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Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. ON THE CUSP OF A HEALTH REVOLUTION Nicole Corbett What’s your brand doing about it, AND FAST?

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Page 1: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute.

ON THE CUSP OF A HEALTH REVOLUTION

Nicole Corbett

What’s your brand doing about it, AND FAST?

Page 2: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 2

“LET FOOD BE THY MEDICINE AND

MEDICINE BE THY FOOD...” HIPPOCRATES

Page 3: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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DO YOU HAVE THE APPETITE FOR WHAT’S ON THE HEALTH & WELLNESS MENU?

HEALTH

CRISIS?

Rising obesity levels reach ‘crisis’ point around the world

CORPORATE

RESPONSE >>

Accept challenge or face financial consequences: 1) Resize 2) Reformulate 3) Diversify 4) Refocus

BE PROACTIVE

TO WIN! 5

CONSUMER

DEMAND!

Consumers actively try to change lifestyle and diet – demanding greater transparency in labelling and product ingredients

GOVERNMENT

ACTION…

Government spurred into legislative action amid rising health costs & social responsibility

4

3 2 1

Page 4: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 4

A HEALTH

CRISIS

UNFOLDS…

Page 5: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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AROUND THE WORLD, OBESITY AND HEALTH CONCERNS ARE ON THE RISE Prevalence high in Eastern Europe but growth has slowed

23% 8% 13% 22%

50% 20% 21% 24%

Global E.Europe

W.Europe

UK ASIA LATAM US Mexico

% change since 1990

38% 58% 54% 62%

29% 53%

66% 69%

Global E.Europe

W.Europe

UK ASIA LATAM US Mexico

Prevalence of Overweight BMI>25

Source: Global Burden of Disease Study 2013 (GBD 2013) Obesity Prevalence 1990-2013. Seattle, United States: Institute for Health Metrics and Evaluation (HME), 2014.

Page 6: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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58% 65% 61% 61% 60% 60% 60% 59% 58% 58% 58% 58% 57% 57% 57% 57% 56% 55% 54%

Prevalence of Overweight BMI>25

OBESITY/OVERWEIGHT IS COMMON, BUT GREATEST CONCERN WHERE IT CONTINUES TO GROW Spotlight on Hungary & Bulgaria – Turnaround in trend

8% 1%

14% 12%

-2%

19%

4% 12%

2% 6%

19%

4%

16% 12%

5% 9%

0%

14%

-7%

% change since 1990

Page 7: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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OBESITY CRISIS IS COMPLEX – OUR LIVES HAVE EVOLVED From manual to sedentary work; from home cooking to convenience

it’s a simple equation…

CONSUME

MORE

EXPEND

LESS 40 YEARS AGO

TODAY +500KCAL

Energy (kcal) imbalance

People in the EU are

consuming 500kcal/day more

than 40 years ago

Page 8: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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THE PROBLEM IS REAL

“In high-income countries, the risks of childhood obesity are greatest in lower socioeconomic groups. Although

currently the converse is true in most low- and middle income countries, a changing pattern is emerging. As

countries undergo rapid socioeconomic and/or nutrition transitions, they face a double burden in which inadequate

nutrition and excess weight gain co-exist “

ENDING CHILDOOD OBESITY REPORT, WORLD HEALTH ORGANISATION , JANUARY 2016

“For the first time in human history, children have a lower life expectancy than their parents. Our objective must be to

resolve this problem within a generation in order to ensure that those children being born today reach adulthood at a

normal weight”

BARACK OBAMA, FORMER US PRESIDENT

“I am not prepared to look back at my time here in this Parliament, doing this job and say to my children's

generation...We knew there was a problem with sugary drinks. We knew it caused disease. But we ducked the

difficult decisions and we did nothing”

GEORGE OSBORNE – UK CHANCELLOR, MARCH 2016

Page 9: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 9

CONSUMER

DEMAND

Page 10: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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MORE OVERWEIGHT THAN THEY THINK THEY ARE & LESS LIKELY TO TRY TO ACT ON IT

OF EASTERN

EUROPEANS

OVERWEIGHT

THINK THEY ARE

OVERWEIGHT TRYING TO LOSE

WEIGHT

58% 50% 45%

Source: Nielsen Global Survey Based on avg of Eastern European countries

LOW FAT/SUGAR

Page 11: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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INCREASING OBESITY LEVELS AMONG EMERGING MARKETS CAUSE FOR CONCERN

Size of bubble = increasing prevalence since 1990

35%

40%

45%

50%

55%

60%

35% 40% 45% 50% 55% 60% 65% 70%

UNITED STATES

MEXICO

RUSSIA

CZECH REPUBLIC

LITHUANIA

UNITED KINGDOM

GLOBAL

CROATIA

FRANCE

ROMANIA

ESTONIA

GREECE

SLOVENIA

ISRAEL

SLOVAKIA

HUNGARY

BULGARIA

LATVIA

UKRAINE

W. EUROPE

E. EUROPE

TR

YIN

G T

O L

OS

E W

EIG

HT

PREVALENCE OF OVERWEIGHT/OBESE BMI >25

TURKEY

POLAND

SERBIA

1. OVERWEIGHT BUT

NOT TRYING TO

REDUCE,

INCREASING THREAT

2. OVERWEIGHT BUT

TRYING TO REDUCE,

SOME THREAT STILL

3. LOWER LEVELS OF

OBESITY, ACTIVELY

TRYING TO REDUCE,

BUT STILL THREAT

GERMANY

4. NOT OVERWEIGHT

BUT THREAT

INCREASING

Page 12: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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WHERE ARE THE MISCONCEPTIONS VS THREATS?

NOT AS

OVERWEIGHT

BUT THREAT

INCREASING

OVERWEIGHT,

ACTIVELY

TRYING TO

REDUCE.

THREAT STABLE

OVERWEIGHT,

ACTIVELY

TRYING TO

REDUCE,

STILL THREAT

OVERWEIGHT,

NOT LIKELY TO

REDUCE,

THREAT STABLE

- INCREASING

EXAMPLES

RUSSIA

BULGARIA

LATVIA

EXAMPLES

SLOVAKIA

POLAND

ISRAEL

TURKEY

EXAMPLES SERBIA

GREECE

SLOVENIA

CROATIA

ROMANIA

ESTONIA

EXAMPLES

LITUANIA

HUNGARY

UKRAINE

UNITED KINGDOM

ALL GROUPS POSE A THREAT AND REQUIRE BEHAVIOURAL CHANGE

Page 13: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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HOW ARE CONSUMERS CHANGING THEIR LIFESTYLES TO FIGHT HEALTH ISSUES?

Page 14: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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E. EUROPEANS USE DIET TO LOSE WEIGHT, GREATER FOCUS ON LOW SUGAR AND FRESH & NATURAL FOODS Trying to lose weight by …

SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014

DOING EXERCISE CHANGING DIET

E. Europe

Global

61% 72%

81%

75%

E. Europe Global

56%

65%

65%

62%

61%

57%

SLOVENIA – 74%

CROATIA - 66%

ROMANIA - 74%

TURKEY- 65%

BULGARIA – 87%

SERBIA - 84%

CZECH REPUBLIC - 85%

RUSSIA/ISRAEL - 84%

E. Europe

Global

E. Europe Global

E. Europe Global

LOW

FAT

LOW

SUGAR

Page 15: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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MOST ACTIVE USE DIET AS PREVENTION TO HEALTH ISSUES BUT LESS THAN GLOBAL

Actively making dietary choices to help

prevent certain health conditions

(e.g. obesity, diabetes, high cholesterol, hypertension)

Source: Global health and wellness survey q2 2014

71%

79% GREECE – 84%

ROMANIA - 81%

SERBIA - 81%

E. Europe

Global

Page 16: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSUMERS ARE BECOMING MORE DISCERNING ABOUT FOOD CHOICES BUT LABELLING IS NOT TOP OF MIND FOR ALL

Willing to pay more for food

and drinks that do not contain

undesirable ingredients

Read packaging labels

carefully for nutrition

content

Choose local, natural and

organic alternatives

whenever possible

TURKEY – 86%

GREECE - 82%

ROMANIA – 81%

SERBIA – 77%

BULGARIA - 76%

UKRAINE - 74%

TURKEY – 91%

ROMANIA - 88%

GREECE – 88%

67%

75%

66% 68%

76% 76%

E. Europe

Global E. Europe

Global

E. Europe

Global

Page 17: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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RETHINKING WHERE THEY SHOP & WHAT THEY BUY

Source: global health and wellness survey q2 2014

Mostly shop for foods at specialty retailers that sell a wide variety of

healthy foods

Trust health claims on

food packages

Pay more for foods that

promote health benefits

TURKEY – 74%

RUSSIA - 62%

ESTONIA – 78%

LATVIA - 63%

POLAND – 63%

SERBIA – 83%

BULGARIA - 80%

ROMANIA – 77%

UKRAINE - 62%

46%

64%

52% 63%

68% 76%

E. Europe

Global

E. Europe

Global E. Europe

Global

Page 18: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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ATTITUDES ARE STARTING TO TRANSLATE INTO

SALES HEALTHY >INDULGENT CATEGORIES

+15% +11%

HEALTHY INDULGENT

E. EUROPE GLOBAL

+5%

E. EUROPE GLOBAL

+2%

Page 19: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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15%

47%

34% 32%

22% 21% 20%

14% 14% 13% 10%

6% 6% 4%

2% 1% 0%

11%

56%

6%

16% 18%

27%

11%

-1%

8% 5%

8% 8% 6%

2% 5%

0%

5%

E.EUROPE

Ukraine Czech Hungary Turkey Romania Bulgaria Poland Croatia Serbia Russia Slovakia Estonia Slovenia Latvia Greece Lithuania

Healthy Indulgent

SOME COUNTRIES WITH INCREASING INCIDENCE OF

OBESITY ARE CONVERTING ATTITUDES INTO ACTION

Represents increasing prevalence of obesity >10%

Page 20: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSUMERS BEGINNING TO DEMAND REMOVAL OF BAD INGREDIENTS

73% 75%

I am concerned about the long-term

health impact of artificial ingredients

The absence of undesirable ingredients

is more important than the inclusion of

beneficial ones

59% 62%

GREECE – 81%

UKRAINE - 78%

TURKEY - 79%

SLOVENIA - 76%

LITHUANIA – 72%

GREECE - 66%

ROMANIA - 66%

LATVIA - 64%

E. Europe

Global

E. Europe

Global

SOURCE: GLOBAL SURVEY Q1 2016

Page 21: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSUMER BACKLASH IN EASTERN EUROPE

OUTCRY OVER EU FOOD

"DOUBLE STANDARDS"

Some multinational brands use different,

often cheaper ingredients in food items

sold on the east side of Europe's old Iron

Curtain divide than in products sold in

adjacent Austria and Germany

Page 22: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSUMERS WANTING MORE VISIBILITY

They are becoming more educated

They will demand that what they

consume will not be bad for them and governments and monitoring bodies

will accelerate change

Page 23: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 23

GOVERNMENT

ACTION

Page 24: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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GOVERNMENTS CAN PLAY A VITAL ROLE IN FIGHTING OBESITY

• Established in 2015 as an annual campaign

with the goal of stimulating and supporting

practical actions that will help people

achieve and maintain a healthy weight and

reverse the global obesity crisis.

