Food Labeling in Ecuador: Will the Power of People Triumph over the Power of the Food Industry?

Civil society efforts have been pushing back against big food industries’ attempts to change a progressive nutrition labeling scheme in Ecuador. This labeling scheme was put in place, along with other measures, to combat the alarming levels of overweight and obesity affecting the entire country. Globalization, modernization, economic growth and urbanization have widely affected people’s lifestyles, the types of foods available and their cost. This has particularly resulted in an increased access to energy-dense, cheap, processed foods that tend to be high in fat, sugar and/or sodium. A national survey done in 2012 estimates that 6 in 10 Ecuadorians regardless of region, ethnic group or socioeconomic status are overweight or obese. These rates, of course, don’t go unaccompanied with a rapid upsurge in associated chronic diseases including diabetes and cardiovascular diseases.

Ecuador’s public policy measures

In response to these rising rates of overweight and obesity, the Ecuadorian government set out a few policies tackling the local food environment. In August 2014, a mandatory “traffic light” food labeling system on all processed foods and beverages was implemented. The idea is that the label presents the amounts of sugar, fat and salt in processed foods using traffic light signals where red indicates high, yellow indicates medium and green indicates low. Evaluation of this system to date shows that it is the clarity, simplicity and attractiveness of this label that renders it a superior tool to assist consumers in making informed health decisions for themselves and their families. Enhanced comprehensibility has proven to be especially important for certain vulnerable populations including people with low literacy skills, seniors and children. This strategy also acts on a different level as it has provided an incentive for food manufacturers to reformulate some of their products with high concentrations of fat, sugar or salt. Ecuador received international recognition for pioneering this traffic light system in a mandatory manner.

actual-label-in-ecuador

Actual label

Food industry lobbying

ecuador-stoplight-proposed-label

Proposed label

What could possibly be a better indicator of a label’s impact on consumption patterns than when certain entities of a profit-oriented food industry oppose it?

Less than two years after the implementation of the traffic light labeling system, challenges from the food industry started emerging, namely from the National Association of Food and Beverage Manufacturers and the Center for the Dairy Industry. They claim that the label is misleading the consumer as it provides limited information. As a result, a new food label was proposed to the government where the words “high”, “medium” and “low” were removed and replaced with percentage daily values and gram amounts for each nutrient. This overload of information dilutes the intended message and defeats the original advantage of simplicity and attractiveness to the consumer. To further weaken the message, protein content was added to the mix. Although protein is an important nutrient, it is not a public health issue in Ecuador, where only 6% of the population consume inadequate amounts of protein compared to, for example, the 29% exceeding carbohydrate requirements. Bear in mind that consumers have access to detailed nutrition information by using the percentage daily value nutrition label that is still mandatory on all packaged foods and beverages.

Civil society, national and international response

It is not every day that various civil society groups and organizations come together to collaborate on behalf of the public’s welfare. However, growing awareness of the effects of industrialized foods coupled with the hypocritical tactics of the food industry triggered a group of activists, which includes the civil-society led food sustainability and sovereignty campaign “¡QUE RICO ES!”, the Agroecological Collective of Ecuador, the Movement for Social and Solidary Economy of Ecuador, and the Amawta Kawsay Slow Food Ecuador, to send an open letter to the president of Ecuador, Rafael Correa Delgado, along with implicated ministers, in efforts to keep the traffic light label.

The response was not limited to local actors; the traffic light label received international support from prominent health organizations including the Pan American Health Organization (PAHO)/the World Health Organization (WHO), the Healthy Latin America Coalition, the International Diabetes Federation, and the National Network for Health Professionals.

The Ministry of Public Health in Ecuador is also working relentlessly on keeping this effective guidance tool in order to counteract the trend of ever-rising rates of overweight and obesity. What will happen next? Will the ability of being informed about the food we consume shift away from the food industry? Are there opportunities for aligning the interests of the industry with those of the public’s health and well-being? Or will it be business-as-usual?

This blog post was written by Bana Salameh, a dietitian who is currently doing her Master’s in public health at the University of Montreal, Canada. Prior to starting her graduate studies, she worked as a dietitian in both the clinical and health promotion areas. Her professional interests include food policy, international sustainable development, food security, and the prevention and control of non-communicable diseases.

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6 comments

  • Stephen Sherwood November 4, 2016   Reply →

    Bana, thank you for writing up the on-going controversy that we are facing in Ecuador. Keeping food in the hands of the public is one of the greatest challenges that democratic societies fact today!

  • Malek Batal November 4, 2016   Reply →

    We are all, in the nutrition and public health community, watching with great interest what will happen with the labelling system in Ecuador. I do hope that the efforts deployed to maintain the system will bear fruit. It would be a giant step in the wrong direction, otherwise. Such initiatives are needed to combat the obesity and chronic disease epidemic globally and the warped messaging in terms of food and diet that is being guided and perpetuated by private interests rather than by the concern for the health of the people. Thank you for this very good blog and keep up the good work.

  • Rima November 4, 2016   Reply →

    Thank you for the eye-opening post Bana. It’s unfortunate how billion dollar industries and lobbyists can have a huge influence on our food policies that is integral to our health and this is the case not only in Ecuador but around the world. Thank you for raising this awareness and for the great read!

  • Ana Deaconu November 4, 2016   Reply →

    It is impressive that Ecuador was able to get such an effective tool implemented at all in a global trade environment where government regulations promoting public safety are so often attacked by industries claiming an “unfair” reduction in their profits. This labeling system is an important precedent, so we must hope that they are able to maintain it! The alternative label proposed by the dairy and sugary drinks industries loses the power of the simplicity of the current label, and doesn’t add any new information, since the standard nutritional label (the same one in North America with % daily value, grams, etc… you know, the one most people don’t look at or know how to interpret) is already there. Thanks for this informative blog post!

  • Sarah Awwad November 4, 2016   Reply →

    Bana! Thank you so much for the amazing read! It always smile and chug my shoulders when I see my friends order 2500 kcal meals as posted on restaurant menus in the U.S. and Niagara and I wonder if I would I have understood and appreciated what these numbers really mean haven’t I been a dietitian. I feel as though my appreciation and understanding of these numbers is the leading factor to my meal choice which is, by the way, usually the healthiest option among my friends’ orders (P.S.: I am not always the only health nut in my group of friends)!
    It is very unfortunate that our system is not helping people make healthier choices when eating out or when consuming processed food; our food labelling system is outdated and is presented in a language foreign to the general population. However, I see a silver lining, Ecuador is fighting for comprehensible nutrition information on food labels and the new Health Minister of Canada, Jane Philpott is targeting a complete change in food culture and industrial practices through a change in the Canadian Food Labeling regulations focusing on improving ease of use and introduction of simple, easy to understand language and information. From Ecuador to Canada… these initiatives give me hope that globally, we may potentially be heading in the right direction and resolve the unfortunate obesity epidemic.

  • Erin Lebow-Skelley January 12, 2017   Reply →

    Hi Bana,

    I just traveled in Ecuador and, as a public health professional, was immediately intrigued by these labels – I was so glad to find your great overview! I’m wondering if you can provide any of your sources so that I might study up on this more (I work in evaluation so am especially interested to read more about the evaluation of this program)! I have provided my email address in the form. Thanks!

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