strategy for europe on nutrition, overweight and obesity related health issues: the platform for...
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Strategy for Europe on Nutrition, Overweight and Obesity related
Health Issues:
The Platform for action on diet Physical activity and Health as part of an EU integrated approach
European Conference on Diet, Physical Activity and Health
Budapest, 19 novembre 2007
Philippe RouxDeputy Head of UnitEuropean CommissionDirectorate-General for Health and Consumer Protection« Health Determinants » Unit
•Part 1: The EU Institutions and the role of the Commission
Part 2: A strategic Framework
Part 3: The EU Platform for Action on Diet, Physical Activity and Health
Part 1
The EU Institutions and the role of the Commission
European Commission
Council of the EU
European Parliament
Economic & Social Committee
Committee of the Regions
European Council
European Court of Justice
European Court of Auditors
Institutional Triangle: Decision Makers
Advisory Committees
European Institutions
Part 1
The Role of the Commission
The European Commission
• Initiate & negotiate draft legislation
• Ensure implementation of EU policies
• Apply European Union laws
• Represent the European Union on the world stage
Health and Consumer Protection DG
DG SANCO
Food safety
Public Health
Consumer Affairs
Priorities
• Protecting and improving• Public health• Ensuring food is safe• Promoting EU food safety• Standards worldwide• Protecting the health of
animals & plants• Promoting the humane
treatment of animals
Our StructureDirector General
Robert Madelin
Deputy Director GeneralActing DDG P.Testori Coggi
BConsumer Affairs
CPublic Health &
Risk Assessment
DAnimal Health &
Welfare
ESafety of the Food Chain
FFood &
Veterinary Office
Principal Adivser
with special responsibility for C3, C6
and C7
01Audit and evaluation
02Strategy and analysis
03Science & Stakeholder
relations
04Veterinary control
programmes
Principal Adviser
AGeneral Affairs
Co-ordination& institutional relations
Legal affairs
Financial resourcesand controls
Information: systems
and publications
Human resources
AdministrativeAffairsGrange
Policy analysis &development;relations
withconsumer organisations;&
international relations
Unfair commercial practices
and other consumer protectionlegislation
Product and servicesafety
Protection of legal,economic and other
consumerinterests
Enforcement andconsumer redress
Programme management
Health Information
Health threats
Health determinants
Health strategy
Health measures
Risk assessment
Animal Health and Standing Committees
Animal Welfareand Feed
International questions
(multilateral)
International questions(bilateral)
Country profiles,coordination of follow-up
Food of animal origin:mammals
Food of animal origin:birds and fish
Food of plant origin,plant health; processing &
distribution
Animal nutritionimport controls,
residues
Quality, planningand development
Biotechnologyand Plant health
Hygiene & Controlmeasures
Chemicals, contaminants,
pesticides
Food Law, nutritionand labelling
A1
A2
A3
A4
A5
A6
B1
B2
B3
B4
B5
C1
C2
C3
C4
C5
C6
C7
D1
D2
D3
D4
E1
E2
E3
E4
F1
F2
F3
F4
F5
F6
01/12/2006
DG SANCO
Public Health
“Enabling good health for all”
• Deliver a high level of health protection• Promote healthier lifestyles• Respond to disease outbreaks• Encourage member state co-operation on
health• Provide accurate health information and data• Invest to tackle health inequalities• Combat smoking through legislation and
campaigns• Deliver quality standards for blood, tissues, and
cells
SANCO’s Core Activities
Public Health
Health Determinant Unit: Mission
Improve the health of European citizens and reduce health inequalities through actions to address health determinants. In particular to:
Promote health through measures to address lifestyle (nutrition and physical activity, sexual health, mental health), addictions (tobacco, alcohol, drugs), socio-economic and environmental determinants.
Take forward work under the health determinants strand of the public health programme and anti-smoking activities of the Tobacco Funds.
Coordinate work with stakeholders related to public health policies and actions.
Develop and implement initiatives to prevent accidents and injuries and diseases with a major impact on the health of people in Europe including cardiovascular diseases, asthma/allergies, diabetes),
Part 2: A strategic Framework
Overweight and Obesity in the EU: Scene setter
Obesity levels in the EU have risen by between 10-40% over the past decade.
Range of obesity prevalence in EU countries is from 10% to 27% in men and up to 38% in women.
Number of EU children affected by overweight (BMI >25) and obesity (BMI >30) is estimated to be rising by more than 400,000 a year.
Across the entire EU25, overweight affects almost 1 in 4 children.
Obesity accounts for up to 7% of health care costs.
In the EU, 9.6% of disability-adjusted life-years are lost due to poor nutrition, obesity and physical inactivity (compared with 9% due to smoking).
Obesity is a risk factor for many serious illnesses, including heart disease, hypertension, stroke, diabetes, respiratory disease, arthritis and certain types of cancer.
