A first-of-its-kind global report on sodium intake reduction shows that the world is off-track to achieve its target of reducing sodium intake by 30% by 2025.
Sodium, an essential nutrient, increases the risk of heart disease, stroke and premature death when eaten in excess.
The main source of sodium is table salt (sodium chloride), but it is also contained in other condiments.
Implementing highly cost-effective sodium reduction policies could save an estimated 7 million lives globally by 2030.
Massive efforts needed to reduce salt intake and protect lives
The new global report shows that only 5% of World Health Organisation Member States are protected by mandatory and comprehensive sodium reduction policies, and 73% of WHO Member States lack full range of implementation of such policies.
Today, only nine countries (Brazil, Chile, Czech Republic, Lithuania, Malaysia, Mexico, Saudi Arabia, Spain and Uruguay) have a comprehensive package of recommended policies to reduce sodium intake.
Jamaicans consume far too much salt, and Health Minister Christopher Tufton is trying to tackle that and has previously commissioned a $13 million salt study.
“Unhealthy diets are a leading cause of death and disease globally, and excessive sodium intake is one of the main culprits,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.
“This report shows that most countries are yet to adopt any mandatory sodium reduction policies, leaving their people at risk of heart attack, stroke, and other health problems. WHO calls on all countries to implement the ‘Best Buys’ for sodium reduction, and on manufacturers to implement the WHO benchmarks for sodium content in food.”
Sodium reduction policies
A comprehensive approach to sodium reduction includes adopting mandatory policies and WHO’s four “best buy” interventions related with sodium, which greatly contribute to preventing noncommunicable diseases.
These include:
- Reformulating foods to contain less salt, and setting targets for the amount of sodium in foods and meals
- Establishing public food procurement policies to limit salt or sodium rich foods in public institutions such as hospitals, schools, workplaces and nursing homes
- Front-of-package labelling that helps consumers select products lower in sodium
- Behaviour change communication and mass media campaigns to reduce salt/sodium consumption
Countries are encouraged to establish sodium content targets for processed foods, in line with the WHO Global Sodium Benchmarks and enforce them though these policies.
Mandatory sodium reduction policies are more effective, as they achieve broader coverage and safeguard against commercial interests, while providing a level playing field for food manufacturers.
Sodium country score card
As part of the report, WHO developed a Sodium country score card for Member States based on the type and number of sodium reduction policies they have in place.
“This important report demonstrates that countries must work urgently to implement ambitious, mandatory, government-led sodium reduction policies to meet the global target of reducing salt consumption by 2025,” said Dr Tom Frieden, President and CEO of Resolve to Save Lives, a not-for-profit organization working with countries to prevent 100 million deaths from cardiovascular disease over 30 years.
“There are proven measures that governments can implement and important innovations, such as low sodium salts. The world needs action, and now, or many more people will experience disabling or deadly—but preventable—heart attacks and strokes.”
The global average salt intake is estimated to be 10.8 grams per day, more than double the WHO recommendation of less than 5 grams of salt per day (one teaspoon).
Eating too much salt makes it the top risk factor for diet and nutrition-related deaths.
More evidence is emerging documenting links between high sodium intake and increased risk of other health conditions such as gastric cancer, obesity, osteoporosis and kidney disease.