It Is Not Enough to Assess Conflicts of Interest When We Bring the Commercial Sector to the Policy Table; 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

Authors

1 Department of Public Health, Universidad Miguel Hernández, Alicante, Spain

2 CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain

Abstract

Ralston et al offer us an interesting analysis of the consultation process of World Health Organization’s (WHO’s) “Draft approach on the prevention and management of conflicts of interests in the policy development and implementation of nutrition programs at country level,” in which it shows us how the industry tries to frame the discussion in individual conflicts of interest, avoiding structural conflicts of interest. We must not forget other issues of importance in policymaking, such as the imbalance of power between different actors and the strategies of undue influence used by food and beverage corporations. It is essential to develop regulatory-based tools and procedures that embody ethics and good governance and that can be applied systematically and routinely to prevent corporate influence in health policymaking. A global observatory of corporate practices would also be needed to recommend to governments efficient actions to avoid corporate capture of their policies.

Keywords

References

  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. 2021;10(5):255-265. doi:34172/ijhpm.2020.52
  2. World Health Organization (WHO). Draft Approach on the Prevention and Management of Conflicts of Interests in the Policy Development and Implementation of Nutrition Programs at Country Level. Geneva: WHO; 2017.
  3. Weishaar H, Dorfman L, Freudenberg N, et al. Why media representations of corporations matter for public health policy: a scoping review. BMC Public Health. 2016;16(1):899. doi:1186/s12889-016-3594-8
  4. Coleman R, McCombs M, Shaw D, Weaver D. Agenda setting. In: Wahl-Jorgensen K, Hanitzsch T, eds. The Handbook of Journalism Studies. 2nd ed. Routledge; 2019.
  5. Barry CL, Jarlenski M, Grob R, Schlesinger M, Gollust SE. News media framing of childhood obesity in the United States from 2000 to 2009. Pediatrics. 2011;128(1):132-145. doi:1542/peds.2010-3924
  6. Brownell KD, Kersh R, Ludwig DS, et al. Personal responsibility and obesity: a constructive approach to a controversial issue. Health Aff (Millwood). 2010;29(3):379-387. doi:1377/hlthaff.2009.0739
  7. Miralles M, Chilet-Rosell E, Hernández-Aguado I. [Framing of childhood obesity in Spanish lay press]. Gac Sanit. 2021;35(3):256-259. doi:1016/j.gaceta.2019.09.010
  8. van Hooft J, Patterson C, Löf M, Alexandrou C, Hilton S, Nimegeer A. Media framing and construction of childhood obesity: a content analysis of Swedish newspapers. Obes Sci Pract. 2018;4(1):4-13. doi:1002/osp4.150
  9. Parker LA, Zaragoza GA, Hernández-Aguado I. Promoting population health with public-private partnerships: where's the evidence? BMC Public Health. 2019;19(1):1438. doi:1186/s12889-019-7765-2
  10. Kurzer P, Cooper A. Biased or not? organized interests and the case of EU food information labeling. J Eur Public Policy. 2013;20(5):722-740. doi:1080/13501763.2012.751703
  11. Lauber K, McGee D, Gilmore AB. Commercial use of evidence in public health policy: a critical assessment of food industry submissions to global-level consultations on non-communicable disease prevention. BMJ Glob Health. 2021;6(8):e006176. doi:1136/bmjgh-2021-006176
  12. Wiist WH. The corporate play book, health, and democracy: the snack food and beverage industry's tactics in context. In: Stuckler D, Siegel K, eds. Sick Societies: Responding to the Global Challenge of Chronic Disease. Oxford: Oxford University Press; 2011:204-216.
  13. Cullerton K, Donnet T, Lee A, Gallegos D. Exploring power and influence in nutrition policy in Australia. Obes Rev. 2016;17(12):1218-1225. doi:1111/obr.12459
  14. Hernández-Aguado I, Chilet-Rosell E. Pathways of undue influence in health policy-making: a main actor's perspective. J Epidemiol Community Health. 2018;72(2):154-159. doi:1136/jech-2017-209677
  15. Hernández-Aguado I, Zaragoza GA. Support of public-private partnerships in health promotion and conflicts of interest. BMJ Open. 2016;6(4):e009342. doi:1136/bmjopen-2015-009342
  16. Galea G, McKee M. Public-private partnerships with large corporations: setting the ground rules for better health. Health Policy. 2014;115(2-3):138-140. doi:1016/j.healthpol.2014.02.003
  17. Greer S, Wismar M, Figueras J. Strengthening Health System Governance: Better Policies, Stronger Performance. Maidenhead, England: Open University Press; 2016.
International Journal of Health Policy and Management
Volume 11, Issue 3
March 2022
Pages 394-397

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History

  • Receive Date: 31 August 2021
  • Revise Date: 20 October 2021
  • Accept Date: 23 October 2021
  • First Publish Date: 25 October 2021

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