Source: www.obesityday.worldobesity.org

What started as a grass-roots campaign involving a small

group of concerned doctors and patients, quickly turned

into a major event with participants and activities across

many European countries.

Page 25: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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GLOBAL STRATEGY BUT IMPACT COMES VIA IMPLEMENTATION

JANUARY 2016

JUNE 2014

Page 26: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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AND THEY ARE VIA A VARIETY OF HEALTH INITIATIVES

Greece 13

Bulgaria 20

Romania 16

Turkey 9

Hungary 15

Serbia 6

Estonia 16

Croatia 12

Slovakia 16

Latvia 19

Lithuania 13

Poland 19

Czech 15

Slovenia 20

Ukraine 7

Click country label for specific initiatives

Russia 7

UK 33 FRANCE 26

Israel 7

Page 27: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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OBESITY COSTS GOVERNMENTS

SOCIAL RESPONSIBILITY FOR

LONG-TERM HEALTH OF CONSUMERS

LIMIT FINANCIAL BURDEN ON

HEALTH SYSTEM

GOVERNMENT SHOULD PLAY A ROLE?

An obese person “costs” more than a person

of a normal weight. Every year overweight

and obese children cause an increase in costs

of $14.1BN in outpatient visits,

pharmaceuticals and emergency medicines.

US Study, Barilla Centre for

Food and Nutrition

Maltese MEP Alfred Sant

Obesity has been estimated to cost the European

Union €70 billion annually through healthcare costs

and lost productivity.

Page 28: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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LET’S EXPLORE…..

TAX

LEGISLATION

PRODUCT

LABELLING

REQUIREMENTS

HEALTHY &

WELLNESS

INITIATIVES

GOVERNMENT ACTION

Page 29: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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THE ERA OF THE SUGAR TAX?

1. Pass on price increase

to consumers – reduce

consumption

Tax on products with

high sugar content

Puts financial burden

on manufacturer

2. Reformulate to

“healthier product” falling

under tax thresholds

3. Diversify product

portfolio to healthier non

tax products

LOW

SUGAR

Page 30: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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INTRODUCTION OF SUGAR TAX IS GAINING MOMENTUM

With active conversations occurring in many other parliaments

DENMARK HUNGARY CALIFORNIA

MEXICO

1930s 2011 1980s 2013 2015 2014 2016

NORWAY FRANCE

BARBADOS

CHILE

BELGIUM

UK Passed legislation

to introduce in 2018

2017

SPAIN

PORTUGAL

Page 31: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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AS SUGAR TAX GAINS POPULARITY, TAX RATE SEEMS LIKELY TO INCREASE

HUNGARY

10%

2011 2012 2015 2014 2016

FRANCE

3%

MEXICO

10%

BARBARDOS

10%

CHILE

8%

SOUTH

AFRICA

20% THALAND

20–25%

PHILIPPINES

30%

UNITED

KINGDOM

& IRELAND

19%

INDIA

40%

IMPLEMENTED BEING DISCUSSED

2016 and beyond

ESTONIA -

10-15%

SPAIN 8-50%

PORTUGAL?

Page 32: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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ACTIVE CONVERSATIONS OCCURRING IN MANY OTHER PARLIAMENTS

GREECE

2015

The proposal is to impose a tax rate

ranging from 8% to 10 % and will be

added to the products with 13% VAT

Discussed but not implemented

LITHUANNIA

Health minister has started

discussions in parliament

PORTUGAL

Feb 2017

Introduced smarter sugar tax

and now discussing fat tax

RUSSIA

2016

A draft law on excise introduction to

chips and sweet CSD categories

was passed to the State Duma of

Russia but rejected in January 2017

citing “Citizens’ health is not a

subject of the Tax code.

Ministry of Health suggested

banning advertising of specific junk

food – but no agreement reached in

parliament

ISRAEL

Implementation of traffic light

nutritional labelling from June

2017

SLOVAKIA

March 2017

Action Plan for Food and Nutrition for

the years 2017-2025 approved by

the government. Aim to reduce salt

trans-fatty acids and sugar in foods

ESTONIA

Finance minister wants to

implement a multi-stage sugar

tax which would be between 20-

36 cents per litter and which is

expected to generate tax

totalling €24 million as of 2018

CZECH REPUBLIC

2017

No tax yet, but clamp down on

advertising and sales of unhealthy

foods in schools. Downsizing of

large pack sizes.

PAST DISCUSSIONS Romania - 2010

Macedonia - 2016

Page 33: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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COUNTRIES HAVE FREEDOM TO IMPLEMENT TAXES

Member states are free to impose taxes on

products or activities that have a negative effect

on the environment or human health as long as

all products generating this negative effect are

taxed equally.

MARGARET VESTAGER

EU COMMISSIONER FOR COMPETITION

Page 34: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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HOT DEBATE: WILL A SUGAR TAX ACTUALLY CURB OBESITY?

Symbolic move –

won’t curb by itself

Erratic implementation

• Types of products e.g. CSD not sweets

• Calculations of tax

No guarantee

manufacturers will pass

on tax – revenue raiser

with no consequence

Minimal impact

in markets where

introduced e.g. Mexico

Carbonated

soft drink

consumption

is naturally

falling

Subsidising healthier foods may be a better example

of rewarding healthier choices

Page 35: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 35

WHAT HAPPENED

IN HUNGARY?

Page 36: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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WHAT HAPPENED IN HUNGARY? BACKGROUND

Highest average

per capital salt

consumption

2/3 of population

Overweight/

obese

2011 tax on

sweets, biscuits,

confectionary, soft drinks,

alcoholic beverages/sodas

Some govt campaigns

on salt consumption &

promoting health

check-ups

Page 37: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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WHAT HAPPENED IN HUNGARY? IMPACT

Avg price increase

29%

Annual price increase

of 12.3%

Sales of taxed

categories -27%

40% of “unhealthy”

food manufacturers

changed product

formulas to reduce

(28%) or eliminate

(12%) unhealthy

ingredients

59-73% consumers who

reduced their consumption

straight after tax introduced

also consumed less in long

term (2014 than previous)

Price barrier has made

consumers seek healthier

alternatives

Improved nutrition literacy

has been one of the

outcomes of the tax

improving nutrition behaviour

Reduction in the

availability of unhealthy

food items

Page 38: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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THE RESULT

“A large numbers of Hungarians have reduced their

consumption of those foodstuffs.

For example 30% have reduced their consumption

of pre-packaged sweets, 22% of energy drinks and

19% of sugar-sweetened soft drinks.”

DR EVA MARTOS – NATIONAL INSTITUTE OF PHARMACY & NUTRITION

Page 39: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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LESSONS LEARNT – STRATEGIES TO OVERCOME TAX

Plan for budget re-

distribution by shoppers

& shopkeepers

DECIDE ON YOUR PRICING

STRATEGY EARLY

“ MONEY MAKING”

• Premiumiumization via innovation

• Smaller packs are less price

sensitive

“ PASSING THE BUCK”

• Downsizing

“ VOLUME PLAY”

• Promotions

• Value packs

MAKE PRICING DECISIONS AT

THE PORTFOLIO LEVEL

Extend support to

shopkeepers

Expand footprint &

focus on low calorie

alternatives

Keep your eye

on the “price”

Innovate via

reformulation

Page 40: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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SIN TAX.. WHAT CAN WE LEARN FROM TOBACCO?

• Launch mid price • Bet on premium users • Work closely with trade outlets • Look after your low cost line • Delay tax implementation

• Most taxed category in the world

• Sees 4% sales drop on average per 10% price increase

• Consumers tend to stock up before taxes kick in

• Smaller packs used to keep old price levels

• Ensure full availability of the more affordable product

• Pack content reduction can be perceived as (indirect ) price increase

WHAT STRATEGIES HAVE TOBACCO COMPANIES USED?

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SUGAR TAX, FAT TAX, SALT TAX, SIN TAX…

Companies that are proactively looking for ways to

improve healthiness of their product portfolios will win

WHO’S NEXT?

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DOES TAX LEGISLATION WORK?

A large numbers of Hungarians have reduced their consumption of those foodstuffs.

For example 30% have reduced their consumption of pre-packaged sweets, 22% of energy drinks

and 19% of sugar-sweetened soft drinks.

“Taxes also help shift social norms. Consider tobacco: Increasing the price of cigarettes through taxation

was one of the biggest contributors to driving down the smoking rates. "Smoking rates didn't drop

immediately, and taxation had a small effect on consumption immediately. But eventually the taxes had an

effect, "and with fewer people smoking ... it becomes less acceptable to smoke, so it was a feedback

loop." The same could happen with soda consumption.” ROLAND STURM

SENIOR ECONOMIST AND PROFESSOR OF POLICY ANALYSIS AT RAND

DR EVA MARTOS

HUNGARIAN NATIONAL INSTITUTE OF PHARMACY & NUTRITION

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TAX IS ONLY ONE FISCAL MEASURE FOR GOVERNMENTS

SCOTLAND TARGETING

SUPERMARKET PROMOTIONS

“To help tackle the obesity crisis the

Scottish government has to do more

to ensure food manufacturers and

retailers make their promotions more

responsible and commit to targets to

reduce their sugar, sat and saturated

fat levels?

