DT India & South Asia No. 2, 2020DT India & South Asia No. 2, 2020DT India & South Asia No. 2, 2020

DT India & South Asia No. 2, 2020

Guest editorial by Dr. Bhavdeep Singh Ahuja: Salient features of budget 2020 for health care professionals / News

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DENTALTRIBUNE
The World’s Dental Newspaper · South Asia Edition

Published in India

www.dental-tribune.in

Coronavirus outbreak

UN event

Dental world
reacts to
coronavirus
outbreak

Oral health the
focus at UN
event

” Page 02

02/20

EFP and WHF

Candida auris

EFP and WHF release
consensus report on
links between
periodontal and
cardiovascular health
” Page 03

Centers for Disease
Control and
Prevention release
statement on spread
of Candida auris
” Page 04

” Page 05

Guest editorial by Dr. Bhavdeep Singh
Ahuja: Salient features of budget 2020
for health care professionals

Guest Editorial by Dr. Bhavdeep
Singh Ahuja: Salient features of
Budget 2020 relevant for
Healthcare Professionals

by Dental Tribune South Asia
Dr. Bhavdeep Singh Ahuja
graduated in 1998 from Punjabi
University, Patiala. He has
specialized in Implants from
BioHorizons Inc. USA in 200405 & in Advanced Course from
LACE-ICOI, USA in 2006.
Apart from Dentistry, he holds
a Triple M.B.A. in Hospital
Management, Finance/Human
Resources (dual) & Marketing
from three premier Institutes/
Universities of India viz. the
IIMM Pune, IGNOU Delhi &
Annamalai University, Chennai
respectively. He also holds
Post Graduate Diploma’s in
Medical Law & Ethics (NLSIU Premier LAW School of India),
Clinical Research, Cyber Law,
IPR‘s (Intellectual Property
Rights), Disaster Management,
Financial
Management,
Bioinformatics
amongst
many more from different
Universities. He is a Certified
Health Care Waste Manager
from IGNOU & is qualified in
Consumer Law as well. He is an
academically oriented dentist
& has more than 75 Original
Scientific Publications to his
credit in many International &
National journals. He lectures
all over India extensively on the

topics of Practice Management,
Medical Law, Ethics and Consent
and Finance for Dentists and he
is writing a series on all these
topics in multiple journals
simultaneously. He has been
the
Past
Editor-in-Chief,
L.E.D. E-Journal & PAGE 3
OLA-D E-Newsletter, the twin
Publications of IDA Ludhiana
Branch. Presently, he is into
his 21st year of Clinical Private
Practice in Ludhiana, Punjab.
Dear readers,
I am not going to do a minute
post mortem of the budget, only
those aspects (well, most of them)
which we Dentists in particular
and Doctors, in general, are going
to feel an impact of in healthcare.
10 KEY FEATURES –
HEALTH CARE
Let me list out the top points
affecting us – the health care
professionals.
1.
Mission Indradhanush
has been now expanded to cover
12 diseases (it was 7 earlier),
including five new vaccines.
FIT India movement is a vital
part of the fight against noncommunicable diseases coming
out of lifestyle issues. Focused
safe water (Jal Jeevan Mission)
and a comprehensive sanitation
program
(Swachch
Bharat
Mission) have been launched
to support the health vision
reducing the disease burden on
the poor.
2.
Presently, under PM Jan
Arogya Yojana (PMJAY), there
are more than 20,000 empanelled
hospitals and more would be
built in Tier-2 and Tier-3 cities for
poorer people under this scheme.
3.
Using machine learning
and AI, in the Ayushman Bharat
scheme, health authorities and the
medical fraternity can now target
disease with an appropriately
designed Preventive regime.
4.
“TB
Harega
Desh
Jeetega” campaign has been

