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Addressing public
                            health, sustainability and equity
Public Health Association
      AUSTRALIA                 from paddock to plate
CALL TO ACTION

The Public Health Association of Australia (PHAA) is calling for an overhaul in the way we approach
food policy in this country. The PHAA is calling on:




   consistency in policy


   centralised food policy that has public interest at its core
                                                                  www.phaa.net.au;


                                                                  public interest


   guideline review that is currently underway



                                                                  support for this initiative at www.phaa.net.au




   health and are ecologically sustainable and socially




   2
OVERVIEW

social inequality are national priorities for Australia. In each of
these areas food policy plays a crucial role yet the approach to



                                                                      and Medical Research Council (NHMRC) Dietary Guidelines.




                                                                      approach that can actively address the pressing issues of




as well as adapt to new challenges.                                   patterns of Australians.

The PHAA believes it is possible to establish a food policy




                                                                                                                                  3
10
                                9
                                8
                                7
                                6
                                5
                                4
                                3
                                2
                                1
                                0




                                    1950


                                                1960

                                                       1970

                                                              1980

                                                                     1990

                                                                             2000

                                                                                    2010

                                                                                           2020

                                                                                                  2030

                                                                                                         2040

                                                                                                                2050
                     Source: U.S. Census Bureau. International Data Base. August 2006 version.




        The PHAA recognises that it is beyond the scope of this


        A Future for Food




                                                       2
                                    1
          Relative Intensity




                                                                                                          Beverages
    1                                                                                                     Cereals/Carbs
                                                                                                          Chicken/Fish/Eggs
                                                                                                          Dairy Products
                                                                                                          Fruit/Vegetables
                                                                                                          Oils/Sweets/Cond
                                                                                                          Red Meat




                                             CO               CO            CO             CO




                                           Source: Weber, CL and Matthews HS Food Miles and the Relative Climate Impacts
                                           of Food Choices in the United States, Environ Sci Technol. 2008, 42, 3508-3513




4
The selection of foods to be incorporated into guidelines in




not all the biologically relevant aspects of a food.

This raises several concerns:




     certain nutrient criteria.

     There is inadequate consideration of


        styles of eating despite their capacity to provide




                                                               While PHAA believes nutrient adequacy by itself provides




                                                               that ensures the provision of foods that supply adequate
                                                               nutrients to ensure the continued healthy growth and




                                                                                                                          5
There is little question that Australia is facing a chronic disease
crisis.




year on health.



of these conditions. Type II diabetes has at least doubled in
the last two decades
                                              3




While the evidence suggests that rates of overweight and


health service costs of their current high prevalence are yet to




and the net cost of lost wellbeing (the dollar value of the burden

             4




There is also clear evidence that certain foods contribute to the




    6
World Health Organisation (WHO)



Health                                                             range of body weight


                                                                   Be physically active as part of everyday life


                                                                   WEIGHT GAIN




World Cancer Research Fund Recommendations

                                                  has reviewed


disease and osteoporosis to create cancer guidelines that reflect




disease.




                                                                                                                   7
PRODUCTION


                                                                            potential than CO




                                                              )


land degradation including soil loss and decreasing availability of
                                                         ability
arable land.




than transport and is only second to all stationary energy.
                                                         y.



                                                                      Australia is particularly vulnerable to water shortages and
                                                                         tralia pa ularly vulner                    s rtages
                            *
         2

               Prescribed
               burning of
               savannas
                                         of agricultural
                                         residues
     Agricultural


     Rice
     Cultivation
                                           Enteric
     Manure


   *CO



   Source AGO, 2007.




                                                                      land degradation.
                                    17




    8
Life Cycle Assessment




                                     to include actions to
had run out of food a could
  d      ut         and
                                    reduce dependency on
                                   refrigeration through local
of t health disad
   the    h disadvantage                                             tropical fruit (because it is transported by plane) and




                                         and effective food
change on food availability will
  ange                                   storage techniques.
                                                                     with beef having the greatest water footprint and vegetables




                                                                                                             and
According to Julian Cribb & Associates




Every stage of the food chain needs to be considered when




                                                                    Reijnders & Soret, Am J Clin Nutr 2003




                                                                                                                               9
Food waste




                                                                             and according to


                                                               Australians are wasting all of




based foods.

Food production methods   use of best by dating.




                            locally sourced food.
                            Weber & Mathews, Environ Sci Technology 2008




   10
The PHAA believes there is a need to ensure basic food literacy




structural changes in food policy are required to address these




                                                                  that food guidance is accepted and integrated by Australians.

calories worth of carrots.31




Good food policy:




                                                                                                                           11
socially equitable.



to change their eating habits and eat less of certain foods are


The PHAA believes industry should be encouraged to use their




practices in line with international trends.