FRANCE BANS

REFILLABLE CUPS IN

QUICK SERVICE REST.

“I understand it can be attractive for

young people who are offered

unlimited sugary drinks, which contain

an excessive amount of sugar or

sweeteners.“ “France must be an

example to the world in the quality of

its food, starting with its children”

ENGLAND JUNK FOOD ADS

BANNED FROM KIDS’ DIGITAL

VIEWING – WHO REPORT

“Allowing advertisers and the food

industry to market products high in

salt, fats and sugars to children

through digital platforms with

inadequate regulation can have huge

health and economic consequences.”

Page 44: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSUMERS WANT TRANSPARENCY ON LABELLING

I pay close attention to the

ingredients in the food and

drinks I consume

I feel more positively about

companies that are transparent

about where and how products

were made/raised/grown

I want to know everything

that is going into my food

Eastern Europe

E. Europe

Global

67% 71%

76%

71%

73% 73%

RUSSIA - 74%

TURKEY - 73%

UKRAINE - 73%

SERBIA- 72%

UKRAINE - 83%

TURKEY - 81%

SERBIA - 81%

RUSSIA - 81%

LATVIA – 80%

SERBIA - 77%

SLOVENIA - 77%

GREECE - 77%

E. Europe

Global

E. Europe

Global

PRODUCT

LABELLING

REQUIREMENTS

Page 45: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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NUTRITIONAL LABELLING HAS COME A LONG WAY Food Information Regulation October 2012

http://www.eufic.org/en/healthy-living/article/nutrition-labelling-becomes-mandatory-in-europe

ALL MEMBER STATES - NUTRITION LABELLING MANDATORY FROM 13 DEC 2016

Food manufacturers to provide information on the energy value and 6 nutrients in order expressed per

100 g or per 100 ml of product :

• fat

• Saturates

• Carbohydrate

• Sugars

• Protein

• salt

Presented in a nutrition table in “field of vision” (most likely to be the back of he pack), and may in addition

be expressed on a per portion basis. Further nutrients (i.e. monounsaturates, polyunsaturates, polyols,

starch, fibre, vitamins and minerals) can be included voluntarily.

It is important to recognise that the regulation only mandates nutrition labelling in the same field of vision,

commonly on the ‘back of pack’; labelling in the principal field of vision (e.g. ‘front-of-pack’) remains

voluntary.

Page 46: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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SOME GOVERNMENTS NOW MANDATE SPECIFIC HEALTH CLAIMS

The UK government endorsed voluntary scheme with front

panel colour-coded nutritional information from 2014

Eg - Slovakia Mandatory Nutritional

labels as per EU

EUROPE UNION – Mandatory Nutritional labels

from Dec 2016

Front of Pack (FOP) Labelling is voluntary

Lithuania introduced voluntary “key hole” symbol, initiated in Sweden

where manufacturers can use if meet health guidelines

Page 47: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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CONSENSUS VS. IMPLEMENTATION

“There is agreement on the need to provide consumers with more consistent,

informative and simpler nutrition information on food labels.”

EUROPEAN FOOD INFORMATION COUNCIL

Which labelling scheme

gives the best

guidance from a

nutritional point of view?

Nutrition labelling policy should take into account

consumer use, interpretation and understanding

of different nutrition labelling schemes, but it is

the impact on purchasing decisions and

overall diets that matters.

How can consumers best be

helped to make good use of

nutrition labels to make better

food choices?

BUT QUESTIONS REMAIN:

Page 48: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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WHAT LIES AHEAD……

“The impact of unhealthy food on people’s health is comparable with the effects of

smoking.”

DIRECTOR GENERAL OF CONSUMERS INTERNATIONAL

Packaging changes showcasing shocking images of health consequences of obesity?

?

Page 49: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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GOVERNMENTS ARE TRYING TO CURB OBESITY VIA PROMOTING HEALTHY LIFESTYLES

GREECE

SALT REDUCTION STRATEGY

UNITED KINGDOM: NHS –

CHANGE FOR LIFE PROGRAM TURKEY: FIGHTING OBESITY

CAMPAIGN, 10,000 STEPS,

MAKING SMALLER PORTIONS

CZECH REPUBLLIC

BRING MILK TO SCHOOL

BRING FRUIT & VEG TO SCHOOL

SLOVAKIA

LET’S TALK ABOUT FOOD CAMPAIGN

education of children and young people about

food and good eating habits as part of a healthy

lifestyle, about the role of food in health

protection

HUNGARY

SCHOOL CANTEEN REFORM & DAILY PE

TAKE A GOOD LOOK AT YOUR SELF – salt reduction campaign

LITHUANIA: variety of public health

initiatives, organizing healthy eating, healthy

lifestyles and disease prevention activities -

POLAND: Government legislation to ban junk

food in schools

HEALTH &

WELLNESS

INITIATIVES

Page 50: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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THE HEALTH REVOLUTION HAS BEGUN…

CONSUMERS WANT TRANSPARENCY

GOVERNMENTS ARE ALREADY & WILL

CONTINUE TO LEGISLATE

BUSINESS MUST ACT NOW

Page 51: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 51

CORPORATE

RESPONSE

Page 52: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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DISTINCT HEALTH STRATEGIES ARE EMERGING

DIVERSIFY REFORMULATE RE-FOCUS RESIZE & RESTRICT

1. 2. 3. 4.

1 4 3 2

Page 53: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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1. RESIZE & RESTRICT

DOWN SIZE LIMIT CONSUMPTION

OCCASIONS

“Goodbye to the king size: Mars to

downsize candy bars in 2013”

“When’sa your Dolmio day?

‘Occasionally’, new labels to say”

Page 54: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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2. REFORMULATE

CZECH

Emco

launched

100% fruit

muesli bars

Pepsi introduced

“Hello Goodness”

vending machines

with healthy

products

providing

nutritional

information and

recommendations

based on

time of day

CZECH

PepsiCo targets

to significantly

reduce sugar in

2/3 of soft drinks

to 2025.

SLOVAKIA Heineken brand

Zlatý Bažant

launched a non

alcohol radler

(shandy) - claims

to be 100%

natural, 100% light,

alcohol free, by

30% less sugar

LOW SUGAR

Page 55: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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BUT AUTHENTICITY IS VITAL: STAND BEHIND CLAIMS

I feel more positive about companies that are

transparent about where and how products were

made/raised/grown

Health claims are just a way for food

and beverage companies to charge

more money

LATVIA – 80%

SERBIA - 77%

SLOVENIA - 77%

73% 73%

63%

58%

GREECE - 77%

CROATIA – 78%

LITHUANIA - 69%

SERBIA - 77%

ISRAEL - 71%

Eastern Europe

E. Europe

Global

E. Europe

Global

Page 56: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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3. DIVERSIFY TO GROW

RUSSIA

PepsiCo launched

a new product: J7

juice with fibre

from fruits

POLAND

Danone launches new

children’s range of

water to encourage

water rather than soft

drinks/juice at

young age

HUBERT

GRAND ZERO

DOSAGE – TRUE

REFRESHMENT

WITHOUT SUGAR

DRINK WATER

FROM EARLY AGE

“FIBRE OF A

WHOLE APPLE IN

EVERY GLASS”

SLOVAKIA

Hubert launches

sparkling wine with no

sugar - suitable

choice for people who

have to watch over

their blood sugar

SPAIN

Coke launches low

cal product in Spain,

exotic ingredients

and fits with healthy

and active lifestyle

“COCA-COLA TURNS

TO BAOBAB IN NEW

LOW CALORIE SOFT

DRINK BRAND’”

Page 57: ON THE CUSP OF A HEALTH REVOLUTION - Nielsen Global Media · SOURCE: GLOBAL HEALTH AND WELNNESS SURVEY Q2 2014 DOING EXERCISE CHANGING DIET E. Europe Global 61% 72% 81% 75% E. Europe

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WHAT DO CONSUMERS WANT ON SHELF? Preference differ depending on current availability and diversity of needs

RANK CZECH

REPUBLIC ESTONIA GREECE CROATIA HUNGARY LITHUANIA LATVIA POLAND

1 ALL NATURAL

NO

ARTIFICIAL

FLAVORS

ALL

NATURAL ALL NATURAL ALL NATURAL ALL NATURAL

NO ARTIFICIAL

COLORS

NO ARTIFICIAL

COLORS

2 NO ARTIFICIAL

COLORS

NO

ARTIFICIAL

COLORS

GMO FREE GMO FREE

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

FLAVORS

GMO FREE ALL NATURAL

3 NO ARTIFICIAL

FLAVORS ALL NATURAL

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

FLAVORS

NO

ARTIFICIAL

COLORS

ALL NATURAL NO ARTIFICIAL

FLAVORS

RANK ROMANIA RUSSIA TURKEY UKRAINE BULGARIA SLOVAKIA SERBIA SLOVENIA ISRAEL

1 ALL NATURAL ALL

NATURAL

ALL

NATURAL

ALL

NATURAL GMO FREE

NO

ARTIFICIAL

FLAVORS

ALL

NATURAL

ALL

NATURAL

NO

ARTIFICIAL

COLORS

2

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

FLAVORS

ORGANIC

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

COLORS

GMO FREE

NO

ARTIFICIAL

COLORS

NO

ARTIFICIAL

FLAVORS

3

NO

ARTIFICIAL

FLAVORS

NO

ARTIFICIAL

COLORS

GMO FREE

NO

ARTIFICIAL

FLAVORS

ALL

NATURAL

ALL

NATURAL ORGANIC

NO

ARTIFICIAL

FLAVORS

ALL

NATURAL

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4. REFOCUS

“Imagine a Nespresso pod, perhaps, but for high cholesterol."

