Alan Johnson
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Britain is in the grip of an epidemic. In the UK two-thirds of adults and a third of children are already overweight or obese, and without action this could rise to almost nine in 10 adults and two-thirds of children by 2050.
This trend has a severe impact on the health of individuals, increasing the risk of diabetes, cancer and heart and liver disease. The eminent scientists who spent two years studying the long-term effects of obesity predict a sevenfold increase in direct healthcare costs and that 60% of men, 50% of women and 25% of children will be obese by 2050 if nothing is done to tackle current trends.
The cost will be felt by every single part of society, not just in headline financial or health terms but in very personal ways, affecting the lives and opportunities of millions of people. The core of the problem is simple – we eat too much and undertake too little physical activity. The solution is more complex.
This imbalance is ultimately the result of what the scientists call an “obesogenic environment”, from the nature of the food that we eat to the built environment and the way our children lead their lives: it is harder to avoid obesity. In short, modern life is contributing to making us overweight.
It was the scientists in their Foresight report who said society is facing a public health problem that is comparable to climate change. Failure to act now will lead to serious adverse consequences in a few decades, and any delay raises the real possibility that reversal of these trends may cease to be an option.
This week we will publish a cross-government strategy on obesity. Having been at least 30 years in the making, the epidemic will not be halted overnight. The strategy is the first stage of the government’s response to the Foresight report and will be followed by an annual report that assesses progress, looks at the latest evidence and trends and makes recommendations for further action. A panel of experts will assist the government with input from a new public health obesity observatory that will develop our understanding of what changes behaviour.
The strategy will focus on five areas: healthy children, promoting healthier food choices, building physical activity into our daily lives, creating incentives for better health, and personalised information and care for people already overweight or obese.
It will build upon the measures already taken on food labelling, restrictions on advertising to children and healthy school meals. Ed Balls’s Children’s Plan sets out the steps we have taken and will take to increase physical activity levels in schools and improve the nutritional content of school food even further.
Obviously, government action alone is not enough. We will succeed only if the problem is recognised, owned and addressed in every part of society – in particular it will require personal responsibility and action among communities, teachers, clinicians, industry and local and national government.
Some will characterise any attempt by government to tackle this problem as unnecessary interference with individual choice. The fact is that people worry more about a neglectful state than a nanny state.
It is not the government’s job to hector or lecture, but it is our duty to give people clear and transparent information, and to help and support them in their endeavours to make sure they and their children can pursue a healthy lifestyle.
Making sure people have the right information is critical. Whether it is the importance of breastfeeding, the impact of diet on health or better food labelling, it is essential that people can make an informed choice about their diet and lifestyle. Government and industry have a duty to do more to make sure the food we buy is healthier, and to ensure clear and consistent information.
We also need to do more to give people the opportunity to build activity into their daily lives. The fabric of our urban and rural spaces needs to change to encourage healthy living. That’s why I want to establish a fund that will pioneer fresh approaches in new and existing towns to promote physical activity.
These “healthy towns” will build on a successful model developed in France and will combine infrastructure improvements – such as better cycle routes and higher-quality parks – with community programmes that promote healthy eating and activity.
Hazel Blears, the communities secretary, and I will also look at how the planning system can help all areas by making decisions that promote physical activity, with better use of the regulations that enable local authorities to limit the spread of fast-food outlets, especially near parks and schools.
As the prime minister set out in his speech at King’s College London, the NHS also needs to do more to offer a personalised service that is as focused on predict and prevent as diagnose and cure. The NHS has a central role in helping people who are overweight or obese to achieve real sustained weight loss.
The rising tide of overweight and obese people is the most significant public and personal health challenge facing our society. With concerted action across government and with wide institutional support aligned to personal responsibility, I am confident we can do what no other country has yet done and reverse the obesity trend.
Alan Johnson is secretary of state for health
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Another government initiative, Iâm reassured.
I donât know if Brown has kids, in my experience itâs hard enough to get them to tidy their room up, let alone make them cook a nutritious meal.
Oberland, London, England
All this targeting of the obese/overweight is only going to make it worse as it's only going to cause these people to be more negative, more anti-social, less active (at least in public places), less affluent, and more likely to go on drastic diets or even be anorexic.All of these things work towards making the problem worse, not better.
Alcoholism, smoking, and abuse of drugs are FAR bigger problems not only in terms of the health of an individual but given they cause problems all around them with regards to crime and unhealthy conditions for others.
Camille, Savannah, USA
Perhaps you can explain, Alan, why education authorities are removing local catchment areas for many senior schools which will force teenagers to travel miles to their school instead of attending the local one. What used to be a daily walk to school is becoming a daily commute - by car or school bus.
This change is needed for social engineering reasons .... you can't allow middle class parents to 'buy' into the catchment area of a reasonably good school. So which takes priority - an obesity 'epidemic' or Ed Balls' pet social engineering projects?
Joined up thinking .... your Government couldn't join up dots.
Donna Walker, Effingham, Surrey
Thank you for the lecture, Dr Johnson. Now please move on from dispensing the medical advice you are not qualified to give, and get back to running the health....oh, hold on a minute...
Abe Lambert, Telford,
Well, in Orwell's '1984' - the Labour party Bible- everyone had to parade in front of their (two-way) TV set each morning to participate- in compulsory communal exercise. As Mr Johnson is a big supporter of mindnumbing State control it wouldn't surprise me if that would be the next " 'elf 'n' safety " gimmick.
