Scientific Symposium on Food Safetycorporate071004-p4

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    NUTRITIONCHALLENGES INEUROPE AND THEPOLICY RESPONSEFrancesco BrancaRegional Adviser

    Nutrition and Food Security

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    Source: WHO Regional Office for Europe, 2006.

    Overweight in women (2000-2006)

    25%

    26-34.9%35-44.9%

    45-54.9%

    55-64.9%

    65%

    No data

    Measured

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    Trends of overweightamong school children

    Source: WHO Regional Office for Europe, 2006.

    0

    5

    10

    15

    20

    25

    30

    35

    40

    1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005

    Survey year

    Prevalence

    ofoverweight(in

    cludingobesity)

    (%)

    bothgende

    rs

    Denmark, 6-8 years

    Denmark, 14-16 years

    France, 5-12 years

    France, 5-6 years

    Germany, 5-10 years

    Germany, 11-14 years

    Germany, 5-6 years

    Iceland, 9 yearsNetherlands, 9 years

    Spain, 6-7 years

    Spain, 13-14 years

    Sweden, 6-11 years

    Sweden, 9-11 years

    Switzerland, 6-12 years

    UK, 5-10 years

    UK, 4-11 years

    UK, 11-12 years

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    Double burden of child malnutrition

    Source: Adapted from CattaneoA et al. Child nutrition in CEE and CIS countries: report of a situation analysis. Geneva,

    UNICEF, 2007.

    0.0

    5.0

    10.0

    15.0

    20.0

    25.0

    Bela

    rus

    Cro

    atia

    Bulgaria

    Georgia

    TFYR

    ofMaced

    onia

    Serbia

    Ukraine

    Kyrgyz

    stan

    Armenia

    BosniaandHerzego

    vina

    Kazakh

    stan

    Russian

    Federa

    tion

    Uzbeki

    stan

    Montene

    gro

    Romania

    Albania

    Azerbaijan

    Tajikistan

    Percentage

    (%)

    Underweight Overweight

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    Anaemia in Preschool Children

    Normal (

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    Food safety problems Microbiological, including zoonoses and

    antibiotic resistance Chemical

    Radioactive isotopes

    Risks from new production, packagingand processing technologies

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    Positive developments, butstill far from targets

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    Childhood obesity epidemiclevelling off in Sweden since 2000? Gteborg : OW decreased in girls

    Stockholm : OW + OB decreased in

    girls and OB decreased in boys Karlstad, Ume, Vsters Ystad : OB

    decreased in boys and girls

    Source : Lissner et al., IJO 2007

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    Intake of saturated fatty acids ishigher than recommended

    0

    2

    4

    6

    8

    10

    12

    14

    16

    18

    IsraelItaly

    Portugal

    Serbia

    S

    pain

    Croatia

    Norway

    Bulgaria

    Po

    land

    Kazakhstan

    Greece

    Georgia

    UnitedKing

    dom

    Lithuania

    Fin

    land

    Germany

    Hun

    gary

    Slovenia

    Iceland

    Denmark

    Sweden

    France

    Belarus

    Belgium

    Au

    stria

    %Energy

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    Supply of fruit and vegetables is belowthe recommendations in many countries

    >600g/person/day

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    Food safety : uneven progress

    Improved situation in many EU

    countries due to rigid regulation

    Major food safety challenges in the

    Balkan and CIS region Foodborne diseases incompletely

    reported New threats will occur

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    The modern food system Globalisation of food trade

    Longer and more centralised foodchain

    Concentration of food retail

    Urban food deserts

    Increased consumption of industrially

    processed foods Increased consumption of foods out-of-

    home

    Di t i i fl d b f t f

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    Agricultural policies

    Trade and fiscal policies

    Social policies

    Urban planning policies

    Consumer protection policies

    Educational policies

    Food production,processing and retaildistribution

    SUPPLY DEMAND

    Individualchoices

    Price

    Availability

    Quality

    Safety

    Knowledge,attitudes,

    practices

    Income

    Diet is influenced by features of

    supply and demand

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    The Revised Action Plan forFood and Nutrition Policy

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    Why a Revised Action Plan? The 2000 Action Plan

    promoted the development ofnutrition policies

    Nutrition policies are not fully

    implemented New challenges

    New policy developments

    FOO D AND NUTRITION

    ACTION P LANS IN THE WHO

    EUROPEAN REGION

    0%

    20%

    40%

    60%

    80%

    100%

    1994/95 1998/99 2005

    Yes No

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    What is new in the Food andNutrition Action Plan 2007 ? Common goals

    Detailed action areas to influencesupply of food and consumers

    behaviours International dimension and national

    specificities

    Implementation steps : actors,partnerships, priorities

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    Goals Nutrition : saturated fat, trans fatty acids,

    free sugars, fruit and vegetables, salt

    Food safety :risk based and tailored(salmonella, campylobacter, brucellosis)

    Food security : reduce hunger (MDG)

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    2007

    Oct Nov Jun Sep

    MemberSt

    atesConsultation,

    Copenhagen

    Ministe

    rialConference,Istanbul

    Coun

    terpartsm

    eeting,Paris

    2 Writtenconsultations

    57thReg

    ionalCommittee,Belgrade

    Outline 2 drafts Final draft20062005

    Comments ofdrafting group

    The development of the Action Plan

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    ACTION AREAS

    1. Supporting a healthy start2. Ensuring safe, healthy and

    sustainable food supply

    3. Providing comprehensiveinformation and educationto consumers

    4. Implementing integrated actions

    5. Strengthening nutrition andfood safety in the health sector6. Monitoring and evaluation

    HEALTHCHALLENGES

    Diet relatednoncommunicablediseases

    Obesity in childrenand adolescents

    Micronutrient

    deficiencies

    Foodbornediseases

    Challenges and action areas

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    Ensuring safe, healthyand sustainable food supply

    1. Improve the availability of fruitand vegetables

    2. Promote the reformulation ofmainstream food products

    3. Promote appropriatemicronutrient fortification ofstaple food items and developcomplementary foods withadequate micronutrient content

    4. Improve food supply and foodsafety in public institutions

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    Ensuring safe, healthyand sustainable food supply

    5. Ensure that the commercial offer of food

    products is aligned to food-based dietaryguidelines

    6. Explore the use of economic tools (taxes,

    subsidies)

    7. Establish targeted programmes for the

    protection of vulnerable groups

    8. Establish intersectoral food safety systemswith a farm to fork approach

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    Providing comprehensive informationand education to consumers

    1. Develop food-based dietary

    guidelines and food safetyguidelines, complementedby physical activityguidelines

    2. Conduct public campaignsaimed at informingconsumers

    3. Ensure appropriatemarketing practices

    4. Promote adequate labellingof food products

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    The actors

    Governments

    Civil society and professional networks

    Economic operators

    International actors

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    Role of WHO Promoting political commitment

    Providing technical and policy support

    Supporting and building capacity

    Performing policy analysis Generating evidence

    Assessing trends in nutrition and foodsafety

    Reporting on implementation

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    For more information Nutrizione e sicurezza

    alimentarewww.euro.who.int/nutrition

    Obesit in Europawww.euro.who.int/obesity

    HEPA Europewww.euro.who.int/hepa