ED BAETGE, NESTLÉ INSTITUTE OF HEALTH SCIENCES

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CONSUMERS BELIEVE SUPERFOODS HAVE A DEFINITE ROLE TO PLAY

Superfoods provide a natural way to

treat and prevent ailments

ROMANIA - 71%

56% 65%

TURKEY - 70%

SERBIA - 67%

Superfoods are a good replacement for

prescription medications

BULGARIA - 53%

39%

45%

ROMANIA - 56%

CROATIA - 49%

Source: Nielsen Global Survey Q3 2016

E. Europe

Global

E. Europe

Global

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INGREDIENTS FOR PREVENTION VS TREATMENT DO DIFFER BUT SOME COMMONALITIES

Of Consumers using food/spice, what percentage use to prevent or treat an ailment

13%

16%

16%

16%

17%

17%

18%

19%

20%

29%

Coconut Oil

Seaweed

Goji Berries

Mustard Greens

Chia seeds

Hemp Seeds

Black Garlic

Buckwheat honey

Ginger

Acai Berries

TOP 10 SUPERFOODS TO TREAT AN AILMENT – E. EU

37%

38%

38%

40%

44%

46%

47%

48%

52%

58%

Oats / steel-cut oatmeal

Acai Berries

Buckwheat honey

Seaweed

Coconut Oil

Ginger

Hemp Seeds

Chia seeds

Goji Berries

Maca Powder

TOP 10 SUPERFOODS TO PREVENT AN AILMENT – E. EU

Source: Nielsen Global Survey Q3 2016

*Poi is highly popular in Russia, Hungry & Ukraine *Poi is highly popular in Hungry & Ukraine

*Maca Powder is used to treat in few countries with highest being in Estonia, Serbia & Hungary

*Ligon Berries is largely preferred in Serbia & Turkey

Kimchi has seen the highest usage in Hungary, Serbia & Ukraine

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te.

BUT DESPITE WANTING THEM, NOT ALWAYS EASY TO FIND

I would buy foods that include

superfood ingredients in them

TURKEY - 70%

ROMANIA - 70%

SERBIA - 69%

Superfoods are hard to find in

the stores in my area

TURKEY - 47%

CROATIA - 47%

BULGARIA - 58%

67% 57%

43%

38%

Source: Nielsen Global Survey Q3 2016

Eastern Europe

E. Europe

Global

E. Europe

Global

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COMPANIES MOVING AWAY FROM CORE

Hormel launches food for

cancer patients

“Here’s How Nestlé’s New

CEO Is Going to Transform

the Company”

It shows Nestle really wants to

transform the business and not

just do a little bit of health and

wellness on the side.

Traditional FMCG

companies enter

new territories

Campbell’s soup moves

into plant-based

protein milks

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BE PROACTIVE

TO WIN

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IT’S ALREADY HAPPENING…

HEALTH

TECHNOLOGY SUSTAINABILITY

CONVENIENCE

Less Is

More

Morally

conscio

us foods

Uber Eats

(from restaurant

to pantry?)

Smartphone

staple

Gourmet convenience

Cleaner

labels

Wearable

health

alerts

OBESITY LAW

SUITS

Potential or

frivolous?

CORPORATE

RESONSIBILITY

IN MANDATORY

REPORTING

BE PREPARED FOR

WHAT’S AROUND THE CORNER TRENDS WILL CONVERGE

& CONNECT

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ARTIFICIAL INTELLIGENCE CONVERGES WITH FOOD

1. SELECT

INGREDIENTS 2. CHOOSE

RECIPE

TODAY

TOMORROW

BRANDED

INGREDIENT

LIST

HEALTH &

NUTRITONAL

SCORING

Source: https://www.ibmchefwatson.com

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NESTLÉ & SAMSUNG COLLABORATION

A smartphone application seems the

likeliest product that the pair would bring to

market, supported by dedicated wearables

and home appliances for consumers

wishing to extend the functions of that app.

With coupons and advertising in the app,

Nestlé is well-positioned to boost its sales,

particularly to health-conscious

consumers that like to spend money on

products that claim to improve their

wellbeing.

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THE HEALTH & WELLNESS STORY UNFOLDED

Health will continue

to remain

#1 priority

Consumers want

transparency

and choice to make

better food decisions

Governments will continue

to put pressure on

companies to be

accountable and

transparent

• Transparency on ingredients and labelling

• Movement to natural, simple ingredients

• Proactive on product reformation

• Leaders in proven “functional foods”

• Leverage technology to enrich consumer experience

and healthy relationship with brands

• Measure, monitor and self regulate for consumer good

Corporations must be

proactive and be prepared:

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Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 68

APPENDIX

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GOVERNMENT INITATIVES – GREECE (1/3)

Source: World Obesity Organisation

GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

The Toy Box Intervention The Toy Box intervention is a multicomponent, kindergarten-based, family-involved intervention, focusing on the

promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in

preschool children and their families.

EPHE (EPODE for the Promotion of

Health Equity)

The EPODE project enables communities to implement effective and sustainable strategies to prevent childhood

obesity. Its philosophy includes a positive, step-by-step approach tailored to the needs of all socio-economic groups.

Launched in 2012, the project aims to reduce socio-economic inequities linked to health-related behaviour of families in

7 European countries over three years.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

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GOVERNMENT INITATIVES – GREECE (2/3) GOVERNMENT INITIATIVE DESCRIPTION

National Nutrition Policy Initial goals of this policy is to reduce the consumption of meat; to increase the consumption of fish; to reduce childhood

obesity; to increase the consumption of pulses and vegetables; to improve the quality and safety of food provided

through mass catering services and increase consumer awareness of food quality and safety.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Dietary guidelines for adults in

Greece

The guidelines in this document are of semi-quantitative nature and aim to promote healthy eating and balanced

nutrition in the adult population.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – GREECE (3/3) GOVERNMENT INITIATIVE DESCRIPTION

Paideiatrofi The Paideiatrofi-programme aims to educate the population on a healthy and balanced diet to reduce the childhood

obesity rates in Greece. It helps children and their whole family to change their lifestyle in a radical and sustainable

way.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – POLAND (1/4) GOVERNMENT INITIATIVE DESCRIPTION

Keep Balance National, long-term campaign aiming to prevent overweight, obesity and chronic diseases by focusing on nutrition and

physical activity.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

National Health Programme 2007-

2015 (Narodowy Program Zdrowia na

lata 2007-2015)

National Health Programme - document in Polish

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

National programme for the

prevention of overweight, obesity and

non-communicable diseases through

diet and improved physical activity

2007-2016

The programme is carried out in cooperation with the Polish Platform for Action on Diet, Physical Activity and Health,

which was established in July 2005 with a particular focus on counteracting and preventing overweight, obesity and

other diet-related diseases. The National Programme aims to reduce the incidence of overweight and obesity mainly by

improving nutrition and increase of physical activity, reduce morbidity, and mortality from chronic non-communicable

diseases, but does not refer to marketing to children.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – POLAND (2/4) GOVERNMENT INITIATIVE DESCRIPTION

Code Governing Food Advertisement

Addressed to Children (the Code)

A Code based on the solutions contained in the EU Pledge and prohibits advertising of food in the media when more

than 50% of the audience consist of children under the age of 12. In addition the code does not allow advertising of

food in primary schools.

Sport Development Programme 2020 The vision set out in the Programme, to be implemented through strategic sport activities, is a society with a well-

developed habit of practicing physical activity with sufficient frequency and intensity to enjoy a healthy and longer life.

Stop abstention from PE classes

(Stop zwolnieniom z wf)

The main goal of this campaign is to promote physical activity among schoolchildren and adolescents and to encourage

them to attend physical education (PE) classes at school.

The Toy Box Intervention The Toy Box intervention is a multicomponent, kindergarten-based, family-involved intervention, focusing on the

promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in

preschool children and their families.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

School Food Guidelines Government dietary guidelines with nutritional criteria for food services in the public sector.

Principles of Healthy Eating The aim of these guidelines is to help people maintain a healthy weight, eat healthily and be physically active every

day.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – POLAND (3/4) GOVERNMENT INITIATIVE DESCRIPTION

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Trzymaj Forme! – Keep Fit! The Keep Fit Programme is the first educational initiative of its kind involving the promotion of a balanced diet and

physical activity among Polish teenagers. The key objective of the Programme is to educate teenagers in order to

encourage them to adopt a healthy active lifestyle and balanced diet based on individual responsibility and free choice

through an innovative didactic method based on the voluntary involvement of students, teachers, parents and local

governments

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – POLAND (4/4) GOVERNMENT INITIATIVE DESCRIPTION

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

The Choices Programme The Choices Programme is a global, front-of-pack initiative designed to help consumers to easily select healthy food

options and to help industry to improve their products. Regional product criteria have been developed for Europe.

These are being used in Poland (with a slight deviation) and the Czech Republic.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – RUSSIA (1/2) GOVERNMENT INITIATIVE DESCRIPTION

Principles of National Policy in the

area of Healthy Nutrition for Public by

2020

The objectives of this state policy in the field of healthy eating are the preservation and strengthening of health,

prevention of diseases caused by inadequate and unbalanced nutrition.

Russia Pledge On Limitations on

Advertising to Children (Russia

Pledge)

Leading transnational food and beverage companies active in Russia signed the pledge on limitation of advertising to

children' with aim of helping parents to encourage their children to lead healthier lifestyles. It is similar to the EU pledge.

Cardiovascular Prevention National

Guidelines

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – RUSSIA (2/2) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – TURKEY (1/2) GOVERNMENT INITIATIVE DESCRIPTION

Dietary Guidelines for Turkey

(Türkiye'ye Özgü Beslenme Rehberi)

Turkey published its food-based dietary guidelines in 2004. The English version was published in 2006.

Healthy Nutrition and Active Life

Program of Turkey: Obesity

Prevention and Control Programme

of Turkey

NOPA - Obesity Prevention and Control Program of Turkey. "Obesity Prevention and Control Program of Turkey" was

prepared with the aim of forming a scientific and political determination and strengthening the inter-sectoral actions for

the prevention of obesity which has a rising prevalence in Turkey.

