chips optional Enable choice e.g. provide free fruit at schools, free gyms etc Provide information e.g. campaigns on walking or eating fruit Do nothing or simply monitor the situation 7. Tackling obesity and related conditions Health Equalities Group So why the focus on individual (i.e. downstream) measures? 8. Tackling obesity and related conditions Health Equalities Group So if we know what might work, lets consider how five of the Academys ten recommendations are progressing. Most have been in the media recently. None are magic bullets but together, they could have impact 9. Tackling obesity and related conditions Health Equalities Group 3. Food-based standards in line with those put in place for schools in England in 2006 should be introduced in all UK hospitals in the next 18 months. Its time for compulsory hospital food standards. Campaign for Better Hospital Food www.sustainweb.org/hospitalfood/ 10. Tackling obesity and related conditions Health Equalities Group 7. A ban on advertising of foods high in saturated fats, sugar and salt before 9pm, and an agreement from commercial broadcasters that they will not allow these foods to be advertised on internet on-demand services. Action on Junk Food Marketing launched in March 2014. Sign a petition calling on the Government to block junk food marketing to children: www.bhf.org.uk/ditchthejunk 11. Tackling obesity and related conditions Health Equalities Group 8. For an initial one year, a duty should be piloted on all sugary soft drinks, increasing the price by at least 20%. New research reinforces calls for a tax on sugary drinks: www.foodactive.org.uk 12. Tackling obesity and related conditions Health Equalities Group 9. Major food manufacturers and supermarkets should agree by the end of 2013 a unified system of traffic light food labelling and visible calorie indicators for restaurants, especially fast food outlets. A voluntary front of pack nutrition-based traffic light labelling scheme will be introduced in England in December 2014. 13. Tackling obesity and related conditions Health Equalities Group 10. Local authorities (should) encourage active travel and protect or increase green spaces to make the healthy option the easy option. 14. Tackling obesity and related conditions Health Equalities Group Learning from Tobacco Control Affordability- Increased duties on sugary drinks Acceptability- Ban junk food marketing on TV before 9pm Accessibility- Support local authorities to develop planning regulations to reduce the number of fast food outlets 15. Tackling obesity and related conditions Health Equalities Group Commercial Determinants of Health Glo-Local Masterclass- Thursday 9th May 2014, 12pm- 4.30pm, City Tower, Piccadilly Plaza, Manchester Get more info or book your place by emailing: foodactive@hegroup.org.uk or tweeting @food_active 16. SLIDE TITLE DateHealth Equalities Group THANK YOU Robin Ireland Chief Executive robin.ireland@hegroup.org.uk @robinHEG 0151 237 2686