More than symbolic: On curbing unhealthy food intake  Politics & News

In a welcome move, the Health Ministry has directed all government departments to display oil, sugar and trans-fat content in everyday Indian snacks such as samosas, jalebis, vada pavs and laddoos in a bid to highlight the health risks of their consumption on a regular basis. The campaign will be piloted in AIIMS Nagpur and then rolled out to other cities. The move comes two months after the CBSE directed all affiliated schools to establish ‘sugar boards’ to monitor and reduce the sugar intake of children. These will list information on the recommended daily sugar intake, the sugar content in commonly consumed foods, health risks associated with high sugar consumption, and healthier dietary alternatives. The initiatives have been driven by studies that provide evidence of increasing obesity trends in India. As in the NFHS data, obesity had increased from nearly 15% to 24% in men and from 12% to nearly 23% in women between 2005-06 and 2019-21. Since the amount of oil and sugar in Indian snacks is not apparent — and, hence, often overlooked — these initiatives will serve to fill the gap and act as “visual behavioural nudges”, much like the pictorial warnings on tobacco products. However, building awareness alone cannot bring about behavioural changes, especially in the absence of essential legislative measures.

Surprisingly, while the Health Ministry has targeted Indian snacks, nothing has been done over the years to introduce clear front-of-package labels to caution people about unhealthy packaged food items, and regulate the advertising, marketing and promotion of unhealthy food to children. Also, levying additional tax on food products with high levels of fat, sugar, and salt (HFSS) can further reduce consumption, as seen in some countries. As in the national multisectoral action plan for prevention and control of common non-communicable disease (2017-22), the Food Safety and Standards Authority of India (FSSAI) Regulation was required to be amended for inclusion of front-of-pack labelling and detailed nutrient labelling. The FSSAI (Packaging and Labelling) Regulation was amended in 2020; on July 15, the Supreme Court of India again directed the agency to execute this label on packaged food. For front-of-pack labels on HFSS food and beverage products to become a reality, the FSSAI has to first define the upper limits for sugar, salt and total fat, which have not been finalised and approved so far. A 2022 study found that warning labels outperformed all other forms of front-of-pack labelling in identify unhealthy products. A study by the ICMR-NIN found that warning labels and nutri-star ratings helped deter the consumption of even moderately unhealthy foods. Measures to build awareness without essential legislative measures to curb unhealthy food intake will not be much more than symbolic.