The Turkey Pledge The objective of the pledge is to “support parental efforts to promote healthy lifestyles." Note that it is similar to EU

Pledge.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – TURKEY (2/2) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – CZECH REPUBLIC (1/3)

GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

The National Action Plan Against

Obesity

This document is based on the WHO Global Strategy on Diet, Physical Activity and Health.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Nebud' pecka One of the European Youth Tackling Obesity (EYTO) projects, Nebud’ pecka was a campaign based in Prague, Czech

Republic. The campaign title meaning relates to being active, moving and having an interest in life. The most successful

element of the Nebuď pecka campaign was interactive lectures in school settings, where young people shared newly

acquired information with their peers in an attractive way. Trying new sports and support and changing eating habits

formed part of this campaign.

National Cycling Development

Strategy of the Czech Republic

The Czech National Cycling Development Strategy aims at creating favourable conditions for cycling and at increasing

awareness about cycling as an alternative mode of transportation, towards a shift from the popular and unregulated

cycling towards a “cultivated and systematically supported cycling”.

Healthy Days campaign Aims to promote healthy lifestyles in the Czech Republic.

Source: World Obesity Organisation

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – CZECH REPUBLIC (2/3)

GOVERNMENT INITIATIVE DESCRIPTION

Code of Advertising Practice Self-regulatory code of advertising practice

Action Plan for Promoting Physical

Activity for the period 2015-2020

This physical activity action plan is part of the national strategy for the protection and promotion of health and disease

prevention.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Food Safety and Nutrition Strategy The Food Safety and Nutrition Strategy is a long-term effort to strengthen the protection and promotion of health as well

as consumers’ interests. In connection with that it aims to boost the public confidence in the system ensuring safe food,

in its quality and nutritional values.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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iels

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ny (

US

), L

LC

. C

on

fid

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tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – CZECH REPUBLIC (3/3)

GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

The Choices Programme The Choices Programme is a unique multi-stakeholder initiative designed to help consumers to easily select healthy

food options and to help industry to improve their products. It was introduced in The Netherlands in 2006 as a response

to the World Health Organization’s call for food industry to take an active role in helping to tackle the growing problem

of obesity and diet-related diseases around the world. The Czech Republic has a national programme.

Source: World Obesity Organisation

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), L

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pri

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – HUNGARY (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Senior Walking Club Aims to increase moderate physical activity of retired Hungarians by forming walking groups.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

2nd National Nutrition Policy of

Hungary

National strategy for sport 2007–2020 A strategy which includes recommendations on levels of physical activity

IDEFICS - Identification and

prevention of Dietary and lifestyle-

induced Health Effects In Children

and Infants

The study delivered data to make an international assessment of the problem of "obesity in children" possible. The

focus of the IDEFICS Study lied in exploring the risks for overweight and obesity in children as well as associated long-

term consequences. IDEFICS also offered activities for health promotion and prevention in kindergartens and schools.

These prevention programmes were developed, implemented and evaluated within the IDEFICS Study. Participating

countries included Belgium, Cyprus, Denmark, Estonia, France, Germany, Hungary, Italy, Spain, Sweden and UK.

Source: World Obesity Organisation

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), L

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pri

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o n

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istr

ibu

te.

GOVERNMENT INITATIVES – HUNGARY (2/3) GOVERNMENT INITIATIVE DESCRIPTION

'Johan Bela', National programme for

the decade of Health

This document, issued by the Hungarian Ministry of Health in 2003, updates and expands the public health

programme “For a Healthy Nation”. The overall goal of the national programme is to give all Hungarian

citizens the opportunity to live as healthy as possible. This was translated in the goal to increase life

expectancy at birth by three years for both genders within ten years

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and

adolescents by 2020.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-

communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO

European Region.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European

Region, with particular attention to the burden of non-communicable diseases associated with insufficient

activity levels and sedentary behaviour. It aims to cover all forms of physical activity throughout the life-

course.

National Public Health Programme &

Action Plan

The rationale for this Programme is the recognition by the Government and Parliament of a public demand

for a radical change in the unfavourable public health processes of past decades, and the setting of the

target of improving life expectancy at birth for Hungarians so as to mainstreaming it to the average for the

European Union.

Source: World Obesity Organisation

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ny (

US

), L

LC

. C

on

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tia

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nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – HUNGARY (3/3) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

The Hungarian Aqua Promoting

Programme in the Young (HAPPY)

HAPPY aims to reduce the excessive consumption of sugary drinks and to popularise water consumption among

primary school students.

Public Health Product Tax Tax on a series of unhealthy products: certain soft drinks, energy drinks, pre-packed sweetened products, salty snacks

and condiments It has the specific health objectives of promoting both healthier food consumption by individuals and

product reformulation by manufacturers.

Source: World Obesity Organisation

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), L

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pro

pri

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – ESTONIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

The general principles of the Estonian

sports policy until 2030

The general principles of the sports policy cover a set of strategic goals and directions to be achieved in

order to develop the sports field and improve the quality of life and living environment through sports. The

main objective lies in significant and growing role of movement and sports in increasing the vitality of the

Estonian people, creating the diversity of living environment, and designing a good reputation of the

Republic of Estonia.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably

changes existing legislation on food labelling.

Estonian Nutrition and Food

Recommendations

Separate guidelines have been developed for specific population groups: pregnant and lactating women

(2007), the elderly (2008), pre-school and school-age children (2009) and adolescents (2009).

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–

2016), as they implement the European Strategy for the Prevention and Control of Non-communicable

Diseases.

Campaign to reduce salt consumption Online software that shows different food options in order to reduce salt intake

Source: World Obesity Organisation

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), L

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GOVERNMENT INITATIVES – ESTONIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

Sports Act This Act provides for the general organisational and legal bases of the organisation of sport, the rights and obligations

of sportsmen, sportswomen and coaches, the bases for application for and grant of state support for winners of the

Olympic Games, the bases for the financing of sport, the bases for the support of labour costs of coaches and the

requirements for the organisation of sports events and liability for violation of the requirements.

IDEFICS - Identification and

prevention of Dietary and lifestyle-

induced Health Effects In Children

and Infants

The study delivered data to make an international assessment of the problem of "obesity in children" possible. The

focus of the IDEFICS Study lied in exploring the risks for overweight and obesity in children as well as associated long-

term consequences. IDEFICS also offered activities for health promotion and prevention in kindergartens and schools.

These prevention programmes were developed, implemented and evaluated within the IDEFICS Study. Participating

countries included Belgium, Cyprus, Denmark, Estonia, France, Germany, Hungary, Italy, Spain, Sweden and UK.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Eat it! Campaign to make people eat less fat and more fruits and vegetables.

Men! Move yourselves This intervention aims to change the health attitudes of Estonian men by promoting activity among inactive men.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Source: World Obesity Organisation

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istr

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te.

GOVERNMENT INITATIVES – ESTONIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

Cardiovascular disease prevention - a

national strategy for 2005-2020

One of the aims of this strategy is to increase physical activity levels among the Estonian adult and youth populations.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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), L

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o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – LATVIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Public Health Strategy 2011-2017 A medium-term public health policy planning document which aims to prolong the healthy life years of the Latvian

population and to prevent untimely deaths, while maintaining, improving and restoring health.

The Implementation Plan of

Measures to Supply Fruit and

Vegetables to Schools

This plan aims to increase the consumption of fresh fruit and vegetables by the students of comprehensive education

institutions.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Creativity in Physical Activity This intervention aims to increase daily physical activity by promoting appropriate and available forms of physical

activity in local communities for adults over 45.

Collaboration with the central market

of Riga city to promote healthy eating

habits

Collaboration between the City Council and the central market to educate people about seasonal, local and healthy

food all year around.

Source: World Obesity Organisation

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), L

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o n

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istr

ibu

te.

GOVERNMENT INITATIVES – LATVIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

Sports Policy Guidelines 2004-2009 This document, besides addressing the support to athletes and competitive sport, also defines the responsibility for

compulsory physical education in children and to provide access to sport for disabled people.

Outdoor Fitness Exercise

Programmes

Project to show adults the possibility of using outdoor exercise equipment which is available for free in many parks and

beaches.

Memorandum of Cooperation The Ministry of Health signed a Memorandum of Cooperation with the Federation of Food Enterprises and the soft drink

business association on changes to children-orientated soft drink advertising

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Nordic Walking for the Elderly Free Nordic walking lessons for the elderly in every territorial part of Riga to promote daily physical activity and social

interaction.

Source: World Obesity Organisation

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), L

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GOVERNMENT INITATIVES – LATVIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

National sports development

programme 2006-2012 (Nacionala

sporta attistibas programma 2006-

2012)

The document covers physical activity promotion in general but also has sections on sports facilities, sports in

educational institutions, high achievement in sports, Sports for All and sports for disabled people

Guidelines for healthy nutrition 2003-

2013 (Pamatnostadnes Veseligs

uzturs 2003-2013)

The document includes the goal to increase public awareness on the importance of regular physical activity.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Sports Policy Guidelines 2013-2020

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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), L

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nd

pro

pri

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – LITHUANIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Physical Activity Promotion among

Kaunas Region Communities Using

Information Technology

This intervention involves the development of distance learning programmes to promote physical activity among

Kaunas region communities.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

State strategy on physical activity

Order V-964 WCRF: In November 2011 the Lithuanian Ministry of Health approved Order V-964 that set catering standards for pre-

schools, secondary schools and children’s social care institutions. Food and nutrient-based standards exist

National Sport Development Strategy A national policy strategy on physical activity

Source: World Obesity Organisation

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), L

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. C

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nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – LITHUANIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

School Fruit Scheme Strategy The aim of the School Fruit Scheme Strategy for the 2010–2013 school years was to set up the budget of the

programme, target groups, and accompanying measures that help children to recognise the importance of healthy

eating habits and distributable products. Fruit and vegetables were distributed, free of charge, to pupils in primary

education (years 1 to 4) at Lithuanian general schools wishing to participate in the School Fruit Scheme.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Source: World Obesity Organisation

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), L

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. C

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pri

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o n

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istr

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te.

