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INCREASE PHYSICAL ACTIVITY & IMPROVE NUTRITIONStrategyBy 2016, obesity (high BMI) isprojected to overtake tobaccoas the leading cause of healthloss in New Zealand. 5 Physicalinacvity and poor diet are themajor causes of obesity,impacng throughout the lifecourse and contribung tohealth inequalies. Thesefactors also contribute todisease burdens such as type 2diabetes mellitus,cardiovascular disease andcancers.Develop and implement a long‐term mul‐sectoral plan to address obesity,poor nutrion and physical acvity. Reorient everyday environments such asurban, educaon and food environments, to make physical acvity andhealthy eang the easy choice.AconsImplement the nine recommendaons outlined in the NZMA PolicyBrief: Tackling Obesity. 6Ensure that a healthy diet (high in fruit and vegetables) is affordableand raise awareness of the health risks of diets high in salt, animal fat,and alcohol.Local governments to priorise safe, acve transport in their urbaninfrastructurePromote ways to keep acve every day and increase awareness thatbeing sedentary negavely affects healthEncourage food and beverage companies to reduce the fat, salt andsugar content of commonly consumed productsTax sugar‐sweetened beverages to fund support for the managementof obesity and diabetesProvide publically‐funded support for people wanng to lose weight toprevent ill‐health and reduce the need for expensive treatmentintervenonsPromote breaseeding over formula useMAKE NEW ZEALAND SMOKEFREE BY 2025Smoking kills 4500–5000people in New Zealand everyyear and is linked to manydiseases including asthma,chronic obstrucve respiratorydisease, lung cancer, and othercancers. It is a leading,preventable contributor tohealth inequity.StrategyComplete acon on the Māori Affairs SelectCommiee recommendaons in 2010. 7AconsIncrease the unit price of tobacco productsConnue mass media campaignsConnue to support school‐based educaon programmesPriorise smoke‐free environments legislaonConnue to promote ‘quit’ programmesNew Zealand College of Public Health Medicine | Briefing for the Incoming Minister of Health 2014


REDUCE HARM FROM ALCOHOL CONSUMPTIONStrategyStrengthen measures to change New Zealand’s drinking culture and reducethe hazardous consumpon of alcohol.Unsafe alcohol use accounts forapproximately 24% of allinjuries and 18% of all mentalillness (mainly through alcoholuse disorders) in New Zealand 5 .Acons Increase the price of alcohol Raise the purchase age of alcohol Reduce accessibility to alcohol Reduce markeng and adversing of alcoholic beverages Increase drink‐driving counter‐measures Increase treatment opportunies for heavy drinkersCONTACTFURTHER INFORMATION+64 4 472 9183admin@nzcphm.org.nzPO Box 10233Wellington 6011www.nzcphm.org.nzFurther informaon on these key health and social issues is available inthe NZCPHM policy statements on Health Equity, The First 1000 Days ofLife, Climate Change, Transport, Tobacco Control, Alcohol, Housing,Child Poverty and Health, and other NZCPHM publicaons available athp://www.nzcphm.org.nz/policy‐publicaonsREFERENCES(1) New Zealand Medical Associaon. NZMA Posion Statement: Health Equity. Wellington: NZMA, 2011.(2) Public Health Advisory Commiee. The Best Start in Life: Achieving effecve acon on child health andwellbeing. Wellington: Ministry of Health, 2010(3) Health Commiee. Inquiry into improving child health outcomes and prevenng child abuse, with a focusfrom preconcepon unl three years of age. Volume 1. Wellington: House of Representaves, 2013.(4) Baer P, Athanasiou T, Kartha S., Kemp‐Benedict E. The right to development in a climate constrained world:the Greenhouse Development Rights framework (revised 2nd edion). Berlin: Heinrich Boll Foundaon,Chrisan Aid, EcoEquity, Stockholm Environment Instute, 2008.(5) Ministry of Health. Health Loss in New Zealand: A report from the New Zealand Burden of Diseases, Injuriesand Risk Factors Study, 2006–2016. Wellington: Ministry of Health, 2013(6) New Zealand Medical Associaon. NZMA Policy Brief: Tackling Obesity. Wellington: NZMA, 2014.(7) Maori Affairs Select Commiee. Inquiry into the tobacco industry in Aotearoa and the consequences oftobacco use for Māori: Report of the Māori Affairs Commiee. Wellington: House of Representaves, 2010.New Zealand College of Public Health Medicine | Briefing for the Incoming Minister of Health 2014

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