Preventing and Managing Conflict of Interest in Nutrition Policy: Lessons for Alcohol Control; Comment on “Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool”

Document Type : Commentary


Institute of Alcohol Studies (IAS), London, UK


Ralston et al present an analysis of policy actor responses to a draft World Health Organization (WHO) tool to prevent and manage conflicts of interest (COI) in nutrition policy. While the Ralston et al study is focussed explicitly on food and nutrition, the issues and concepts addressed are relevant also to alcohol policy debates and present an important opportunity for shared learning across unhealthy commodity industries in order to protect and improve population health. This commentary addresses the importance of understanding how alcohol policy actors – especially decision-makers – perceive COI in relation to alcohol industry engagement in policy. A better understanding of such perceptions may help to inform the development of guidelines to identify, manage and protect against risks associated with COI in alcohol policy.


  1. Ralston R, Hil SE, da Silva Gomes F, Collin J. Towards preventing and managing conflict of interest in nutrition policy? an analysis of submissions to a consultation on a draft WHO tool. Int J Health Policy Manag. 2020; In Press. doi:10.34172/ijhpm.2020.52
  2. Moodie R, Stuckler D, Monteiro C, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381(9867):670-679. doi:10.1016/s0140-6736(12)62089-3
  3. McCambridge J, Mialon M, Hawkins B. Alcohol industry involvement in policymaking: a systematic review. Addiction. 2018;113(9):1571-1584. doi:10.1111/add.14216
  4. Babor TF, Brown K, Jernigan D, et al. Statement of Concern: The International Public Health Community Responds to the Global Alcohol Producers’ Attempts to Implement the WHO Global Strategy on the Harmful Use of Alcohol. Published 2013.
  5. Wise J. Health bodies resign from "charade" of EU alcohol forum. BMJ. 2015;350:h3040. doi:10.1136/bmj.h3040
  6. Limb M. Public health body quits responsibility deal over government's failure to act on tobacco and alcohol. BMJ. 2013;347:f4590. doi:10.1136/bmj.f4590
  7. Bakke Ø, Endal D. Vested interests in addiction research and policy alcohol policies out of context: drinks industry supplanting government role in alcohol policies in sub-Saharan Africa. Addiction. 2010;105(1):22-28. doi:10.1111/j.1360-0443.2009.02695.x
  8. Clarion Declaration. Nordic Studies on Alcohol and Drugs. 2008(25): p. 316.
  9. Adams PJ. Assessing whether to receive funding support from tobacco, alcohol, gambling and other dangerous consumption industries. Addiction. 2007;102(7):1027-1033. doi:10.1111/j.1360-0443.2007.01829.x
  10. World Health Organization (WHO). Framework of Engagement with Non-State Actors. Geneva: WHO; 2016.
  11. Portman Group. House of Commons Health Committee Consultation Response: Inquiry into the Government’s alcohol strategy. Published 2012.
  12. Leverton MR. Global alcohol producers group's reply to WHO. BMJ. 2013;346:f2652. doi:10.1136/bmj.f2652
  13. Smith KE, Stewart EA. Academic advocacy in public health: disciplinary 'duty' or political 'propaganda'? Soc Sci Med. 2017;189:35-43. doi:10.1016/j.socscimed.2017.07.014
  14. Duffy JC, Snowdon C. The Minimal Evidence for Minimum Pricing: The Fatal Flaws in the Sheffield Alcohol Policy Model. London: Adam Smith Institute; 2012.
  15. Smith A. Researchers Appalled at Alcohol Report. Foundation for Alcohol Research and Education; 2016.
  16. Bero LA, Grundy Q. Why having a (nonfinancial) interest is not a conflict of interest. PLoS Biol. 2016;14(12):e2001221. doi:10.1371/journal.pbio.2001221
  17. Holden C, Hawkins B, McCambridge J. Cleavages and co-operation in the UK alcohol industry: a qualitative study. BMC Public Health. 2012;12:483. doi:10.1186/1471-2458-12-483
  18. Scott C, Hawkins B, Knai C. Food and beverage product reformulation as a corporate political strategy. Soc Sci Med. 2017;172:37-45. doi:10.1016/j.socscimed.2016.11.020
  19. World Health Organization (WHO). Safeguarding Against Possible Conflicts of Interest in Nutrition Programmes: Draft Approach for the Prevention and Management of Conflicts of Interest in the Policy Development and Implementation of Nutrition Programmes at Country Level. A Proposed Decision-Making Process and Tool. WHO; 2017.
  20. Babor TF, Robaina K, Brown K, et al. Is the alcohol industry doing well by 'doing good'? Findings from a content analysis of the alcohol industry's actions to reduce harmful drinking. BMJ Open. 2018;8(10):e024325. doi:10.1136/bmjopen-2018-024325
Volume 11, Issue 2
February 2022
Pages 224-227
  • Receive Date: 20 July 2020
  • Revise Date: 14 August 2020
  • Accept Date: 15 August 2020
  • First Publish Date: 01 February 2022