On 5^th December, South Africa’s parliament passed a bill to introduce a tax on drinks with a high sugar content.  This comes after 18 months of negotiations which included four consultations with the public.

The tax will come into effect on 1^st April 2018 and will impose a levy of 2.1 cents per gram of sugar on all sugar-sweetened drinks; the first 4g of sugar per 100ml will be exempt. What this means in practice is that the price of the average can of coke will increase by 11%.

The South African government expects to raise a significant amount of money from this new tax which will be invested into health promotion projects to tackle obesity and facilitate the prevention of non-communicable diseases like diabetes, cancer and heart disease.

With South African being one of the top 10 consumers of sugary drinks in the world, it is hoped that this tax will lead to a reduction in the consumption of these drinks which will play a part in improving the health of South Africans.

Tracey Malawana, the coordinator of the Healthy Living Alliance said:

“We applaud Members of Parliament for putting the health of millions of South Africans before the narrow interests of the beverage and sugar industries.

“Thanks to Treasury and MPs, South Africa is on the right path to reverse the alarming numbers of diabetes cases and other NCDs associated with obesity. We now look to the President to sign this important law without delay. “

South Africa joins a growing number of countries who have introduced a tax on sugary drinks. These countries include Mexico, Barbados, France, Denmark, Hungary, Portgual, Saudi Arabia,  India, Thailand and others.

Sugar taxes are just one part of the global strategy to improve the public’s health through government policy. Health policy experts recommend that governments explore policies around three main areas: unhealthy foods, alcohol and cigarettes, and within these three areas to explore policies that restrict access, ban advertising (particularly to children) and increase taxes.

South Africa will have to wait a few years to determine the effect of introducing the sugar tax but initial evaluations from Mexico, who has had a sugary drinks tax for a couple of years, are very promising. An analysis of the sugar tax in Mexico found that sugary drinks consumption dropped by 5.5% one year after the sugary drinks tax was introduced, and in the second year sugary drinks consumption fell by 9.7%. Based on this,  the introduction of this tax  in South Africa brings the nation one step closer to tackling one of the key risk factors for non-communicable diseases and obesity.

We are absolutely delighted to welcome Candice Bryan to our fibroids Ask the Expert Panel. With over 20 years experience in the field of sport and wellness, Ms Bryan will provide her expertise to  those who have questions on how exercise can be utilised for the prevention and management of fibroids.

Candice Bryan is the founder of Noire Wellness which seeks to improve the health and wellness of African and African Caribbean communities living in the UK.  In 2017, she launched the #FibroidSeries wellness hub providing women with informative and engaging physical activity workshops and live demonstrations as a holistic approach to managing the effects of fibroids.

She is a thought-leader and speaker on a variety of topics related to sport development, inclusive fitness and wellness diversity.  She draws her fitness experience from over 20 years working across the sector including the management of a multi-award winning disability fitness project where she supported over 120 disabled people to become qualified fitness instructors.

As a dedicated researcher in the field of sport and wellness and the current chair of Active Harrow, Candice oversees the implementation of their physical activity and sports strategy and delivery of action plans.  More recently Candice has joined the I.D Radio team as their first wellness presenter hosting weekly shows to connect with audiences across the globe inspiring desires to be well.

We’re delighted to have Ms Bryan on board and if you have any questions on fibroids and exercise please do submit them here, and for more information on Candice and Noire Welllness, please visit www.noirewellness.com or follow her on twitter @KandiceBryan

Story update:  The Canadian government’s alcohol  and  cancer warning label experiment has been halted due to pressure from the alcohol industry who threatened legal action for defamation and trademark infringement.

Many drinkers are unaware that alcohol causes a number of cancers including breast and bowel cancer. In order to raise awareness of this the Yukon government, in collaboration with researchers, has introduced labels on alcoholic drinks warning that alcohol causes cancer. The labels also provide recommendations on safe alcohol consumption for men and women as well as advising that people should plan to have two or more non-drinking days a week.

This new initiative was a challenge to implement as Yukon is a small jurisdiction and couldn’t influence drinks manufacturers to change their labelling. Therefore the Yukon Liquor Corporation and Public Health Ontario researcher, Erin Hobin, affixed the labels to thousands of bottles themselves.

These labels are a world’s first. No other country warns drinkers, through labelling on drinks, that alcohol causes breast or bowel cancer; South Korea highlights the link between alcohol and liver cancer and the US only warns of the dangers of drunk driving and risks of drinking while pregnant.

Researcher Erin Hobbs explained the reasoning behind the labelling:

“Alcohol is such a big part of our culture in Canada. We’re inundated with alcohol marketing that shows us how much fun alcohol is. It’s part of most of our celebrations … (But) consumers have a right to know the health risks if they do choose to drink alcohol. If they do choose to drink, they can do so in a safer manner.”

Alcohol is not just linked to breast and bowel cancer, but has also been linked to cancers of the mouth, upper throat, food pipe, voice box and liver.  The number one cancer impacted by alcohol is breast cancer.

