Global Nutrition: What Is the Private Sector Doing?

SDG Goal 2 End hunger, achieve food security & improved nutrition, promote sustainable agriculture

By Helen Medina

Did you know that March is National Nutrition Month in the United States?  For policymakers, nutrition is top of mind.  In fact, the United Nations Sustainable Development Goals place nutrition and the mission to “End hunger, achieve food security and improved nutrition, and promote sustainable agriculture” at number 2 only after Goal 1 which is to “End poverty everywhere.”

It is indisputable that nutrition provides a vital foundation for human development and is central to meeting one’s full potential.  Nutrition is also important from an economic point of view. Hunger and under-nutrition weaken the mental and physical development of children and adolescents. This in turn lowers the work capacity and income potential of adults and leads to huge social and economic costs. According to estimates by a 2013 UN Food and Agriculture Organization report, hunger and under-nutrition cost the global economy an estimated 2-3 percent of global gross domestic product, equivalent to $1.4-2.1 trillion per year.

The private sector is a key actor in providing nutrition from investing in agriculture; to improving the social, economic and environmental practices in farming and the supply chain; to mobilizing, innovating, and finally delivering agricultural products and food.

So what is the private sector doing on nutrition? For starters, the private sector is a key actor in providing nutrition from investing in agriculture; to improving the social, economic and environmental practices in farming and the supply chain; to mobilizing, innovating, and finally delivering agricultural products and food.  As an employer, the private sector also has a vital role in increasing the livelihoods of society as a way to address poverty, malnutrition and under-nutrition. But that’s not the whole picture. It’s far from it and more can be done. One stakeholder alone can’t solve complex nutrition challenges.

The importance of good governance policies and regulations that support private sector involvement in agriculture should not be underestimated. Access to finance and empowering women is also crucial for improving nutrition around the world. Women are often the family’s primary caretakers and they tend to invest in their children’s health. It’s therefore important for governments to promote policies that help women become farmers, traders and entrepreneurs. Promoting trade and investment in agriculture is also crucial for combating global hunger. There is significant evidence from UN reports that demonstrate increased trade, particularly in the agriculture and food industry, raises the standard of living in developing countries and improves the performance of national economies, all of which are necessary for healthy societies.

Additionally, multi-stakeholder partnerships should be encouraged. More and more of these types of approaches are widely recognized as necessary to increasing the scope of financial and human resources in order to tackle nutritional challenges on a large scale. The private sector often partners with governments and researchers to innovate and create new tools for farmers that improve nutrition. It is essential for all stakeholders to work together and develop a global food system that improves people’s nutrition in a sustainable way. We are committed to public-private partnerships that support nutrition strategies and to preserving natural resources to continue to grow food which is necessary for nutrition.

USCIB Monthly Health and Nutrition Blog

February: We’ve All Got to Work Together On Global Health Issues

January: Businesses Celebrate American Heart Month

BIAC Global Health Forum

This event is by invitation only and registration must be confirmed by BIAC’s Secretariat. For more details and registration instructions, please email Helen Medina, hmedina@uscib.org.

 

BIAC to Hold Forum on Innovation in Health and Well-Being

heart_cardio_resized_ssActive and healthy populations are the backbone of our economies. OECD countries are striving to develop more sustainable healthcare systems that harness innovation to achieve better health outcomes, greater productivity, and well-being. To show what the private sector is doing to address these obstacles, the Business and Industry Advisory Committee (BIAC) to the OECD will hold a Forum on Innovation in Health and Well-Being on May 3-4, 2016 in Paris at the OECD Headquarters.

This two day event will feature interactive panel discussions on innovative on-the-ground projects and explore trailblazing solutions from BIAC’s global membership. In 2017, Health Ministers from OECD countries will meet to discuss the next generation of health reforms and provide future orientations for OECD work. Against this backdrop, the event will allow participants to exchange solutions and policy recommendations with high-level representatives from the business community, governments, and leading voices in the field. The discussions will also explore how healthy populations can be a strong pillar for increased economic productivity and societal well-being. Registration details and an agenda will be soon released.

Businesses Celebrate American Heart Month

heart_cardio_resized_ssby Helen Medina

February marks American Heart Month, a great time to commit to a healthy lifestyle and make small changes that can lead to a lifetime of heart health. According to the American Heart Association, nearly 801,000 people in the U.S. died from heart disease, stroke and other cardiovascular diseases in 2013. That’s about one of every three deaths. The direct and indirect costs of cardiovascular diseases and stroke total more than $316.6 billion, including health expenditures and lost productivity. 

As innovators and employers, companies are only as strong as the communities that they work in and serve, and they are committed to offering and developing essential medicines and technological solutions for consumers.

