The severity of this crisis means we need an overarching “obesity test”, now. Photo: Getty
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Why all new legislation should face an obesity test

Obesity is not a future theoretical threat, it is a present catastrophe.

David Cameron convened another COBRA meeting last week. Normally associated with terrorist threats and natural disasters, this time it was for a crisis in health. We’ve known about it for years, we’ve seen the catastrophic effects on individuals, we have had a plethora of advice on prevention and we have some frightening numbers of the cost to the economy. Were they discussing the greatest threat to the nation’s health and possibly economic security, ie obesity? No. Obesity, which has been blubbering for attention from politicians for a couple of decades, was elbowed aside by the far more fashionable ebola.

Obesity is not a future theoretical threat, it is a present catastrophe. In the past 20 years, the proportion of adults that are obese has risen from 13.2 per cent to 24.4 per cent among men and from 16.4 per cent to 25.1 per cent among women. Including being overweight, the numbers are far worse: 57.6 per cent to 66.6 per cent among men and from 48.6 per cent to 57.2 per cent among women. Most people have heard of the repercussions of being obese: diabetes, heart disease, joint problems, though less known tends to be the rising association with cancer. In 2007 the cost to the UK economy of overweight and obesity was estimated at £15.8bn per year, including £4.2bn in costs to the NHS. 2007 was also the year that the Labour government brought out its seminal Foresight Report on “Tackling Obesities” which set out to answer the question “How can we deliver a sustainable response to obesity over the next 40 years?” The project assembled evidence and expertise from diverse academic disciplines as well as interested organisations within and beyond government.

Eight years on, one fifth of the way through the report’s timeline, and it’s safe to say the situation has not improved. We’re still getting fatter and we still have fat-sugar-responsibility-blame demonising headlines on a loop. The Foresight Report rightly asked for a system-wide approach and a portfolio of policies to be put in place. Politicians can point to things that have since been done, but they are self-evidently inadequate. The approach has remained to piecemeal, to voluntary, to weak, to uncoordinated and to blaming.

In “Careless eating costs lives” we have responded to the obesity crisis by putting together a portfolio of policies, acknowledging both that only a cross-cutting, robust approach will suffice and that there are more avenues to explore. Where previous activity has been limited, we are calling for extended application; where schemes have been half-baked, we are setting out a considered whole-sector approach; where good things have begun, we ask for them to be embedded in law as the new foundations of progress.  For instance, the coalition government’s much debated voluntary “Responsibility Deal” has actually seen 713 different organisations and manufacturers sign up to one or more “pledge” to improve labelling, content, nutrition or workplace health. They have shown it can be done, so why not now phase in this deal as mandatory for all manufacturers, just as the Disability Discrimination Act was phased in over a period of years, allowing a reasonable amount of time for companies to adjust? Likewise, the ban on advertising unhealthy foods on TV aimed at children, needs to be now extended across daytime TV, not just during the early-afternoon. Having calories detailed on some menus now needs to become the norm, from KFC to Starbucks to Pizza Hut.

Above all, the severity of this crisis – the drain on individuals, economies and the NHS – means we need an overarching “obesity test”. All government departments need to consider the impact of proposed policy on eating behaviours and public health, to ensure it does not compound the crisis. This is essential because the causes are so complex and multifaceted. Health, education, business, treasury, transport, trade, farming and local government all have their part to play, but if the “obesity” question is not being asked, the unintended consequences of policy could be a more obesogenic environment than we have already.

If a new policy or initiative makes it easier to supply fast food, harder to walk to the shops, more difficult for schools to serve balanced meals, cheaper to buy junk grub then it should be rejected. Those are obvious. But due consideration should also be given to prevention: mental illness and counselling services, early years support and cooking classes are all vital to ensuring problem symptoms are tackled before they turn into the signs of excessive weight gain. One friend remarked to me that everyone in the over-eaters anonymous groups that she had ever attended had reported a history of abuse.

No, obesity isn’t as captivating as ebola. And as ever, those with the least resources, the lowest resilience, and often the easiest to ignore are the hardest hit. But with a tidal wave of calories surrounding us, we can’t go on ignoring obesity – because it will sink all of us if we do.

Julia Manning is Chief Executive of 2020health

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You may call me a monster – but I'm glad that girl's lemonade stall got shut down

What's wrong with hard-working public servants enforcing perfectly sensible regulations?

Who could fail to be moved by the widely shared tears of a five year old whose innocent lemonade stall was brutally shut down by evil bureaucrats? What sort of monster would not have their heartstrings tugged by the plaintive “I've done a bad thing” from a girl whose father tells us she “just wanted to put a smile on people's faces”?

Well me, actually.

There are half a million cases of food poisoning each year in the UK, and one of the reasons we have stringent controls on who can sell food and drink, especially in unsealed containers, is to try to cut those figures down. And street stalls in general are regulated because we have a system of taxation, rights and responsibilities in this country which underpins our functioning society. Regulation is a social and economic good.

It’s also pretty unfair to criticise the hard-working public servants who acted in this case for doing the job they are no doubt underpaid to do. For the council to say “we expect our enforcement officers to show common sense” as they cancelled the fine is all very well, but I’m willing to bet they are given precious little leeway in their training when it comes to who gets fined and who doesn’t. If the council is handing out apologies, it likely should be issuing one to its officers as well.

“But these are decent folk being persecuted by a nanny state,” I hear you cry. And I stand impervious, I’m afraid. Because I’ve heard that line a lot recently and it’s beginning to grate.

It’s the same argument used against speed cameras and parking fines. How often have you heard those caught out proclaim themselves as “law-abiding citizens” and bemoan the infringement of their freedom? I have news for you: if you break the speed limit, or park illegally, or indeed break health and safety or trading regulations, you are not a law-abiding citizen. You’re actually the one who’s in the wrong.

And rarely is ignorance an excuse. Speed limits and parking regulations are posted clearly. In the case of the now famous lemonade stand, the father in question is even quoted as saying “I thought that they would just tell us to pack up and go home.” So he knew he was breaking the rules. He just didn’t think the consequences should apply to him.

A culture of entitlement, and a belief that rules are for other people but not us, is a disease gripping middle Britain. It is demonstrated in many different ways, from the driver telling the cyclist that she has no right to be on the road because she doesn’t pay road tax (I know), to the father holding up his daughter’s tears to get out of a fine.

I know, I’m a monster. But hooray for the enforcers, I say.

Duncan Hothersall is the editor of Labour Hame