Sugar- the new Tobacco?

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1 RESHAPING PUBLIC OPINION BEST PRACTICE AND LESSONS LEARNT FROM OTHER INDUSTRIES Sugar- the new Tobacco? simonroperconsultancy.com

2 Obesity - Public health enemy No. 1 Obesity is now a critical global issue, requiring a comprehensive intervention strategy rolled out at scale. The global economic impact from obesity is roughly $2.0 trillion, roughly equivalent to the global impact from smoking or armed violence, war, and terrorism. It s a national emergency. McKinsey 2014 Jeremy Hunt, UK Health Minister, 2016

3 Science Obesity is a complex and incompletely understood disease WHO Report Obesity: Preventing and Managing the Global Epidemic,2000 Fat under fire- low fat category Switch to sugar - Lustig et al Sugar at the Crossroads, Credit Suisse WHO Dietary Guidelines 2015

4 Campaigns focus on Sugar Action on Sugar, Robert Lustig, Marion Nestle, Jamie Oliver Simplify - reduce sugar consumption Target Freedom to choose - Processed food - spiked with sugar toxic - Addiction - Children Media

5 Globalisation WHO - Non Communicable Disease Strategy - Childhood Obesity Commission - Dietary Guidelines 2015 World Obesity Federation -

6 Target Industry Marion Nestle Soda Politics: Taking on Big Soda (and Winning) (2015) Drinks companies must also reckon with a small army of health advocates, among which Ms Nestle is a majorgeneral. The Economist 2015

7 Business vs Health...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. Dr Margaret Chan, Director General WHO, 2013

8 Tobacco Wars Science debate - Causation - Addiction Campaign Groups- ASH, Campaign for Tobacco Free Kids War declared

9 Courtroom Dramas - regulation by litigation

10 Tobacco continued Globalisation (WHO) FCTC 2005 Just as the mosquito is the disease vector for malaria, the tobacco industry is the disease vector for the tobacco epidemic. Regulate - 4 Ps plus Demonise - product, industry and consumers

11 Lessons Learned External environment - Perception and reality - mud sticks - Manage what matters - Reputation

12 Lessons learned continued Internal - Management - Staff - Suppliers

13 Sugar - Outlook Focus of Obesity efforts Campaign groups - ascendant Media - not yet sated Children - focus of regulation Governments increasingly engaged

14 Getting nastier? While the government sees food and alcohol companies as partners in health policy, public health increasingly recognises them as vectors of disease. Anna Gilmour (Professor of Public Health, University of Bath) Sugar Coated video - compares food and tobacco sugar coated trailer

15 Conclusions Sugar has time, but.. McKinsey Report - 74 interventions Manage what matters - strategy aligned Reputation and Regulation balance Own organisation - fit for the future?

16 More information May issue International Sugar Journal, Sugar and Obesity: How did the issue get here and where are is it going? simonroperconsultancy.com

17 Discussion Slides

18

19 McKinsey- Obesity levers

20 PHE - Sugar Reduction Steps the volume and number of price promotions in retail and restaurants the marketing and advertising of high sugar products to children the sugar content in and portion size of everyday food and drink products The review also suggests consideration of a price increase, through a tax or a levy, as a means of reducing sugar intake, though this is likely to be less effective than the three measures set out above.

21 Children Video produced by Cancer Research during UK debate on plain packaging: Campaign for plain, standardised cigarette packaging

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