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How to Approach ‘Fat-Tax’ on Food to Tackle Non-Communicable Diseases in India:A Review
Non-communicable diseases (NCDs) contributed to an estimated 61% (5.8 million) total deaths and 55% disability-adjusted life years in India in 2015. These diseases not only affect the health status of the population, but they also have social and economic implications, such as-prolonged disability and increased health-related expenditures by health systems, households, and individuals. As per recent disease burden study in India, unhealthy diet was found to be an important risk factor for NCD related mortality. Unhealthy diets, particularly those rich in fat are associated with overweight and obesity, which are an important metabolic risk factor for NCDs. Fiscal policies, such as taxation on unhealthy (fat and sugars) and subsidies on healthy (fruits and vegetables) food itemsare key population-based interventions to reduce the consumption of calorie-dense foods and address diet-related NCDs. These policies can offer both economic and health benefits. Many high-income countries, such as Hungry (packaged products with high sugar, saturated fat, and salt), Denmark (saturated fat), Finland (sweets), France (drinks with added sugar or sweeteners) and Mexico (high calorie packaged foods) have implemented health-related food taxes. Evidence from these countries suggests taxes and subsidies are effective in reducing consumption of sugary drinks and increasing the consumptions of vegetables and fruits. However, with fat taxes, a smaller effect is observed. Therefore, prior to designing a fat tax policy for India, evidence and lessons learned from other countries’ experiences must be considered. Also, the direct and indirect impact of the tax on both consumers and the food industry should be anticipated. While planning the taxation policy on fat, consumer responsiveness to the change in the price of the products that are being considered for taxation, and food industryinterests and tactics must be considered in local context. It is recommended to first have a clearly defined objective for the tax- is it for public health or economic benefits. Next step is to define the tax type and structure, followed by selecting the products to be taxed. To offset the influence of industry and to increase public and political support, earmarking the revenue from health taxes for healthcare financing or health promotion is recommended. Lastly, to tackle NCDs in India, the fat tax must be considered as one of the policy interventions and must be accompanied by other public health interventions.
Non-Communicable Diseases, Unhealthy Diets, Fiscal Policies, Fat-Tax, Public Health.
- Abraham, L., Thomas, U., Williams, S., N, A., and Mathias, J. (2014). A Study to Assess the Lifestyle Associated risk factors for selected non communicable diseases and to determine the effectiveness of structured teaching programme on health promotivebehaviors among adolescents in the selected pu colleges of Mysore. Asian Journal Of Nursing Education And Research, 4(2), 182-186.
- Arora, N.K., Pillai, R., Dasgupta, R. and Garg, P.R. (2014). Whole‐of‐society monitoring framework for sugar, salt, and fat consumption and noncommunicable diseases in India. Annals of the New York Academy of Sciences, 1331(1),157-173.
- Basu, S., Dahiya, N. and Bachani, D. (2017). Sugar and fat taxes as means to halt obesity and prevent lifestyle diseases: Opportunities and challenges in the Indian context. International Journal of Noncommunicable Diseases, 2(2), 56.
- Bloom, D., Chisholm, D., Llopis, E., Prettner, K., Stein, A. and Feigl, A. (2011). From burden to" best buys": reducing the economic impact of non-communicable disease in low-and-middle-income countries. Program on the Global Demography of Aging.
- Bloom, D.E., Fonseca, C.E.T., Candeias, V., Adashi, E., Bloom, L., Gurfein, L., Llopis, J.E., Lubet, A., Mitgang, E., Carroll, O.J. and Saxena, A. (2014). Economics of non-communicable diseases in India. In Harvard School of Public Health and World Economic Forum. Geneva.
- Bodker, M., Pisinger, C., Toft, U. and Jorgensen, T. (2015). The rise and fall of the world's first fat tax. Health policy, 119(6), 737-742.
- Cornelsen, L., Green, R., Dangour, A. and Smith, R. (2014). Why fat taxes won't make us thin. Journal of public health, 37(1), 18-23.
- Dandona, L., Dandona, R., Kumar, G.A., Shukla, D.K., Paul, V.K., Balakrishnan, K., Prabhakaran, D., Tandon, N., Salvi, S., Dash, A.P. and Nandakumar, A. (2017). Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study. The Lancet,390(10111),2437-2460.
- Food Safety and Standards Authority of India (FSSAI). Report of the Expert Group on issue of high Fat, Sugar and Salt (HFSS) and its health effects on Indian population. [Accessed on 25 March 2018] Available from: http://admin.indiaenvironmentportal.org.in/files/file/consumption%20of%20fat%20sugar%20salt%20FSSAI.pdf
- Gao, G. (2011). World food demand. American Journal of Agricultural Economics, 94(1), pp.25-51.
