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   Public Health Nutr. 2004 Aug;7(5):591-8.

Public health nutrition and food policy.

   Caraher M^1, Coveney J.

Author information

   1
          Department of Health Management and Food Policy, Institute of
          Health Sciences, City University, Goswell Place, Northampton
          Square, London EC1V 0HB, UK. m.caraher@city.ac.uk

Abstract

   Food in its many manifestations allows us to explore the global control
   of health and to examine the ways in which food choice is moulded by
   many interests. The global food market is controlled by a small number
   of companies who operate a system that delivers 'cheap' food to the
   countries of the developed world. This 'cheap' food comes at a price,
   which externalises costs to the nation state in terms of health
   consequences (diabetes, coronary heart disease and other food-related
   diseases) and to the environment in terms of pollution and the
   associated clean-up strategies. Food policy has not to any great extent
   dealt with these issues, opting instead for an approach based on
   nutrition, food choice and biomedical health. Ignoring wider elements
   of the food system including issues of ecology and sustainability
   constrains a broader understanding within public health nutrition. Here
   we argue that public health nutrition, through the medium of health
   promotion, needs to address these wider issues of who controls the food
   supply, and thus the influences on the food chain and the food choices
   of the individual and communities. Such an upstream approach to food
   policy (one that has been learned from work on tobacco) is necessary if
   we are seriously to influence food choice.

Comment in

     * Editorial. Public Health Nutrition as a field of practice. [Public
       Health Nutr. 2004]

   PMID:
          15251049

   DOI:
          10.1079/PHN2003575

          [Indexed for MEDLINE]

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     * Review

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     * Australia
     * Food Industry/trends
     * Food Preferences/physiology
     * Food Supply
     * Health Promotion/methods
     * Humans
     * Nutrition Policy*
     * Nutritional Physiological Phenomena/physiology*
     * Public Health*
     * United Kingdom

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