期刊论文详细信息
Archives of Public Health
Reflecting on ICN2: was it a game changer?
Tim Lang2  Hannah Brinsden1 
[1]World Obesity Federation, Charles Darwin 2, 107 Gray’s Inn Road, London WC1X 8TZ, UK
[2]Centre for Food Policy, City University London, Northampton Square, London EC1V 0HB, UK
关键词: Public policy;    Public health;    Sustainability;    Food;    Nutrition;   
Others  :  1232402
DOI  :  10.1186/s13690-015-0091-y
 received in 2015-06-26, accepted in 2015-08-26,  发布年份 2015
PDF
【 摘 要 】

At the Second International Conference on Nutrition (ICN2), November 2014, 170 member states endorsed the Rome Declaration on Nutrition and a Framework for Action. The Rome Declaration committed to ending malnutrition in all its forms while the Framework for Action offered 60 voluntary actions to help achieve this. These documents and ICN2 itself had the potential to be a major step forward for public health nutrition, addressing issues associated with today’s complex food system. This article reviews ICN2, its process, outputs and some of the gaps and weaknesses of the documents. ICN2’s legacy can be interpreted in two ways–a missed opportunity or one of broad aspirations which have yet to translate into meaningful action. The paper considers whether ICN2 could have adopted a more ecological approach to diet and nutrition, linking health and sustainability. While this fits the evidence, it would require a strong commitment to coherence and food system change, almost certainly a firm stance on some food corporate power, and resolve to champion health at the heart of economic policy. This ambitious agenda would require specific multi-actor and multi-level action, together with metrics and mechanisms for accountability. Coherent government policies and actions to tackle all manifestations of inappropriate diet, and to reframe the economic forces which shape such diets are urgently required. To achieve this, the public health movement needs to work closely with civil society, yet ICN2 showed that there is some reluctance to energise that combination. As a result, ICN2 must be judged a missed opportunity, despite having useful aspirations.

【 授权许可】

   
2015 Brinsden and Lang.

【 预 览 】
附件列表
Files Size Format View
20151114015800784.pdf 410KB PDF download
【 参考文献 】
  • [1]FAO . ICN2 International Conference on Nutrition: better nutrition, better lives. 19–21 November 2014, Rome. Rome: Food and Agriculture Organisation; 2014.. http://www.fao.org/about/meetings/icn2/en/ webcite
  • [2]FAO: Second international conference on nutrition: preparations. Food and Agriculture Organisation of the UN, Rome; 2014. http://www.fao.org/about/meetings/icn2/preparations/en/ [accessed August 24 2015]
  • [3]ICN2. Conference outcome document: Rome Declaration on Nutrition. Rome: Food and Agriculture Organisation; 2014. Contract No.: ICN2 2014/2.
  • [4]ICN2. Conference outcome document: Framework for Action–from committments to action. Rome: Food and Agriculture Organisation of the United Nations; 2014. Contract No.: ICN2 2014/3.
  • [5]UNSCN: Highlights of the 2013 ICN2 events. United Nations System Standing Conference on Nutrition, Geneva; 2014. http://www.unscn.org/en/international_conference_on_nutrition/second_international_conference_on_nutrition/2013_preparatory_events.php [accessed August 24 2015]
  • [6]Nellemann C, MacDevette M, Manders T, Eickhout B, Svihus B, et al.: UNEP: The environmental food crisis: the environment’s role in averting future food crises. A UNEP rapid response assessment. United Nations Environment Programme/GRID-Arendal, Arendal, Norway; 2009. www.grida.no
  • [7]UNEP: Avoiding future famines: strengthening the ecological basis of food security through sustainable food systems. United Nations Environment Programme, Nairobi; 2012.
  • [8]UNFCCC: UN framework convention on climate change (COP21). Paris. 30 November–11 December 2015. United Nations Framework Convention on Climate Change, Bonn (Germany); 2015. http://unfccc.int/secretariat/contact/items/2782.php
  • [9]FAO: The state of food insecurity 2014. Food and Agriculture Organisation, Rome; 2014.