USCIB’s members understand the importance of health and wellness, both for their employees and for the wider communities in which they operate, because healthy, happy employees are more productive. Many U.S. companies are innovators when it comes to promoting heart health, in addition to supporting a holistic approach to health and wellness. As innovators and employers, companies are only as strong as the communities that they work in and serve, and they are committed to offering and developing essential medicines and technological solutions for consumers. Additionally, companies are forging innovative public-private partnerships that educate and encourage populations to develop and maintain healthy lifestyles, while also investing in new technologies and innovations that fight diseases.

Given the importance of a healthy lifestyle and the private sector’s role in helping achieve this, USCIB has been working with the Business and Industry Advisory Committee to the OECD (BIAC) to organize a Forum on Innovation in Health and Well-Being from May 3-4. This forum will inform discussions for OECD Health Ministers when they meet in 2017 to discuss the next generation of health reforms.

The BIAC Forum will provide an opportunity to:

  • Exchange solutions and policy recommendations with high-level representatives from the business community, governments and leading voices in the field.
  • Learn more about the innovations and on-the-ground partnerships private sector is undertaking.
  • Explore how healthy populations can be a strong pillar for increased economic productivity and societal well-being.

Please stay tuned as we continue developing the program for this Forum. Due to limited space, the event is by invitation only.

Read last month’s USCIB Health Blog entry, We’ve All Got to Work Together on Global Health Challenges

Fighting Efforts in the UN to Degrade Intellectual Property Rights

intellectual_propertyOne of the most contentious issues during the United Nations COP21 climate negotiations was the push by NGOs and some countries to frame intellectual property (IP) rights as a barrier to environmental goals. USCIB and other business groups made a strong case for IP frameworks, arguing that innovation is crucial for developing solutions to the world’s climate challenges, and thanks to their efforts IP was not mentioned in the final climate treaty agreed to in Paris last year.

However, significant challenges to IP are proliferating throughout the UN system, and concerns remain about the Paris Agreement’s implementation and subsequent climate negotiations. To help push back against attacks on IP protection, USCIB and five other business associations sent a letter to U.S. Senator Orrin Hatch urging the U.S. government “to safeguard innovation at multilateral institutions.”

The letter notes that there is positive precedent for such an approach by the United States, as several IP experts from the American delegation at COP21 worked together to ensure that the Paris Agreement’s text didn’t mention IP and removed uncertainty that could have discouraged continued investments by U.S. companies in clean technology.

Challenges to IP have also arisen in the recently announced UN High Level Panel (UNHLP) on Access to Medicines, and at other international regulatory institutions such as the World Health Organization (WHO). In both cases, the business community is worried that innovators’ perspective will not be taken into account in the agencies’ policy deliberations. The letter encourages the U.S. to prevent the UNHLP and WHO from “constraining business involvement to the detriment of innovation.”

“U.S. leadership will be essential to managing diverse initiatives across the UN system…to ensure that they do not undermine innovation,” the letter stated. “All relevant U.S. government agencies must be aligned in such efforts.”

Read the full letter.

We’ve All Got to Work Together on Global Health Challenges

USCIB is pleased to launch this Health and Nutrition Blog, which will include our priorities, activities, and updates related to global nutrition and health policy in major United Nations, World Health Organization, and OECD processes. We look forward working with our members and all stakeholders as they address global health challenges as we aspire to to a healthier 2016 for all! 

By Helen Medina

nutrition_globeAs in years past, January 1st is the time that many Americans make New Year’s resolutions. Often those are associated with a pledge to live a healthier lifestyle. One can experience the result of this undertaking in overcrowded  gyms, jam-packed yoga classes and in the media with advice on how to keep those resolutions. Health and wellness is top-of-mind for many of us, and especially with policymakers. While each of us may be experiencing different challenges to achieve our own optimum well-being, there is no dispute that health is important for all.

Many countries lose approximately two to three percent of their GDP due to under-nutrition, and worldwide, non-communicable diseases account for 60 percent (35 million) of global deaths.

In fact, the United Nation’s Sustainable Development Goals reflect the importance of nutrition and health, with targets listed at the top as goals 2 and 3 respectively. Goal 2 aims to address the challenges the world faces as the population continues to grow. More effort and innovation are needed to increase agricultural production, improve the global supply chain, decrease food losses and waste and ensure that all who are suffering from hunger and malnutrition have access to nutritious food. Goals 3 is “ensure healthy lives and promoting well-being for all at all ages.” The associated targets aim to reduce the rate of global maternal mortality, end preventable deaths of newborns, reduce by one third premature mortality from non-communicable diseases and end certain epidemics.

The Access to Nutrition Index indicates that 805 million people globally suffer from hunger and more than two billion people suffer from micronutrient deficiencies. The economic costs of under-nutrition are high, as many countries lose approximately two to three percent of their GDP due to under-nutrition. In Africa and Asia, the cost can be as high as 11 percent of GDP.

