1. Nutrition & Food Security Programme WHO Food and Nutrition Action Plan Dr Aileen Robertson Nutrition and Food Security Programme WHO Regional Office for Europe Copenhagen

2. Nutrition & Food Security Programme

3. Main causes of death by age in the European Region, mid-1990s

4. Nutrition & Food Security Programme Prevalence of cardiovascular diseases

5. Nutrition & Food Security Programme Prevalence of cerebrovascular diseases

6. Nutrition & Food Security Programme BMI in males, 19-64 yrs, WHO European countries

7. Nutrition & Food Security Programme Obesity n In Europe the prevalence of obesity reaches more than 30% in some adults and shows escalating rates in children, increasing the risk of cardiovascular diseases, certain cancers and diabetes. n Obesity is estimated to cost some health services 7% of their total health care budget. n Around one third of cardiovascular disease cases, the leading cause of death, is linked to unbalanced nutrition, and up to 30-40% of certain cancers.

8. Nutrition & Food Security Programme Ischaemic heart disease in women, Finland Graph 1 Observed and predicted decline in mortality from ischaemic heart disease in women aged 35-64 in Finland

9. Nutrition & Food Security Programme Food Safety Nutrition Sustainable Food Supply

10. Nutrition & Food Security Programme PRODUCTION MANUFACTURING DISTRIBUTION Cooking at home Mass Catering RETAIL CONSUMPTION A Food safety strategy – WHA 53.15 Based on THE WHOLE FOOD CHAIN

11. Nutrition & Food Security Programme A Nutrition Strategy based on a LIFE-CYCLE APPROACH based on a LIFE-CYCLE APPROACH Woman Adolescent growth Pregnancy Elderly Child growth Women & Men Birth weight

12. Nutrition & Food Security Programme A Sustainable Food Supply Strategy To improve FOOD SECURITY  Policies to improve AVAILABILITY of & ACCESS to SAFE & NUTRITIOUS food & protect the environment  Emergencies  URBAN & Peri-urban Food & Nutrition Action Plan (urbanisation)  Health Impact Assessments e.g. of agriculture policies

13. Nutrition & Food Security Programme Public health Environmental services Agriculture Horticulture Food Industry Food retailers Education Tourism Voluntary sectors The Public Ensure complementarity of the 3 strategies through collaboration between different sectors:

14. Nutrition & Food Security Programme NATIONAL LEVEL Food & Nutrition Coordination REGIONAL LEVEL Food & Nutrition Coordination LOCAL LEVEL Food & Nutrition Coordination PUBLIC HEALTH SERVICES Coordination Mechanisms are vital

15. Nutrition & Food Security Programme IMPLEMENTATION Tools 1. Guidelines FEEDING AND NUTRITION OF INFANTS AND YOUNG CHILDREN Guidelines for the WHO European Region, with emphasis on the former Soviet Countries Nutrition Policy, Infant Feeding and Food Security Programme

16. Nutrition & Food Security Programme CINDI FOOD PYRAMID 2.

17. Nutrition & Food Security Programme IMPLEMENTATION  WHO EURO RC50 Resolution - 14 Sept 2000  Member States (51) - Baseline information on most  Intersectoral Food & Nutrition Policy for Decision-Makers  Evaluate impact of WHO Action Plan  Ministerial Conference 2005  EU Resolution - Council of Ministers, 14 Dec 2000

18. Nutrition & Food Security Programme Table 1: Countries with a nutrition policy Country by subregion Food and nutrition policy in 1994/1995 Total 1994/1995 Food and nutrition policy in 1998/99 Total 1998/1999 Total 24/5048%29/5058% Nordic countries (5) 5/5100%4/580% Baltic countries (3) 3/3100%2/366% Central and Eastern Europe (6) 4/666%4/666% Western Europe (9) 4/944%5/956% Central Asian republics (5) 2/540%3/560% Southern Europe (10) 3/1030%4/1040% Commonwealth of Independent States (7) 2/729%3/743% Southeast Europe (5) 1/520%4/580%

19. Nutrition & Food Security Programme Table 2: Countries with a food-based dietary guideline (FBDG) Country by subregion Government- endorsed, national FBDG National FBDG in preparation or finished but not yet endorsed by government Total 24/488/4866% Nordic countries (5) 4/51/5100% Baltic countries (3) 1/32/3100% Central and Eastern Europe (6) 5/61/6100% Southern Europe (8) 6/81/888% Western Europe (9) 5/92/978% Southeast Europe (5) 1/5 40% Commonwealth of Independent States (7) 2/70/729% Central Asian republics (5) 0/5 0%

20. Nutrition & Food Security Programme IMPLEMENTATION Intersectoral Food & Nutrition Policy Development for Decision-Makers (3 day workshop for policy makers) WHO/FAO/UNICEF Member States: S.E. EuropeS.E. Europe (Balkan Region) Bulgaria, Poland, Hungary, RussiaBulgaria, Poland, Hungary, Russia Baltic/Nordic (all 8 countries)Baltic/Nordic (all 8 countries) Southern Europe and TurkeySouthern Europe and Turkey

21. Nutrition & Food Security Programme Vegetable messages Adapted from an advert by Thomas Cook

22. Nutrition & Food Security Programme Eat your veggies! I wish somebody would start a scare about “greens”

23. Nutrition & Food Security Programme Nutrition and Food Security Web Site http://www.euro.who.int/Nutrition