Table A2.3 Multisector Interventions Designed to Reduce NCD Risk Factors, Organization for Economic Cooperation and Development and the Americas Risk Cost- Intervention Examples of successful Interventions Sectors factor effectiveness interventions at the international selected in involved level Component 2 Salt-reduction North Karelia, Finland, community Salt-reduction Agriculture, strategies program subsequently extended strategies focused health, food nationwide on foods industry, food consumed by the retail industry, poor (i.e., breads, advertising cold cuts, canned industry, city foods) governments, the legislature, Replacing Monitoring of New York City, ban on fats • trans fats Food Code others Denmark, legislation regulating • application to trans fat levels in processed foods reduce amount of • Puerto Rico, ban on trans fats trans fats in processed foods Nutrition United Kingdom, food labeling • labeling (Traffic Light System) United States, 1994 Nutrition and • Best buya Education Bill New York City, regulation on • calorie content in restaurants United States, 2010 Health Care • Act extended requirement of diet nutritional labels on to chain restaurants nationwide Social-media Social campaigns United States, • “5-A-Day” Unhealthy campaigns focused on dietary campaign to increase consumption habits more of fruits and vegetables prevalent among Wheeling, West Virginia (U.S.), • the poor or less” campaign to switch to “1% low- or no-fat dairy products to reduce heart disease Europe, EPODE project • Regulating • Industry self-regulation: advertising International Chamber of Commerce on marketing Code, School Beverage Guidelines, of foods and Children’s Food and Beverage beverages Advertising Initiative high in salt, United Kingdom, statutory • Other fat, and sugar, regulation on advertising especially to children Taxes and United States, taxes on sodas • subsidies to Poland, elimination of butter and • promote lard subsidies healthy diets
Table A2.3 Multisector Interventions Designed to Reduce NCD Risk Factors, Organization for Economic Cooperation and Development and the Americas Risk factor Cost- effectiveness Intervention Examples of successful interventions at the international level Interventions selected in Component 2 Sectors involved Unhealthy diet Best buya Salt-reduction strategies North Karelia, Finland, community program subsequently extended nationwide Salt-reduction strategies focused on foods consumed by the poor (i.e., breads, cold cuts, canned foods) Agriculture, health, food industry, food retail industry, advertising industry, city governments, the legislature, others Replacing trans fats • New York City, ban on fats • Denmark, legislation regulating trans fat levels in processed foods • Puerto Rico, ban on trans fats Monitoring of Food Code application to reduce amount of trans fats in processed foods Nutrition labeling • United Kingdom, food labeling (Traffic Light System) • United States, 1994 Nutrition and Education Bill • New York City, regulation on calorie content in restaurants • United States, 2010 Health Care Act extended requirement of nutritional labels on to chain restaurants nationwide Social-media campaigns • United States, “5-A-Day” campaign to increase consumption of fruits and vegetables • Wheeling, West Virginia (U.S.), “1% or less” campaign to switch to low- or no-fat dairy products to reduce heart disease • Europe, EPODE project Social campaigns focused on dietary habits more prevalent among the poor Other Regulating advertising on marketing of foods and beverages high in salt, fat, and sugar, especially to children • Industry self-regulation: International Chamber of Commerce Code, School Beverage Guidelines, Children’s Food and Beverage Advertising Initiative • United Kingdom, statutory regulation on advertising Taxes and subsidies to promote healthy diets • United States, taxes on sodas • Poland, elimination of butter and lard subsidies
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