New report on Australia’s health shows our vulnerability to future pandemics

New report on Australia’s health shows our vulnerability to future pandemics

A new report has highlighted the scale of health problems in Australia caused by poor diet and overweight. Obesity is strongly linked to a greater risk of death and disability from COVID-19 and these new data highlight how vulnerable the nation is to a second wave or to future pandemics.

The Global Burden of Disease Study (GBD), published today in The Lancet, analysed 286 causes of death, 369 diseases and injuries, and 87 risk factors in 204 countries and territories in 2019, before COVID-19 hit.

The report showed that Australia’s five leading causes of death in 2019 were:

  • high systolic blood pressure (contributing to an estimated 25,500 deaths),
  • dietary risks (21,600 deaths),
  • tobacco use (20,100),
  • overweight and obesity (18,700), and
  • high blood sugar (diabetes) (17,700).

Executive Director of The George Institute Professor Bruce Neal said the findings should serve as a wake-up call for long overdue action to stem the tide of chronic disease in Australia.

“Australians are eating too much processed food high in salt, sugar and harmful fats which is fuelling already high rates of obesity, high blood pressure and diabetes – conditions known to greatly increase the risk of serious complications from COVID-19.”

“We have done far better with COVID-19 than most other countries but many Australians will be at considerably increased risk of a poor outcome if there is a future outbreak.  Addressing obesity and other chronic conditions caused by poor diet is more important than ever before.”

While the study showed that Australians are living longer, it suggested that these additional years may be marred by poor health, most commonly from heart disease.

Australia is one of 11 countries where more than half of all health loss (measured by disability-adjusted life-years or DALYs) is now due to disability caused by non-communicable diseases and injuries.

“We’ve long been calling for greater investment in public health to shift this alarming trajectory but we need to see real action from government and the food industry to improve the quality of the food supply,” said Prof Neal.

“The last decade has been one of missed opportunities and thousands of Australians have died prematurely as a direct consequence of this inaction.  Hundreds of thousands more are now suffering from conditions like diabetes and high blood pressure that could have been avoided if government took action to discourage consumption of unhealthy foods.”

“We look forward to the finalisation and implementation of the National Preventive Health Strategy and the National Obesity Strategy in coming months.”

“The human and financial costs of not addressing these issues are already unacceptably high. In the context of a future pandemic they may be far worse,” he added.

Feedback on the draft updated Health Star Rating Calculator and Style Guide – October 2020

Marking World Food Day: Grow, Nourish, Sustain, Together

On the eve of World Food Day, an international event marked each year on 16 October since the founding of the Food and Agriculture Organization of the United Nations, read on to find a round-up of expert comment, researcher profiles, and a major talk from The George Institute for Global Health in line with the theme to ‘Grow, Nourish, Sustain, Together’.

EVENT

Join us tomorrow for the next #GeorgeTalks titled ‘Sensible Policy: Time to #FixFood’ (register here). During this virtual event, renowned American cardiologist, Dr Dariush Mozaffarian, will discuss how our dietary habits are the primary cause of poor health, and the steps we can take to fix food and implement sensible policy, even in the context of a global pandemic. The event will also be recorded – we will share this on Twitter and YouTube shortly afterwards so keep an eye out!

World Food Day George Talk

MUST-READ

To celebrate World Food Day, we asked some of our food policy researchers to tell us about their work and outline how it will help millions of people to improve their diets and the way they think about food. With introductory statements such as: ‘law is a powerful tool to improve population diet’ (Dr Alexandra Jones) and ‘not all food environments are created equal’ (Professor Jacqui Webster), this profile piece offers some insight into the breadth of food-related research and policy conducted across the Institute. You can explore the work of our food policy team in more detail here and our Healthier Societies programme here.

THOUGHT LEADERSHIP

‘To solve problems we must connect systems’. This is the title of a blog from The George Institute’s Distinguished Fellow and Director of the Centre for Food Policy at City University of London, Professor Corinna Hawkes. In her commentary, Professor Hawkes highlights how the COVID-19 pandemic has stimulated calls for a ‘global reset’ to respond to – and prepare for future – crises and suggests five steps that can help us realise this. Read it here.

So this World Food Day, please do engage and share – together we can make a difference.

 

ideas to impact

Dr Jane Hirst awarded Fellowship of the UKRI Future Leaders

The George Institute for Global Health's Senior Research Associate Dr Jane Hirst - who leads global research into gestational diabetes mellitus (GDM), preterm birth and stillbirth - has been awarded a Fellowship of the UK Research and Innovation (UKRI) Future Leaders.

The 101 fellows, based at UK universities and businesses, will be supported through an investment of £109 million. The Future Leaders Fellowships scheme is designed to establish the careers of world-class research and innovation leaders across the UK.

UKRI's initiative aims to support the creation of a new cohort of research and innovation leaders who will have links across different sectors and disciplines. Awardees will each receive between £400,000 and £1.5 million over an initial four years. The grant supports challenging and novel projects, and the development of the fellow's career. The funding can also be used to support team members, their development, and pay for equipment and other needs. 

Dr Jane Hirst commented:

I am honoured to received this UKRI Future Leaders Fellowship. The Fellowship will support me leading a world-class programme of research that aims to transform care for women after high-risk pregnancy around the world to improve lifelong health and wellbeing. I will be working with partners in India, Australia and the UK testing practical solutions to integrate non-communicable disease prevention into pregnancy and post-partum care worldwide. This work build upon the SMARThealth Pregnancy programme and GDm-Health.

Find our more about Dr Hirst's work here.