   12
Consider the social inequalities in our society and
                                                             ensure that:




                                                                 ethically responsible


                                                                 including disadvantaged groups and future generations
    policy with public interest at its core


    public accountability for progress




Ensure the current dietary guideline review reduces the
burden of both chronic disease and addresses the re-
emergence of deficiency related disease by:



                                                                                               www.phaa.net.au




    and prevention of chronic disease


    have been shown to contribute to the burden of disease




                                                                 whole foods
Consider the environmental impact of our food choices and
develop public health nutrition recommendations that:




                                                                 food supply and register support at www.phaa.net.au



    the region




                                                                                                                    13
McMichael AJ. Integrating nutrition with ecology: balancing the




   14
University of Melbourne.




                           Melbourne.




                                        15
Public Health Association
      AUSTRALIA             February 2009

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PHAA Report - A Future For Food

  • 1. Addressing public health, sustainability and equity Public Health Association AUSTRALIA from paddock to plate
  • 2. CALL TO ACTION The Public Health Association of Australia (PHAA) is calling for an overhaul in the way we approach food policy in this country. The PHAA is calling on: consistency in policy centralised food policy that has public interest at its core www.phaa.net.au; public interest guideline review that is currently underway support for this initiative at www.phaa.net.au health and are ecologically sustainable and socially 2
  • 3. OVERVIEW social inequality are national priorities for Australia. In each of these areas food policy plays a crucial role yet the approach to and Medical Research Council (NHMRC) Dietary Guidelines. approach that can actively address the pressing issues of as well as adapt to new challenges. patterns of Australians. The PHAA believes it is possible to establish a food policy 3
  • 4. 10 9 8 7 6 5 4 3 2 1 0 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 Source: U.S. Census Bureau. International Data Base. August 2006 version. The PHAA recognises that it is beyond the scope of this A Future for Food 2 1 Relative Intensity Beverages 1 Cereals/Carbs Chicken/Fish/Eggs Dairy Products Fruit/Vegetables Oils/Sweets/Cond Red Meat CO CO CO CO Source: Weber, CL and Matthews HS Food Miles and the Relative Climate Impacts of Food Choices in the United States, Environ Sci Technol. 2008, 42, 3508-3513 4
  • 5. The selection of foods to be incorporated into guidelines in not all the biologically relevant aspects of a food. This raises several concerns: certain nutrient criteria. There is inadequate consideration of styles of eating despite their capacity to provide While PHAA believes nutrient adequacy by itself provides that ensures the provision of foods that supply adequate nutrients to ensure the continued healthy growth and 5
  • 6. There is little question that Australia is facing a chronic disease crisis. year on health. of these conditions. Type II diabetes has at least doubled in the last two decades 3 While the evidence suggests that rates of overweight and health service costs of their current high prevalence are yet to and the net cost of lost wellbeing (the dollar value of the burden 4 There is also clear evidence that certain foods contribute to the 6
  • 7. World Health Organisation (WHO) Health range of body weight Be physically active as part of everyday life WEIGHT GAIN World Cancer Research Fund Recommendations has reviewed disease and osteoporosis to create cancer guidelines that reflect disease. 7
  • 8. PRODUCTION potential than CO ) land degradation including soil loss and decreasing availability of ability arable land. than transport and is only second to all stationary energy. y. Australia is particularly vulnerable to water shortages and tralia pa ularly vulner s rtages * 2 Prescribed burning of savannas of agricultural residues Agricultural Rice Cultivation Enteric Manure *CO Source AGO, 2007. land degradation. 17 8
  • 9. Life Cycle Assessment to include actions to had run out of food a could d ut and reduce dependency on refrigeration through local of t health disad the h disadvantage tropical fruit (because it is transported by plane) and and effective food change on food availability will ange storage techniques. with beef having the greatest water footprint and vegetables and According to Julian Cribb & Associates Every stage of the food chain needs to be considered when Reijnders & Soret, Am J Clin Nutr 2003 9
  • 10. Food waste and according to Australians are wasting all of based foods. Food production methods use of best by dating. locally sourced food. Weber & Mathews, Environ Sci Technology 2008 10
  • 11. The PHAA believes there is a need to ensure basic food literacy structural changes in food policy are required to address these that food guidance is accepted and integrated by Australians. calories worth of carrots.31 Good food policy: 11
  • 12. socially equitable. to change their eating habits and eat less of certain foods are The PHAA believes industry should be encouraged to use their practices in line with international trends. 12
  • 13. Consider the social inequalities in our society and ensure that: ethically responsible including disadvantaged groups and future generations policy with public interest at its core public accountability for progress Ensure the current dietary guideline review reduces the burden of both chronic disease and addresses the re- emergence of deficiency related disease by: www.phaa.net.au and prevention of chronic disease have been shown to contribute to the burden of disease whole foods Consider the environmental impact of our food choices and develop public health nutrition recommendations that: food supply and register support at www.phaa.net.au the region 13
  • 14. McMichael AJ. Integrating nutrition with ecology: balancing the 14
  • 15. University of Melbourne. Melbourne. 15
  • 16. Public Health Association AUSTRALIA February 2009