launched with a commitment by
the Govt. to end Tuberculosis by
2025.
5.
The
Jan
Aushadhi
Kendra Scheme will be expanded
to all districts of India offering
2000 medicines and 300 surgicals
by 2024.
6.
The health sector has
been allocated about Rs. 69,000
crores that are inclusive of Rs.
6400 crores for Prime Minister
Jan Arogya Yojana (PMJAY).
7.
A
National
Police
University and a National
Forensic Science University
will be made in the domain of
policing science, forensic science,
cyber-forensics etc.
8.
To
overcome
the
shortage of qualified medical
doctors
–
both,
general
practitioners
as
well
as
specialists, a medical college will
be attached to an existing district
hospital in PPP mode.
9.
The Govt. will encourage
large hospitals with sufficient
capacity to offer resident doctors,
Diploma and Fellow of National
Board
(DNB/FNB)
courses
under the National Board of
Examinations which imparts PG
medical qualifications.
10. The
imposition
of
Health Cess on specified medical
equipment: Health Cess at the
rate of 5% is proposed to be
imposed on the import of medical
devices and the proceeds shall
be used for financing the health
infrastructure and services.
This Health Cess shall be a
duty of Customs and shall not
apply to medical devices which
are exempt from BCD (Basic
Customs Duty). Further, inputs/
parts used in the manufacture
of medical devices shall also be
exempt from Health Cess.
10 KEY FEATURES –
TAXATION & INVESTMENT
Let me summarize the
10 features of taxation and

investment which are going to
affect us
1.
Tax
facilitation
measures introduced — PAN
linked to Aadhaar, reduction
of direct tax litigation, faceless
appeals and a charter for
taxpayers (India will be the third
country to have this).
2.
Reduction in rate of
Tax Deduction at Source (TDS):
In order to reduce litigation, it
is proposed to reduce rate for
TDS in case of fees for technical
services (other than professional
services) to 2% from existing 10%
in order to align the same with
the rate of TDS on works contract.
3.
The
Debt-based
Exchange Traded Fund (ETF)
recently floated by the Govt. was
a big success, so it will expand
this by floating a new Debt-ETF
consisting primarily of Govt.
securities to act as an attractive
investment for pension funds
and long-term investors.
4.
The New Tax Regime
(NTR) has been introduced
Taxable
Existing New
Income
Tax
Tax
Slab (Rs.)
Rates
Rates
0-2.5 Lacs Exempt Exempt
2.5-5 Lacs
5%
5%
5-7.5 Lacs
20%
10%
7.5-10 Lacs
20%
15%
10-12.5 Lacs
30%
20%
12.5-15 Lacs
30%
25%
Above 15 Lacs 30%
30%
5. The Dividend Distribution
Tax (DDT) has been abolished for
companies. Currently, companies
are required to pay Dividend
Distribution Tax (DDT) on the
dividend paid to its shareholders
at the rate of 15% plus applicable
surcharge and cess in addition to
the tax payable by the company
on its profits.
6. Currently, a taxpayer is
required to fill the complete
details of the donee in the ITR
form for availing deduction.
In order to ease the process
of claiming a deduction for

the donation, the ITR would
be pre-filled with the donee’s
information in taxpayer’s return
on the basis of information of
donations furnished by the
donee to have a hassle-free claim
of deduction for the donations
made by the taxpayer.
7. The interchangeability
of PAN and Aadhaar was
introduced in the last budget and
now to further ease the process of
allotment of PAN, the Govt. will
launch a system under which
PAN shall be instantly allotted
online on the basis of Aadhaar
without any requirement for
filling up of detailed application
form.
8. TDS on E-commerce
transactions: In order to widen
and deepen the tax net, it
is proposed to provide that
e-commerce operator shall deduct
TDS on all payments or credits to
e-commerce participants at the
rate of 1% in PAN/Aadhaar cases
and 5% in non-PAN/Aadhaar
cases. In order to provide relief
to the small businessman,
it is proposed to provide an
exemption to an individual and
HUF who receives less than
Rs. 5 lakh and furnishes PAN/
Aadhaar.
9. The alternate Janam Kundli
as I fondly call it for all of us, the
Form 26AS would be modified
to include all the prescribed
information relevant to the
proposed changes in the budget.
10. The tax collection at
source (TCS) on remittance
under Liberalised Remittance
Scheme of Reserve Bank of India
exceeding Rs. 7 Lac in a year and
on sale of overseas tour package
has been notified to further
widen the scope. So, dealers and
companies offering the same
to doctors under the garb of
education will have to cough out
a bigger amount.