According to the World Health Organization, non-communicable diseases (NCD) make the largest contribution to mortality both globally and in the majority of low- and middle-income countries . Worldwide, NCDs account for 60 percent (35 million) of global deaths. The largest burden – 80 percent (28 million) – occurs in low- to middle-income countries, making NCDs a major cause of poverty and an urgent development issue. They will be the leading global cause of disability by 2030.

USCIB understands the scale and complexity of these global challenges. Together with our members, we are actively following and participating in international discussions on nutrition because we believe that no one organization, industry or government can make a material difference completely on its own. Instead, we must bring forward and catalyze partnerships that connect across business, government and civil society. Working together is key to addressing today’s health challenges. As innovators, goods and service providers and employers, companies are only as strong as the communities that they work in and serve, and they are committed to offering solutions and actions.

Business Prepares for OECD Health Ministerial on Next-Gen Health Reforms

Helen Medina (USCIB)
Helen Medina (USCIB)

In the wake of the financial crisis, global health issues, such as the rising cost of medicines and the need for health reform, have risen to the top of the global agenda as policymakers struggle to insure the best quality healthcare at an affordable price. As the OECD gears up for its Health Ministerial in 2017, USCIB and the Business and Industry Advisory Committee (BIAC) to the OECD are providing industry input ahead of an expected high-level declaration that will guide governments’ future health priorities.

Helen Medina, USCIB’s vice president for product policy and innovation, attended BIAC and OECD Health Committee meetings in Paris this week to prepare formal comments for the OECD Workshop on High-Cost Medicines. She also attended a BIAC strategy session on June 22 to prepare for the 2017 OECD Health Ministerial, the theme of which is “The Next Generation of Health Reforms.” At the meeting attendees discussed their work on obesity and nutrition, to be presented at an upcoming meeting OECD Health Committee secretariat.

“The OECD’s work on healthcare issues often mirrors World Health Organization priorities,” Medina said. “Because there are limited opportunities for business to engage with the WHO, our engagement with the OECD is especially important as it allows industry to provide expertise and information into the policymaking process that otherwise would not be heard.”

Participants at the BIAC Health Committee meeting agreed that with healthcare issues at the forefront of the global agenda, it is important that the OECD’s work reflects a balanced and holistic approach to dealing with healthcare challenges as the organization gears up for the Health Ministerial in January 2017. The BIAC meeting produced alignment on industry messages on the various OECD projects which could impact industry sectors such as pharmaceuticals, alcohol, beverages, and food. In addition, a task force was created to prepare for the 2017 Health Ministerial.

OECD Workshop on High-Cost Medicines

To provide input for the upcoming 2017 Health Ministerial, the OECD Health Committee organized the “Workshop on High-Cost Medicines” on June 24 to encourage dialogue between governments, experts and the industry on access to effective medicines. Attendees talked about the need to maintain the financial sustainability of health systems while also steering innovation in the pharmaceutical industry. Given that OECD governments are increasingly challenged by the expanding costs of healthcare, the workshop explained how the pharmaceutical industry’s business models impact health sector spending. Industry experts discussed how governments can encourage the right innovation in pharmaceutical care to better respond to unmet medical needs.

Business delivered the following key messages to policymakers during the workshop:

  • Innovative medicines improve patients’ lives;
  • Assessing the value of medicines requires a holistic approach;
  • Innovation requires investment in health;
  • Innovation can deliver significant patient and societal value;
  • A “whole health system” approach is needed to maximize efficiencies;
  • Multi-sectoral partnerships can help address access and affordability.

 

USCIB Calls on WHO to Frame Non-Discriminatory and Pro-Partnership Policy on Non-State Actors

U.S. Health and Human Services Secretary Sylvia Burwell addressed the World Health Assembly in Geneva. WHO Director General Margaret Chan is at right.
U.S. Health and Human Services Secretary Sylvia Burwell addressed the World Health Assembly in Geneva. WHO Director General Margaret Chan is at right.

Governments have decided to postpone action on a controversial proposal to broaden anti-business discrimination and limit participation by   non-state actors in the work of the World Health Organization. On the final day of the 68th World Health Assembly, WHO member states opted to continue discussions of the draft Framework for Engagement of Non-State Actors (FENSA) for another year.

“FENSA proved to be one of the most contentious topics on the WHO’s agenda for this nine-day session,” Norine Kennedy, USCIB’s vice president for international engagement, energy and environment, reported after attending the Geneva assembly. “Despite meetings that carried through the weekend and late into last night, many aspects of the issue are still not resolved as the assembly adjourns today.”

