WHO reveals REPLACE action package

The World Health Organization (WHO) has released a step-by-step guide, REPLACE, for the elimination of industrially-produced trans-fatty acids from the global food supply.

Eliminating trans fats is key to protecting health and saving lives: WHO estimates that every year, trans fat intake leads to  more than 500,000 deaths of people from cardiovascular disease.

Industrially-produced trans fats are contained in hardened vegetable fats, such as margarine and ghee, and are often present in snack food, baked foods, and fried foods. Manufacturers  often use them as they have a longer shelf life than other fats. But healthier alternatives can be used that would not affect taste or cost of food.

“WHO calls on governments to use the REPLACE action package to eliminate industrially-produced trans-fatty acids from the food supply,” says WHO director-general, Dr Tedros Adhanom Ghebreyesus. “Implementing the six strategic actions in the REPLACE package will help  achieve the elimination of trans fat, and represent a major victory in  the  global  fight against cardiovascular disease.”

REPLACE provides six strategic actions to ensure the prompt, complete, and sustained elimination of industrially-produced trans fats from the food supply:

  • REview dietary sources of industrially-produced trans fats and the landscape for required policy change.
  • Promote the replacement of industrially-produced trans fats with healthier fats and oils.
  • Legislate or enact regulatory actions to eliminate industrially-produced trans fats.
  • Assess and monitor trans fats content in the food supply and changes in trans fat consumption in the population.
  • Create awareness of the negative health impact of trans fats among policy makers, producers, suppliers, and the public.
  • Enforce compliance of policies and regulations.

Several high-income countries have virtually eliminated industrially-produced trans fats through legally imposed limits on the amount that can be contained in packaged food. Some governments have implemented nationwide bans on partially hydrogenated oils, the main source of industrially-produced trans fats.

“New York City eliminated industrially-produced trans fat a decade ago, following Denmark’s lead,” says Dr. Tom Frieden, president and CEO of Resolve to Save Lives, an initiative of Vital Strategies. “Trans fat is an unnecessary toxic chemical that kills, and there’s no reason people around the world should continue to be exposed.”

Action is needed in low- and middle-income countries, where controls of use of industrially-produced trans fats are often weaker, to ensure that the benefits are felt equally around the world.

Elimination of industrially-produced trans fats from the global food supply has been identified as one of the priority targets of WHO’s strategic plan, the draft 13th General Programme of Work (GPW13) which will guide the work of WHO in 2019-23.

GPW13 is on the agenda of  the 71st World Health Assembly that will be held in Geneva on 21-26 May 2018. As part of the U.N.’s Sustainable Development Goals, the global community has committed to reducing premature death from noncommunicable diseases by one-third by 2030. Global elimination of industrially-produced trans fats can help achieve this goal.

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