[2] =>
2

News

02/20

Dental world reacts to coronavirus
outbreak
by Brendan Day, DTI

LEIPZIG, Germany: Over
the past month, one topic has
dominated the international
news cycle above all else—the
Wuhan coronavirus outbreak.
As of 10 February 2020, more
than 40,620 cases of the virus
have been confirmed and 910
deaths have resulted from
it. In response, many dental
associations and organisations
have released advice on what
dental professionals can do to
help limit the transmission of
the virus.
This particular coronavirus
was identified in December 2019
in Wuhan, one of the largest cities
in China, where it is believed to
have first been contracted at a
live animal and seafood market.
A ban on travel both to and from
Wuhan was implemented on 23
January 2020, though a multitude
of countries have evacuated
their respective citizens from the
area since its implementation.
In addition, the World Health
Organization declared it to be
a Public Health Emergency of
International Concern (PHEIC),
owing to the severity of the
outbreak.
Spread through air droplets
expelled when an infected
individual coughs or sneezes,
the
Wuhan
coronavirus

In light of the Wuhan coronavirus outbreak, numerous dental associations and organisations have come
out with advice and guidance for dental professionals seeking to limit its transmission.
(Image: Robert Wei/Shutterstock)

is considered to be highly
infectious, and the number of
confirmed cases has risen each
day since its identification. “It’s
very, very transmissible, and it
almost certainly is going to be a
pandemic,” Dr Anthony S. Fauci,
director of the National Institute
of Allergy and Infectious
Diseases in the US, told the New
York Times.
Since the outbreak, numerous
national health bodies have
released guidance for dental and
medical professionals relating
to the Wuhan coronavirus. For

example, Public Health England
has set up a webpage that, among
other guidance, recommends
isolating and not physically
examining any patients who are
reasonably suspected of having
contracted the virus, and the
Australian Dental Association
has strongly endorsed the use
of thorough infection control
and hygiene measures in dental
practices.
Meanwhile, the organising
team
responsible
for
the
International Dental Exhibition
and Meeting (IDEM) has

reassured
attendees
and
exhibitors that the event is
still scheduled to take place in
Singapore from 24 to 26 April 2020.
“We continue to closely monitor
developments pertaining to the
Novel Coronavirus and will put
in place precautionary measures
at IDEM,” the IDEM organisers
wrote in an email.
“Should a pandemic situation
arise, we may reassess our
position on continuing to host
IDEM, and keep you promptly
informed of any updates,” they
continued.

FDI World Dental Federation
(FDI), which is set to host its
annual World Dental Congress
in Shanghai in China this
coming September, also released
an update regarding its plans.
“The safety and security of all
those taking part in FDI’s World
Dental Congress is always our
primary concern,” FDI stated.
“We continue to monitor
developments in China and are
in close contact with our local
partners to assess the situation
daily. Currently, the congress
is scheduled to take place as
planned as we anticipate the
situation will be under control
by this time,” it continued.
The effects of the Wuhan
coronavirus are also being felt
by some of the dental industry’s
biggest companies. As reported
by Dental Tribune International,
the clear aligner manufacturer
Align announced in a recent
conference call that it expects to
sell between 20,000 and 25,000
fewer Invisalign cases in China
in the first quarter of 2020, owing
to the outbreak of the virus.
Further costs associated with
the idling of manufacturing
capacities in Align’s Chinese
plants are expected to be around
US$3 million to $4 million.