GOVERNMENT INITATIVES – LITHUANIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

Lithuania’s State Food and Nutrition

Strategy and Action Plan for 2003–

2010

Stanmark: Lithuania’s State Food and Nutrition Strategy State Action Plan for 2003–2010 includes specific

nutritional goals, but does not mention food marketing to children

Republic of Lithuania Law on

Physical Education and Sport

Law outlining the principles of sport and physical education in Lithuania (last amended in 2008)

Source: World Obesity Organisation

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pri

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ry. D

o n

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istr

ibu

te.

GOVERNMENT INITATIVES – ROMANIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

SETS - I have a healthy lifestyle too Promotion of a healthy lifestyle within the family through nutrition and physical activity.

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Ethical Code for Food Product

Advertising Targeting Children

A set of voluntary rules and regulations for all parties involved in food promotions targeting children.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Source: World Obesity Organisation

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), L

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GOVERNMENT INITATIVES – ROMANIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

EPHE (EPODE for the Promotion of

Health Equity)

The EPODE project enables communities to implement effective and sustainable strategies to prevent childhood

obesity. Its philosophy includes a positive, step-by-step approach tailored to the needs of all socio-economic groups.

Launched in 2012, the project aims to reduce socio-economic inequities linked to health-related behaviour of families in

7 European countries over three years.

Sports for All — 3rd Millennium

Romania — a different lifestyle

The Sports for All policy aims to guarantee everyone’s right to free access to sporting and recreational activities,

fostering a positive approach to keeping active, creating a structural environment for physical activity and making

programmes locally responsive and sensitive to local traditions and needs.

We are the moving generation This campaign initially targeted students from the 9th and 10th grades in the high schools from 2 cities: Bucharest and

Ploiesti. It is based on the methodologies developed by EPODE International Network and aims to inform and educate

adolescents, their families and the public at large with regard to the benefits of a healthy lifestyle, with accent on daily

physical exercise and sports, healthy eating and so on.

Children in the City The Children in the City project in Romania has been developed to promote physical activity in children aged 7 to 12

living in low-income urban neighbourhoods.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

National plan for nutrition and healthy

diet 2013-2020

This plan for nutrition and healthy diet is a draft strategy.

Guidelines for a Healthy Diet Food-based dietary guidelines in the form of a food pyramid divided into 7 food groups.

Source: World Obesity Organisation

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e N

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), L

LC

. C

on

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nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – ROMANIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

“For a healthy lifestyle” campaign

(Pentru un stil de viaţă sănătos)

The campaign involves the broadcasting of advisory messages, such as “For a healthy lifestyle, avoid excess salt,

sugar and fat” and “For a healthy lifestyle, exercise for at least 30 minutes every day”

Source: World Obesity Organisation

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e N

iels

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ny (

US

), L

LC

. C

on

fid

en

tia

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nd

pro

pri

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – ISRAEL (1/2) GOVERNMENT INITIATIVE DESCRIPTION

Health Behaviours: Promoting

Physical Activity, Prevention and

Treatment of Obesity, Healthful

Nutrition

This plan of action includes a series of objectives to reduce the prevalence of obesity in both children and adults.

Dietary guidelines to prevent

cardiovascular diseases

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Source: World Obesity Organisation

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20

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iels

en

Com

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ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – ISRAEL (2/2) GOVERNMENT INITIATIVE DESCRIPTION

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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100 Cop

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e N

iels

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ny (

US

), L

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. C

on

fid

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pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – UKRAINE (1/2) GOVERNMENT INITIATIVE DESCRIPTION

State Program for the development of

physical culture and sports 2007-

2011

Concept of a National Nutrition Policy Stanmark: The major priorities of the policy are: eliminating micronutrient deficiencies; reducing the prevalence of

obesity; promoting healthy nutrition throughout the population; ensuring a sustainable supply of food and foodstuffs;

and increasing breastfeeding

Urgent measures on organization of

nutrition for children in preschool,

school and educational institutions

Policy to address the control and prohibition of energy dense and nutrient-poor foods in school catering service.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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101 Cop

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20

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iels

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Com

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ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – UKRAINE (2/2) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Source: World Obesity Organisation

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iels

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ny (

US

), L

LC

. C

on

fid

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tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – CROATIA (1/2) GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Dietary guidelines A set of dietary guidelines

The National Strategy for the

Implementation of the School Fruit

and Vegetable Scheme

The strategy aims to permanently increase the share of fruit and vegetables in the nutrition of school children in order to

prevent early-onset obesity and other diseases caused by inadequate nutrition.

National Action Plan for Overweight

Prevention and Treatment

The Action Plan aims to encourage the extension and intensity of the activities related to health promotion and

prevention of chronic diseases, and the complexity of the causes and consequences of excess body weight. (NOPA)

Walking to health The goals of this community activity are to raise awareness and inform the citizens of Croatia (of all ages) about the

positive aspects of physical activity, and to offer and run an organised group walking (circular route) on a regular basis.

Source: World Obesity Organisation

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), L

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. C

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nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – CROATIA (2/2) GOVERNMENT INITIATIVE DESCRIPTION

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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iels

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ny (

US

), L

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. C

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fid

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pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – BULGARIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Food And Nutrition Action Plan 2005

– 2010

The plan calls for legislative measures on the marketing of unhealthy foods for children (TBI, MH 2005-2006) and new

standards for nutritional content, food labelling, and food marketing to reduce the risk for obesity and its complications.

Food based dietary guidelines for

adults in Bulgaria

While the main focus of this guideline is on diet and nutrition, it also contains guidelines on physical activity to maintain

a healthy weight, suggesting to be physically active at least 60 minutes a day.

National Health Strategy 2008-2013 The strategy includes measures related to the promotion of nutrition and physical activity

National Obesity Week Annual week of events on nutrition and physical activity

The Toy Box Intervention The Toy Box intervention is a multicomponent, kindergarten-based, family-involved intervention, focusing on the

promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in

preschool children and their families.

Source: World Obesity Organisation

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), L

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. C

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pro

pri

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o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – BULGARIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

EPHE (EPODE for the Promotion of

Health Equity)

The EPODE project enables communities to implement effective and sustainable strategies to prevent childhood

obesity. Its philosophy includes a positive, step-by-step approach tailored to the needs of all socio-economic groups.

Launched in 2012, the project aims to reduce socio-economic inequities linked to health-related behaviour of families in

7 European countries over three years.

National Strategy for Physical

Education and Sports Development

The Strategy aims to highlight the social function of physical education and sports in Bulgaria, and the need for political,

economic and social changes to improve the uptake of physical activity.

National program for prevention of

chronic non-communicable diseases

2014-2020

The main objective of the program is to improve public health and enhance the quality of life by reducing premature

mortality, morbidity and disability.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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106 Cop

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20

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e N

iels

en

Com

pa

ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – BULGARIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Healthy Kids in Bulgaria Healthy Kids in Bulgaria is a long-term sustainable project implemented in 3 regions in the capital, Sofia. It is school-

based program providing in- and after-school activities and weekend family celebrations. As part of the program,

children and parents participate in nutrition, sports and healthy lifestyle activities and games.

National strategy for development of

physical education and sport in

Bulgaria 2005-2008

The strategy is covering different aspects, including promotion of physical education and sports for a healthy lifestyle of

children and young people, increase of the number of people practicing physical exercise, sports and social tourism as

well as managing issues associated with low physical activity and unhealthy nutrition.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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107 Cop

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e N

iels

en

Com

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ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SLOVAKIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

School Fruit Scheme National strategy to promote the consumption of fruit and vegetables by children and school pupils in Slovakia.

Challenge Your Heart To Motion! Media campaign, events and competition to promote the importance of physical activity in the prevention of chronic

disease.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

National Sports Strategy

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

The National Obesity Prevention

Programme

The aim of the programme is to create a social beneficial system, which will lead to a reduction in the incidence and

prevalence of overweight and obesity in the population.

National Program for Children and

Adolescents in the Slovak Republic

for the years 2008-2015

Health sector national policy document with priorities linking to nutrition, physical activity and obesity prevention.

Includes educational activities focused on reducing the consumption of HFSS foods by adults, children and

adolescents.

Source: World Obesity Organisation

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), L

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nd

pro

pri

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ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SLOVAKIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

Nutrition Policy Strategy The main aims of the strategy are to achieve positive changes in dietary habits of populations and better inform

consumers about the nature of foods, their nutritional needs are continuously being met.

Strategic framework for health for

2014-2030

This document defines medium and long term direction of health policy in the Slovak Republic. The main incentive for

its creation is implementation of measures for improving the quality, sustainability and efficiency of the healthcare

system and the health status of the population.

Law on the organization and

promotion of sport (Zakon z 2. jula

2008 o organizacii a podpore sportu a

o zmene a doplneni niektorych

zakonov)

This law created conditions for sports and entertainment, to promote sport in children including the educational setting

and for the construction of sport infrastructure

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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20

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Th

e N

iels

en

Com

pa

ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SLOVAKIA (3/3)

GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Sporttube (SK) SPORTTUBE aims to prevent overweight and obesity among Slovakian children aged 6 to 18 years old. It's goals is to

motivate children to exercise regularly using their advanced communication tools. It also promotes nationwide

entertaining sport competitions, supported by sport celebrities.

Source: World Obesity Organisation

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iels

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Com

pa

ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SERBIA (1/2) GOVERNMENT INITIATIVE DESCRIPTION

The Serbian Strategy on Prevention

and Control of Non-Communicable

Diseases

This strategy comprises several action areas which include food and nutrition and food marketing to children.

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition

Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Source: World Obesity Organisation

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iels

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Com

pa

ny (

US

), L

LC

. C

on

fid

en

tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SERBIA (2/2) GOVERNMENT INITIATIVE DESCRIPTION

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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112 Cop

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iels

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pa

ny (

US

), L

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. C

on

fid

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tia

l a

nd

pro

pri

eta

ry. D

o n

ot d

istr

ibu

te.

GOVERNMENT INITATIVES – SLOVENIA (1/3) GOVERNMENT INITIATIVE DESCRIPTION

Dietary Guidelines for kindergartens,

primary and secondary schools

Food-based dietary guidelines

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing

legislation on food labelling.

