Public
health policy can actually be pretty straightforward when
the will is there. Take Parliament's recent decision to
restrict the amount of trans fatty acids (found in hydrogen-treated
oils) to 2% of all oil and fat content in foods.
When federal Health Minister Ujjal
Dosanjh announced on November 18 that Health Canada
would "work through a multi-stakeholder task force to
develop recommendations and strategies for reducing
trans fats in Canadian foods to the lowest levels possible,"
observers might have been forgiven if they smiled knowingly
and set their alarm clocks for some time in 2014.
What a pleasant surprise then,
when just five days later, Liberal and NDP MPs united
to pass a bill guaranteeing legislative action on artificial
trans fatty acids within a year. This makes Canada only
the second country, after Denmark, in the world to legislate
against trans fat. Resistance to the ban was tepid;
some 73 Tory MPs tried to play the role of party-pooper,
but were drowned out by the 193 yeas.
The moment of cross-party cooperation
ended soon enough as the Liberals and NDP both scrambled
to claim credit. On balance, the laurels must go to
MP Pat Martin and his fellow New Democrats who've long
been clamouring for this bill. Health Canada's November
18 announcement was undoubtedly an attempt to pre-emptively
steal the NDP's thunder, but the fact remains that the
Liberal government has shown a commendable resistance
to the siren song of industry lobbyists. It's noteworthy
that every government minister in Parliament supported
Pat Martin's bill.
Some public health measures are
easier to take than others, of course. Trans fatty acids
don't really make foods tastier so consumers are unlikely
to miss them. The food industry will have to regroup
because trans fats help lengthen shelf life, but for
most supermarket products, ready alternatives exist
for a few extra cents.
The story of trans fatty acids
is an object lesson in the pointlessness of asking industry
to regulate itself. Two years ago, under pressure from
consumer health groups, McDonald's promised to eliminate
trans fats from its recipes. They have yet to do so.
When the
US-based Center for Science in
the Public Interest ran a full-page ad in the New York
Times two months ago criticizing the company, McDonalds
responded in a statement: "The fact that a company like
McDonald's was unable to follow through on a publicly
stated commitment... speaks to the complexity and challenges
facing the... industry in obtaining an adequate replacement
for trans fats."
Fortunately, our Parliament has
decided not to see it that way. Bill C-220 is shorter
than this article and admirably straightforward. It
rests on the simple premise that, yes, sacrifices will
have to be made, profits may fall, and maybe some people
will get laid off, but the government has a duty to
prevent its citizens from being poisoned.
There is one real complicating
factor for the fast-food industry. Fats that are kept
in deep fryers and re-used for several days gradually
accumulate more and more trans fats, up to a shocking
30%. Even the healthiest oil, if reheated often enough,
will deteriorate. Enforcing a 2% limit in this industry
could be tough, even requiring inspectors. But restaurants
already have to cope with hygiene inspectors, and hardly
anyone in Canada dies of food poisoning, while heart
disease and stroke kill 79,000 a year.
Canadian consumption of trans fats
is among the highest in the world. Health Canada statistics
indicate that people in the 15-25 age group consume
an average 38g a day. The World Health Organization
suggests limiting trans fats to less than 3g a day.
The US National Academy of Sciences Institute of Medicine
says the only safe level is zero. Almost all studies
suggest that trans fats are far worse than saturated
fats. Canada will require trans fats to be listed among
food ingredients beginning in December 2005; the US
will follow suit in January 2006.
When Denmark put a 2% limit on
trans fats last year, their health minister said, "We
will always put the health of our citizens before the
concerns of industry." What a delightfully simple outlook.
Canada must choose between this social model and that
exemplified by US Health Secretary Tommy Thompson and
his contrasting approach on a different public health
issue that of sugar. In a country where obesity
is a top killer, the US Health Department has chosen
to back industry's absurd claims that processed sugar
can form up to 25% of a healthy diet. We can be profoundly
grateful that Health Canada is not so easily bought
off.
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