Doug, Glasgow,
Obesity is caused by the kind of food that we eat, not the amount of it or lack of exercise. I know this because my own flab has drastically reduced since I cut out biscuits, cakes, sweets, chocolate, crisps, ice cream, red meat and dairy foods and, to a large extent, pre-packaged processed foods. The strange thing is I no longer even want to eat those things - fatty foods are an addiction, Fat has an unpleasant taste in your mouth when you don't usually eat it.. I eat homemade bread (wholemeal) and have a generally low fat diet., feel great and am constantly getting thinner, despite the fact that I don't generally feel hungry and consume about 9 units of alcohol per day.
Ken Otway, Kingston on Thames, Surrey
In November of 2006 Dr. Sinclair of Harvard studied obese mice. He gave one group biotivia transmax resveratrol extract supplement, a lab grade version of a compound found in red wine, and the other a placebo. The group receiving resveratrol lived 31% longer and did not contract the normal diseases of aging such as diabetes, tumors, and cardiac diseases. Their endurance and energy levels also improved markedly. Obesity is not the problem per se. It is the health adverse consequences such as diabetes that are so costly. This study has huge implications for treatment of obesity in humans and for lowering the human, social and health care cost of obesity. We need to look at more innovative approaches to this problem as the tired old remedies simply waste time and money.
Howard Jennings, Zurich, Switzerland
You cannot beat obesity, Mr Johnson, you do not have the tools!
Food guides and diets have advanced obesity, they have to be abandoned, having created abject misery for a trusting public.
Only people can reverse the obesity epidemic given a realistic approach to food. Teach Food Basics! The old way!
How irresponsible can government be? Health Canada assembled 7000 dedicated but confused citizens for a 4 year advisory to concoct another version of an inane Rainbow Food Guide. The exercise is to be repeated- (only governments can repeat open failure) by asking for more input from a confused and worried population.
My credentials, for what they are worth--- Turned 83 Jan. 7th! I am not healthy (by todays rating) but my massive medial test is 100% NORMAL----Hart Oldenburg--------
Hart Oldenburg, Winnipeg, Canada
Globalisty, it's coming & will be here to stay.
for as many fighting for common sense, moderation, self-control & willpower,
there are many a corporation/organisation that wants the gluttony to continue.
when will peoples health become more important than profit?
suzyn, clacton, essex UK
Simply sell your current fridge, and buy the smallest model you can get. Before 1955 few families had fridges, there was a lot less moaning about being overweight. Just have a carefullook at a crowd scene in an early Black and White film.
David Vinter, Louth, Lincs., UK.
Well worth thinking about it. Touches on some underlying science. It isn't simple.
Twenty or thirty years ago we observed that when the economy got worse, there were more very fat people, poorly dressed people to be seen.
See the current - 17/01/08 - New Scientist - for article on compellingly unhealthy effect of insulin levels from refined carbohydrates. Apparently the derided Atkins high-protein diet does make sense.
Food manufacture/processing in recent decades looks like a dreadful experiment with public health. Needs legislation as draconian as the laws against adulterating bread in earlier history.
As well as more - but not too much - exercise, people need enough sleep.
Even making some sort of Governmental effort might just help through 'Hawthorn effect' - just being the object of attention helps.
Peter Thomas, Godalming,
Overweight? Solution is simply - don't eat so much and get up and walk.
Linda, New York City, USA
Just one quick idea: run ticker tape messages extolling healthy living under television adverts for sofas that infest airtime, (again following the French), which will be sure quicker that waiting for the government to get of its backside to "change the fabric of urban and rural spaces, community parks" blah blah, ad nauseum
Give us a break please
Terry hawker, L'Absie, France
"With concerted action across government ..."
That is as far as you and your friends can ever think. Big State, concerted action, lots of wasted money. STOP interfering with our daily lives. LEAVE US ALONE.
Oh, and prepare to lose the next election. Good riddance.
S Williams, London,
What I find interesting is the way all forms of discrimination have been legislated against except for discriminating against people because of body size. Nobody wants to be called the "F" (fat) word, yet overweight and obese people constantly report being abused by complete strangers because of their body size. Overweight and obesity is in increasing problem in all affluent, western societies. From a health point of view this is alarming both for the individuals concerned and the society as a whole, but care needs to be taken in how it is approached. Studies are already showing that young people rate body image as their number one concern. In trying to solve one problem, could we be creating another?
Lulu, Melbourne, Australia
According to a recent study at the University of California at San Diego reported in the following: ScienceDaily, Retrieved January 20, 2008, from http://www.sciencedaily.com /releases/2007/11/071106133106.htm, type II diabetes is not directly related to obesity. Therefore, the cost model provided in the Foresight study may have to be revised with respect to it's projections concerning diabetes.
Joe Bradley, East Fallowfield, USA/PA
Nothing to do with a poverty stricken NHS and an horrendously over-taxed electorate which can't afford any more money to keep it afloat then? Heard it all before. Anyway, most of the problem is comfort eating because of the miserable, self-seeking, isolated lives your citizens live Alan..... a product of society under Labour.
Judy , Liverpool, england
Obesity is not an "epidemic". The Black Death was an epidemic. Obesity is a self-inflicted condition, a problem known only in rich western societies. I know from personal experience that the best and only sure-fire way to beat obesity is to cease eating; two weeks on a liquid diet in hospital following major bowel surgery saw me shed 3 stone, two of which I have never regained.
Robert Dewar, High Wycombe,