Code on marketing food and non-

alcoholic beverages to children

Code on marketing to children

Let’s live healthily Aims to improve health and to prevent or reduce exposure to risk factors and diseases in a low SES area of Slovenia.

Joint Action on Nutrition and Physical

Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents

by 2020.

Action Plan for implementation of the

European Strategy for the Prevention

and Control of Noncommunicable

Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as

they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

The National Programme of Food and

Nutrition Policy, 2005-2010

The basic goals of the nutrition policy are to ensure safe food throughout the food chain, to establish, preserve and

strengthen healthy nutritional habits of the population in the Republic of Slovenia, and to ensure adequate sustainable

supply of the population with high-quality health-beneficial food.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – SLOVENIA (2/3) GOVERNMENT INITIATIVE DESCRIPTION

Movement for Health in 2016 The booklet 'Movement for Health in 2016' is part of a national project set up in 1999 to promote physical activity for

health through a variety of activities raising awareness of the general public on the importance of movement for health.

This publication includes recommendations for health beneficial physical activity and practical tips for an active lifestyle,

examples of exercises for warming up and cooling down, short recommendations on cycling, introduction to Nordic

walking, personal calendar of sporting and other useful information.

WHO European Action Network on

reducing marketing pressure on

children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children,

all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense,

micronutrient-poor foods and beverages towards children

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

European charter on counteracting

obesity

To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing

the Charter involved different government sectors, international organizations, experts, civil society and the private

sector through dialogue and consultations

Food and Nutrition Policy of the

Republic of Slovenia 2012-2022 (2nd

action plan)

This policy continues the work from the first strategy on nutrition - National Nutrition Policy 2005-2010.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – SLOVENIA (3/3) GOVERNMENT INITIATIVE DESCRIPTION

National Programme on Nutrition and Physical

Activity for Health 2015-2025

A key strategic goal of this programme is to reduce the proportion of overweight and obese people in

Slovenia.

School Pot A school web portal which provides content and e-tools on organised diet and exercise in schools,

kindergartens and other educational institutions in one place.

School Fruit Scheme The key objective of this programme is to encourage the consumption of fruit and vegetables in the

daily diet and thereby raise the level of awareness of the importance of fruits and vegetables for health

among children and adolescents.

National Programme on Health Protection and

Promotion 2008-2013

General programme for public health and health care in Slovenia.

Law on School Nutrition This Law includes an official ban on vending machines for food and beverages in school environments.

It is also complemented by dietary guidelines.

National Health Enhancing Physical Activity

Programme 2007-2012

The strategy focuses on different target groups, namely workers, families, women during pregnancy,

people over 65, adults, children, adolescents and disabled persons. It aims to promote all types of

regular activity and physical exercise for health and continuation throughout life.

Active and Healthy Ageing and Slovenia The long-term objective of the project is to promote more active and healthy ageing in Slovenia, which

will be implemented through a better integration of health and social system and local communities.

The European Food and Nutrition Action Plan 2015-

2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-

communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO

European Region. Source: World Obesity Organisation

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GOVERNMENT INITATIVES – ISRAEL(1/2) GOVERNMENT INITIATIVE DESCRIPTION

Health Behaviours: Promoting Physical

Activity, Prevention and Treatment of Obesity,

Healthful Nutrition

This plan of action includes a series of objectives to reduce the prevalence of obesity in both children and adults.

Dietary guidelines to prevent cardiovascular

diseases

Physical activity strategy for the WHO

European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with

particular attention to the burden of non-communicable diseases associated with insufficient activity levels and

sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition Action Plan

2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable

diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting obesity To address the growing challenge posed by the epidemic of obesity to health, economies and development, the

Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul,

Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of

developing the Charter involved different government sectors, international organizations, experts, civil society and

the private sector through dialogue and consultations

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – ISRAEL(2/2) GOVERNMENT INITIATIVE DESCRIPTION

Action Plan for implementation of the

European Strategy for the Prevention and

Control of Noncommunicable Diseases

2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016),

as they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

WHO European Action Network on reducing

marketing pressure on children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on

children, all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-

dense, micronutrient-poor foods and beverages towards children

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – BELARUS GOVERNMENT INITIATIVE DESCRIPTION

Physical activity strategy for the WHO European

Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European

Region, with particular attention to the burden of non-communicable diseases associated with

insufficient activity levels and sedentary behaviour. It aims to cover all forms of physical activity

throughout the life-course.

Action Plan for implementation of the European

Strategy for the Prevention and Control of

Noncommunicable Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years

(2012–2016), as they implement the European Strategy for the Prevention and Control of Non-

communicable Diseases.

European charter on counteracting obesity To address the growing challenge posed by the epidemic of obesity to health, economies and

development, the Ministers and delegates attending the WHO European Ministerial Conference on

Counteracting Obesity (Istanbul, Turkey, 15–17 November 2006) adopted the European Charter on

Counteracting Obesity. The process of developing the Charter involved different government sectors,

international organizations, experts, civil society and the private sector through dialogue and

consultations

Health of the People: State Programme on the

Formation of Healthy Lifestyles among the

Population of Belarus 2002-2006

The national programme “Health of the People: State Programme on the Formation of Healthy

Lifestyles among the Population of Belarus 2002-2006” was adopted in 1999 implemented in 1999–

2005. The programme includes sections on health and lifestyle and optimization of the diet, and

priorities in the provision of medical care.

The European Food and Nutrition Action Plan 2015-

2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-

communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO

European Region.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – KAZAKHSTAN GOVERNMENT INITIATIVE DESCRIPTION

National Program for Development of Health in the

Republic of Kazakhstan 'Kazakhstan Salamatty' for

2011 - 2015

The strategy has eight priority areas, one of which is concerned with proper nutrition and physical

activity. The document advocates a greater joint responsibility of government, employers and

individuals.

Physical activity strategy for the WHO European

Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European

Region, with particular attention to the burden of non-communicable diseases associated with

insufficient activity levels and sedentary behaviour. It aims to cover all forms of physical activity

throughout the life-course.

European charter on counteracting obesity To address the growing challenge posed by the epidemic of obesity to health, economies and

development, the Ministers and delegates attending the WHO European Ministerial Conference on

Counteracting Obesity (Istanbul, Turkey, 15–17 November 2006) adopted the European Charter on

Counteracting Obesity. The process of developing the Charter involved different government sectors,

international organizations, experts, civil society and the private sector through dialogue and

consultations

Action Plan for implementation of the European

Strategy for the Prevention and Control of

Noncommunicable Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years

(2012–2016), as they implement the European Strategy for the Prevention and Control of Non-

communicable Diseases.

The European Food and Nutrition Action Plan 2015-

2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-

communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO

European Region.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – UNITED KINGDOM (1/5)

GOVERNMENT INITIATIVE DESCRIPTION

European Youth Tackling Obesity (EYTO) Project The EYTO project was led by the UK based National Children’s Bureau (NCB) in partnership with organisations in Spain, Portugal and the Czech Republic. With funding from the European Union, the EYTO partnership developed an innovative youth-led social marketing approach to promote healthy eating and physical activity and stem the rise in obesity amongst young people, aged between 13 and 18 years old who are vulnerable to obesity.

Sugar Smart City This campaign uses a webpage, social media and events to raise awareness about the sugar content of food and drink products and to educate and inform people about the impact of high sugar intake on health.

Walking and Cycling - an action plan The action plan sets out measures from across government to increase levels of active travel by creating places to walk and cycle in and influencing travel behaviour through training, education, marketing and promotion.

Code on marketing food and non-alcoholic beverages to children

Code on marketing to children

Start Active, Stay Active: a report on physical activity for health from the four home countries' Chief Medical Officers

These are guidelines issued by the four Chief Medical Officers (CMOs) of England, Scotland, Wales and Northern Ireland. They draw on the global evidence of the health benefits that people can achieve by taking regular physical activity throughout their lives.

Start Active, Stay Active A UK-wide document that presents guidelines on the volume, duration, frequency and type of physical activity required across the life course to achieve general health benefits. It is aimed at the NHS, local authorities and a range of other organisations designing services to promote physical activity.

School Food Regulations 2014 (No. 1603) Applicable to school lunches and food provided to students on school premises, will come into force 1 January 2015. These replace the School Food Standards of 2007.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – UNITED KINGDOM (2/5)

GOVERNMENT INITIATIVE DESCRIPTION

Food Matters: Towards a strategy for the 21st Century

This report addresses the major issues facing the food system in the UK and a series of agreed actions

Measuring Up: The medical profession's prescription for the nation's obesity crisis

A report suggesting a number of policy measures to tackle obesity, a ban on junk food advertising before 9pm and recommendations on reducing the proximity of fast food outlets to schools.

Be active, be healthy: a plan for getting the nation moving

Be active, be healthy establishes a new framework for the delivery of physical activity alongside sport for the period leading up to the London 2012 Olympic Games, Paralympic Games and beyond. Programmes outlined in the plan will contribute to Government’s ambition of getting 2 million more people active by 2012 and have been designed to leave a lasting legacy from the Games.

Annual weigh-in Assessment of the Academy's 10 recommendations for obesity one year on.

Preventing excess weight gain (NICE Guidelines NG7)

These guidelines makes recommendations on behaviours that may help people maintain a healthy weight or prevent excess weight gain.

The Food Standards Agency’s Strategy for 2015-2020

'The FSA Strategy 2015 -20 reinvigorates our pledge to put consumers first in everything we do, so that food is safe and what it says it is, that we have access to an affordable healthy diet, and can make informed choices about what we eat, now and in the future.'

IDEFICS - Identification and prevention of Dietary and lifestyle-induced Health Effects In Children and Infants

The study delivered data to make an international assessment of the problem of "obesity in children" possible. The focus of the IDEFICS Study lied in exploring the risks for overweight and obesity in children as well as associated long-term consequences. IDEFICS also offered activities for health promotion and prevention in kindergartens and schools. These prevention programmes were developed, implemented and evaluated within the IDEFICS Study. Participating countries included Belgium, Cyprus, Denmark, Estonia, France, Germany, Hungary, Italy, Spain, Sweden and UK.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – UNITED KINGDOM (3/5)

GOVERNMENT INITIATIVE DESCRIPTION

Walk to School Week Walk to School Week is a project run by the UK charity 'Living Streets.' It uses various campaigns and projects to overcome barriers to walking and encourage millions of people in the UK to walk.

