International F

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International FV SummitSome key
learningsChris RowleyHorticulture
AustraliaHealth Initiative Coordinator
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Presentation Focus

• Background to Horticulture Australia Project.
• Setting the scene for the Summit.
• Key themes / learnings.

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Background

• Horticulture Australia involvement.
• Development of a national framework.
• Go for 25 development.
• International Fruit Vegetable Alliance.

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Paris

• Background to Paris.
• Previous events.
• Creation of the IFAVA.

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FV Summit

• Three areas of presentation
• Nutrition - From Scientific Knowledge to
  Intervention Studies.
• Marketing - From Environmental Changes to Social
  Marketing.
• Economy - From Agricultural Economy to Food
  Policies.

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Summit objectives

• Expand understanding..
• To provide a forum for showcasing research.
• To examine innovative campaigns.
• Discuss the role of public policy in driving
  health outcomes.
• Assist countries in establishing and improving
  public-private partnerships.

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FV and Obesity

• Health benefits well recognised.
• Impact on obesity primarily through energy
  density.
• WHO population goals over 400g / day.
• 60 countries have FV recommendations in dietary
  guidelines.

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How much health gain?

• Netherlands Chronic Disease Model.
• Large health gains 140,000 fewer deaths /
  health care savings of 3.
• SchoolGruiten program increase of 4 years in
  life expectancy / cost of 95 Euro / year.

Caroline van Rossum - Scientist and Project
Director, Centre for Nutrition and Health,
Netherlands
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Energy density the key

• Studies show FV the best way to lower energy
  density in the diet.
• Consumption of low calorie, low energy dense
  vegetables (salad, soup, fruit) at the start of a
  meal can reduce overall energy intake.

Professor Barbara Rolls Guthrie Chair in
Nutritional Sciences
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Energy density the key

• Increasing the proportion of FV on the plate
  increased FV intake while decreasing overall
  energy intake.
• Eating more FV and reduce energy density in
  dietary patterns, improving dietary quality and
  facilitating weight loss.

Professor Barbara Rolls Guthrie Chair in
Nutritional Sciences
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Energy density the key

• Suggested strategies to increase FV intake and
  reduce energy intake.
• Consume at the start of a meal.
• Add to recipes.
• Increase the proportion on the plate.

Professor Barbara Rolls Guthrie Chair in
Nutritional Sciences
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Obesity policy

• Obesity is linked to physical activity, sedentary
  work patterns and nutrition.
• Fast food is on the rise large amount of
  foreign investment in processed food.

Tim Lobstein Director International Obesity
Task Force - London
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Obesity Policy

• Is education the answer?
• In 1979 UK Health Dept Look after Yourself
  program.
• Advice a practical way to prevent obesity is
  not to become overweight.

Tim Lobstein Director International Obesity
Task Force - London
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Obesity Policy

• Education is not the only solution.
• Need to look beyond health education and social
  marketing.
• Need for better controls on marketing to children.

Tim Lobstein Director International Obesity
Task Force - London
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School Programs

• European School Fruit Scheme
• Post Summit announcement - 150m (AUST) annually
  for EU wide free school FV scheme.
• Funds to be matched by member states that use the
  program.
• Requires national strategies / education
  awareness and sharing of best practice.

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School Programs

• Extent of EU problem
• 22 million EU children overweight.
• 5 million obese increase by 400,000/yr.
• Proposal sent to Council European parliament.
• Program to begin 2009-10 school year.

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School Programs

• Policy / Supply challenges to EU scheme
• Opportunity to link production to consumption.
• WHO guidelines require global production changes
• Pig meat down 5.
• Animal Fat down 31.
• Increase in FV OECD countries alone 79m
  tonnes.

David Barling Centre for Food Policy London
City University
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School Programs

• Procurement / supply chain challenges to EU
  scheme
• Sustainable production.
• UK - 2B / yr on procurement - 1B in schools.
• 3.5 million meals per weekday.

David Barling Centre for Food Policy London
City University
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School Programs

• Environmental challenges to EU scheme
• Environmentally sustainable production.
• Optimising yield / improve appearance and
  shelf-life of FV.

David Barling Centre for Food Policy London
City University
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School Programs

• Policy challenges to EU scheme
• CAP move from production support to public good
  support health not included as a public good.
• Reform needs to take into account food prices /
  food safety.

David Barling Centre for Food Policy London
City University
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NZ School Program

• Private / Public Partnership
• Commenced 2004 25 schools.
• Currently 281 schools 60,500 students.
• 2009 502 schools 102,500 students 20.5
  million pieces of fruit / yr.

