The Healthy Caribbean Coalition and the Heart and Stroke Foundation of Barbados have released a new short video raising awareness of childhood obesity in the Caribbean. The clip informs the public of the negative consequences of childhood obesity and what needs to be done to address this issue.

Please view and share this video with your friends, family and associates and help get the message out there about how we can all improve the health and wellbeing of our children.

To find out more about childhood obesity in the Caribbean and for some useful resources you can visit the Healthy Caribbean Coalition’s Childhood Obesity Portal

On 20^th November 2018, we were on the beautiful island of Barbados for the Healthy Caribbean Coalition’s ‘Beyond the Call to Action Event: Towards School Policies in Support of Childhood Obesity Prevention.’

This event marked the end of the HCC’s childhood obesity prevention campaign. One of the key parts of this campaign was the HCC’s childhood obesity prevention petition (Call to Action) which called on Heads of Government to enact any of the following policies and legislation which have been demonstrated as effective measures to combat childhood  obesity:

• Imposition of a tax of not less than 20% on Sugar Sweetened Beverages (SSBs) and use tax revenue for NCD prevention and control.
• Banning the sale, promotion and marketing of SSBs, and unhealthy foods and beverages in and around schools.
• Mandatory physical activity in all primary and secondary schools
• Adoption and application of regional standards for nutritional and front of package labelling of foods and beverages.
• Banning the marketing of unhealthy foods and beverages to children (includes non-school environments)
• Enacting legislation related to The International Code of Marketing of Breast-milk Substitutes.

This event brought together a wide cross section of national and regional stakeholders to celebrate the achievements of the campaign and to showcase all the great work being conducted across the Caribbean to tackle childhood obesity. We heard from speakers from the Bahamas, Bermuda, Jamaica and Trinidad. It was particularly interesting listening to Dr Simone Spence’s presentation explaining Jamaica Moves’ new initiative targeting schools.

Youth Involvement

It was also very nice to see young people actively participating in this event. Young people took part in a parallel youth session led by Krystal Boyea, the HCC’s Youth Advocate. In this session young people discussed the solutions and barriers to creating a healthy school environment and also explored the types of products sold in schools and how the school environment influences behaviour and health.

We Took Part in a Panel Discussion

We had the pleasure of taking part in a panel discussion with other CSOs including the Antigua and Barbuda Diabetes Association,  the Heart and Stroke Foundation of Barbados,  the Grenada NCD Commission, the St Lucia Diabetes and Hypertension Association and the Heart Foundation of Jamaica about the importance of coalitions and collaborations in addressing critical issues such as childhood obesity. We had an interesting discussion, facilitated by Sir Trevor Hassell.

We really enjoyed this event and would like to thank the HCC for inviting us to take part in the panel discussion. We look forward to hearing more about the work being conducted across the Caribbean to tackle childhood obesity and making our own small contribution to this effort.

 

In April 2018, the UK Government introduced their sugar sweetened beverage (SSB) tax. Drinks containing 5-8g per 100 ml of sugar are now taxed at a rate of 18p per litre and drinks containing over 8g per 100 ml are taxed at a higher rate of 24p per litre. The tax is applied to all manufacturers and to date 457 companies are registered to pay this tax.

The tax has been successful in two regards. Firstly, in the run-up to the introduction of the tax many manufacturers reformulated their drinks to reduce the amount of sugar they contain to avoid paying the tax. This included supermarket giant Tesco’s who, in 2016, reduced the sugar content of their soft drinks to below 5g per 100ml. Other brands who have reduced the sugar content of their products include Ribena, Fanta and Lucozade.  Some brands, such as Coca Cola have decided not to reformulate their products as they are concerned about losing their customers. This means that in the UK the price of a can of coke has increased by 8p and a large bottle of coke by 50p.

The second success of the sugar tax is the revenue that has been raised. In the first six months of the tax being introduced £154m was raised. The money raised from the sugar tax will be used to double the funding available to primary schools for PE and sports programmes to support healthier, more active, lifestyles in children. The funding will not only go towards expanding PE and sports programmes but to also expand breakfast clubs in primary schools ensuring that children have access to a healthy breakfast every week day.