WHO European Action Network on reducing marketing pressure on children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children, all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense, micronutrient-poor foods and beverages towards children

MAN v FAT Man V Fat is a digital magazine and social media community designed to support and champion men who want to lose weight. It also runs boot camps and football leagues for men with a BMI of 30+.

Healthy Weight Support Programme 6 week workplace intervention that combines group lectures about healthy habits and diet and free pass to leisure centre to prevent obesity.

Physical activity strategy for the WHO European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with particular attention to the burden of non-communicable diseases associated with insufficient activity levels and sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing legislation on food labelling.

The Child’s Obesity Strategy This report calls for a ban on fast food takeaway deliveries to schools and the introduction of initiatives such as new classifications on unhealthy food and loyalty cards to tackle the childhood obesity epidemic in the UK.

Game Plan, Strategy for delivering the Government's sport and physical activity objectives

This document describes the United Kingdom’s Government objectives for sport and physical activity and identifies ways of improving Government support. It was published in 2002 by two government departments: the Social Exclusion Unit and the Department of Culture, Media and Sport. The overall objectives of the plan are to increase the participation of all people in sport and to improve results in international competition.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – UNITED KINGDOM (4/5)

GOVERNMENT INITIATIVE DESCRIPTION

Tomorrow’s roads: safer for everyone—the Government's road safety - strategy and casualty education targets for 2010

This plan, published in 2004 by the Department of Transport of England, describes how the Government is aiming to increase walking and cycling in the population. It sets out measures across sectors to increase levels of active travel.

UK Code of Broadcast Advertising (BCAP Code) Statutory rules on advertisements for HFSS foods on TV channels dedicated to children. These regulations ban the advertising of food high in fat, sugar, and salt (as defined by a nutrient profiling model) during television programs that have particular appeal to children aged younger than 16 years. Since 2011, the provisions of the Code of Advertising Practice now apply to advertisers own websites and advertising on social media sites.

Choosing Health: Making healthy choices easier This White Paper sets out the key principles for supporting the public to make healthier and more informed choices in regards to their health.

Choosing a Better Diet: A Food and Health Action Plan

This document sets out the Government's plans to encourage and co-ordinate the action of a range of organisations to improve nutrition and health in England. The paper summarises how the Government will deliver the commitments on nutrition presented in the public health white paper Choosing Health: Making healthier choices easier.

Sporting Future: A New Strategy for an Active Nation 2015

'This cross-government strategy will tackle head on the flatlining levels of sport participation and high levels of inactivity in this country. Through this strategy, government is redefining what success in sport means, with a new focus on five key outcomes: physical wellbeing, mental wellbeing, individual development, social and community development and economic development.'

Guide to creating a front of pack (FoP) nutrition label for pre-packed products sold through retail outlets

This guidance supports the development of front of pack (FoP) nutrition labels that are compliant with the UK Health Ministers’ Recommendation on the use of colour coding as an additional form of expression and with EU Regulation No. 1169/2011 on the provision of food in formation to consumers (EU FIC). The provision of FoP information remains voluntary, but if provided it must meet the requirements set out in the EU FIC.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – UNITED KINGDOM (5/5)

GOVERNMENT INITIATIVE DESCRIPTION

The School Fruit and Vegetable Scheme (SFVS) The School Fruit and Vegetable Scheme (SFVS) is a government programme that entitles every child aged 4-6 in fully state-funded schools to a piece of fruit or vegetable each school day. This equates to approx. 2.2m children in approx. 16500 schools.

The European Food and Nutrition Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

European charter on counteracting obesity To address the growing challenge posed by the epidemic of obesity to health, economies and development, the Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul, Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing the Charter involved different government sectors, international organizations, experts, civil society and the private sector through dialogue and consultations

Action Plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – FRANCE (1/4) GOVERNMENT INITIATIVE DESCRIPTION

Promotion of physical activity in the Youth (Promouvoir l’activité physique des jeunes)

Sedentariness and physical inactivity (Sedentarite et inactivite physique)

Urban health workshops Aims to reduce social inequalities with regard to health in communities by building partnerships.

Active cities Aims to create a favourable environment for good nutrition in municipalities.

Code on marketing food and non-alcoholic beverages to children

Code on marketing to children

WHO European Action Network on reducing marketing pressure on children

Currently 28 countries participating in the WHO European Action Network on reducing marketing pressure on children, all of which have a joint interest in finding ways to reduce the marketing pressure of high salt, energy-dense, micronutrient-poor foods and beverages towards children

Eating moving Aims to improve the health status of the population on a national level by focusing on healthy nutrition and exercise.

Tax on sugar and artificially sweetened beverages

This is primarily regarded as a revenue-raising tax but it also addresses overweight and obesity among children and adolescents.

Charter for the Promotion of Healthy Diets and Physical Activity during TV Programmes and Advertising (updated version)

Food charter that aims to promote a healthy diet on television. Note that the charter was updated in 2013 and applicable from 1 Jan 2014.

National programme for nutrition and health 2001-2005 (PNNS)

A programme containing 9 nutritional objectives to improve the health of the general population.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – FRANCE (2/4) GOVERNMENT INITIATIVE DESCRIPTION

Second national nutrition and health programme 2006-2010 (PNNS)

The main role of the PNNS is to encourage various public and private sector players to act, by providing cohesive guidelines, references, government-designed tools and a framework for permanent dialogue.

French National Nutrition and Health Program 2011-2015 (PNNS)

The PNNS involves the ministries in charge of national education, sports, consumer affairs, social cohesion, and higher education and research to promote healthy eating as part of the nutritional prevention.

ePPOP- Electronic-personalized program for obesity during pregnancy

ePPOP is an electronic-personalised lifestyle intervention combining nutritional, behavioural and physical activity counselling during pregnancy, to reduce instrumental delivery and improve health of obese pregnant women and their babies.

Eat and Move for Health (La santé vient en mangeant et en bougeant)

Guidelines on nutrition and physical activity - document in French

Health comes through eating (La santè vient en mangeant)

Nutrition programme - see document in French

Law regarding the public health policy (Loi no 2004-806 du 9 août 2004 relative à la politique de santé publique)

The law of August 9, 2004, marked a new era with a step in a new direction for defining a process to develop health policy in France. The five-year law provided a framework to formalize public health objectives. Health policy was articulated around four ambitions: improvement of health outcomes, reduction of inequalities, efficiency of the health system, and the advancement of health democracy.

Joint Action on Nutrition and Physical Activity (JANPA)

The overall aim of the project is to contribute to halting the rise of overweight and obesity in children and adolescents by 2020.

Regulation (EU) No 1169/2011 The new EU Regulation 1169/2011 on the provision of food information to consumers considerably changes existing legislation on food labelling.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – FRANCE (3/4) GOVERNMENT INITIATIVE DESCRIPTION

EPHE (EPODE for the Promotion of Health Equity)

The EPODE project enables communities to implement effective and sustainable strategies to prevent childhood obesity. Its philosophy includes a positive, step-by-step approach tailored to the needs of all socio-economic groups. Launched in 2012, the project aims to reduce socio-economic inequities linked to health-related behaviour of families in 7 European countries over three years.

IDEFICS - Identification and prevention of Dietary and lifestyle-induced Health Effects In Children and Infants

The study delivered data to make an international assessment of the problem of "obesity in children" possible. The focus of the IDEFICS Study lied in exploring the risks for overweight and obesity in children as well as associated long-term consequences. IDEFICS also offered activities for health promotion and prevention in kindergartens and schools. These prevention programmes were developed, implemented and evaluated within the IDEFICS Study. Participating countries included Belgium, Cyprus, Denmark, Estonia, France, Germany, Hungary, Italy, Spain, Sweden and UK.

EPODE Flandre Lys The Epode-programme (Ensemble Prévenons l’Obésité des Enfants – Together let’s prevent childhood obesity) is a national dispositive aiming to prevent childhood obesity through the promotion of healthy nutrition and regular physical activity.

Physical activity strategy for the WHO European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with particular attention to the burden of non-communicable diseases associated with insufficient activity levels and sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

The European Food and Nutrition Action Plan 2015-2020

The aim on this action plan is to significantly reduce the burden of preventable diet-related non-communicable diseases, obesity and all other forms of malnutrition that are still prevalent in the WHO European Region.

Source: World Obesity Organisation

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GOVERNMENT INITATIVES – FRANCE (4/4) GOVERNMENT INITIATIVE DESCRIPTION

European charter on counteracting obesity To address the growing challenge posed by the epidemic of obesity to health, economies and development, the Ministers and delegates attending the WHO European Ministerial Conference on Counteracting Obesity (Istanbul, Turkey, 15–17 November 2006) adopted the European Charter on Counteracting Obesity. The process of developing the Charter involved different government sectors, international organizations, experts, civil society and the private sector through dialogue and consultations

Action Plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012−2016

It identifies priority action areas and interventions for countries to focus on over the next five years (2012–2016), as they implement the European Strategy for the Prevention and Control of Non-communicable Diseases.

Source: World Obesity Organisation

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Copyright © 2017 The Nielsen Company (US), LLC. Confidential and proprietary. Do not distribute. 128

MEXICAN SUGAR TAX

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Copyright © 2017 The Nielsen Company. Confidential and proprietary.

MEXICO CASE STUDY

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WHAT CAN WE LEARN FROM MEXICO?

One of largest

consumers of soda

in the world

Obesity is a major

health concern

TV ads limited time

frames and non kids

programmes

Sugar tax passes in

2014; prices soar by

10%

Sales of taxed

categories down 4%

Shopkeepers

reduce

assortment/

prioritise

categories

Shoppers

adjust

budget/seek

alternatives

Traditional trade

hit hardest;

modern trade

more resilient

IMPACT

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LONG TERM EFFECT – SUSTAINABILITY…

Demand is stabilising

and sales are

recovering

Traditional

trade fought

back

Consumers accepted

new prices and

returned to past

behaviour

+ +