Paula Dudley General Manager United Fresh
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NZ School Program

• Ministry of Health
• Funding the programme
• Research
• Non-government organisation liaison

• Produce Industry
• Supply of freight
• Supply of produce
• Development of educational resources promoting 5
  A Day

• Management/
• Communication Organisation
• Daily communications and reporting to
• Suppliers
• Ministry of Health
• Health Promotion staff
• Schools
• Industry

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NZ School Program

• Evaluation
• Increase in awareness of healthy eating / food
  options.
• Students more likely to eat more FV.
• Success of linking learning with action.
• Improved knowledge allows informed decision /
  changed behaviour at school home.

Paula Dudley General Manager United Fresh
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NZ School Program

• Anecdotal feedback
• Improve dental health.
• Improved concentration.
• Halving of skin infections.
• More fruit and vegetables being brought to school
  in lunch boxes.
• Increased toilet paper consumption (more fibre).

Paula Dudley General Manager United Fresh
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NZ School Program

• Partnership benefits for government
• Capitalise on industry expertise.
• Cost benefits.
• Centralised reporting and control.
• Quality management.
• Tangible project for government.

Paula Dudley General Manager United Fresh
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NZ School Program

• Partnership benefits for industry
• Increased sales via consistent business.
• Children exposed to increase variety of produce.
• Corporate responsibility or "feelgood factor.

Paula Dudley General Manager United Fresh
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NZ School Program

• Partnership benefits for United Fresh and the
  National 5 A Day Program
• Strengthen credibility.
• Perceived increase in brand value.
• Increased value in United Fresh membership.

Paula Dudley General Manager United Fresh
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Work Sites

• WHO World Economic Forum examining work place
  as important setting
• 65 of population aged lt15yrs in workforce.
• 2007 3.1 billion people economically active.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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Work Sites

• Worksite programs are effective in
• Changing lifestyle behaviours.
• Increased intake of fruit and vegetables
  reduction in unhealthy dietary fat.
• Increased physical activity levels.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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Work Sites

• Worksite programs are effective in
• Improving health related outcomes
• Reducing Body Mass Index.
• Reducing blood pressure and other CVD risk
  factors.
• Reducing diabetes risk factors.
• Improving cardio-respiratory fitness.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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Work Sites

• Worksite programs are effective in
• Facilitating organisational level changes
• Reducing absenteeism.
• Enhancing employee productivity.
• Improving corporate image.
• Moderating medical care costs.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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Work Sites

• Key elements of success
• Linking to business objectives.
• Forming employee advisory boards.
• Effective communication / a supportive
  environment.
• Using employee incentives.
• Appropriately focused program.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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Work sites

• Gaps in current knowledge
• A lack of understanding of best practice.
• Lack of study designs for examining outcomes.
• Lack of self reporting instruments for diet and
  physical activity measurement.
• Lack of case studies from low and middle income
  countries.

Vanessa Candeias WHO Chronic Disease Health
Promotion Dept
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General Observations

• The summit highlighted
• Continuing development of FV campaigns.
• The enthusiasm, optimism and willingness to share
  information.
• The continuing emergence of scientific evidence
  re FV and health.
• Growing concern worldwide about food insecurity
  sustainable food supply.

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General Observations

• The summit highlighted
• The widening gap between the rich poor
  methods required to effect dietary change.
• The continuing challenge to engage government,
  leverage private industry and public sector
  resources and develop effective partnerships.
• The need for community approaches toward
  long-term prevention.

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General Observations

• The summit highlighted
• The continuing evidence of effective programs.
• The importance of continued leadership
  political advocacy to help drive success.
• The need for the WHO to encourage member bodies
  to implement programs emphasising the correct
  dietary intake of fruit and vegetables.

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Key Messages

• There is a need to continue to document the
  scientific evidence of the health benefits of
  fruits and vegetables and to use this to shape
  appropriate interventions for specific disease
  risk.

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Key Messages

• To address the obesity issue, strong political
  will and government involvement are required to
  implement appropriate agriculture and health
  policies that promote public health benefit in a
  sustainable manner.

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Key Messages

• Strong partnerships throughout the fruit and
  vegetable value chain are required to identify
  opportunities and to drive appropriate activities
  to promote the consumption of fruit and
  vegetables.

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Key Messages

• While consumption of fruit and vegetable increase
  when access is increased, consideration is
  required to address current levels of social
  inequity in consumption patterns.

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Key Messages

• Well targeted interventions are able to increase
  the availability and consumption of fruit and
  vegetables.

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Key Messages

• Campaign marketing needs to carefully identify
  market segments and take into account issues such
  as variety, dietary trends and consumer sentiment.

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Dont judge each day by the harvest you reap,
but by the seeds you plant Robert Louis
Stevenson