A recipe for public health advocacy? Understanding coalition-building for effective public health policy

Academic disciplines like anthropology and epidemiology provide a niche for researchers to speak the same language, and to interrogate the assumptions that they use to investigate problems. How anthropological and epidemiological methods communicate and relate to each other affects the way public health policy is created but the philosophical underpinnings of each discipline makes this difficult. Anthropology is reflective, subjective and investigates complexity and the individual; epidemiology, in contrast, is objective and studies populations. Within epidemiological methods there is the utilitarian concept of potentially sacrificing the interests of the individual for the benefits of maximizing population welfare, whereas in anthropology the individual is always included. Other strengths of anthropology in the creation of public health policy include: its attention to complexity, questioning the familiar; helping with language and translation; reconfiguring boundaries to create novel frameworks; and being reflective. Public health requires research that is multi-, inter- and trans-disciplinary. To do this, there is a need for each discipline to respect the ‘dignity of difference’ between disciplines in order to help create appropriate and effective public health policy.

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1.B. Workshop: Front-of-pack nutrition labelling: recent progress and remaining challenges

European Journal of Public Health ◽

10.1093/eurpub/ckaa165 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

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Keyword(s):

Public Health ◽

Policy Instrument ◽

International Standards ◽

Noncommunicable Diseases ◽

Warning Labels ◽

Traffic Light ◽

Health Advocacy ◽

Nutrition Labelling ◽

Public Health Advocacy ◽

Effective Public Health

Abstract Front-of-pack nutrition labelling (FOPNL) is increasingly viewed as a central policy instrument in the fight against unhealthy diets, obesity, and noncommunicable diseases (NCDs), both for its direct effects on consumer behavior and for its potential to guide other effective nutrition policies (e.g. marketing restrictions, excise taxes). Major FOPNL schemes include the traffic-light system pioneered in the United Kingdom, warning labels as first introduced in Chile, the Australian Health Star Rating, and the Nutri-Score scheme developed in France. Countries that have already introduced mandatory FOPNL schemes include Chile, Israel, Peru, and Sri Lanka. Meanwhile, strong opposition from the food and beverage industry has prevented significant progress on FOPNL in many other countries. National developments have motivated several international initiatives. In 2019, the Codex Alimentarius Committee on Food Labelling began to formally negotiate guidelines for the development of FOPNL. Meanwhile, France and Australia have begun to convene a UN-supported Global Action Network on Nutrition Labelling. Understanding these national and international developments has become essential for effective public health advocacy in the field of FOPNL. The presentations in this workshop will therefore review recent key developments and identify major challenges to introducing effective FOPNL. The workshop will feature four presentations followed by an open discussion and exchange. Alexandra Jones will analyze key components of 31 existing FOPNL regulations and outline relevant best practice guidance. Tim Dorlach will explain why FOP warning labels first emerged in Chile and have subsequently diffused throughout Latin America. Chantal Julia will review the development of the Nutri-Score scheme in France and its adoption in other European countries. Anne Marie Thow will discuss how trade agreements and international standards can influence and potentially limit FOPNL schemes. Key messages Front-of-pack nutrition labelling (FOPNL) is a central policy instrument in the fight against unhealthy diets, obesity, and noncommunicable diseases (NCDs). Understanding recent national and international FOPNL developments is essential for effective public health advocacy for FOPNL and related interventions.

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