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[3] =>
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News

02/20

Oral health the focus at UN event
by Dental Tribune International
NEW YORK, U.S.: At the
2019 United Nations General
Assembly, a side event, hosted
by New York University (NYU)
and The Lancet, called for
oral health to be integrated
into universal health coverage
(UHC). Among the main issues
raised were the influence of
the sugar industry worldwide
and the importance of publicprivate partnership. The event
was co-sponsored by the
governments of Egypt, Japan
and Thailand as well as the
World Economic Forum and
supported by the Henry Schein
Cares Foundation.
“Oral health is largely
ignored in conversations about
global health and UHC, but The
Lancet’s series on oral health
and our recent event have been
critical in creating visibility and
urgency for oral health,” said Dr.
Richard Niederman, chair of the
Department of Epidemiology
and Health Promotion at the NYU
College of Dentistry and director
of the WHO Collaborating

Center for Quality-improvement,
Evidence-based Dentistry (QED
WHO CC).
In 2019, The Lancet published
a series of papers on oral health.
Dr. Habib Benzian, associate
director of global health and
policy for the NYU College of
Dentistry’s QED WHO CC, coauthored a two-part article on
UHC, focusing predominantly
on the urgent need for reform
and the role prevention will play.
Speaking about the action
needed to be taken in a 2019
interview with Dental Tribune
International, Benzian said: “We
are calling for full integration of
basic oral health care in universal
health coverage. We consider that
this is the most promising entry
point for change. This means
that everyone, irrespective of
socioeconomic status, should
have access to quality oral
health care, including preventive
services, at a cost that does not
lead to financial hardship. Many
countries have shown that this is
possible and realistic.”
At the recent side event, the
importance of innovative and

At a side event to the 2019 United Nations General Assembly,
universal oral health care was the focus of a conversation led by
New York University and The Lancet.
(Image: Drop of Light/Shutterstock)

collaborative partnerships not
only in the dental community
but also across all sectors was
raised. On hand to put forward
ideas about how to create a plan
of action, Benzian said, “No
one organization or sector can
enact these recommendations
alone, underscoring the need for
collaboration and the important
roles that governments, the
private sector, academia, and
others can play. Change happens
incrementally, but we have to
start somewhere,” he explained.

A number of co-authors of
The Lancet’s oral health series
were present at the event, and
each had an opportunity to speak
about their respective topics.
Among them was Dr. Cristin
Kearns from the University of
California, San Francisco, who
highlighted the influence of the
sugar industry on science and
policy processes, calling for
reforms and strong conflict of
interest policies to shield public
health and dental research from
harmful industry interference.

Prof. Stefan Listl from Radboud
University in the Netherlands
discussed the economic impact
of oral diseases, noting that
dental diseases are the third
most expensive diseases to treat
after diabetes and cardiovascular
disease.
The conclusion of the
event saw a panel of key oral
health stakeholders, including
corporate, research, professional
and civil society organizations,
discuss
opportunities
and
challenges for partnerships and
multisectoral collaboration. In
his closing remarks, The Lancet
Editor-in-Chief Dr. Richard
Horton noted that the current
poor state of oral health around
the world is the collective failure
of the entire global health
community. He pledged the
journal’s full support in fighting
for better recognition of and
priority for global oral health.

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[4] =>
4 News

02/20

EFP and WHF release consensus report on
links between periodontal and cardiovascular
health
by Dental Tribune International

BRUSSELS,
Belgium/
GENEVA,
Switzerland:
Though various associations
between periodontal health
and cardiovascular health have
previously been explored, a
comprehensive analysis of this
relationship has been absent—
until
now.
The
European
Federation of Periodontology
(EFP) and the World Heart
Federation
(WHF)
have
published a consensus report
asserting that there is strong
epidemiological
evidence
demonstrating
independent
associations between severe
periodontitis and cardiovascular
disease.
The report is the result of
the Perio and Cardio Workshop
2019, a meeting of more than 20
representatives from the EFP and
WHF during which the latest
research into links between the
two chronic non-communicable
diseases was discussed. Among
its key findings were that

patients with periodontal disease
have a higher risk of suffering
cardiovascular disease and that
patients who already have both of
these diseases are at a higher risk
of suffering further cardiovascular
complications.
“This workshop was a great
opportunity for both cardiology
and periodontal communities
to review the scientific evidence
behind these associations in a
rigorous and unbiased manner,”
commented Dr Mariano Sanz,
professor and chair of periodontics
at the Complutense University
of Madrid and lead author of the
consensus report.
“Cardiovascular disease is
the leading cause of death and
disability worldwide. Now that
we are aware of the association
between
periodontitis
and
coronary heart disease, we need
to emphasise risk factors such as
smoking and poor diet,” added Dr
Pablo Perel, senior science adviser
at WHF and professor of clinical
epidemiology at the London
School of Hygiene and Tropical

