The holiday season now upon us is a time for festivity, and usually overeating. But the rampant consumption of sugar that marks this time of year is nothing to celebrate.
In fact, the seasonal upsurge in sugar consumption is just part of a huge transition in world health that is now underway. Many countries, especially developing countries, are facing the consequences of huge changes in lifestyle: modifications in diet, lower levels of physical activity, and increased tobacco use.
ILLUSTRATION YUSHA
These changes are determined to a large extent by the globalization and expansion of food markets and by ever-greater levels of urbanization. Both of these factors incite sedentary behavior at home and at work, as well as profound alterations in dietary habits.
So it should be no surprise that noncommunicable diseases (NCDs), including cardiovascular diseases (CVDs), obesity, diabetes and cancer now kill 33 million people around the world each year and cause almost 60 percent of total deaths. Indeed, they account for almost half the global burden of disease.
By 2020, that contribution is expected to rise to 73 percent of all deaths and 60 percent of the global burden of disease. Moreover, more than 60 percent of these deaths occur in the developing world, and it is here that NCDs increasingly appear in younger age groups, which can have huge implications for how productive a country's workers are.
Recent data from China reflect the extent of the problem. In China's rural areas, with more than 800 million people, NCDs account for more than 80 percent of deaths.
Many countries are now afflicted by a double burden of diseases. Countries that still struggle with malnutrition and illnesses like malaria, tuberculosis, and HIV/AIDS must now contend with an explosion of CVDs, diabetes and obesity, as well as soaring rates of high blood pressure and high blood cholesterol.
Indeed, five of the 10 leading causes of death worldwide are related to diet and physical activity: high blood pressure, high cholesterol, low intake of fruit and vegetables, high body mass index and insufficient exercise. Clearly, effective strategies to tackle the NCD burden require a critical examination of what people are eating and their levels of physical activity.
The World Health Organization (WHO), together with a group of international experts, has developed a global strategy on diet, physical activity and health over a period of 18 months through an extensive series of consultations in more than 80 countries, and with the input of UN bodies, civic groups and food producers. One of the strategy's key conclusions is that reducing the burden of NCDs requires a multi-sectoral approach. Like a toolbox, the strategy provides WHO members with a comprehensive range of policy options from which to choose.
Governments can act. Transport ministries should provide safe roads so that children can bike to school.
Finance ministers could tax unhealthy food and subsidize healthy food.
And education ministers should demand healthy school meals.
Many countries are already developing their own national strategies. Most of what WHO is recommending has been endorsed by public-health officials for many years. But we face a global problem, with many international stakeholders, and this requires an urgent and worldwide response.
Of course, there is considerable debate about what precisely makes for a healthy diet. This debate is both welcome and to be expected; improving diet and finding ways to increase physical activity is a complex issue. Moreover, there will always be groups with their own interests, using arguments that we do not have sufficient evidence to act. But there has been no challenge to the strategy's recommendations from the global scientific or public-health community.
The strongest critique has come from sugar associations, who claim that the upper limit of 10 percent on caloric intake from sugar is not based upon scientific evidence. However, more than 20 national and international reports from around the world by scientific bodies governing dietary recommendations set similar or lower targets for sugar intake.
The growing NCD and CVD burden is a time bomb for world health. The implementation of the WHO's strategy could lead to one of the largest-ever positive shifts in human health, putting populations throughout the world on pathways to lifelong and sustained improvements in well-being.
Kaare Norum is a professor of medicine and nutrition at the University of Oslo.
Copyright: Project Syndicate
Two sets of economic data released last week by the Directorate-General of Budget, Accounting and Statistics (DGBAS) have drawn mixed reactions from the public: One on the nation’s economic performance in the first quarter of the year and the other on Taiwan’s household wealth distribution in 2021. GDP growth for the first quarter was faster than expected, at 6.51 percent year-on-year, an acceleration from the previous quarter’s 4.93 percent and higher than the agency’s February estimate of 5.92 percent. It was also the highest growth since the second quarter of 2021, when the economy expanded 8.07 percent, DGBAS data showed. The growth
In the intricate ballet of geopolitics, names signify more than mere identification: They embody history, culture and sovereignty. The recent decision by China to refer to Arunachal Pradesh as “Tsang Nan” or South Tibet, and to rename Tibet as “Xizang,” is a strategic move that extends beyond cartography into the realm of diplomatic signaling. This op-ed explores the implications of these actions and India’s potential response. Names are potent symbols in international relations, encapsulating the essence of a nation’s stance on territorial disputes. China’s choice to rename regions within Indian territory is not merely a linguistic exercise, but a symbolic assertion
More than seven months into the armed conflict in Gaza, the International Court of Justice ordered Israel to take “immediate and effective measures” to protect Palestinians in Gaza from the risk of genocide following a case brought by South Africa regarding Israel’s breaches of the 1948 Genocide Convention. The international community, including Amnesty International, called for an immediate ceasefire by all parties to prevent further loss of civilian lives and to ensure access to life-saving aid. Several protests have been organized around the world, including at the University of California Los Angeles (UCLA) and many other universities in the US.
Every day since Oct. 7 last year, the world has watched an unprecedented wave of violence rain down on Israel and the occupied Palestinian Territories — more than 200 days of constant suffering and death in Gaza with just a seven-day pause. Many of us in the American expatriate community in Taiwan have been watching this tragedy unfold in horror. We know we are implicated with every US-made “dumb” bomb dropped on a civilian target and by the diplomatic cover our government gives to the Israeli government, which has only gotten more extreme with such impunity. Meantime, multicultural coalitions of US