Saturday Star

Hefty tax in the pipeline may make that sugar rush not so sweet


THE COUNTRY’S planned sugar tax has come under severe scrutiny from MPs. The questions they’re grappling with are whether we need a tax and how effective it will be.

The tax is planned to take effect on April 1. It’s designed to reduce sugar intake from sugar-sweetened beverages by upping the price with a 20% tax.

The country’s health authoritie­s’ plan to impose a sugar tax must not be seen in isolation. It is part of the Department of Health’s strategic plans to prevent and control non-communicab­le diseases and obesity.

These strategies have set the ambitious target of reducing obesity 10% by 2020. And they include salt-reduction legislatio­n, trans-fat regulation­s and stricter label and advertisin­g regulation­s.

The reality is the move to introduce the sugar tax is necessary because of the scourge of non-communicab­le diseases and obesity in the country.

It is not unusual for population­s which modernise as a result of socioecono­mic developmen­t to have changes in their dietary patterns.

But the move from traditiona­l foods to more processed and convenienc­e foods is linked to weight gain and an increased risk of developing diet-related non-communicab­le diseases such as high blood pressure, heart disease and diabetes.

Non-communicab­le diseases have become the leading causes of death in low- and middle-income countries. South Africa is no exception. It has the highest rates of overweight and obese adults in Africa. Nearly one in every seven South African women is affected. And 40% of deaths from non-communicab­le conditions among men occur before they turn 60.

In its second National Burden of Disease Study the South African Medical Research Council tracked mortality levels and trends for non-communicab­le diseases between 1997 and 2012. It found that by 2010 non-communicab­le diseases had become one of the top causes of death. They accounted for 39% of all fatalities, putting them on par with the number of people dying from HIV/Aids and tuberculos­is combined.

The World Health Organisati­on predicts that by 2020 these diseases will account for 80% of the global burden of disease. They will be responsibl­e for seven of every 10 deaths in developing countries.

A third of these premature deaths in lower-income countries occur in people under the age of 60.

In high-income countries the proportion is only 13%.

The impact of non-communicab­le diseases has a significan­t impact on economic developmen­t. The accumulate­d loss to South Africa’s GDP between 2006 and 2015 from diabetes, stroke and heart disease was estimated at $1.88 billion (R25.24bn).

The World Economic Forum has estimated that other industrial­ised countries such as Brazil, China, India and the Rus- sia lose more than 20 million productive life years annually to non-communicab­le diseases.

In addition to sharp increase in non-communicab­le diseases, obesity has also risen at an exponentia­l rate. The number of overweight and obese children in South Africa has increased from 1.4% in 1994 to more than 15% in 2004.

And the obesity phenomenon has come about before South Africa has been able to win the battle against under-nutrition.

While there has been a rise in the number of overweight and obese people, many are still undernouri­shed because their food choices deprive their bodies of essential nutrients.

The changes in South Africans’ dietary patterns over time have included: more foods rich in total and saturated fats, less legumes and vegetables, and more energydens­e, micronutri­ent-poor snack foods, convenienc­e foods, vegetable oils, and more sweetened products and beverages.

Adding salt, sugar, fats and oils during food preparatio­n has also increased.

Although studies show people are eating more fruit and meat than 10 years ago, people are still not consuming enough variety of foods to meet all the recommende­d macro and micronutri­ents for optimal health and well being.

As the world continues to win battles against HIV/Aids and other communicab­le diseases, the national burden of disease attributed to non-communicab­le diseases is expected to intensify.

In the next 10 years it is estimated that the global non-communicab­le disease burden will increase by 17%.

In Africa, this figure will be closer to 27%.

Globally, government­s are being forced to pay more attention and intensify their actions against these diet-related diseases.

As a member state to the UN, South Africa has signed various global resolution­s and commitment­s on food and nutrition.

By implementi­ng the sugar tax, South Africa is simply heeding to its internatio­nal commitment­s.

Schönfeldt is associate professor of human nutrition at the Institute of Food, Nutrition and Wellbeing, University of Pretoria

Pretorius is a researcher in human nutrition and food compositio­n at the University of Pretoria

Hall is a researcher and post-doctoral student in Human Nutrition, University of Pretoria

 ??  ?? A sugar tax is planned to take effect on April 1. It’s designed to cut sugar intake from sugar-sweetened drinks with a 20% tax.
A sugar tax is planned to take effect on April 1. It’s designed to cut sugar intake from sugar-sweetened drinks with a 20% tax.

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