The European Federation of Periodontology and the World Heart Federation have teamed up to publish a
consensus report that emphasises the link between periodontitis and cardiovascular health.
(Image: Svetlana8Art/Shutterstock)

Medicine’s Centre for Global
Chronic Conditions.
“People with periodontitis
should be informed about
cardiovascular risk. We need to
move beyond disease silos and
have a ‘person-centred’ approach,
which is why we at WHF are

proud to have joined forces with
the EFP on this important issue,”
concluded Perel.
As reported last year by
Dental Tribune International,
numerous studies have shown
that non-traumatic tooth loss—
the final outcome of periodontal

disease—may lead to a higher
risk of cardiovascular disease.
This applies in particular to older
people, who are more likely to
possess a calcified carotid artery
if they present with periodontitis.

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[5] =>
5

News

02/20

Centers for Disease Control
and Prevention release
statement on spread of
Candida auris

IMPRINT
PUBLISHER & CHIEF EXECUTIVE
OFFICER				
Torsten R. OEMUS
CHIEF CONTENT OFFICER
Claudia DUSCHEK
DENTAL TRIBUNE SOUTH ASIA
EDITION
PUBLISHER
Ruumi J. DARUWALLA
CHIEF EDITOR
Dr. Meera VERMA
CLINICAL EDITOR
Dr. Dilip DESHPANDE
RESEARCH EDITOR
Dr. Shobha DESHPANDE
ASSOCIATE EDITOR
Dr. GN ANANDAKRISHNA
EXECUTIVE EDITOR
Dr. Rajeev CHITGUPPI
DESGINER
Anil LAHANE
PRINTER
Mehernosh & Burzin MISTRY
Ampersand, Mumbai, India
Material from Dental Tribune
International GmbH that has been
reprinted or translated and reprinted
in this issue is copyrighted by Dental
Tribune International GmbH. Such
material must be published with
the permission of Dental Tribune
International GmbH. Dental Tribune
is a trademark of Dental Tribune
International GmbH.

The fact that Candida auris has the ability to survive on surfaces after hospital-grade cleaning increases its risk of patient-to-patient transfer in a
clinical setting. (Image: angellodeco/Shutterstock)

by Dental Tribune International
NEW YORK, U.S.: In 2019,
the Centers for Disease Control
and Prevention (CDC) released a
statement declaring that Candida
auris is an emerging fungus that
presents a serious global health
threat. One of the main reasons
that CDC released the statement
was because C. auris outbreaks had
occurred in health care settings.
After C. auris was first isolated
from the ear of an elderly patient in
Japan in 2009, infections have been
recorded in more than 30 countries.
The most recent outbreaks have
taken place in Venezuela, South
Africa, the U.S., Spain and England.
According to CDC, as of November
2019, a total of 950 confirmed cases in
the U.S. have been reported.
It is commonly found in older or
sick patients, and more than a third
of those who contract the fungal
infection die within a few months,
reports CDC. This risk to patients
who may already be suffering from
another illness is increased by the
fungus’s ability to survive the type
of industrial cleaning that may take
place in the hospital room where
a patient with C. auris was cared
for. This makes it easier for it to be
passed on in health care settings.