U.S. Health and Human Services Secretary Sylvia Burwell was among the ministers and other dignitaries who addressed the World Health Assembly. “This is an important gathering, because as the world witnessed with the Ebola virus this past year, our planet is too small for nations to operate in isolation when it comes to facing major health challenges,” said Secretary Burwell. “Health threats don’t recognize borders, and we must recognize our need for global solutions.”

Earlier this month, in a joint letter to U.S. cabinet officials, USCIB and other U.S. business groups voiced concerns “about proposals on the table that could unjustifiably restrict the WHO’s ability to engage with the private sector in support of its mission.” Kennedy said the impact on business would touch many industries, and create precedents for anti-business bias in other UN forums. USCIB members and staff, including Helen Medina, USCIB’s vice president for product policy and innovation, were on hand during the World Health Assembly to continue dialogue with government representatives on practical ways to inform WHO deliberations with rigorous technical input and implementation from the private sector.

WHO members agreed to establish an intergovernmental working group on FENSA to continue discussions, with the objective of delivering a conclusion at next year’s World Health Assembly. A first meeting of the working group is tentatively scheduled for October.

Kennedy added that business is still concerned about specific provisions in the current draft FENSA text. These include prejudicial language citing the need to exercise “caution” with respect to certain unnamed industry sectors, overly bureaucratic and complex procedures for both non-state actors and WHO secretariat, and limits on public-private partnerships.

“At a time when the UN Post-2015 Development Agenda and Sustainable Development Goals highlight private-sector engagement on global health challenges, we believe it is possible to address potential conflict of interest and other important concerns consistently and transparently, while also strengthening and encouraging private-sector involvement in the WHO’s important work,” said Kennedy.

Business Groups Recommend WHO Engagement with Private Sector

WHO_hq_full_sizeThe World Health Organization (WHO), the United Nations public health arm, is updating its procedures for working with non-governmental and business interests. USCIB has followed these deliberations for the past year and has offered recommendations that argue for consistent treatment of all constituencies, without discrimination against private sector entities, and that enable public-private partnerships.

The sheer scale of world health challenges requires all stakeholders to be actively involved in addressing public health challenges. However, USCIB and other associations have expressed concern that the some proposals relating to these WHO procedures could further limit the WHO’s ability to fully benefit from the private sector’s practical expertise, resources and research.

On May 14, USCIB and five other business associations signed a letter to U.S. cabinet officials at the Department of State and the Department of Health and Human Services stating concern “about proposals on the table that could unjustifiably restrict the WHO’s ability to engage with the private sector in support of its mission.”

The signatories urged the United States to ensure that the WHO adopts a framework that applies equally to all stakeholders, and that allows the organization to benefit from resources wherever they reside.

“If the WHO adopts a framework that improperly excludes or unjustifiably restricts engagement with the private sector, it will not only endanger the WHO’s own credibility and functioning but also set a damaging precedent that could discourage ongoing public-private partnerships and private sector involvement in other international fora,” the letter stated.

Norine Kennedy, USCIB’s vice president for international engagement, energy and environment, added: “In an era where health crises have become increasingly international, such as the recent Ebola outbreak, the WHO should make full use of its leadership and resources by pursuing global health responses through multi-stakeholder initiatives in which the private sector has a vital role going forward.”

BIAC: OECD Alcohol Study Misses the Mark

biac-logo-cutThe Business and Industry Advisory Committee to the OECD commended the OECD’s focus on health matters, but said the OECD study on Tackling Harmful Alcohol Use: Economics and Public Health Policy missed an opportunity, saying the report struggles to offer a comprehensive analysis of the reasons and the solutions for alcohol-related harm.

“We need to know more about the effectiveness of policies and innovative solutions that support the health of our people and workforce”, said BIAC Secretary General Bernhard Welschke.

USCIB member DISCUS, the Distilled Spirits Council of the United States, also released a following statement on the OECD alcohol report.

BIAC said its members appreciate the challenge to come to conclusions with a limited set of data and projections, but added that it is important not to jump to narrow conclusions, such as the emphasis on prices, by increasing taxes and setting minimum prices, and greater regulation of advertising as a way to reduce harmful consumption.

In fact, governments and societies need to develop a deeper understanding of the factors that lead to abuse of alcohol and the education and prevention programs designed to curb its incidence that need involvement of all sectors. This was at the heart of recommendations from the BIAC membership that were conveyed to the OECD.

BIAC will continue to facilitate the dialogue on policies and initiatives that allow industry to be a partner in the fight against harmful consumption of alcohol. Industry has been a leader in initiatives to reduce the incidence of underage and binge drinking, and campaigns to improve road safety efforts, among others.

“BIAC is committed to continue its close cooperation with the OECD to consider the serious and widespread efforts business itself is undertaking to prevent the abuse of alcohol and to promote healthy lifestyles,” said Welschke.