  • [10]World Obesity Federation: Obesity data portal. World Obesity Federation, London; 2014. Available at: URL http://www.worldobesity.org/aboutobesity/resources/obesity-data-portal [Accessed 12/18, 2014]
  • [11]Morris SS, Cogill B, Uauy R: Effective international action against undernutrition: why has it proven so difficult and what can be done to accelerate progress? Lancet 2008, 371(9612):608-21.
  • [12]Boyd Orr J: As I recall: the 1880’s to the 1960’s. MacGibbon and Kee, London; 1966.
  • [13]George S: How the other half dies : the real reasons for world hunger. Penguin, Harmondsworth; 1976.
  • [14]Stuckler D, Basu S: The body economic: why austerity kills. London. 2013.
  • [15]Corporate power in global agrifood governance. The MIT Press, Cambridge MA; 2009.
  • [16]Durrant RF, Legge JS: “Wicked problems”, public policy, and administrative theory: lessons from the GM food regulatory arena. Administration & Society 2006, 38(3):309-34.
  • [17]Gerber PJ, Steinfeld H, Henderson B, Mottet A, Opio C, Dijkman J, et al.: Tackling climate change through livestock–a global assessment of emissions and mitigation opportunities. Food and Agriculture Organization of the United Nations, Rome; 2013.
  • [18]Monteiro CA, Moubarac J, Cannon G, Ng SW, Popkin B: Ultra-processed products are becoming dominant in the global food system. Obes Rev 2013, 14(S2):21-8.
  • [19]WHO: A framework for implementing the set of recommendations on the marketing of foods and non-alcoholic beverages to children. World Health Organization, Geneva; 2012.
  • [20]Ostry JD, Berg A, Tsangarides CG: Redistribution, inequality, and growth. International Monetary Fund, Washington DC; 2014. Report No.: SDN/02/14
  • [21]Dabla-Norris E, Kochhar K, Suphaphiphat N, Ricka F, Tsounta E: Causes and consequences of income inequality : a global perspective. International Monetary Fund, Washington DC; 2015.
  • [22]IAASTD: Global report and synthesis report. International Assessment of Agricultural Science and Technology Development Knowledge, London; 2008. 15 April 2008
  • [23]Sustainable diets and biodiversity: directions and solutions for policy, research and action. Proceedings of the International Scientific Symposium ‘Biodiversity and Sustainable Diets United against Hunger’, 3–5 November 2010, FAO Headquarters, Rome. FAO and Bioversity International, Rome; 2012.
  • [24]Garnett T: What is a sustainable diet? A Discussion Paper. Food & Climate Research Network, Oxford; 2014. April 2014
  • [25]Global Burden of Disease Study 2010: Lancet. 2013, 380(9859):861-2066.
  • [26]Lancet: The global burden of disease study 2010 Lancet 2012, 380(9859):2053-260.
  • [27]Rayner G, Lang T: Ecological public health: reshaping the conditions for good health. Routledge/Earthscan, Abingdon; 2012.
  • [28]Commission on Social Determinants of Health: Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on social determinants of health. World Health Organisation, Geneva; 2008. http://www.who.int/social_determinants/final_report/en/index.html
  • [29]Vernon J: Hunger: a modern history. Harvard University Press, Cambridge MA; 2007.
  • [30]Dobbs R, Sawers C, Thompson F, Manyika J, Woetzel J, Child P, et al.: Overcoming obesity: an initial economic analysis. McKinsey Global Institute, New York; 2014.
  • [31]Review on Antimicrobial Resistance: Antimicrobial resistance: tackling a crisis for the health and wealth of nations. Review on AMR; Wellcome Trust; H M Government, London; 2014.
  • [32]United Nations: Sustainable development goals. United Nations Department of Economic and Social Affairs, Division for Sustainable Development, New York; 2015.
  • [33]Hastings G, Stead M, Macdermott L, Forsyth A, Mackintosh AM, Rayner M, et al.: Review of research on the effects of food promotion to children. Final report to the Food Standards Agency by the Centre for Social Marketing, University of Strathclyde. Food Standards Agency, London; 2004.
  • [34]Hawkes C: Marketing food to children: the global regulatory challenge. World Health Organisation, Geneva; 2004.