In a 2018 study, titled “Surface
disinfection challenges for Candida
auris: an in-vitro study,” Prof. Gordon
Ramage from the University of
Glasgow Dental School showed that
C. auris was able to selectively tolerate
clinically relevant concentrations of
sodium hypochlorite and peracetic
acid in a surface-dependent manner.
The discovery is something that
researchers noted: “may explain its
ability to successfully persist within
the hospital environment.”
Speaking to Dental Tribune
International, Ramage said, “Unlike
many other Candida species, there are
high levels of pan-fungal resistance.
Dentally, this may mean that azole
and polyene drug resistance could
feasibly be found in some strains
associated with the oral cavity,
thereby reducing our therapeutic
options.”
Speaking about the threat C.
auris poses in the dental setting,
Ramage explained that there is no
greater threat than that posed by
any other oral Candida species. “We
are yet to have an understanding of
how they behave in complex biofilm
communities like those that exist in
the oral cavity. Like other Candida
species, they could become invasive
in patients undergoing surgical
procedures. Their main issue could

be resilience in the dental clinic, and
studies have shown them to persist
in the health care setting and from
here can spread patient to patient.”
In a 2019 New York Times article, it
was reported that after a patient with
C. auris died at Mount Sinai Hospital,
the fungus lived on. According to the
article, tests showed that the fungus
had spread throughout the entire
room where the patient had been
cared for, and the hospital needed
to remove some of the ceiling and
floor tiles to eradicate it. “Everything
was positive—the walls, the bed,
the doors, the curtains, the phones,
the sink, the whiteboard, the poles,
the pump,” said Dr Scott Lorin, the
hospital’s president.
However, despite the threat that
it poses, Dr Robert H. Shmerling, a
faculty editor for Harvard Health
Publishing, believes that it is not
time to panic. In an article titled “The
latest deadly superbug—and why it’s
not time to panic,” Shmerling said
that the drug-resistant fungus was
a cause for concern, but that there
was more that needed to be known.
Healthy people rarely contract the
infection, and Shmerling believes
that the best way of dealing with
this latest superbug is by taking
basic precautions, such as the proper
washing of hands.

DT-SA Editor‘s comments:
According to the Centers for
Disease Control and Prevention
(CDC), Candida auris is an
emerging fungus that presents
a serious global health threat.
Three main reasons why CDC is
concerned about C. auris are as
follows:
1.
C. auris is often a
multidrug-resistant
infection,
means it is resistant to multiple
antifungal drugs commonly used
to treat Candida infections. There
are three classes of antifungals
available, and some strains of
Candida auris are resistant to all
three of them.
2.
Standard
laboratory
methods may not give you the
correct results, and there are
chances of misidentification
if specific technologies are
not available in the labs.
Misidentification
leads
to
incorrect clinical management.
3.
Since it has caused
outbreaks in healthcare settings,
it is critical to quickly identify C.
auris in a hospitalized patient so
that healthcare facilities can take
special precautions to stop its
spread.

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product news accurately but
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the validity of product claims or for
typographical errors. The publisher
also does not assume responsibility
for product names, claims or
statements made by advertisers.
Opinions expressed by authors are
their own and may not reflect those
of Dental Tribune International
GmbH.


[6] =>
6

News

02/20

Countries across the world seek to
reduce sugar consumption

Countries such as Chile and England have adopted various measures to reduce sugar consumption. (Image: Evan Lorne/Shutterstock)

by Dental Tribune International
LEIPZIG, Germany: The
global
obesity
epidemic
shows few signs of abating,
and numerous countries from
different regions have introduced
policies aimed at reducing its
impact. One of these countries is
Chile, whose adoption of a strict
warning system for the labelling
of food and beverages high in
sugar, fat or salt cut purchases
of these products by almost a
quarter over an 18-month period,
according to a recent study.
In 2016, Chile brought the law
of food labelling and advertising
into effect. It encompasses a
range of policies that subject
unhealthy foods and beverages
to certain marketing restrictions,
particularly
in
relation
to
advertising aimed at children.
Furthermore, the regulation bans
the sale of such food and drink at
schools and includes a mandatory
front-of-packaging
warning
label system that clearly states,
with the assistance of black stop
signs, whether a product contains
excessive amounts of sugar,
sodium, saturated fats or energy.
According to the study’s
findings,
the
regulation’s
introduction led to a 23.7%
reduction in purchases of sugarsweetened beverages (SSBs) in
the country, while a 5% increase
in sales of bottled water, diet soft
drinks and fruit juices without
added sugar was recorded. In

