Commercial determinants of NCDs in
low- and middle-income countries
Obesity prevalence*
USA Mexico South Africa UK Australia Canada Germany Belgium Brazil Malaysia Indonesia
Diabetes prevalence
(age 20-79)*
Mexico Singapore Canda USA South Africa India Brazil China Germany Bangladesh Indonesia
Sugar consumption per person per day*
USA Mexico Canada France Japan Brazil South Africa Malaysia Thailand Philippines Indonesia
Per capita consumption of Coca-Cola*
Mexico USA Australia South Africa Brazil Germany Japan France Thailand China Indonesia
15,3 million
per year
41,900
per day
1,747
per hour
Increasing consumption of processed food
and soft drinks in Asia*
•
119 countries
•
35,000 outlets
•
US$ 27,5 billion in revenue
•
68 million customers daily
•
118 countries
•
18,875 outlets
Komposisi:
Seasoning (Salt, Monosodium Glutamate, Garlic
Powder, Spice Extractives, Onion Powder), Soy Protein Concentrate, Rice Starch and Sodium Phosphates.
Battered With: Water, Wheat Flour, Leavening (Sodium Acid Pyrophosphate, Sodium Bicarbonate,
Monocalcium Phosphate), Salt, Dextrose, Monosodium Glutamate, Spice and Onion Powder. Predusted With: Wheat Flour, Wheat, Gluten, Salt, Dried Egg Whites, Leavening (Sodium Acid Pyrophosphate, Sodium
Bicarbonate), Monosodium Glutamate, Spice and Onion Powder. Breaded With: Wheat Flour, Salt, Soy Flour, Leavening (Sodium Acid Pyrophosphate, Sodium Bicarbonate), Monosodium Glutamate, Spice, Nonfat Dry Milk, Onion Powder, Dextrose, Extractives of
Komposisi:
Enriched flour (bleached wheat flour, malted barley flour, niacin, reduced iron, thiamin mononitrate, riboflavin, folic acid), water, high fructose corn syrup and/or sugar, yeast, soybean oil and/or canola oil,
contains 2% or less of the following: salt, wheat gluten, calcium sulfate, calcium carbonate, ammonium sulfate, ammonium chloride, dough conditioners (may contain one or more of the following: sodium stearoyl lactylate, datem, ascorbic acid, azodicarbonamide, mono- and diglycerides, ethoxylated monoglycerides, monocalcium phosphate, enzymes, guar gum, calcium peroxide),
Tactics of the corporations
Political
Public
relations
Finance
Product
Extra
Estimated and counterfactual volumes of taxed
beverages purchased per capita in Mexico, 2014
–
15
Policy options to minimize exposure
to sugary drinks
(Popkins and Hawkes 2016)
•
Taxation
•
Restrictions of availability in schools
•
Marketing restrictions
•
Public awareness campaigns
•
Front-of-pack labelling
•
Reformulation and portion size reduction
A policy agenda for a movement for a healthier future
(Freudenberg 2014)
•
E pa d co su ers’ right to k ow a d corporatio s’ dut to
disclose the health consequences of corporate practices and
products
•
Require corporations to pay for the health and environmental
consequences of their products and practices
•
Establish global health standards for product design and marketing
•
Restore public ownership of science and technology
•
Restore the visible hand of government in public health protection
•
Prevent corporations from using their money and power to
Strategies to promote global health?
Medical
intervention
Lifestyle
modification
Changing
corporate
Digital activism: the practice of using digital
technology for political and social change
Goal of
Social/
political
change
Digital
technology
Top tools for digital activism
Tool
Uses
Brands
Social network
• Interact with supporters• Share short news
• First contact
Blog
• Interact with supports• Share longer analysis
• Gain influence
Blogger Wordpress
Micro-blog
• Interact with supports• Share shorter analysis
• Gain influence
