bringing agriculture to the table september 19, 2011 september 19, 2011 0 bringing agriculture to...
TRANSCRIPT
Bringing Agriculture to the Table • September 19, 2011September 19, 20111
Bringing Agriculture to the TableHow 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
Bringing Agriculture to the Table • September 19, 2011
Male Female
NCDs kill people at a younger age in developing countries
Age-standardized deaths per 100,000 from cardiovascular disease
2
Source: WHO, 2008
Age-standardized deaths per 100,000 from cardiovascular disease and diabetes
The highest increases in NCDs are expected in Africa, South-East Asia, and the Southern Mediterranean—an over 20 percent increase expected by 2020.
Source: WHO, 2010
Bringing Agriculture to the Table • September 19, 2011
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 growthSource: WHO
23 high burden countries are projected to lose $84 billion in GDP between 2005-2015 from 3 NCDsSource: Abegunde, et al, 2007
NCDs will cost more than $47 trillion globally between now and 2030Source: D. Bloom, 2011
Bringing Agriculture to the Table • September 19, 2011
● 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
Poor nutrition contributes to poor health
4
Roughly half of all deaths from stroke
and heart disease are attributed to high
blood pressure
Source: WHO
Bringing Agriculture to the Table • September 19, 2011
● 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
5
Source: WHO
Bringing Agriculture to the Table • September 19, 2011September 19, 2011
Avenues of Change:
GovernanceFinancingPolicyResearch and EducationTechnologyPersonal Behavior
Bringing Agriculture to the Table • September 19, 2011
Tools for agriculture to improve health
7
Agriculture and FoodValue Chain Approaches
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•Build capacity into local food chains to raise quality and lower price
Mutual Metrics
Mutual metrics are results indicators shared between agriculture and health. EXAMPLES:
• Volume of fresh fruits and vegetables timely delivered to consumer markets • Substitution of healthier oils for palm oil
in processed foods
Bringing Agriculture to the Table • September 19, 2011
Agriculture can improve health by…
8
Partnering for New Programs and Policies
EXAMPLES:
•Limit marketing to children and reduce sodium and fat content in products. Report progress to the public and WHO
• Partner with companies in the developing world to help small food processors produce safe, nutritious, affordable food products
Creating New Policy for a Healthy Food Supply
EXAMPLES:
•Voluntary or mandatory reductions in salt and trans fat content of foods
•Limitations on sales and marketing of high-sugar products to children
•Calorie information on restaurant menus
Bringing Agriculture to the Table • September 19, 2011
Key recommendations at a glance
National governments
businessesDonors
Consumers and their
representatives
International organizations
Agri– food
Bringing Agriculture to the Table • September 19, 2011
Key recommendations at a glance
Agri-food Businesses: Work with researchers in developing countries to characterize the local food supply and diet
National governments
businessesDonors
Consumers and their
representatives
International organizations
Agri– food
National governments
International organizations
businessesAgri– food
Bringing Agriculture to the Table • September 19, 2011
Key recommendations at a glance
Agri-food Businesses: Build a shared value ethos into media and government relationsNational
governments
businessesDonors
Consumers and their
representatives
International organizations
Agri– food
National governments
International organizations
businessesAgri– food
Bringing Agriculture to the Table • September 19, 2011September 19, 2011
thechicagocouncil.org/HealthyAgandNCD