addition, another study published
in Public Health Nutrition found
that Chilean children’s exposure
to unhealthy food and drink
advertisements decreased by 58%
on average.
“An effect this big at the
national level in the first year is
unheard of,” Dr Lindsey Smith
Taillie, lead author of the study
and a nutrition epidemiologist at
the University of North Carolina
at Chapel Hill, told the New York
Times.
“It is a very promising sign
for a set of policies that mutually
reinforce one another. This is the
way we need the world to go to
begin to really combat preventable
diseases like obesity, hypertension
and diabetes,” she added.
Though Chile’s approach has
thus far proved to be extremely
fruitful, it is not the only country
by far attempting to reduce its
populace’s intake of sugar and
other unhealthy ingredients.
In England, the April 2018
introduction of the Soft Drinks
Industry Levy—commonly known
as the sugar tax—was primarily
responsible for a 28.8% decrease
in the sugar content per 100 ml of
carbonated beverages. Similarly,
the 2014 implementation of a tax
on SSBs in Mexico led to a 6.3%
reduction in SSB purchases and
a 16.2% increase in bottled water
purchases, according to a study in
the Journal of Nutrition.
The success of the law’s
introduction in Chile has led the

New Zealand Dental Association
(NZDA) to press for its country’s
government to adopt similar
policies. “The idea of a levy on
sugary drinks is widely talked
about, but what this study shows
is that other measures can have
an impact on sugary drink
consumption too,” said NZDA
sugary drinks spokesperson Dr
Rob Beaglehole.
“The success also of warning
labels tells us that both a teaspoon
icon showing the number of
teaspoons of sugar in a drink, and
warning labels which highlight
the tooth decay, obesity, and
diabetes risks that high-sugar
drinks pose can lead to reduced
sugary drink consumption and
harm,” he added.
“The
Australian
Dental
Association [ADA] endorses the
use of a sugar-sweetened beverage
tax,” Dr Michael Foley, chair of the
ADA’s Oral Health Committee,
told Dental Tribune International.
“The ADA supports any
public health measures designed
to reduce Australia‘s high sugar
consumption. Strong public health
measures, including cigarette tax,
plain packaging and alcohol tax,
have been shown to influence
purchases, and evidence around
the world suggests that a tax on
sugar-sweetened beverages does
too,” Foley concluded.

DT-SA Editor‘s comments:
Why was this study carried
out?
•
The Law of Food
Labeling and Advertising,
implemented by Chile in 2016,
is a set of policies designed to
prevent further increases in the
prevalence of obesity. The law
subjects the foods and beverages
high in energy, sugar, sodium,
and saturated fat content to
marketing restrictions, sales
ban in schools, and a front-ofpackage (FOP) warning-label
system.
•
Several
countries
are seriously considering the
implementation of similar
policies, particularly the FOP
warning-label policy.
•
Understanding
how the implementation of
this policy can influence the
beverage purchases can guide
the development of future
policies on obesity prevention.
What did the researchers
do and find?
•
The researchers used
the national data on household
food purchases from before and
after policy implementation,
and evaluated the changes
in purchases of beverages
high in sugar, saturated
fat, sodium, or calories (i.e.,
“high-in”
beverages).
The
study compared the observed
beverage purchases after policy
implementation to the expected

purchases had the policy not
been implemented.
•
The research found
that the purchase volume of
high-in beverages decreased
by 22.8 mL per capita per day
or 23.7% after the policy was
implemented.
•
The research also
found that although both high as well as low-educated
households
had
similar
absolute reductions in high-in
beverage purchases, higheducated households showed
larger relative reductions in
high-in beverage purchases.
What do these research
findings mean?
•
The
observed
decrease in the purchases of
high-in beverages after the
implementation
of
Chile’s
labeling, marketing, and school
food sales policies, is greater
than purchase changes that
have been observed following
implementation
of
single,
standalone policies in Latin
America (eg. sugar-sweetenedbeverage tax).
•
Future research is
required to understand to
what degree these changes are
attributable to the reformulation
of products and/or to changes
in consumer behavior, as well as
the impact of these regulations
on dietary intake and healthrelated outcomes.


[7] =>
7

News

02/20


[8] =>
7 News

7/19

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