- Hait, M., Patel, A., and Rajput, C. (2017). Heavy metal levels in selected leafy vegetables obtained from Local market of Dharmjaigarh, Chhattisgarh, India. Asian Journal Of Research In Chemistry, 10(3), 354. doi: 10.5958/0974-4150.2017.00060.8
- Hawkes, C., Jewell, J. and Allen, K. (2013). A food policy package for healthy diets and the prevention of obesity and diet‐related non‐communicable diseases: the NOURISHING framework. Obesity Reviews, 14(S2),159-168.
- Hawkes, C., Smith, T.G., Jewell, J., Wardle, J., Hammond, R.A., Friel, S., Thow, A.M. and Kain, J. (2015). Smart food policies for obesity prevention. The Lancet, 385(9985), 2410-2421.
- Hyseni, L., Atkinson, M., Bromley, H., Orton, L., Lloyd-Williams, F., McGill, R. and Capewell, S. (2017). The effects of policy actions to improve population dietary patterns and prevent diet-related non-communicable diseases: scoping review. European journal of clinical nutrition, 71(6), 694.
- International Institute for Population Sciences (IIPS) and ICF (2017). National Family Health Survey (NFHS-4), 2015-16: India Fact Sheet. Mumbai: IIPS. [Accessed on 25 March 2018] Available from: http://www.rchiips.org/nfhs/nfhs4.shtml
- Kuriakose, F. and Iyer, D.K. (2016). Tax Landscape and Public Health: A Critical Examination of'Fat Tax'in Kerala, India.
- National Sample Survey Organization (NSSO) Ministry of Statistics and Programme Implementation Government of India (2013). Nutritional Intake in India, 2011-12, NSS 68th round (July 2011- June 2012) Report No. 560(68/1.0/3), New Delhi. [Online] 2014. [Last accessed on 2014 Jun 18]. Available from: http://www.domain.b.com/economy/general/2005/pdf/Disability_in_India.pdf .
- Pechey, R., Jebb, S.A., Kelly, M.P., Almiron-Roig, E., Conde, S., Nakamura, R., Shemilt, I., Suhrcke, M. and Marteau, T.M. (2013). Socioeconomic differences in purchases of more vs. less healthy foods and beverages: analysis of over 25,000 British households in 2010. Social Science and Medicine, 92, 22-26.
- Pujari, S., Pateel, P. (2017). A Study to Evaluate the Effectiveness of Structured Teaching Program on Knowledge regarding Ill Effects of Smoking among Students of Government High School of Bagalkot. International Journal Of Advances In Nursing Management, 5(3), 251. doi: 10.5958/2454-2652.2017.00054.3
- Sahu, J., and Brahme, R. (2016). Comparative study based on analysis of expenditure incurred by Chhattisgarh under public health, social security and welfare and general education: Trends and Patterns. Research Journal Of Humanities And Social Sciences, 7(2), 121. doi: 10.5958/2321-5828.2016.00020.6
- Shetty, P.S. (2002). Nutrition transition in India. Public health nutrition, 5(1a), 175-182.
- Singh, P.N., Arthur, K.N., Orlich, M.J., James, W., Purty, A., Job, J.S., Rajaram, S. and Sabaté, J., 2014. Global epidemiology of obesity, vegetarian dietary patterns, and noncommunicable disease in Asian Indians. The American journal of clinical nutrition, 100(suppl_1), 359S-364S.
- Thakur, J.S., Prinja, S., Garg, C.C., Mendis, S. and Menabde, N. (2011). Social and economic implications of noncommunicable diseases in India. Indian journal of community medicine, 36(Suppl1), S13.
- World Health Organization (2015). Using price policies to promote healthier diets. WHO Regional Office for Europe.
- World Health Organization (2016). Fiscal policies for diet and prevention of noncommunicable diseases: technical meeting report, 5-6 May 2015, Geneva, Switzerland. World Health Organization.
- World Health Organization (2017). Noncommunicable diseases fact sheet June 2017. [Accessed on 25 March 2018] Available from: http://www.who.int/mediacentre/factsheets/fs355/en/
- World Health Organization (2017). Noncommunicable diseases progress monitor 2017. [Accessed on 25 March 2018] Available from: http://www.who.int/nmh/publications/ncd-progress-monitor-2017/en/
- Wright, A., Smith, K.E. and Hellowell, M., (2017). Policy lessons from health taxes: a systematic review of empirical studies. BMC public health, 17(1), 583.
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