Islands states throughout the Caribbean are considering introducing a SSB tax and it is hoped that the recent success of the UK and other countries like Mexico will provide Governments with the evidence of the impact of a SSB tax.

On 1st November 2018, the Ministry of Health in St Kitts held a public consultation on SSB taxation. During this consultation they provided information on their proposed approach to sugar sweetened beverage (SSB) taxation. Lake Health and Wellbeing supports the government’s plans to tax SSBs and has published a position statement outlining our views on this topic.

SSB Taxation

The taxation of SSBs has been utilised as a method of tackling obesity by creating a deterrent which leads to a reduction in the purchase and consumption of SSBs.

Taxation of SSBs has three important aims. The first it to incentivise manufacturers to reformulate or replace their products to create healthier options, the second is to deter the public from purchasing and consuming SSBs by making them unaffordable and the third is to raise funds from the tax revenue that can be used to support initiatives aimed at improving the health of the public.

Caribbean Children’s SSB Consumption

Children in the Caribbean drink large quantities of SSBs putting them at risk of becoming obese or overweight.  Caribbean children’s frequency of consuming SSBs was found to be amongst the highest out of 187 countries. Furthermore, teenagers (12 to 15-year olds) in Barbados, Jamaica, the Bahamas and Trinidad and Tobago reported drinking SSBs three times or more a day, and in St Kitts and Nevis it was found that children consumed at least one carbonated soft drink a day.

SSB Consumption and Obesity

This high consumption of SSBs has been linked to weight gain and obesity in adults and children, and obesity or being overweight increases a person’s risk of developing a number of non-communicable diseases such as type 2 diabetes, stroke, heart disease and cancer.

Obesity is a significant challenge in St Kitts and Nevis. A PAHO report revealed that 33% of secondary school children in the twin island state were overweight and 14% were  obese. More recently, in 2017, a UNICEF report published that 26% of children in  St Kitts and Nevis are obese. When looking at adults in St Kitts and Nevis, the  PAHO study reported that 34% of adults were overweight and 45% were obese.

Tackling Obesity

In order to address the high rate of obesity in St Kitts and Nevis, a number of strategies are required and reducing the public’s consumption of SSBs by introducing a tax is just one of many approaches.

Our Position Statement

To find out more about the St Kitts Ministry of Health’s approach to SSB taxation and our position on this approach. You can download our position statement below.

Document: Taxing SSBs in St Kitts: A Position Statement

Published by: Lake Health and Wellbeing

Date: 15th November 2018

Download here: SSB Taxation Position Statement

 

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References

1. UNICEF, Situation Analysis of Children in the Federation of St Kitts and Nevis, UNICEF Office for the Eastern Caribbean Area and the Government of St Kitts and Nevis, Christ Church, Barbados, 2017
2. PAHO, Health in the Americas, 2012: St Kitts and Nevis, PAHO, 2012
3. Xuereb, G. (2017). Sugar Sweetened Beverages Taxes in the Caribbean – Progress and Challenges.
4. Yang, L. et al. (2017). Consumption of Carbonated Soft Drinks Among Young Adolescents Aged 12 to 15 Years in 53 Low- and Middle-Income Countries.  American journal of public health, 107(7), pp 1095-1100.

 

We’re so delighted to have been invited to take part in a panel discussion at the Healthy Caribbean Coalition and the Heart and Stroke Foundation of Barbados’ event on childhood obesity.

This event will take place at the beautiful Hilton Hotel in Barbados on 20th November in recognition of Universal Children’s Day and the official end of the HCC’s childhood obesity prevention campaign.

One of the key parts of this campaign was the HCC’s childhood obesity prevention petition which called on our Heads of Government to enact any of the following policies and legislation which have been demonstrated as effective measures to combat childhood  obesity:

• Imposition of a tax of not less than 20% on Sugar Sweetened Beverages (SSBs) and use tax revenue for NCD prevention and control.
• Banning the sale, promotion and marketing of SSBs, and unhealthy foods and beverages in and around schools.
• Mandatory physical activity in all primary and secondary schools
• Adoption and application of regional standards for nutritional and front of package labelling of foods and beverages.
• Banning the marketing of unhealthy foods and beverages to children (includes non-school environments)
• Enacting legislation related to The International Code of Marketing of Breast-milk Substitutes.

