Trans-Fat Free Americas Initiative was launched
by PAHO in 2007 in collaboration with the private
sector, which promotes regulations, guidelines, and
voluntary actions to eliminate trans-fats from processed
foods. Such an initiative has the potential
to greatly reduce the population’s risk for cardiovascular
diseases.
A Dietary Salt Reduction Initiative to prevent
cardiovascular disease in the Americas was launched
by PAHO in 2009 with a consumption target of
<5 g/person/day by 2020. An expert group was created
and has outlined actions for governments,
industry, and civil society, while preserving the benefits
of salt fortification programs.Among the member
states, only 3 (Argentina, Chile, Canada) had
plans to implement salt-reduction policies before
2009. The expert group has gathered evidence and
developed a rationale for the initiative, setting a policy
goal for the region to obtain a gradual and sustained
drop in dietary salt intake to reach the goal
or national targets if stricter. The first output was a
policy statement that serves as a roadmap for government,
civil society, and the private sector as well as
PAHO. The statement has been widely disseminated
for endorsement throughout the region to policy
makers, NGO leaders (representing consumers,
and health, scientific, and healthcare professionals),
the food industry (including food processors and distributors),
and international organizations. As of
May 2011, 62 organizations have endorsed and used
the policy statement for further development. For
the governments of Uruguay and Costa Rica, the
statement endorsement has served as the foundation
for launching their national initiatives. For civil society
in Latin America, led by Consumers International
and the InterAmerican Heart Foundation, it
was a base for organizing civil society to promote
and take action regarding the policy on salt reduction.
The 2011 report of the Expert Group summarizes
progress to date [18].
Seventy-six cities in 14 countries (Argentina,
Brazil, Chile, Colombia, Costa Rica, El Salvador,
Canada, Ecuador, Guatemala, Honduras, Mexico,
Nicaragua, Peru, United States) across the Americas
have established ciclovias recreativas (recreational
bike paths). Nine countries (Brazil, Chile,
Colombia, Canada, Ecuador, Guatemala, Mexico,
Peru, United States) have developed programs on
bus rapid transit, which reduce traffic congestion,
reduce road-accidents, and facilitate utilitarian
and recreational physical activities. The Caribbean
countries have all implemented Caribbean Wellness
Day, emphasizing mass physical activity.
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