World Food Day 2020

Celebrating World Food Day

World Food Day is celebrated around the globe on October 16. Food is one of our basic needs as a society. But while diet-related health problems are placing an increasing burden on already stretched health systems, the COVID-19 pandemic has also highlighted just how important access to safe nutritious food is. The George Institute’s food policy team work in Australia and overseas to reduce death and disease caused by diets high in salt, harmful fats, added sugars and excess energy.  The team does multi-disciplinary research with a focus on outputs that will help governments and industries deliver a healthier food environment for all.

To celebrate World Food Day, we asked some of our food policy researchers to tell us about their work, to highlight how this work will help millions of people change their diets and the way they think about food.

Changing the focus from individual to society

Professor Simone Pettigrew is the Program Head of Food Policy at The George Institute for Global Health. Her work aims to move the focus away from the current emphasis on ‘personal responsibility’, which requires individuals to overcome the highly obesogenic environments in which they work and live. “Our research highlights the important role of factors that are often beyond individuals’ control and emphasises the need to create healthy food environments that encourage and facilitate healthy diets,” she said.

Accurate, user-friendly information about the healthiness of the products we eat and drink is a fundamental consumer right, and Simone’s work highlights the importance of legislative requirements to supply this information as an important element of health policy. The World Health Organization lists the provision of such information as central to efforts to improve human health.

The George Institute’s research shows very high levels of consumer support for the provision of such information, and for a broad range of other initiatives that would make information about food and beverage products more readily available while reducing exposure to prolific junk food and alcohol advertising.

“We are continuing to build the evidence on consumer demand for information about food and beverage products and the most effective methods of conveying this information to provide policy makers with the impetus and justification they need to mandate appropriate forms of labelling.”

Law is a powerful tool to improve population diet

Dr Alexandra Jones is a Research Fellow in Food Policy and Law at The George Institute for Global Health. Her work is multi-disciplinary, fusing quantitative analysis of the food supply with legal, policy and communications expertise to strategically influence policy.

Alexandra believes law is a critical tool to improve public health. “Most of us try to eat healthy as much as possible but being surrounded by unhealthy products and marketing undermines people’s efforts to maintain a healthy diet. One effective way we can shift population diets is to set higher standards for how the food industry makes, markets and sells the foods we eat.”

Alexandra conducts research and provides technical advice to governments in Australia and internationally on legal measures such as food labelling reforms, restrictions on unhealthy marketing, taxation of unhealthy foods, and standards for food provided in public settings such as schools and hospitals.  

“Research alone is rarely sufficient to drive policy change. The impact of our work is amplified through regular engagement with government through policy submissions, advocating in coalition with consumer and public health groups, and strategic use of media to hold industry accountable for putting profits before health.”

In 2021, Alexandra will start a five-year National Health and Medical Research Council Fellowship exploring components of effective policies to target excess sugar consumption. “Australians are eating too much sugar. Better food labels and taxes on sugary drinks are a lever for the food industry to improve their products as well as a tool to support consumers to make healthier choices.”

Let food be thy medicine

Dr Jason Wu is an Associate Professor at The George Institute for Global Health. He believes food is a fundamental determinant of health.

“If we use evidence-based policies and practices to change our society so that making the healthy choice becomes the easy choice I believe this will unlock the tremendous potential of healthy food to improve our all-round wellbeing,” he says.

An exciting project Jason has started working on is the ‘Produce Prescription’ pilot program. In this study researchers are working with clinicians to identify patients with poorly controlled type 2 diabetes who are also food insecure, and ‘prescribe’ them healthy foods provided by a local food supplier. The goal of this novel intervention is to both improve their diet and better control their diabetes.

“The Produce Prescription program exemplifies the concept of ‘Food is Medicine’ – by bringing our medical system and food system closer together, we are trying to make the well-known adage ‘let food be thy medicine’, into a reality.”

Having access to nourishing food is a human right, therefore connecting patients who are food insecure with improved food access is a key element of this program. As Jason explains, “this is particularly important right now, given the economic shock of COVID-19 and the resulting hardship for many Australian families.”

Not all food environments are created equal

Professor Jacqui Webster is the Head of Advocacy and Policy Impact at The George Institute for Global Health and Director of World Health Organization Collaborating Centre on Salt Reduction.

Jacqui leads one of The Institute’s food policy teams with a focus on interventions that can deliver real-world impact on people’s diets.

The team is working in collaboration with the National Institute of Nutrition in Vietnam to examine the feasibility of introducing low sodium salts onto the market. Funded by Resolve to Save Lives, this intervention has the potential to save thousands of lives a year through reducing blood pressure.

“Lack of available, affordable nutritious food and increasing consumption of cheap highly processed foods and meals are the main factors underpinning the increase in diet-related diseases globally,” says Jacqui.

Another of her projects in Australia is working through the Yuwaya Ngarra-li partnership between the University of New South Wales and the Dharriwaa Elders group in Walgett, to support Aboriginal communities to improve food and water security.

“Both of these projects are identifying innovative culturally context-specific interventions to improve diets and bring health benefits to communities worldwide.”

Going digital on the food supply

The Institute’s Food Policy Division is focused not just on robust science and research but also translating it in innovative ways to make a material impact on people’s diets.

Fraser Taylor is the Managing Director of FoodSwitch - a data-technology system that combines food attribute data with nutrient profiling algorithms to influence government policy, industry practice and consumer behaviour. The FoodSwitch mobile app empowers consumers to make better food choices by providing simple health information on a scanned product and suggesting healthier alternatives to 'switch' to.

“Our FoodSwitch data has underpinned over 60 research papers and has been used to benchmark the healthiness of products from the world’s biggest food companies, to influence the global investment community. We are now incorporating planetary health indicators into FoodSwitch to help address the impact of the world’s most pressing problem of climate change,” he said.