  • [35]UN Framework Convention on Climate Change: Paris convention of the parties (COP21). UNFCCC Secretariat, Bonn; 2015. http://unfccc.int/2860.php
  • [36]Swinburn B, Sacks G, Vandevijvere S, Kumanyika S, Lobstein T, Neal B, et al.: INFORMAS (international network for food and obesity/non-communicable diseases research, monitoring and action support): overview and key principles. Obes Rev 2013, 14:1-12.
  • [37]HANCI: Hunger and nutrition commitment index. Institute of Development Studies, University of Sussex, Brighton; 2014. Available at: URL http://www.hancindex.org/. Accessed 17 June, 2015
  • [38]Access to Nutrition Foundation. Access to nutrition index. About us. Utrecht NL: Access to Nutrition Foundation; 2015. Available at: URL www.accesstonutrition.org. Accessed 12/18, 2014.
  • [39]Buse K, Walt G: Global public-private partnerships: Part II–what are the health issues for global governance? Bulletin of the World Health Organisation 2000, 78(5):699-709.
  • [40]Buse K, Walt G: Global public-private partnerships: Part I–a new development in health? Bull World Health Organ 2000, 78(4):549-61.
  • [41]Brownell KD, Warner KE: The perils of ignoring history: Big Tobacco played dirty and millions died. How similar is Big Food? Milbank Q 2009, 87(1):259-94.
  • [42]Martin J: The role of advocacy. In Preventing childhood obesity: evidence, policy and practice. Edited by Waters E, Swinburn B, Seidell J, Uauy R. John Wiley and Sons, Oxford; 2010:192-200.
  • [43]Chapman S: Advocacy for public health: a primer. J Epidemiol Community Health 2004, 58(5):361-5.
  • [44]anon: Public interest civil society organizations’ and social movements forum’s declaration to the Second International Conference on Nutrition, Rome, 21 November, 2014. ICN2 / FAO, Rome; 2014. http://www.fao.org/fileadmin/user_upload/faoweb/ICN2/documents/CS_Declaration_to_ICN2_-_English_-_21_Nov_14.pdf [Accessed 12/18, 2014]
  • [45]Lobstein T, Brinsden H, Landon J, Kraak V, Musicus A, Macmullan J: INFORMAS and advocacy for public health nutrition and prevention. Obes Rev 2013, 14(S1):150-6.
  • [46]World Obesity Federation, Consumers International: Open letter to Margaret Chan and Jose Graziano da silva ahead of the second International conference on nutrition (ICN2). World Obesity Federation and Consumers International, London; 2014. Available at: URL http://www.worldobesity.org/site_media/uploads/WorldObesity_Open_Letter.pdf [Accessed 12/18, 2014
  • [47]World Obesity Federation, Consumers International: Recommendations towards a convention to protect and promote healthy diets. World Obesity Federation and Consumers International, London; 2014. Available at: URL http://www.worldobesity.org/site_media/uploads/Convention_on_Healthy_Diets_FINAL.pdf [Accessed 12/18, 2014]
  • [48]WHO: Global action plan for the prevention and control of NCDs 2013–2020. World Health Organisation, Geneva; 2013.
  • [49]WHO: Comprehensive implementation plan on maternal, infant and young child nutrition. WHO/NMH/NHD/14.1. World Health Organisation, Geneva; 2014.
  • [50]Hot Springs Conference: Final act of the Hot Springs Conference, 18 May–3 June 1943. 1943. http://www.fao.org/docrep/009/p4228e/P4228E04.htm. Hot Springs Virginia USA
  • [51]Boudreau FG: The food conference at Hot Springs. Nutr Rev 1943, 1(11):321-6.
  • [52]Green R, Milner J, Dangour AD, Haines A, Chalabi Z, Markandya A, et al.: The potential to reduce greenhouse gas emissions in the UK through healthy and realistic dietary change. Clim Chang 2015, 129(1–2):253-65.
  • [53]Cassidy ES, West PC, Gerber JS, Foley JA: Redefining agricultural yields: from tonnes to people nourished per hectare. Environ Res Lett 2013, 8:034015 (8pp).
  文献评价指标  
  下载次数:10次 浏览次数:30次