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Industry/Corporate Responsibility and Health

Louise O’ Flynn BA111440908

EH6025

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Ireland-Global Burden of Disease

Disability Adjusted Life Years

• Ischemic Heart Disease

• Lower Back Pain

• Depression

Risk Factors

• Dietary Risks

• Tobacco Smoking

• High Blood Pressure

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Tobacco Smoking- Risk Factor #2 for disease burden

- Cardiovascular Disease (29%) - Diabetes- Cancer - Respiratory Disease

- 6million deaths per year

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Tobacco Control- World Health Organisation

- 2005 Framework Convention on Tobacco Control (FCTC)

- MPOWER

- National Tobacco Control Office (NTCO)

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All that work for the second risk factor in Ireland…

What about the first?

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Dietary Risks

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Fat - Trans Fat:

Natural vs. Artificial

- Saturated Fat: Cholesterol - Polyunsaturated Fat

- Monounsaturated Fat

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Salt/Sodium- Excess consumption = Increased

Blood Pressure (#3)

- Increased Blood Pressure = Increased risk of Cardiovascular Disease (Heart Disease and Stroke)

- 75% Processed/Restaurant Foods

- 1 in 6 U.S. Children – High Blood Pressure

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POPULATION HEALTH

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Obesity

- Adults - 1b Overweight, 400m Obese

- Children* - 17.6m overweight

- Overweight = Hypertension, Diabetes, Atherosclerosis**

- Cardiovascular Disease

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Childhood Obesity Growing Up in Ireland Study - 19% Overweight

- 7% Obese

- 30% Girls, 22% Boys

- Social Class inequalities

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Diet – The new tobacco?

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From Tobacco Control to Food Control

- MPOWER Strategy

- Product labels

- Education – Control

- Food Industry vs. Public Health

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Existing Measures

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Recommendations- Diet conception-adulthood

- Multiple influences- Home, School, Environment, Media

- Individual & Food Industry Responsibility

- Public Health Policy

- Research

- Legal Actions

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Summary• Heart Disease DALY no.1

• Risk Factor no.2 Tobacco = Controlled

• Risk Factor no.1 Dietary Risks ≠ Controlled

• Fat & Salt – Obesity – Serious Health Problems

• Who is to blame?

• Regardless, important to take control as Public Health specialists

• Lots of work left to be done in the area

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Reference List1. Sim F, McKee, M, editors. Issues in Public Health. Berkshire: Open University

Press; 2011.

2. American Heart Association. About Cardiac Arrest [Internet]. Dallas: American Heart Association; 2013 [updated 2013 February 26th; accessed on 2014 November 5th]. Available from: http://www.heart.org/HEARTORG/Conditions/More/CardiacArrest/About-Cardiac-Arrest_UCM_307905_Article.jsp

3. GBD Profile: Ireland. Seattle: Institute for Health Metrics and Evaluation; 2010.

4. Cholesterol "Get the Facts" [Internet]. 1st ed. Galway: CROI; 2011 [accessed on 2 November 2014]. Available from: https://www.croi.ie/heart-health/publications

5. Tobaccoatlas.org. Harm - from the Tobacco Atlas [Internet]. 2014 [accessed on 5 November 2014]. Available from: http://tobaccoatlas.org/harm

6. Tobaccoatlas.org. Solutions - from the Tobacco Atlas [Internet]. 2014 [accessed on 13 November 2014]. Available from: http://tobaccoatlas.org/solutions

7. Ntco.ie. Office of Tobacco Control [Internet]. 2014 [accessed on 16 November 2014]. Available from: http://www.ntco.ie/

8. Quit.ie. Quit.ie - Help information and advice on how to quit smoking from the HSE [Internet]. 2014 [accessed on 20 November 2014]. Available from: http://www.quit.ie/

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Reference List Contd.9. Cdc.gov. Nutrition for Everyone: Basics: Dietary Fat | DNPAO | CDC

[Internet]. 2014 [accessed on 13 November 2014]. Available from: http://www.cdc.gov/nutrition/everyone/basics/fat/index.html

10. Choosemyplate.gov. ChooseMyPlate.gov [Internet]. 2014 [accessed on 1 November 2014]. Available from: http://www.choosemyplate.gov/

11. Prevention D, Prevention C. CDC - Salt Home DHDSP [Internet]. Cdc.gov. 2014 [accessed on 20 November 2014]. Available from: http://www.cdc.gov/salt/index.htm

12. Heller M. DASH Diet Home for Healthy Weight Loss, Lower Blood Pressure & Cholesterol [Internet]. Dashdiet.org. 2014 [accessed on 20 November 2014]. Available from: http://dashdiet.org/

13. Perry IJ, Browne G, Loughrey M, Harrington J, Lutomski J, Fitzgerald AP (2010). Dietary salt intake and related risk factors in the Irish population. A report for Safefood Ireland. ISBN: 978-1-905767-14-4

14. World-heart-federation.org. Cardiovascular disease risk factors - Obesity | World Heart Federation [Internet]. 2014 [accessed on 15 November 2014]. Available from: http://www.world-heart-federation.org/cardiovascular-health/cardiovascular-disease-risk-factors/obesity/

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Reference List Contd.15. Overweight and Obesity Among 9 year olds. Dublin: Government Publications;

2011.

16. Who.int. WHO | Commission on Ending Childhood Obesity [Internet]. 2014 [accessed on 2 November 2014]. Available from: http://www.who.int/end-childhood-obesity/en/

17. Who.int. WHO | Diet and physical activity: a public health priority [Internet]. 2014 [accessed on 7 November 2014]. Available from: http://www.who.int/dietphysicalactivity/en/

18. Safefood.eu. Let's Say No [Internet]. 2014 [accessed on 3 November 2014]. Available from: http://www.safefood.eu/Childhood-Obesity/Lets-Say-No.aspx

19. Littlesteps.eu. Home - Little Steps [Internet]. 2014 [accessed on 8 November 2014]. Available from: http://littlesteps.eu

20. Kefauver J. Trouble in the Food Aisle. Bus Source Comp. 2014; 50(2):82-82

21. Mello MM Rimm EB Studdert DM. The McLawsuit: The Fast Food Industry and Legal Accountability for Obesity. Health Aff. 2003; 22(6): 207-16

22. Bagaric M Erbacher S. Fat and the law: who should take the blame? J Law Med. 2005; 12(3): 323-39

23. Fenn JJ. The assault on bad food: tobacco style litigation as an element of the comprehensive scheme to fight obesity. Food Drug Law J. 2012; 67(1): 65-81