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09192011
09192011
09192011
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09192011

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A new report released by The Chicago Council on Global Affairs calls on the agriculture and food sectors to play a role in mitigating the global rise in noncommunicable diseases (NCDs). Bringing …

A new report released by The Chicago Council on Global Affairs calls on the agriculture and food sectors to play a role in mitigating the global rise in noncommunicable diseases (NCDs). Bringing Agriculture to the Table: How Agriculture and Food Policy can Play a Role in Preventing Chronic Disease (PDF), which was presented before this morning’s opening of the UN High-Level Meeting on NCDs, identifies new opportunities for those in heath and agriculture to work together to promote better health. The report was prepared by Dr. Rachel Nugent, University of Washington and project chair for the Chicago Council. The project was guided by an advisory panel of noted agriculture and health experts from academia, private sector and international organizations.

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  • 1. 0
    Bringing Agriculture to the Table
    How Agriculture and Food Can Play a Role in Preventing Chronic Disease
    Rachel Nugent, PhD, Chair
    Prepared for the United Nations High-Level Meeting on Non-Communicable Disease Prevention and Control
  • 2. “High priority should be given to influence patterns of diet and physical activity for effective prevention of non-communicable diseases. Intersectoral collaboration…should be encouraged. Such policy should encompass broad measures involving different sectors.” – World Health Assembly A55/16, 27 March 2002
    “Member States [should] give the highest priority to stimulating permanent multisectoral coordination of nutrition policies and programs and to preventing malnutrition.” – World Health Assembly 31.47, 8-24 May 1978
    “Plans of action [should] strengthen measures in various sectors to improve nutrition through governmental mechanisms at all levels…and in collaboration with nongovernmental organizations and the private sector.” – World Health Assembly 46.7, 3-14 May 1993
    The Time is Now
  • 3. Male
    Female
    NCDs kill people at a younger age in developing countries
    Age-standardized deaths per 100,000 from cardiovascular disease
    2
    The highest increases in NCDs are expected in Africa, South-East Asia, and the Southern Mediterranean—an over 20 percent increase expected by 2020.
    Age-standardized deaths per 100,000 from cardiovascular disease and diabetes
    Source: WHO, 2008
    Source: WHO, 2010
  • 4. The economic burden of NCDs will overwhelm health systems and slow economic growth
    3
    NCDCOSTS
    Health spending on diabetes ranges from 6% of all health costs in China to 15% in Mexico
    Source: P. Zhang, et al, 2010
    Each 10%increase in NCD burden is associated with a 0.5% reduction in annual economic growth
    Source: WHO
    23 high burden countries are projected to lose $84 billion in GDP between 2005-2015 from 3 NCDs
    Source: Abegunde, et al, 2007
    NCDs will cost more than $47 trillion globally between now and 2030
    Source: D. Bloom, 2011
  • 5. Dietary contributors to NCDs:
    Insufficient intake of fruits, vegetables, nuts, and whole grains
    Excess intake of salt, saturated fat, and trans-fatty acids
    Lead to:
    High blood pressure, high cholesterol
    Overweight and obesity
    Poor nutrition contributes to poor health
    About 44% of all diabetes cases, 23% of heart diseases, and 7 to 14% of cancers are related to overweight and obesity
    4
    Roughly half of all deaths from stroke and heart disease are attributed to high blood pressure
  • 6. Multiple stakeholders in the agriculture and food supply chain
    5
    Production Agriculture and Aquaculture
    Food Wholesaling and Retailing
    Secondary Food Storage and Processing
    Primary Food Storage, Processing and Distribution
    Food Marketing
    Source: WHO
  • 7. Across geographies, cultures, and populations, common principles guide food supply quality
    Diversify, emphasizing fruits, vegetables, quality carbohydrates, nuts, fish, and healthy oils
    Limit processed foods, sugar-sweetened beverages, and industrial trans fat and salt 
    Limit energy-intensive food, such as dairy and meat
    6
  • 8. Avenues of Change: GovernanceFinancingPolicyResearch and EducationTechnologyPersonal Behavior
  • 9. Key recommendations at a glance
    Nationalgovernments
    International organizations
    Consumersand their
    Consumersand their
    Agri
    Donors: Should assess structural and programmatic opportunities for linked programming among agriculture, nutrition, and health
    National governments: Use fiscal, trade, and regulatory instruments to improve food quality where proven effective
    International organizations: Should supplement and incentivize countries through development loans and technical assistance that align agriculture and health
    Agri-food Businesses: Should develop and manage agriculture food value chains to produce maximum health benefit
    Consumers and their representatives: Actively seek and work with agriculture and food companies to build political will for policy change and address consumer needs for affordable healthy options
    representatives
    representatives
    International organizations
    – food
    Nationalgovernments
    Agri
    businesses
    – food
    businesses
    Donors
    Donors
  • 10. Tools for agriculture to improve health
    9
    Agriculture and FoodValue Chain Approaches
    Mutual Metrics
    A value chain reveals social, environmental and health benefits in the production process.
    EXAMPLES:
    • New product formulation and cold chain innovations to reach people at the bottom of the pyramid
    • 11. Build capacity into local food chains to raise quality and lower price
    Mutual metrics are results indicators shared between agriculture and health.
    EXAMPLES:
    • Volume of fresh fruits and vegetables timely delivered to consumer markets
    • 12. Substitution of healthier oils for palm oil in processed foods
  • Agriculture can improve health by…
    10
    Partnering for New Programs and Policies
    Creating New Policy for a Healthy Food Supply
    EXAMPLES:
    • Limit marketing to children and reduce sodium and fat content in products. Report progress to the public and WHO
    • 13. Partner with companies in the developing world to help small food processors produce safe, nutritious, affordable food products
    EXAMPLES:
    • Voluntary or mandatory reductions in salt and trans fat content of foods
    • 14. Limitations on sales and marketing of high-sugar products to children
    • 15. Calorie information on restaurant menus
  • “Effective NCD prevention and control require leadership and multisectoral approachesfor health at the government level, including, as appropriate, health in all policies and whole-of-government approaches.” – Draft political outcome document, September 2011
    “Through the actions of multisectoral governing institutionsin place at the UN and in numerous member countries, and the inclusion in the new MDGs of mutual metrics that align agriculture and health objectives, the world has surpassed the WHO target of reducing NCD mortality by 2.5 percent per annum.– Resolution passed for the UN High-Level Meeting to assess progress in preventing and combating NCDs, September 2025
    We Can all Play a Role
  • 16. thechicagocouncil.org/HealthyAgandNCD

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