This event will officially close the petition and campaign by bringing together a wide cross section of national and regional stakeholders to celebrate the achievements of the campaign and to chart the way forward.

The meeting will provide a unique opportunity for organizations across the Caribbean, who took part in the campaign, to discuss the progress made over the course of the campaign and share national and regional successes and lessons learned in childhood obesity prevention advocacy platforms.

This one-day forum will also serve to leverage the energy and momentum of the past seven months and redirect it towards focussed evidence-based advocacy in support of creating healthy school environments across the Caribbean.

Lake Health and Wellbeing, as participant of the campaign and a member of the campaign’s civil society action team has been invited to take part in a panel discussion on the importance of coalitions and CSO collaboration around critical issues such as childhood obesity.

We’re very much looking forward to taking part in this very important event and are honoured to have been invited to participate – a big thank you to the HCC and HSFB for the invitation.

 

Wednesday 4th July 2018

Today’s episode is the final episode in our childhood obesity series and our volunteers Vikell and Marecia discuss the solutions to childhood obesity.

Welcome back to the Lake Health and Wellbeing podcast. In today’s episode our volunteers from the St Kitts Department of Youth Empowerment’s Volunteer Corp are back with the second episode in their childhood obesity series.

In today’s episode Marecia, Eurecia, Jorecia, Chris and Vikell have an interesting and lively discussion on the causes of childhood obesity. In this episode they cover:

• The sale of unhealthy food near schools
• Why teachers might not step in and encourage healthy behaviours in children
• Cultural beliefs about weight
• Inactivity and some of the reasons why today’s children aren’t as active as the generations before them
• And much, much more!

You can get involved in this discussion by leaving a comment or question in the comments section below or emailing us your thoughts on this subject.

You can also support this project by signing the Healthy Caribbean Coalition’s Childhood Obesity Prevention Petition here

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Podcast Music:

“Too Cool” Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

Wednesday 13th June, 2018

In today’s episode our volunteers provide a brief introduction to give you a taste of what to expect from their childhood obesity podcast series. They touch on causes and solutions, and discuss the HCC’s childhood obesity prevention petition.

Back in March the Healthy Caribbean Coalition launched their Childhood Obesity Prevention Petition as part of their Civil Society Action Plan for 2017-2019.

The aim of the petition is to raise awareness of childhood obesity in the Caribbean and influence the region’s leaders to champion and implement critical policies that will improve the health of our children, reduce childhood obesity and prevent the associated non-communicable diseases.

Lake Health and Wellbeing fully supports this campaign and as a member of the HCC are assisting in promoting this campaign here in St Kitts. As part of this work we are working with volunteers from the St Kitts Department of Youth Empowerment’s Volunteer Corp to raise awareness of childhood obesity, encourage discussion on what our community can to do tackle this issue and gain support for the HCC’s petition.

Volunteers Come On Board

On 4^th June we were delighted to host a briefing session for our enthusiastic volunteers where we provided some background information on this topic and the HCC’s campaign as well as explored ways of reaching the community with the key messages of the campaign.

Over the next four weeks our volunteers will be out in the community targeting corporate organisations, schools, parents, young people and more to promote the childhood obesity prevention petition, raise awareness of the causes of childhood obesity and discuss the solutions with all stakeholders.

We’re aiming to use creative ways to engage the public on this issue and our volunteers have been hard at work on a podcast series on childhood obesity and we’re delighted to announce that their first episode has been published and you can listen to this here.  In this episode our volunteers introduce listeners to their new podcast series giving everyone a flavour of what is to come. You can support these wonderful young people by listening, sharing, commenting and sending in questions. You can send your comments and questions to info@lakehealthandwellbeing.com  or leave them in the comments section below the show notes of the podcast episode.

We’re very much looking forward to working with our volunteers, they’ve started really well and we’re sure they’ll make a significant difference in their community over the next few weeks.

Wednesday 16th May, 2018

We’ve had a  lot of interesting meetings, which we’re quite exited about so we thought we’d take a few minutes to update you on what we’ve been planning.