The International Agency for Research on Cancer  has classified alcohol as a type 1 carcinogen, which means there is the highest level of evidence to suggest that it does cause cancer.

It is hoped that governments will follow Yukon’s example as awareness of the link between alcohol and cancer is very low and people need to have this information so they can make an informed decision about their drinking habits, and hopefully protect their health.

Sadiq Khan, the Mayor of London, in a bid to tackle childhood obesity and its related health problems, has announced a ban on new fast-food outlets being located within 400m of existing or proposed primary and secondary schools.  The Mayor’s office has said that currently a quarter of fast-food outlets are within five minutes of schools.

In addition, the Mayor is proposing that when planning permission is granted to fast-food outlets, that they be required to sign up to the Healthier Catering Commitment for London. This is a scheme that recognises businesses in London that demonstrate a commitment to providing their customers with a healthier option by reducing saturated fat, salt and sugar in their dishes.

This ban is much-needed in London where there are 8,000 fast-food outlets throughout London with 2,000 of these being within five minutes of schools. This gives children quick and easy access to unhealthy foods, that are very cheap.  The Mayor’s office said that just one of these meals  contains 60% of our recommended daily calorie intake, half of our recommended salt and saturated fat intake and  no fruits and vegetables.

We know that many school children consume the unhealthy meals prepared by these outlets every day contributing to the childhood obesity crisis.

In London, a staggering 40% of children are overweight or obese when they finish primary school. This puts them at an increased risk of developing type 2 diabetes, heart disease and a number of other diseases.

The Mayor of London, Sadiq Khan said:

“Takeaway restaurants are a vibrant part of London life, but it’s important that they are not encouraging our children to make poor food choices.

“I am working hard to create a healthier London and this must start with the food that our children eat. As promised in my manifesto, I am using all of my powers through my new London Plan to prevent new takeaways from being built just down the road from schools as part of a package of measures to tackle the ticking time bomb of childhood obesity and help us all lead healthier lives.”

This scheme is very promising and if successful should ensure that we improve young Londoner’s health. There is also a need to ensure that existing fast-food outlets are targeted so that the 8,000 outlets in London play their role in improving the health of Londoners.

The European Medicines Agency (EMA) has announced that it is has started a review on the medicine ESMYA (ulipristal acetate). This drug is used to treat fibroids and the review was initiated following four reports of serious liver injury, three of these patients had to have a liver transplant.  An initial assessment of these cases was conducted and it was determined that ESMYA was the cause of the liver damage.  A more comprehensive and in-depth review will now be carried out.

The EMA has advised that women currently on ESMYA should speak to their doctor if they have any questions or concerns.

What is ESMYA?

ESMYA is a prescription drug that was first authorised in the EU for use in patients with fibroids in 2012. It is used to treat moderate to severe symptoms of fibroids and works by stopping the hormone progesterone from stimulating the growth of fibroids and this reduces their size.  It was initially licensed to be used before surgery to shrink fibroids, but can now also be used as a stand-alone treatment. It should only be used for up to three months at a time.  The use of ESMYA can be repeated but there should be breaks between each 3-month course of treatment.

The most common side effects of ESMYA are the absence of a woman’s period and thickening of the lining of the womb. You can speak to your doctor about what all the side effects are and these will be listed in the drug leaflet which comes with ESMYA.

ESMYA must not be used  by women who are pregnant or breastfeeding, have vaginal bleeding or have womb, cervical, ovarian or breast cancer. You can speak to your doctor about other restrictions or these will be listed on the drug information leaflet.

More Information

More information about the assessment can be found in the information sheet below and you can visit the EMA’s website for more information.

The government of St Lucia has announced that they will be starting a campaign aimed at banning the sale of soft drinks in schools across the island.

This is part of a global public health effort to reduce the amount of sugar consumed by children. This worldwide effort has seen many countries explore various options to reduce sugar consumption such as taxing sugar sweetened drinks, clear front-of-package labelling, restrictions on unhealthy foods in schools and hospitals, tighter regulation of marketing of unhealthy foods to children, reformulation of foods by companies to make them healthier and increasing the availability of healthy foods.

Reducing sugar consumption, particularly in children, is extremely important as most people are consuming too much sugar which is linked to weight gain and obesity which increases risk of diabetes, cancer and a number of other non-communicable diseases.

This move by St Lucia follows that of Barbados and Jamaica who have both banned the sale of soft drinks in schools.  The Ministry of Health and Wellness in St Lucia has met with principals of schools to discuss the best way forward in implementing the soft drinks ban. They stressed that their intention is not to affect the success of local drinks manufacturers, but to build a healthier nation. They want to encourage children to drink more water and turn away from soft drinks and juices.

Chief Nutritionist, Lisa Hunt Mitchell said:

“Sweetened beverages are bad for the health in general, but soft drinks have added ingredients such as caffeine, phosphoric acid, and colourings that are far worse. These ingredients have very negative effects on the health.”