White Paper: Marshalling Community actions towards
Better informing the consumer, such as through better labelling on food products Making the healthy option available, such as making fruits and vegetables available to schools Encouraging physical activity, such as by encouraging community initiatives or by raising awareness of Community funds to develop the physical environment to encourage walking/cycling and other forms of activityFocus on priority groups and settings, such as children and schoolsDeveloping the evidence base to support policy making, such as by carrying out research into behaviour change in relation to food and nutrition Developing monitoring systems, such as by working with the WHO to identify effective local actions
Challenges to private actors …Product reformulation Strengthen restrictions on advertising of HFSS foods to childrenSports organisations can develop campaignsHealthy workplacesClinical groups develop guidelines to health professionsCivil society organisations support collection of evidence of what works
But with support from the Commission (facilitation, policies, specific studies) and…in the context of a stronger partnership framework
EU Partnerships
Monitoring of progress Leading to report by European Commission in 2010
EU Platform Diet, Physical Activity and Health
Industry and NGO stakeholders
Nutrition and physical activity Network: Support to the High Level Group
Community/local action orientated partnershipsCommunity action involving civic leadership, businesses, local government, schools etc
EU sectoral policies E.g. Food,
Agriculture, Transport
Member State High Level Group
Each Member State to nominate a high level representative from each Member State
National Stakeholder Forums. Follow events in EU Platform, develop local partnerships
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EU, national level research to assess policy impact. Support of WHO to develop database of interventions internationally (nutrrition and physical activity surveillance)
Developing evidence base
Progress report in 2010
Identify efforts made in each area
Commission will need support from actors to demonstrate the progress that has been made
An opportunity to reorient our approach
An opportunity to keep high profile of the issue
Part 3:
Committee on Nutrition
33 members / Observers WHO, EFSA, EP, Presidencies and Member States
Actions underway
Promotion healthy lifestylesLabellingAdvertising and marketing DisseminationResearch and surveyProduct developmentPolicy development
To date more than 200 Commitments
http://ec.europa.eu/health/ph_determinants/life_style/nutrition/platform/docs/synopsis_commitments.pdf
Actions underway
RAND Europe produced the Second Monitoring Progress Report for the Platform published in March 2007:
Commitments represent more than 600 hundred initiatives implemented at local, regional and national levels.
An overwhelming part of the activities (37%) relates to Promoting a healthy lifestyle/Education on nutrition and/or physical activity.
Other main areas are ‘Nutrition labelling/Nutrition information’ (17% of the activities) and ‘Advertising/Marketing’ (11%).
http://ec.europa.eu/health/ph_determinants/life_style/nutrition/platform/docs
“Monitoring Framework” adopted in 2006
Actions underway: examples
Nutrition labelling” by CIAA: Introduce VOLUNTARY measures to improve the nutritional information provided to consumers on food & drink packages across all 27 EU member states by end 2009
EMRA (Mac Donald) nutrition scheme with by end 2007 over 30,000 restaurants world-wide plan
What'sInsideCampaignTVC.mpg
Actions underway: examples
UNESDA (nine major soft drink companies including Pepsi, Coca-Cola and Cadbury Schweppes):
no advertising to children under 12 in printed media, on websites or during broadcast programmes specifically aimed at children.no direct commercial activity in primary schools in the EU.ensure that in secondary schools a full range of beverages - including water, juices and others - in both regular and low-calorie/calorie-free versions and in a range of serving sizes - are available in unbranded vending machines.
Irish Food Board
Food Dude Healthy Eating educational project to improve children’s long-term consumption of fruit and vegetables.Children are given free fruit and vegetables at school for 16 days, along with peer modelling videos and rewards based on the “Food Dude” characters.
Actions underway: examples
World Federation of Advertisers: agreement to implement the EACA self regulation charter among its members.
Ferrero (CIAA): Tailoring portion sizes, namely those for Kinder chocolate, to children consumption; Reducing the levels of trans fatty acids and salt; Eliminating all hydrogenated fats contained in Ferrero products by 2006.
European health and fitness Associations (EHFA):Cooperation with schools to offer multi-sport activity for teenage girls (15/16 years old).
Ensure relevance of the initiatives against the objectives of the Platform.
Ensure the emergence of initiatives that can contribute to the increase of the levels of physical activity of citizens.
Create conditions that facilitate debates among the different stakeholders on individual initiatives.
Be clear on the fact that Self-regulation is not an alternative to law. On the contrary it works best within a clear legal framework that allows non-legislative approaches but also backs them up.
Create conditions for easy reporting on progress.
Building one year work programmes” is usefull.
Improving dialogue with the national authorities (i.e.: via the EU Nutrition and Physical Activity Network and/or the future High Level group on Nutrition and Physical Activity) and with national Platforms is desirable.
Key issues
Monitoring
Review of the outcomes of codes of conducts for advertising and other voluntary approaches. Solid monitoring framework and a transparent reporting process and actors should:
be specific when setting objectives and reporting on actions,
focus on relevant information when monitoring,
devise appropriate methods of measuring results,
communicate information clearly,
state the Platform’s contribution to a commitment,
dedicate sufficient resources to allow effective monitoring.
Link to background documents onWhite Paper & Platformwww.ec.europa.eu/health/index_en.htm
Heath Portal: http://ec.europa.eu/health-u/index_fr.htm
Thanks
Food safetyPublic Health Consumer Affairs