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Preventing Childhood Obesity - Evidence Policy and Practice.pdf

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CHAPTER 5<br />

A h uman r ights a pproach to c hildhood<br />

o besity p revention<br />

Naomi Priest, 1 Boyd Swinburn 2 <strong>and</strong> Elizabeth Waters 1<br />

1 Jack Brockoff Child Health <strong>and</strong> Wellbeing Program, McCaughey Centre, Melbourne<br />

School of Population Health, University of Melbourne, Melbourne, Australia<br />

2 WHO Collaborating Centre for <strong>Obesity</strong> Prevention, Deakin University, Melbourne, Australia<br />

Summary<br />

• Three sets of human rights are relevant to childhood<br />

obesity: UN Convention on the Rights of the Child<br />

( UNCROC ), the right to adequate food, <strong>and</strong> the<br />

right to health.<br />

• Within UNCROC, the “developmental rights ”<br />

(right to develop to the fullest <strong>and</strong> the right to protection<br />

from harmful influences, abuse <strong>and</strong> exploitation)<br />

are to protect children from circumstances<br />

injurious to their well - being.<br />

• The marketing of unhealthy food <strong>and</strong> beverages to<br />

children is an example of commercial exploitation<br />

of children.<br />

• The right to adequate food was originally aimed at<br />

preventing undernutrition <strong>and</strong> food insecurity, but<br />

has now been broadened to include overnutrition<br />

in vulnerable populations.<br />

• It is the right of everyone to enjoy the highest attainable<br />

st<strong>and</strong>ard of physical <strong>and</strong> mental health, <strong>and</strong> for<br />

children this may include freedom from obesity.<br />

• The use of a human rights approach to preventing<br />

childhood obesity helps to ensure that the debates<br />

<strong>and</strong> actions centre on what is best for children <strong>and</strong><br />

the Sydney Principles to guide substantial reductions<br />

in food marketing of unhealthy foods that targets<br />

children is one example of such an application.<br />

<strong>Preventing</strong> <strong>Childhood</strong> <strong>Obesity</strong>. Edited by<br />

E. Waters, B.A. Swinburn, J.C. Seidell <strong>and</strong> R. Uauy.<br />

© 2010 Blackwell Publishing.<br />

Introduction<br />

The relationship between human rights <strong>and</strong> health is<br />

one that is now increasingly discussed throughout<br />

the world <strong>and</strong> rights - based approaches to public<br />

health issues are being promoted as having much<br />

to contribute to addressing health inequalities <strong>and</strong><br />

achieving sustainable gains in population health. 1 – 4 To<br />

date, this relatively recent consideration of the relationship<br />

between human rights <strong>and</strong> health has largely<br />

concentrated on the right of individuals to health care<br />

<strong>and</strong> treatment <strong>and</strong> on the protection of individuals<br />

from physical harm. 5 For example, rights - based<br />

approaches have been used to advocate for strengthened<br />

health care systems, to target maternal mortality<br />

<strong>and</strong> reproductive health, mental health care, <strong>and</strong><br />

neglected diseases, <strong>and</strong> to raise the profile of underlying<br />

determinants such as the right to water <strong>and</strong> sanitation.<br />

10 The work of the UN Special Rapporteur<br />

6 –<br />

on the right to health, a position established in 2002,<br />

has done much to promote greater global attention<br />

to health <strong>and</strong> human rights. 11 However, the health<br />

sector has also recently been critiqued for its relative<br />

silence on human rights, with the suggestion that<br />

there is a general lack of awareness within the field<br />

regarding human rights <strong>and</strong> what they mean in<br />

1<br />

practice.<br />

Human rights are essentially freedoms <strong>and</strong> entitlements<br />

that are concerned with protecting the inherent<br />

dignity <strong>and</strong> quality of all human beings, <strong>and</strong> encompass<br />

civil, political, economic, social <strong>and</strong> cultural<br />

12,13<br />

rights. While human rights are inspired by, <strong>and</strong><br />

40

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