You can find out more about St Lucia’s Ministry of Health and Wellness here

We’re so delighted to announce that our next fibroids Twitter chat will be with Candice Bryan on 13th December from 9pm to 10pm (UK time)

Candice Bryan is the founder of Noire Wellness which seeks to improve the health and wellness of African and African Caribbean communities living in the UK.  In 2017, she launched the #FibroidSeries wellness hub providing women with informative and engaging physical activity workshops and live demonstrations as a holistic approach to managing the effects of fibroids.

She is a thought-leader and speaker on a variety of topics related to sport development, inclusive fitness and wellness diversity.  She draws her fitness experience from over 20 years working across the sector including the management of a multi-award winning disability fitness project where she supported over 120 disabled people to become qualified fitness instructors.

As a dedicated researcher in the field of sport and wellness and the current chair of Active Harrow, Candice oversees the implementation of their physical activity and sports strategy and delivery of action plans.  More recently Candice has joined the I.D Radio team as their first wellness presenter hosting weekly shows to connect with audiences across the globe inspiring desires to be well.

This Twitter chat has been organised to allow for an in-depth discussion with Candice to highlight the great work her organisation is doing with their holistic approach to fibroids. We’ll be discussing Noire Wellness’ recent fibroids wellness hub, what she learnt from this innovative event and their future plans for supporting women with fibroids.

We’ll be putting questions to Candice and you can put your questions to her too. So if you have a burning question about fibroids or just want to get involved in the discussion then do join us on the day. To take part in the conversation please use the hashtag #FibroidsChat.

For more information on Candice and Noire Welllness, please  visit www.noirewellness.com or follow her on twitter @KandiceBryan

In September, the World Cancer Research Fund published the latest data from their Continuous Update Project on cancer prevention highlighting what increases and decreases our risk of developing cancer.

Their summary is a very concise, easy-to-read booklet based on the latest evidence on risk factors for cancer. One of their main messages is that one third of the most common cancers could be prevented by a healthy diet, maintaining a healthy weight and being physically active.

Their summary is divided into three sections:

• Strong evidence on what increases cancer risk
• Strong evidence on what decreases cancer risk
• Cancer prevention recommendations

When looking at what increases cancer risk, factors such as being overweight or obese, consuming alcohol, processed meat and red meat are listed as well as a number of other factors. Whilst non-starchy vegetables, fruit,  physical activity, dietary fibre, wholegrain and a number of other factors are listed as reducing cancer risk.

The WCRF end their summary with a list of cancer prevention recommendations as follows:

• Be a healthy weight
• Move more
• Avoid high calorie foods and sugary drinks
• Enjoy more grains, veg and beans
• Limit red meat and processed meat
• Don’t drink alcohol
• Eat less salt
• Avoid mouldy grains and cereals
• Don’t rely on supplements, eat a healthy diet
• If you can, breastfeed your baby

WCRF Continuous Update Project is an ongoing initiative to review global research on cancer prevention focusing on how lifestyle factors such as diet, exercise and weight impact our risk of developing cancer.  Based on these findings the WCRF will update their Cancer Prevention Recommendations which they hope will provide the public, governments and charitable organisations with accurate information on how to reduce cancer risk.

For more information you can download the full summary below or visit the WCRF’s website.

The Lake Foundation teamed up with Diabetes UK in early 2017 to deliver a Diabetes Community Champions project in Croydon aimed at the black community.

Diabetes affects 1 in 13 people in Croydon with over 19,000 affected and an additional 6400 people who don’t know they have it. Diabetics are three times more likely to develop renal failure, 2.5 times more likely to develop heart failure and twice as likely to develop stroke. Additionally, in Croydon, 38% of amputations are in diabetics and 14% of sight loss occurs in diabetics.

There are a number of high risk groups in Croydon including the black community who are three times more likely to develop diabetes than their white counterparts and hence there is a need to focus on this community.

Diabetes costs Croydon £123.7M per year, these costs are related to treatment, management of complications and wider societal costs such as informal care, social care and lost productivity.

Through out project 17 diabetes community champions were recruited and trained and they have been able to reach hundreds of people with the key messages about diabetes and its prevention. The Lake Foundation has now moved to the Caribbean and Diabetes UK is continuing with this work. A full report will be available in 2018 but you can read a short update here.

The Caribbean Tourism Organisation has declared 2018 as the Year of Wellness and Rejuvenation in the Caribbean. With this in mind The Lake Foundation in collaboration with Noire Wellness are exploring organising a fibroids wellness retreat and we would be grateful if you could complete the following survey.

This survey will help us understand if there is a need and interest in this type of event.  We want to determine whether this type of event would be a useful form of support for women affected by fibroids.

Any and all feedback is welcome and we would be very grateful if you could share this survey with anybody that you think would have an interest in this event.