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Health                                                                                                                                                                                                          Health

            PACIFIC OBESITY RATES CONTINUE

                                         TO CONCERN



        By Kite Pareti

          Pacific Island nations have the highest rates of obesity in
        the world, a new study has revealed.
          The study from the NCD Risk Factor Collaboration (NCD-
        RisC), a worldwide network of over 1500 researchers and
        practitioners, revealed that in 2022, obesity rates among
        adults in Tonga, Nauru and American Samoa reached over a
        staggering 70%, while in Niue and the Cook Islands, more than
        30% of children and adolescents were obese.
          The researchers note that more than one billion people
        worldwide now live with obesity.
          “Obesity rates among children and adolescents worldwide
        increased four times from 1990 to 2022, while obesity rates
        among adults have more than doubled,” the study revealed.
          Dr Guha Pradeepa, one of the study’s co-authors from the
        Madra Diabetes Research Foundation warned that “the impact
        of issues such as climate change, disruptions caused by the
        COVID-19 pandemic, and the war in Ukraine risk worsening
        both rates of obesity and underweight, by increasing poverty
        and the cost of nutrient-rich foods.
          “The knock-on effects of this are insufficient food in some
        countries and households, and shifts to less healthy foods in
        others. To create a healthier world, we need comprehensive
        policies to address these challenges,” said Dr Pradeepa.

          Tragic, but avoidable
          The Regional Director for the World Health Organization   “An estimated 1 in 5 people in this region are paying 10% or
        (WHO) Western Pacific and Tonga’s former Minister of Health,   more of their income in out-of-pocket health expenses,” he
        Dr Saia Ma’u Piukala stressed the need for a “whole-of-society   continued.
        approach” in solving the high obesity problem in the Pacific as   “The right to health cannot be realised if we don’t deliver
        “it will not be an easy fix”.                        on the promise of health for all those [countries] who have
          Dr Piukala told Islands Business: “A lot of effort has been   signed up through the Sustainable Development Goals,” he
        put into [obesity prevention] but the result that we expect is   added.
        very slow.”                                            Leaders at the Pacific Health Ministers Meeting in Tonga last
          He noted: “Sadly, in many places, highly processed foods   year committed to a series of eight actions to address the
        and drinks that contain a lot of fat, sugar, and salt are   complex drivers of obesity, particularly in children and young
        cheaper and more available than fresh fruit and vegetables.   people. They stressed the need to engage other government
        This, along with increasingly polluted environments, is   ministries, particularly the ministries of environment,
        contributing to a rise in noncommunicable diseases (NCDs)   trade, finance, customs, agriculture, fisheries, and social
        such as cancer, diabetes, heart disease and stroke.”   development. They also committed to empowering networks
          The World Health Organization has predicted that an   and organisations already working at the community level,
        estimated 21 million people in the Western Pacific are   such as civil society organisations, youth groups, schools,
        expected to die each year from NCDs by 2048. This would   traditional leaders, local governments, and faith-based
        account for 9 out of every 10 deaths in the region.  organisations.
          “This is tragic, but it is avoidable,” said Dr Piukala.   Tonga has attempted many programs to attack obesity and
          He notes that access to health services is still a problem.  NCDs over the years, including most famously, the health
          “In our most recent analysis, WHO found that 2 out of   activities led by the late monarch, King Taufa’ahau Tupou IV
        every 5 people living in the Western Pacific still cannot access   in the late 1990s. A National Guideline for Healthy Living was
        essential health services. That is 782 million of the 1.9 billion   launched a year ago, and community and school-led efforts
        people in the region. That just shouldn’t be the case,” he   such as the ‘Free Breakfasts for Schools’ programme are
        said.                                                ongoing.


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